Hospital Costs > In Indiana > Indiana University Health North 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 | 212 | 352 / 21 | $86.672,80 | 2314 / 73 | $17.054,40 | 2124 / 71 | $14.155,10 | 2081 / 72 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 38 | 478 / 53 | $48.348,50 | 1728 / 57 | $12.586,50 | 1763 / 57 | $11.641,00 | 1728 / 62 |
O.R. Procedures For Obesity W/O Cc/Mcc | 29 | 48 / 2 | $51.363,50 | 272 / 4 | $10.282,10 | 169 / 7 | $8.495,45 | 169 / 5 |
Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 38 | $27.446,90 | 1806 / 64 | $6.562,15 | 1310 / 50 | $5.310,37 | 1305 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 37 | $20.471,20 | 1446 / 50 | $5.236,08 | 1400 / 49 | $4.047,04 | 1389 / 52 |
Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 43 | $27.133,10 | 2086 / 71 | $5.485,75 | 1632 / 56 | $4.476,42 | 1621 / 58 |
Major Small & Large Bowel Procedures W Cc | 23 | 85 / 17 | $70.070,30 | 859 / 31 | $19.165,80 | 861 / 39 | $15.037,40 | 853 / 35 |
Renal Failure W Cc | 23 | 198 / 41 | $31.030,00 | 1751 / 59 | $6.745,87 | 1709 / 51 | $6.167,09 | 1699 / 57 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 22 | 47 / 3 | $95.278,00 | 393 / 10 | $21.699,80 | 432 / 12 | $20.489,70 | 432 / 12 |
G.I. Hemorrhage W Cc | 20 | 198 / 38 | $32.935,90 | 1706 / 53 | $6.962,60 | 1523 / 46 | $5.999,40 | 1519 / 47 |
Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 48 | $30.583,20 | 1509 / 60 | $8.161,30 | 1314 / 60 | $6.590,35 | 1308 / 50 |
Heart Failure & Shock W Cc | 20 | 258 / 49 | $29.001,70 | 1906 / 71 | $6.206,00 | 1350 / 40 | $5.599,60 | 1346 / 51 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 19 | 27 / 4 | $46.054,50 | 203 / 5 | $6.571,84 | 96 / 3 | $5.359,21 | 96 / 4 |
Heart Failure & Shock W Mcc | 19 | 265 / 48 | $39.278,40 | 1622 / 62 | $10.228,60 | 1696 / 60 | $9.464,05 | 1691 / 62 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 18 | 78 / 15 | $85.472,10 | 683 / 18 | $17.332,30 | 653 / 22 | $14.729,10 | 649 / 22 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 48 | $46.172,70 | 1797 / 60 | $11.664,60 | 2094 / 62 | $10.597,30 | 2090 / 61 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 16 | 32 / 2 | $50.042,20 | 149 / 4 | $10.096,20 | 73 / 2 | $7.997,06 | 73 / 2 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 31 | $54.286,30 | 1161 / 44 | $13.933,20 | 1223 / 44 | $12.620,20 | 1208 / 44 |
Major Male Pelvic Procedures W/O Cc/Mcc | 15 | 58 / 3 | $37.740,00 | 168 / 3 | $8.321,87 | 201 / 3 | $7.114,40 | 201 / 5 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 18 | $38.060,70 | 433 / 17 | $14.118,40 | 1014 / 31 | $13.638,40 | 1007 / 33 |
Cellulitis W/O Mcc | 14 | 175 / 40 | $24.316,40 | 1837 / 63 | $5.642,29 | 1374 / 44 | $4.602,29 | 1368 / 55 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 11 | $53.746,90 | 506 / 15 | $10.897,90 | 472 / 13 | $9.693,36 | 472 / 17 |
Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 31 | $142.256,00 | 1078 / 33 | $41.590,90 | 1293 / 41 | $35.369,80 | 1288 / 41 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 35 | $76.206,80 | 1650 / 54 | $15.497,80 | 1760 / 53 | $14.478,60 | 1741 / 53 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 22 | $189.633,00 | 1004 / 33 | $63.696,40 | 1241 / 35 | $49.915,90 | 1238 / 35 |
Renal Failure W Mcc | 13 | 182 / 35 | $37.147,10 | 1158 / 40 | $10.240,20 | 1317 / 39 | $9.702,23 | 1317 / 46 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 37 | $15.520,40 | 1058 / 40 | $4.026,00 | 1259 / 40 | $3.098,00 | 1254 / 48 |
Syncope & Collapse | 13 | 156 / 35 | $24.303,80 | 1185 / 43 | $5.017,00 | 1073 / 34 | $4.182,54 | 1066 / 40 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 19 | $23.857,60 | 613 / 21 | $6.415,25 | 808 / 21 | $5.812,58 | 804 / 33 |
O.R. Procedures For Obesity W Cc | 12 | 22 / 3 | $66.718,90 | 83 / 3 | $13.455,70 | 76 / 3 | $12.250,20 | 76 / 3 |
Vagina, Cervix & Vulva Procedures W/O Cc/Mcc | 11 | 11 / 2 | $44.828,60 | 19 / 2 | $5.941,73 | 7 / 1 | $4.740,27 | 7 / 1 |
G.I. Obstruction W Cc | 11 | 81 / 25 | $30.116,50 | 1205 / 44 | $5.958,00 | 980 / 30 | $5.085,27 | 977 / 38 |
Transient Ischemia | 11 | 114 / 28 | $20.340,70 | 685 / 29 | $4.853,45 | 1022 / 29 | $4.088,36 | 1017 / 38 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 29 | $19.237,90 | 523 / 19 | $5.215,36 | 948 / 28 | $4.229,18 | 944 / 40 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 40 | $30.085,50 | 1165 / 46 | $7.802,55 | 1474 / 50 | $6.810,55 | 1471 / 52 | Total 35 procedures | 802 | 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.