Hospital Costs > In Minnesota > Hutchinson 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 | 82 | 482 / 33 | $38.322,50 | 664 / 30 | $16.717,50 | 2295 / 37 | $15.331,00 | 2251 / 42 |
| Heart Failure & Shock W Cc | 30 | 248 / 25 | $15.932,30 | 680 / 14 | $7.680,20 | 2159 / 32 | $6.875,93 | 2153 / 36 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 24 | $14.127,70 | 454 / 8 | $7.535,75 | 2299 / 33 | $6.883,75 | 2291 / 42 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 7 | $10.167,30 | 236 / 2 | $5.421,43 | 1470 / 17 | $4.354,00 | 1462 / 20 |
| Heart Failure & Shock W Mcc | 21 | 263 / 30 | $21.786,50 | 521 / 9 | $11.573,10 | 2124 / 30 | $10.878,20 | 2114 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 21 | 495 / 35 | $16.722,10 | 120 / 1 | $14.211,00 | 2266 / 32 | $13.464,30 | 2226 / 34 |
| Cellulitis W/O Mcc | 19 | 170 / 24 | $16.654,10 | 1076 / 25 | $6.504,05 | 1908 / 24 | $5.358,79 | 1900 / 26 |
| G.I. Hemorrhage W Cc | 18 | 200 / 27 | $13.950,40 | 220 / 3 | $7.740,22 | 1880 / 28 | $6.870,89 | 1876 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 31 | $14.761,00 | 333 / 8 | $8.331,47 | 1788 / 33 | $6.776,13 | 1780 / 28 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 21 | $13.408,10 | 648 / 12 | $5.214,82 | 1319 / 19 | $4.112,27 | 1309 / 14 | Total 10 procedures | 262 | 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.