Hospital Costs > In Indiana > Indiana University Health Starke Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 19 | 170 / 36 | $24.827,10 | 1862 / 64 | $5.782,05 | 1448 / 50 | $4.671,32 | 1441 / 58 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 42 | $24.872,50 | 1117 / 43 | $8.833,00 | 1282 / 66 | $6.556,65 | 1276 / 49 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 33 | $19.904,70 | 1258 / 52 | $5.059,47 | 1247 / 43 | $4.016,27 | 1238 / 49 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 44 | $19.992,00 | 1388 / 46 | $5.232,07 | 1649 / 48 | $4.278,93 | 1636 / 59 |
| Heart Failure & Shock W Cc | 16 | 262 / 53 | $16.409,40 | 734 / 18 | $6.560,88 | 1528 / 51 | $5.810,88 | 1523 / 60 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 33 | $14.081,30 | 733 / 21 | $4.697,27 | 1387 / 42 | $4.202,73 | 1376 / 50 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 46 | $17.310,20 | 1264 / 42 | $5.355,05 | 1720 / 50 | $4.580,19 | 1709 / 62 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 40 | $21.638,80 | 1311 / 43 | $6.681,28 | 1408 / 54 | $5.426,16 | 1402 / 50 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 23 | $16.293,60 | 859 / 30 | $4.876,18 | 1095 / 33 | $3.776,55 | 1089 / 38 | Total 9 procedures | 166 | 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.