Hospital Costs > In Indiana > Indiana University Health La Porte 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 | 120 | 444 / 35 | $66.445,30 | 1901 / 55 | $13.876,20 | 598 / 43 | $10.467,70 | 592 / 18 |
Chronic Obstructive Pulmonary Disease W Mcc | 86 | 116 / 18 | $27.328,90 | 1292 / 52 | $7.498,64 | 519 / 42 | $5.798,71 | 518 / 17 |
Heart Failure & Shock W Mcc | 61 | 223 / 32 | $28.266,40 | 989 / 38 | $8.768,23 | 464 / 16 | $7.638,84 | 464 / 8 |
Kidney & Urinary Tract Infections W/O Mcc | 57 | 176 / 22 | $20.205,10 | 1596 / 60 | $4.745,74 | 487 / 17 | $3.611,32 | 487 / 15 |
Heart Failure & Shock W Cc | 48 | 230 / 34 | $21.570,40 | 1354 / 48 | $6.749,27 | 559 / 57 | $4.948,83 | 559 / 16 |
Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 25 | $25.320,30 | 1646 / 58 | $5.650,25 | 734 / 8 | $4.846,25 | 731 / 25 |
Simple Pneumonia & Pleurisy W Mcc | 45 | 160 / 32 | $34.570,20 | 1319 / 46 | $8.283,00 | 552 / 8 | $7.384,87 | 552 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 23 | $18.195,70 | 1350 / 50 | $4.327,12 | 677 / 16 | $3.434,80 | 675 / 23 |
G.I. Hemorrhage W Cc | 36 | 182 / 29 | $28.347,50 | 1466 / 48 | $5.971,28 | 783 / 9 | $5.165,08 | 781 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 35 | 147 / 26 | $25.826,60 | 847 / 32 | $7.210,23 | 195 / 43 | $4.821,23 | 195 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 31 | $25.905,40 | 1501 / 59 | $5.485,67 | 539 / 7 | $4.589,91 | 537 / 18 |
Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 16 | $17.027,30 | 1061 / 43 | $4.420,25 | 306 / 29 | $3.107,72 | 304 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 33 | $18.534,90 | 1217 / 36 | $4.904,34 | 589 / 33 | $3.477,91 | 586 / 15 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 32 | 99 / 21 | $49.405,20 | 594 / 25 | $14.474,70 | 263 / 28 | $11.803,60 | 261 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 32 | 484 / 58 | $50.783,00 | 1822 / 60 | $11.620,80 | 1261 / 41 | $10.570,20 | 1240 / 40 |
Cellulitis W/O Mcc | 31 | 158 / 30 | $21.827,60 | 1649 / 58 | $4.968,94 | 629 / 8 | $3.997,58 | 626 / 21 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 21 | $21.279,60 | 1355 / 54 | $4.482,03 | 435 / 13 | $3.265,90 | 434 / 16 |
Renal Failure W Mcc | 27 | 168 / 29 | $48.331,40 | 1539 / 51 | $10.979,50 | 1473 / 49 | $10.199,10 | 1472 / 50 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 24 | 45 / 3 | $67.622,90 | 335 / 8 | $10.724,40 | 190 / 5 | $9.623,08 | 190 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 36 | $33.224,10 | 1776 / 62 | $6.274,42 | 666 / 14 | $5.367,75 | 664 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 22 | $32.504,20 | 1068 / 37 | $6.465,61 | 239 / 5 | $5.600,91 | 237 / 4 |
Syncope & Collapse | 23 | 146 / 26 | $22.960,30 | 1102 / 42 | $4.744,04 | 317 / 20 | $3.358,04 | 315 / 7 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 28 | $37.256,00 | 847 / 36 | $7.020,91 | 240 / 21 | $5.048,17 | 240 / 9 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 43 | $37.321,20 | 1400 / 58 | $7.090,39 | 560 / 6 | $6.407,26 | 560 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 27 | $59.015,60 | 1324 / 42 | $11.174,90 | 432 / 13 | $9.969,09 | 431 / 9 |
Renal Failure W Cc | 20 | 201 / 42 | $31.224,70 | 1760 / 60 | $6.328,55 | 1294 / 40 | $5.486,90 | 1286 / 47 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 16 | $22.679,90 | 1337 / 46 | $5.144,45 | 407 / 41 | $3.148,65 | 405 / 12 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 25 | $24.144,50 | 1198 / 37 | $4.804,37 | 498 / 7 | $3.979,11 | 497 / 13 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 12 | $21.868,20 | 488 / 13 | $5.790,37 | 387 / 5 | $4.963,42 | 387 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 19 | 177 / 31 | $73.028,50 | 740 / 23 | $11.587,90 | 448 / 2 | $10.513,40 | 447 / 17 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 33 | $21.480,70 | 1477 / 51 | $3.461,22 | 367 / 10 | $2.327,00 | 364 / 10 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 7 | $46.900,20 | 527 / 18 | $9.346,56 | 281 / 8 | $8.404,33 | 280 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 22 | $22.048,50 | 722 / 30 | $5.248,61 | 264 / 30 | $3.316,56 | 262 / 6 |
Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 29 | $100.588,00 | 741 / 17 | $22.401,30 | 392 / 5 | $21.192,40 | 391 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 32 | $21.842,40 | 1196 / 45 | $4.742,24 | 455 / 8 | $3.773,76 | 455 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 27 | $43.655,90 | 803 / 33 | $9.866,41 | 403 / 9 | $9.087,12 | 402 / 11 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 10 | $21.926,50 | 626 / 21 | $4.157,00 | 199 / 3 | $3.183,00 | 198 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 11 | $28.709,10 | 612 / 22 | $7.646,12 | 161 / 18 | $5.818,25 | 161 / 6 |
G.I. Hemorrhage W Mcc | 15 | 106 / 21 | $35.548,90 | 532 / 20 | $9.494,00 | 210 / 4 | $8.930,87 | 210 / 5 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 25 | $74.646,40 | 934 / 35 | $14.510,50 | 535 / 10 | $13.733,40 | 529 / 16 |
Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 19 | $99.961,10 | 581 / 21 | $19.825,50 | 333 / 8 | $18.803,90 | 333 / 11 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 27 | $47.283,50 | 1065 / 39 | $10.591,50 | 815 / 23 | $9.757,00 | 814 / 30 |
Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 37 | $34.404,30 | 1345 / 47 | $6.549,77 | 439 / 9 | $5.621,77 | 438 / 14 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 10 | $28.095,60 | 425 / 18 | $5.241,15 | 143 / 4 | $4.411,62 | 143 / 7 |
Other Vascular Procedures W Cc | 12 | 90 / 23 | $92.753,10 | 770 / 27 | $16.587,50 | 591 / 18 | $15.475,50 | 588 / 22 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 12 | $14.950,80 | 365 / 14 | $3.781,75 | 176 / 3 | $2.877,75 | 175 / 8 |
Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 13 | $165.310,00 | 410 / 15 | $28.636,40 | 347 / 5 | $27.524,20 | 347 / 11 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 18 | $17.985,00 | 724 / 27 | $3.754,00 | 205 / 5 | $2.543,33 | 205 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 36 | $35.125,60 | 1167 / 44 | $7.045,50 | 357 / 7 | $6.141,50 | 356 / 10 |
Signs & Symptoms W/O Mcc | 11 | 80 / 16 | $16.557,50 | 446 / 11 | $4.130,55 | 285 / 3 | $3.359,64 | 284 / 6 |
Medical Back Problems W/O Mcc | 11 | 110 / 25 | $32.228,40 | 1092 / 34 | $5.508,09 | 239 / 17 | $3.841,45 | 239 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 24 | $39.981,10 | 947 / 30 | $6.938,91 | 322 / 3 | $6.281,45 | 320 / 9 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 15 | $97.847,90 | 202 / 13 | $25.142,00 | 52 / 2 | $23.907,10 | 52 / 3 | Total 53 procedures | 1.408 | 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.