Hospital Costs > In Indiana > Hendricks Regional Health, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 160 | 404 / 26 | $35.309,60 | 481 / 5 | $13.297,30 | 969 / 33 | $11.006,10 | 950 / 33 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 70 | 446 / 47 | $23.495,90 | 449 / 9 | $11.523,20 | 466 / 37 | $9.459,13 | 466 / 10 |
Simple Pneumonia & Pleurisy W Mcc | 61 | 144 / 26 | $19.733,50 | 375 / 9 | $8.708,07 | 490 / 29 | $7.313,98 | 490 / 12 |
Renal Failure W Cc | 53 | 168 / 28 | $13.316,00 | 321 / 5 | $5.861,38 | 675 / 18 | $4.898,23 | 668 / 23 |
Pulmonary Edema & Respiratory Failure | 51 | 152 / 32 | $17.647,90 | 264 / 7 | $7.669,63 | 414 / 30 | $6.245,84 | 414 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 21 | $19.616,50 | 749 / 18 | $6.670,71 | 708 / 27 | $5.396,79 | 706 / 28 |
Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 27 | $14.468,00 | 852 / 24 | $6.220,28 | 494 / 68 | $3.617,80 | 494 / 16 |
Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 27 | $18.870,80 | 1005 / 25 | $6.454,02 | 1498 / 44 | $5.513,27 | 1492 / 54 |
Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 34 | $16.873,80 | 467 / 10 | $7.052,75 | 756 / 16 | $6.012,02 | 751 / 25 |
Cellulitis W/O Mcc | 44 | 145 / 21 | $13.203,60 | 616 / 14 | $5.505,64 | 303 / 39 | $3.694,02 | 300 / 10 |
Heart Failure & Shock W Mcc | 40 | 244 / 38 | $23.565,90 | 632 / 16 | $9.393,92 | 1019 / 45 | $8.320,22 | 1017 / 41 |
Heart Failure & Shock W Cc | 39 | 239 / 38 | $16.383,00 | 730 / 17 | $5.968,85 | 746 / 23 | $5.102,38 | 745 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 27 | $19.395,00 | 438 / 12 | $6.754,53 | 721 / 29 | $5.455,82 | 720 / 32 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 32 | $14.572,00 | 698 / 15 | $4.789,30 | 607 / 25 | $3.488,18 | 604 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 20 | $36.730,80 | 481 / 9 | $11.508,80 | 714 / 20 | $10.452,80 | 708 / 24 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 24 | $11.970,00 | 442 / 11 | $4.528,92 | 256 / 17 | $3.098,12 | 256 / 8 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 26 | $20.663,40 | 118 / 2 | $10.719,90 | 309 / 6 | $10.038,20 | 309 / 7 |
Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 23 | $14.703,70 | 819 / 29 | $4.261,59 | 459 / 18 | $3.275,41 | 457 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 34 | $18.646,80 | 1409 / 53 | $5.254,86 | 1734 / 58 | $4.373,45 | 1729 / 59 |
G.I. Hemorrhage W Cc | 22 | 196 / 37 | $15.504,80 | 338 / 4 | $6.409,27 | 325 / 33 | $4.736,77 | 325 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 41 | $13.699,40 | 385 / 7 | $5.552,67 | 480 / 10 | $4.519,52 | 479 / 16 |
Renal Failure W Mcc | 20 | 175 / 32 | $23.528,60 | 387 / 8 | $8.852,05 | 697 / 12 | $8.365,70 | 697 / 22 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 14 | $40.392,00 | 178 / 6 | $14.984,90 | 68 / 17 | $10.155,40 | 68 / 1 |
Diabetes W Cc | 17 | 75 / 18 | $13.805,20 | 257 / 6 | $5.251,65 | 443 / 13 | $4.208,00 | 443 / 15 |
Syncope & Collapse | 17 | 152 / 31 | $13.840,40 | 318 / 6 | $4.589,53 | 688 / 13 | $3.736,82 | 685 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 34 | $15.007,30 | 518 / 12 | $4.959,20 | 689 / 21 | $4.003,47 | 686 / 20 |
Signs & Symptoms W/O Mcc | 15 | 76 / 13 | $14.510,60 | 299 / 5 | $4.557,33 | 308 / 12 | $3.395,53 | 307 / 7 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 31 | $34.204,80 | 187 / 7 | $13.582,10 | 763 / 11 | $13.178,90 | 755 / 29 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 24 | $49.019,60 | 394 / 9 | $15.251,10 | 721 / 16 | $14.442,50 | 714 / 29 |
Pulmonary Embolism W Mcc | 15 | 28 / 6 | $22.451,30 | 72 / 3 | $9.228,27 | 184 / 10 | $8.187,20 | 184 / 11 |
G.I. Hemorrhage W Mcc | 13 | 108 / 22 | $25.241,00 | 185 / 5 | $11.448,80 | 283 / 30 | $9.106,62 | 283 / 10 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 19 | $23.265,90 | 394 / 14 | $7.403,15 | 159 / 3 | $6.664,77 | 159 / 4 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 37 | $27.034,50 | 378 / 10 | $6.684,23 | 584 / 14 | $5.566,69 | 582 / 28 |
Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 37 | $15.862,60 | 301 / 6 | $7.083,46 | 158 / 28 | $5.169,15 | 158 / 5 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 22 | $77.120,70 | 175 / 6 | $30.008,00 | 460 / 10 | $29.264,60 | 458 / 12 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 32 | $46.140,40 | 83 / 2 | $23.493,90 | 570 / 10 | $22.285,30 | 567 / 17 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 18 | $12.646,50 | 76 / 1 | $5.923,08 | 374 / 10 | $4.997,54 | 371 / 13 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 17 | $9.689,69 | 119 / 2 | $4.147,15 | 234 / 18 | $2.587,85 | 234 / 8 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 11 | $11.697,10 | 197 / 3 | $4.013,08 | 138 / 7 | $2.806,92 | 137 / 4 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 17 | $19.455,90 | 230 / 8 | $6.058,00 | 115 / 7 | $4.902,00 | 115 / 5 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 16 | $57.007,30 | 47 / 1 | $27.147,60 | 98 / 1 | $26.446,20 | 98 / 3 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 22 | $17.724,60 | 205 / 3 | $6.478,33 | 503 / 16 | $5.467,67 | 502 / 13 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 10 | $20.409,90 | 312 / 5 | $4.708,33 | 261 / 6 | $3.705,67 | 260 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 31 | $18.654,70 | 68 / 2 | $9.840,55 | 434 / 8 | $9.180,18 | 433 / 17 |
Cellulitis W Mcc | 11 | 47 / 14 | $21.081,30 | 149 / 3 | $8.680,00 | 265 / 11 | $7.696,73 | 264 / 13 |
G.I. Obstruction W Cc | 11 | 81 / 25 | $15.516,70 | 327 / 7 | $5.526,18 | 564 / 15 | $4.540,00 | 563 / 22 | Total 46 procedures | 1.280 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.