Hospital Costs > In Indiana > Indiana Orthopaedic Hospital, 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 | 698 | 57 / 1 | $32.676,10 | 341 / 2 | $12.532,50 | 442 / 12 | $10.241,00 | 439 / 11 |
| Spinal Fusion Except Cervical W/O Mcc | 58 | 136 / 11 | $65.058,70 | 281 / 6 | $23.269,70 | 444 / 8 | $21.486,20 | 441 / 12 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 46 | 50 / 2 | $36.287,60 | 118 / 3 | $12.682,30 | 288 / 5 | $11.498,30 | 285 / 10 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 33 | 36 / 1 | $47.098,20 | 88 / 2 | $16.054,40 | 92 / 3 | $13.534,10 | 92 / 2 |
| Revision Of Hip Or Knee Replacement W Cc | 24 | 62 / 4 | $48.043,20 | 62 / 1 | $18.552,80 | 72 / 2 | $16.498,60 | 72 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 21 | 68 / 6 | $23.754,50 | 159 / 2 | $6.228,10 | 162 / 2 | $5.074,57 | 162 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 15 | $40.532,60 | 208 / 4 | $13.436,70 | 200 / 9 | $11.099,30 | 200 / 6 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 15 | 48 / 7 | $43.338,90 | 16 / 1 | $21.771,10 | 27 / 4 | $16.288,90 | 27 / 3 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 9 | $29.030,70 | 96 / 1 | $8.576,83 | 156 / 2 | $7.568,83 | 156 / 6 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 8 | $37.081,50 | 37 / 2 | $15.061,00 | 167 / 4 | $13.853,70 | 167 / 6 | Total 10 procedures | 933 | 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.