Hospital Costs > In Hawaii > Hilo Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 80 | 436 / 6 | $38.407,20 | 1237 / 3 | $19.465,90 | 2699 / 8 | $18.050,80 | 2654 / 9 |
Psychoses | 79 | 209 / 3 | $26.345,30 | 436 / 4 | $11.815,90 | 581 / 3 | $10.692,10 | 581 / 3 |
G.I. Hemorrhage W Cc | 47 | 171 / 4 | $17.885,90 | 560 / 3 | $10.178,40 | 2216 / 7 | $8.527,06 | 2212 / 7 |
Cellulitis W/O Mcc | 44 | 145 / 3 | $16.848,80 | 1106 / 3 | $8.613,27 | 2361 / 7 | $6.848,50 | 2353 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 1 | $16.576,70 | 1155 / 1 | $7.757,69 | 2445 / 6 | $6.360,64 | 2434 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 5 | $20.969,10 | 880 / 3 | $10.707,30 | 2422 / 5 | $9.619,26 | 2412 / 8 |
Heart Failure & Shock W Cc | 37 | 241 / 3 | $19.490,10 | 1121 / 3 | $10.129,90 | 2542 / 7 | $8.634,87 | 2536 / 7 |
Heart Failure & Shock W Mcc | 35 | 249 / 4 | $32.021,10 | 1218 / 5 | $15.131,60 | 2382 / 9 | $12.648,90 | 2371 / 7 |
Renal Failure W Cc | 35 | 186 / 2 | $21.288,20 | 1099 / 1 | $10.079,30 | 2250 / 5 | $8.506,40 | 2240 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 2 | $17.975,40 | 1319 / 4 | $7.109,62 | 2244 / 6 | $5.769,88 | 2236 / 6 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 7 | $35.987,30 | 521 / 3 | $21.746,70 | 2484 / 7 | $17.255,30 | 2438 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 2 | $18.410,30 | 461 / 1 | $9.012,38 | 1374 / 5 | $5.625,52 | 1370 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 2 | $16.904,30 | 736 / 1 | $8.026,54 | 1921 / 3 | $6.384,21 | 1916 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 2 | $12.625,70 | 669 / 2 | $5.910,33 | 1641 / 4 | $3.861,19 | 1635 / 1 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 1 | $17.428,60 | 1056 / 1 | $7.221,85 | 1901 / 2 | $5.888,00 | 1890 / 2 |
Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 5 | $22.850,70 | 1438 / 4 | $9.862,88 | 2627 / 6 | $8.575,38 | 2618 / 7 |
Syncope & Collapse | 23 | 146 / 2 | $19.258,70 | 787 / 2 | $7.332,13 | 1642 / 4 | $5.734,30 | 1634 / 3 |
Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 3 | $22.758,00 | 952 / 3 | $11.670,30 | 2412 / 5 | $10.360,60 | 2404 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 3 | $13.290,70 | 538 / 1 | $7.444,17 | 2403 / 7 | $5.940,96 | 2388 / 5 |
Renal Failure W Mcc | 21 | 174 / 3 | $30.852,60 | 814 / 2 | $15.451,60 | 2010 / 6 | $14.085,80 | 2006 / 6 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 3 | $18.339,80 | 837 / 1 | $9.364,25 | 2268 / 2 | $8.277,85 | 2261 / 3 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 5 | $17.359,90 | 190 / 1 | $10.825,80 | 1340 / 5 | $9.386,25 | 1338 / 6 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 5 | $24.173,00 | 268 / 3 | $17.321,30 | 1682 / 7 | $15.100,80 | 1669 / 7 |
Transient Ischemia | 19 | 106 / 1 | $15.660,70 | 334 / 1 | $6.966,16 | 1511 / 2 | $5.953,95 | 1503 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 6 | $27.727,50 | 977 / 6 | $11.567,90 | 1887 / 9 | $8.850,05 | 1883 / 8 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 6 | $38.358,10 | 1500 / 8 | $14.739,70 | 2436 / 6 | $14.097,80 | 2430 / 8 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 3 | $14.892,40 | 843 / 1 | $6.737,44 | 1851 / 1 | $5.983,44 | 1838 / 2 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 3 | $12.530,80 | 326 / 2 | $6.068,25 | 1200 / 2 | $4.936,25 | 1197 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 6 | $28.803,50 | 189 / 1 | $19.992,10 | 1951 / 7 | $17.373,50 | 1931 / 7 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 1 | $27.595,10 | 140 / 1 | $16.327,70 | 878 / 1 | $15.122,30 | 875 / 1 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 5 | $44.360,40 | 460 / 1 | $25.624,60 | 1702 / 5 | $20.558,90 | 1688 / 4 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 4 | $22.529,10 | 373 / 1 | $13.956,10 | 1444 / 3 | $13.350,40 | 1439 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 4 | $87.968,90 | 332 / 2 | $54.100,10 | 1526 / 5 | $53.578,90 | 1516 / 7 |
Seizures W/O Mcc | 13 | 95 / 2 | $17.914,80 | 422 / 1 | $7.588,77 | 1146 / 1 | $6.572,15 | 1144 / 1 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 1 | $25.130,90 | 651 / 1 | $9.683,50 | 1158 / 2 | $8.779,50 | 1155 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 6 | $22.350,50 | 548 / 1 | $11.123,10 | 1596 / 5 | $10.465,60 | 1593 / 6 | Total 36 procedures | 980 | 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.