Hospital Costs > In Iowa > Iowa Lutheran Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 286 | 71 / 2 | $27.936,10 | 450 / 15 | $7.612,10 | 311 / 14 | $6.032,56 | 311 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 231 | 333 / 12 | $51.086,50 | 1338 / 29 | $13.808,20 | 820 / 25 | $10.790,20 | 806 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 117 | 399 / 16 | $43.714,50 | 1514 / 26 | $11.620,60 | 1132 / 22 | $10.369,70 | 1116 / 20 |
Pulmonary Edema & Respiratory Failure | 59 | 144 / 10 | $31.208,50 | 1107 / 19 | $8.114,08 | 1027 / 20 | $6.993,81 | 1026 / 19 |
Heart Failure & Shock W Cc | 56 | 222 / 12 | $26.239,60 | 1763 / 28 | $6.677,41 | 1215 / 23 | $5.465,93 | 1212 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 55 | 152 / 11 | $24.047,10 | 1164 / 24 | $6.930,40 | 941 / 20 | $5.613,98 | 938 / 17 |
Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 7 | $18.163,30 | 1367 / 28 | $5.332,74 | 1425 / 26 | $4.274,37 | 1416 / 24 |
Simple Pneumonia & Pleurisy W Mcc | 45 | 160 / 15 | $31.289,40 | 1123 / 24 | $8.926,71 | 908 / 17 | $7.764,76 | 908 / 16 |
Heart Failure & Shock W Mcc | 42 | 242 / 18 | $48.482,70 | 1948 / 28 | $10.369,90 | 1620 / 26 | $9.325,19 | 1615 / 26 |
Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 13 | $24.555,20 | 1591 / 29 | $6.474,34 | 1137 / 21 | $5.183,90 | 1133 / 22 |
Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 13 | $29.232,00 | 1419 / 25 | $7.435,33 | 920 / 19 | $6.172,05 | 915 / 18 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 16 | $24.418,80 | 1839 / 28 | $5.295,11 | 1064 / 24 | $3.794,71 | 1056 / 21 |
Cellulitis W/O Mcc | 30 | 159 / 15 | $19.482,80 | 1428 / 27 | $5.808,17 | 1171 / 21 | $4.407,07 | 1165 / 21 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 12 | $67.149,70 | 622 / 18 | $12.710,50 | 758 / 13 | $11.431,90 | 753 / 20 |
Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 15 | $49.633,00 | 1031 / 24 | $12.000,80 | 907 / 16 | $10.815,60 | 894 / 17 |
G.I. Hemorrhage W Cc | 27 | 191 / 19 | $23.298,40 | 1062 / 25 | $6.560,26 | 1236 / 22 | $5.622,48 | 1234 / 22 |
Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 14 | $25.951,70 | 1510 / 24 | $6.086,27 | 1311 / 16 | $5.279,50 | 1306 / 19 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 25 | 36 / 2 | $22.739,90 | 592 / 9 | $4.683,72 | 249 / 8 | $3.225,44 | 248 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 16 | $34.716,80 | 1346 / 25 | $7.057,58 | 1029 / 19 | $5.869,92 | 1026 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 15 | $22.846,80 | 1770 / 26 | $4.937,62 | 1252 / 20 | $3.845,46 | 1248 / 18 |
Renal Failure W Mcc | 23 | 172 / 17 | $38.908,70 | 1240 / 22 | $9.897,30 | 1044 / 16 | $9.009,65 | 1044 / 16 |
Signs & Symptoms W/O Mcc | 23 | 68 / 5 | $20.730,70 | 687 / 13 | $4.874,74 | 683 / 10 | $4.008,30 | 680 / 15 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 14 | $41.637,50 | 996 / 20 | $7.410,82 | 749 / 17 | $5.807,23 | 747 / 15 |
Renal Failure W Cc | 22 | 199 / 21 | $22.762,50 | 1257 / 23 | $6.315,68 | 648 / 17 | $4.875,05 | 642 / 11 |
Syncope & Collapse | 21 | 148 / 10 | $24.090,30 | 1170 / 19 | $5.055,14 | 984 / 14 | $4.040,67 | 978 / 13 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 8 | $19.659,50 | 1176 / 23 | $4.917,95 | 1004 / 19 | $3.682,14 | 999 / 19 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 9 | $20.408,50 | 497 / 15 | $4.991,62 | 201 / 12 | $3.528,95 | 201 / 6 |
Diabetes W Cc | 20 | 72 / 5 | $24.049,30 | 945 / 10 | $5.662,55 | 704 / 8 | $4.532,55 | 702 / 8 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 11 | $14.118,80 | 881 / 22 | $4.101,85 | 1014 / 19 | $2.840,60 | 1009 / 18 |
Chest Pain | 19 | 132 / 9 | $21.697,20 | 1033 / 13 | $4.361,42 | 752 / 10 | $3.208,84 | 747 / 10 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 9 | $21.599,30 | 1033 / 15 | $5.550,78 | 784 / 11 | $4.278,94 | 779 / 9 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 9 | $16.533,80 | 970 / 14 | $5.022,28 | 620 / 14 | $3.422,39 | 619 / 10 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 11 | $24.584,50 | 891 / 14 | $7.161,06 | 1001 / 13 | $6.399,65 | 998 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 14 | $43.455,60 | 1407 / 21 | $8.421,75 | 950 / 19 | $7.063,44 | 947 / 19 |
Medical Back Problems W/O Mcc | 16 | 105 / 12 | $22.959,30 | 725 / 14 | $5.793,88 | 732 / 13 | $4.627,38 | 729 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 11 | $26.390,90 | 965 / 18 | $5.254,00 | 766 / 13 | $3.952,13 | 762 / 14 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 11 | $18.129,50 | 1160 / 19 | $4.780,87 | 823 / 15 | $3.574,73 | 819 / 13 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 14 | $56.381,90 | 810 / 11 | $14.190,40 | 744 / 7 | $13.116,70 | 736 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 18 | $20.102,90 | 1062 / 18 | $5.435,93 | 1243 / 16 | $4.555,36 | 1238 / 18 |
G.I. Obstruction W Cc | 14 | 78 / 14 | $30.133,30 | 1207 / 24 | $6.066,00 | 1048 / 18 | $5.191,71 | 1045 / 22 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 17 | $57.937,90 | 1232 / 22 | $13.422,40 | 1246 / 21 | $12.701,80 | 1231 / 22 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 16 | $47.705,10 | 1075 / 18 | $10.810,70 | 487 / 15 | $8.975,50 | 487 / 9 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 13 | $106.823,00 | 455 / 10 | $33.745,10 | 103 / 11 | $25.082,60 | 103 / 4 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 16 | $77.871,70 | 973 / 21 | $16.664,60 | 989 / 17 | $15.767,80 | 978 / 19 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 13 | $31.081,10 | 726 / 14 | $7.936,64 | 185 / 5 | $6.733,00 | 184 / 4 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 5 | $21.234,70 | 600 / 7 | $4.814,09 | 491 / 4 | $3.752,27 | 487 / 5 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 10 | $36.442,70 | 553 / 10 | $9.980,55 | 491 / 7 | $9.075,09 | 490 / 9 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 12 | $21.222,70 | 874 / 15 | $4.630,27 | 366 / 11 | $2.791,64 | 366 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 13 | $56.397,30 | 198 / 7 | $18.764,60 | 290 / 5 | $17.551,50 | 288 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 14 | $143.448,00 | 969 / 14 | $38.580,90 | 1110 / 13 | $37.202,00 | 1103 / 14 | Total 50 procedures | 1.748 | 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.