Hospital Costs > In Indiana > Indiana University Health Bloomington 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 | 222 | 342 / 19 | $62.521,90 | 1787 / 50 | $15.099,70 | 1077 / 62 | $11.182,90 | 1054 / 40 |
| Psychoses | 181 | 132 / 6 | $17.951,80 | 267 / 9 | $6.694,32 | 170 / 7 | $5.398,31 | 170 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 168 | 348 / 23 | $36.819,80 | 1138 / 34 | $13.269,90 | 1623 / 65 | $11.273,10 | 1591 / 57 |
| Simple Pneumonia & Pleurisy W Cc | 101 | 102 / 7 | $21.825,30 | 1331 / 46 | $6.999,87 | 1151 / 57 | $5.196,53 | 1147 / 42 |
| Renal Failure W Cc | 93 | 128 / 12 | $21.426,20 | 1112 / 35 | $6.414,25 | 1065 / 44 | $5.251,30 | 1057 / 38 |
| Chronic Obstructive Pulmonary Disease W Mcc | 86 | 116 / 18 | $23.146,90 | 991 / 33 | $7.628,10 | 1054 / 43 | $6.295,01 | 1049 / 39 |
| Hip & Femur Procedures Except Major Joint W Cc | 83 | 60 / 5 | $51.548,10 | 1102 / 36 | $12.340,70 | 1142 / 41 | $11.424,30 | 1128 / 45 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 81 | 101 / 11 | $21.278,80 | 552 / 17 | $7.051,46 | 598 / 37 | $5.329,62 | 597 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 78 | 129 / 9 | $24.873,60 | 1242 / 43 | $7.276,59 | 1486 / 54 | $6.239,62 | 1480 / 55 |
| Simple Pneumonia & Pleurisy W Mcc | 77 | 128 / 18 | $26.690,10 | 814 / 23 | $9.292,86 | 1129 / 42 | $8.026,61 | 1129 / 45 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 74 | 122 / 10 | $75.474,90 | 782 / 30 | $20.227,80 | 606 / 43 | $10.961,60 | 602 / 23 |
| Heart Failure & Shock W Cc | 74 | 204 / 22 | $18.240,00 | 958 / 26 | $6.751,26 | 777 / 58 | $5.125,66 | 776 / 26 |
| G.I. Hemorrhage W Cc | 72 | 146 / 14 | $26.368,80 | 1321 / 40 | $7.793,97 | 1572 / 54 | $6.087,88 | 1568 / 51 |
| Renal Failure W Mcc | 71 | 124 / 16 | $36.140,60 | 1107 / 37 | $10.668,20 | 1376 / 46 | $9.879,77 | 1376 / 48 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 64 | 104 / 6 | $36.445,80 | 564 / 21 | $11.525,00 | 405 / 32 | $9.088,91 | 404 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 63 | 212 / 20 | $18.203,90 | 1163 / 34 | $5.058,65 | 1284 / 41 | $3.955,97 | 1273 / 46 |
| Pulmonary Edema & Respiratory Failure | 61 | 142 / 25 | $28.021,90 | 913 / 35 | $8.081,25 | 1226 / 45 | $7.269,20 | 1224 / 52 |
| Kidney & Urinary Tract Infections W/O Mcc | 57 | 176 / 22 | $15.415,30 | 999 / 33 | $5.096,56 | 1079 / 43 | $4.011,46 | 1071 / 43 |
| Depressive Neuroses | 50 | 5 / 2 | $12.674,20 | 80 / 3 | $4.609,82 | 31 / 3 | $3.332,44 | 31 / 4 |
| Heart Failure & Shock W Mcc | 49 | 235 / 35 | $26.324,00 | 853 / 29 | $9.312,71 | 872 / 43 | $8.127,82 | 872 / 33 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 47 | 84 / 13 | $47.701,30 | 558 / 22 | $15.654,60 | 1084 / 42 | $14.483,00 | 1074 / 42 |
| Other Vascular Procedures W Cc | 46 | 56 / 7 | $65.112,60 | 447 / 17 | $19.097,80 | 578 / 28 | $15.410,70 | 575 / 21 |
| Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 17 | $107.757,00 | 816 / 20 | $28.712,80 | 773 / 29 | $23.891,30 | 769 / 23 |
| Major Small & Large Bowel Procedures W Cc | 44 | 64 / 10 | $71.642,70 | 888 / 33 | $20.379,20 | 689 / 42 | $14.302,70 | 683 / 27 |
| Cellulitis W/O Mcc | 39 | 150 / 25 | $16.552,10 | 1058 / 35 | $5.487,23 | 1161 / 36 | $4.400,87 | 1155 / 47 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 38 | 86 / 3 | $13.003,40 | 249 / 9 | $4.608,53 | 276 / 9 | $3.719,26 | 276 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 37 | 86 / 15 | $24.662,20 | 638 / 24 | $7.936,70 | 990 / 26 | $7.120,30 | 987 / 37 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 16 | $13.690,30 | 631 / 17 | $4.980,53 | 723 / 42 | $3.508,81 | 721 / 33 |
| G.I. Hemorrhage W Mcc | 35 | 86 / 11 | $29.378,60 | 308 / 9 | $10.662,10 | 414 / 15 | $9.431,34 | 415 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 35 | 58 / 5 | $15.567,10 | 792 / 23 | $4.677,29 | 875 / 27 | $3.571,91 | 871 / 33 |
| Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 30 | $20.453,20 | 1046 / 39 | $6.152,66 | 932 / 43 | $4.901,26 | 929 / 38 |
| Respiratory Infections & Inflammations W Cc | 32 | 56 / 3 | $22.060,80 | 351 / 10 | $8.766,19 | 499 / 27 | $7.341,16 | 496 / 17 |
| Extracranial Procedures W/O Cc/Mcc | 30 | 68 / 10 | $29.591,30 | 431 / 15 | $6.958,03 | 389 / 18 | $5.451,77 | 389 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 30 | $17.297,30 | 1242 / 44 | $4.894,97 | 1176 / 47 | $3.793,07 | 1173 / 45 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 15 | $25.452,90 | 925 / 40 | $5.404,11 | 775 / 33 | $3.968,00 | 771 / 35 |
| Pulmonary Embolism W/O Mcc | 27 | 47 / 7 | $18.873,90 | 338 / 7 | $6.352,37 | 584 / 15 | $5.320,07 | 581 / 19 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 27 | 73 / 11 | $91.963,00 | 401 / 15 | $23.057,10 | 482 / 26 | $19.494,30 | 478 / 23 |
| G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 6 | $13.382,40 | 395 / 13 | $4.404,27 | 422 / 23 | $2.866,88 | 421 / 18 |
| Respiratory Infections & Inflammations W Mcc | 25 | 111 / 24 | $47.412,00 | 1011 / 37 | $14.669,20 | 1146 / 46 | $12.266,80 | 1132 / 42 |
| Medical Back Problems W/O Mcc | 25 | 96 / 14 | $20.816,00 | 585 / 16 | $5.949,32 | 463 / 25 | $4.183,68 | 463 / 17 |
| Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 14 | $102.301,00 | 603 / 22 | $23.984,00 | 720 / 26 | $22.971,40 | 719 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 25 | $16.233,70 | 657 / 17 | $5.053,52 | 833 / 27 | $4.135,76 | 830 / 30 |
| Hip & Femur Procedures Except Major Joint W Mcc | 24 | 38 / 6 | $68.343,40 | 396 / 14 | $19.011,10 | 286 / 16 | $16.488,80 | 283 / 10 |
| Organic Disturbances & Mental Retardation | 24 | 35 / 2 | $15.006,80 | 92 / 1 | $6.485,25 | 203 / 3 | $5.681,25 | 203 / 4 |
| G.I. Obstruction W Cc | 24 | 68 / 14 | $19.764,50 | 634 / 23 | $5.754,79 | 701 / 25 | $4.698,79 | 700 / 26 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 24 | 32 / 4 | $38.375,40 | 366 / 11 | $11.468,20 | 345 / 25 | $8.645,96 | 344 / 17 |
| Extracranial Procedures W Cc | 24 | 22 / 3 | $36.083,90 | 130 / 3 | $10.365,30 | 135 / 6 | $8.548,21 | 135 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 28 | $34.073,00 | 709 / 30 | $7.648,13 | 504 / 37 | $5.451,35 | 502 / 23 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 22 | $94.472,60 | 425 / 13 | $38.277,30 | 632 / 30 | $30.807,30 | 626 / 17 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 13 | $146.852,00 | 789 / 27 | $48.145,60 | 1175 / 33 | $44.508,10 | 1172 / 34 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 23 | $15.662,80 | 916 / 38 | $4.510,73 | 759 / 34 | $3.518,73 | 755 / 29 |
| Respiratory Neoplasms W Mcc | 21 | 31 / 6 | $46.188,10 | 333 / 17 | $12.689,30 | 463 / 16 | $11.941,20 | 461 / 18 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 7 | $24.015,80 | 438 / 9 | $7.785,95 | 339 / 20 | $6.241,38 | 338 / 14 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 20 | 49 / 5 | $69.834,80 | 344 / 9 | $12.718,50 | 316 / 11 | $10.707,50 | 316 / 13 |
| Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 12 | $46.554,10 | 297 / 6 | $13.692,80 | 462 / 11 | $12.483,20 | 460 / 17 |
| Neuroses Except Depressive | 20 | 8 / 1 | $10.453,80 | 18 / 1 | $4.668,60 | 11 / 1 | $3.884,60 | 11 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 19 | 37 / 7 | $49.915,00 | 420 / 16 | $15.501,80 | 562 / 19 | $14.737,20 | 561 / 19 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 7 | $27.180,50 | 239 / 4 | $7.792,21 | 267 / 9 | $5.462,00 | 267 / 7 |
| Degenerative Nervous System Disorders W/O Mcc | 19 | 59 / 8 | $20.740,50 | 259 / 8 | $6.312,00 | 308 / 9 | $5.298,11 | 308 / 10 |
| Renal Failure W/O Cc/Mcc | 19 | 37 / 6 | $14.870,80 | 361 / 13 | $4.516,26 | 299 / 15 | $3.141,58 | 298 / 12 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 33 | $25.964,10 | 978 / 37 | $7.555,78 | 1195 / 43 | $6.746,89 | 1191 / 45 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 23 | $45.345,90 | 1001 / 36 | $17.646,50 | 367 / 47 | $8.700,22 | 367 / 10 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 16 | $26.933,50 | 752 / 28 | $7.740,00 | 969 / 34 | $6.367,41 | 965 / 35 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 10 | $67.912,20 | 345 / 11 | $18.936,70 | 344 / 11 | $17.939,00 | 342 / 12 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 27 | $19.534,00 | 864 / 26 | $5.289,41 | 598 / 26 | $4.082,82 | 594 / 16 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 16 | $45.631,50 | 646 / 24 | $13.076,50 | 709 / 29 | $11.652,40 | 707 / 28 |
| Syncope & Collapse | 16 | 153 / 32 | $16.733,30 | 550 / 18 | $4.843,81 | 896 / 26 | $3.937,81 | 891 / 33 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 13 | $123.632,00 | 379 / 14 | $27.284,50 | 472 / 15 | $26.302,50 | 471 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 19 | $27.883,70 | 560 / 17 | $7.934,88 | 629 / 19 | $6.954,88 | 624 / 21 |
| Seizures W Mcc | 15 | 51 / 9 | $30.070,50 | 169 / 6 | $9.426,40 | 306 / 4 | $8.946,40 | 306 / 10 |
| Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 9 | $53.154,50 | 317 / 8 | $12.473,30 | 416 / 13 | $11.504,90 | 415 / 16 |
| Other Vascular Procedures W Mcc | 15 | 82 / 15 | $79.694,30 | 374 / 10 | $21.409,60 | 507 / 13 | $20.765,30 | 504 / 17 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 15 | 76 / 4 | $48.462,70 | 310 / 6 | $7.058,93 | 107 / 2 | $6.736,80 | 107 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 19 | $32.019,10 | 816 / 26 | $6.938,47 | 675 / 23 | $5.812,07 | 673 / 20 |
| Coronary Bypass W Cardiac Cath W Mcc | 15 | 41 / 3 | $209.851,00 | 255 / 8 | $63.847,70 | 365 / 9 | $55.128,40 | 365 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 11 | $40.187,30 | 263 / 6 | $10.253,30 | 397 / 7 | $9.045,87 | 397 / 11 |
| Other Resp System O.R. Procedures W Mcc | 14 | 49 / 9 | $52.051,90 | 68 / 3 | $20.873,80 | 154 / 3 | $20.009,80 | 154 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 36 | $14.150,60 | 883 / 35 | $4.169,93 | 514 / 43 | $2.455,50 | 510 / 15 |
| Seizures W/O Mcc | 13 | 95 / 16 | $20.177,00 | 561 / 20 | $6.355,46 | 307 / 29 | $3.764,15 | 305 / 10 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 6 | $21.948,20 | 230 / 7 | $7.469,38 | 16 / 11 | $3.989,69 | 16 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 12 | $45.969,60 | 237 / 11 | $13.560,80 | 367 / 10 | $12.445,80 | 366 / 15 |
| Respiratory Neoplasms W Cc | 12 | 35 / 8 | $27.092,20 | 155 / 2 | $7.473,67 | 194 / 4 | $6.670,92 | 193 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 30 | $28.559,90 | 894 / 28 | $7.101,00 | 478 / 19 | $5.991,67 | 475 / 13 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 16 | $97.055,70 | 233 / 7 | $37.272,10 | 324 / 27 | $29.506,20 | 324 / 14 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 13 | $61.834,80 | 201 / 7 | $12.110,00 | 205 / 7 | $11.000,70 | 203 / 8 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 14 | $48.626,70 | 445 / 12 | $11.107,10 | 228 / 15 | $8.175,09 | 228 / 9 |
| Transient Ischemia | 11 | 114 / 28 | $26.916,70 | 1049 / 43 | $5.753,18 | 1202 / 40 | $4.543,09 | 1196 / 43 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 9 | $49.639,50 | 96 / 3 | $17.256,50 | 55 / 11 | $12.431,40 | 55 / 2 |
| Diabetes W Cc | 11 | 81 / 23 | $16.022,90 | 401 / 12 | $6.014,55 | 136 / 31 | $3.684,27 | 136 / 3 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 6 | $18.583,50 | 121 / 5 | $5.493,55 | 108 / 5 | $4.289,18 | 108 / 6 |
| Pulmonary Embolism W Mcc | 11 | 32 / 10 | $31.258,40 | 186 / 8 | $9.356,55 | 228 / 12 | $8.478,00 | 228 / 14 | Total 91 procedures | 3.366 | 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.