Hospital Costs > In Indiana > Iu Health Goshen Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 99 | 417 / 41 | $49.449,40 | 1762 / 58 | $11.489,20 | 1161 / 36 | $10.419,40 | 1143 / 35 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 97 | 467 / 39 | $50.331,10 | 1304 / 34 | $13.151,00 | 798 / 28 | $10.757,80 | 784 / 28 |
Pulmonary Edema & Respiratory Failure | 67 | 136 / 23 | $32.126,90 | 1147 / 47 | $7.725,90 | 918 / 34 | $6.831,31 | 918 / 38 |
Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 20 | $21.732,20 | 1323 / 45 | $5.982,20 | 690 / 20 | $4.809,38 | 687 / 22 |
Heart Failure & Shock W Cc | 50 | 228 / 32 | $24.817,30 | 1652 / 59 | $6.167,28 | 997 / 38 | $5.291,72 | 995 / 37 |
Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 25 | $14.217,90 | 825 / 21 | $4.638,50 | 407 / 11 | $3.550,67 | 407 / 12 |
G.I. Hemorrhage W Cc | 40 | 178 / 28 | $24.065,30 | 1129 / 33 | $6.140,15 | 939 / 17 | $5.314,05 | 937 / 28 |
Renal Failure W Cc | 37 | 184 / 34 | $21.503,90 | 1121 / 37 | $5.764,24 | 485 / 12 | $4.742,84 | 481 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 14 | $38.194,80 | 549 / 14 | $11.107,50 | 488 / 9 | $10.054,80 | 487 / 13 |
Heart Failure & Shock W Mcc | 36 | 248 / 40 | $32.854,70 | 1275 / 50 | $9.617,56 | 1417 / 47 | $8.904,28 | 1413 / 54 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 33 | $15.766,10 | 849 / 21 | $4.863,91 | 634 / 28 | $3.518,09 | 630 / 19 |
Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 41 | $29.816,20 | 1022 / 37 | $8.960,79 | 784 / 36 | $7.634,29 | 784 / 28 |
Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 36 | $21.932,40 | 1198 / 50 | $5.529,89 | 929 / 9 | $4.898,41 | 926 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 35 | $27.484,50 | 1461 / 51 | $6.229,69 | 303 / 9 | $4.995,81 | 302 / 6 |
Cellulitis W/O Mcc | 26 | 163 / 32 | $20.910,60 | 1569 / 55 | $5.049,58 | 973 / 11 | $4.250,88 | 967 / 36 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 24 | $18.298,10 | 1135 / 47 | $4.419,40 | 754 / 12 | $3.537,56 | 751 / 36 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 32 | $15.220,10 | 984 / 33 | $4.364,84 | 374 / 17 | $3.211,44 | 374 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 35 | $22.229,60 | 615 / 21 | $6.676,86 | 332 / 26 | $5.018,55 | 331 / 10 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 29 | $15.326,40 | 1029 / 38 | $3.537,09 | 364 / 15 | $2.323,18 | 361 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 27 | $15.946,20 | 616 / 16 | $5.100,77 | 682 / 30 | $3.991,59 | 679 / 19 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 14 | $19.271,50 | 1140 / 37 | $4.299,14 | 519 / 9 | $3.253,23 | 517 / 17 |
Other Vascular Procedures W Cc | 22 | 80 / 15 | $36.044,00 | 61 / 2 | $14.366,30 | 181 / 3 | $13.264,70 | 181 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 27 | $28.522,90 | 885 / 33 | $7.157,36 | 397 / 11 | $6.214,36 | 395 / 12 |
Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 14 | $114.251,00 | 514 / 20 | $31.391,70 | 571 / 13 | $30.332,00 | 569 / 15 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 32 | $23.921,30 | 856 / 33 | $6.728,42 | 547 / 17 | $5.770,63 | 546 / 19 |
Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 49 | $25.931,70 | 1193 / 45 | $7.455,94 | 366 / 38 | $5.630,00 | 365 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 23 | $17.041,40 | 369 / 10 | $5.813,65 | 125 / 40 | $3.056,12 | 123 / 1 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 24 | $51.983,20 | 466 / 14 | $14.287,20 | 400 / 6 | $13.234,50 | 397 / 10 |
G.I. Obstruction W Cc | 15 | 77 / 22 | $17.800,40 | 495 / 15 | $6.260,33 | 73 / 39 | $3.689,13 | 73 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 25 | $88.766,70 | 349 / 11 | $28.726,90 | 290 / 4 | $27.898,50 | 290 / 7 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 30 | $19.475,90 | 856 / 25 | $7.891,79 | 132 / 45 | $3.494,14 | 132 / 2 |
Transient Ischemia | 14 | 111 / 26 | $15.074,20 | 302 / 6 | $4.326,00 | 337 / 9 | $3.197,43 | 337 / 9 |
Syncope & Collapse | 13 | 156 / 35 | $20.612,10 | 916 / 33 | $4.482,00 | 396 / 8 | $3.447,54 | 394 / 12 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 18 | $21.559,80 | 488 / 17 | $6.397,54 | 221 / 19 | $4.712,69 | 219 / 6 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 12 | $34.624,30 | 210 / 3 | $10.443,60 | 131 / 6 | $7.745,15 | 131 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 28 | $43.469,80 | 947 / 31 | $9.977,83 | 674 / 15 | $9.367,17 | 673 / 25 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 32 | $17.248,10 | 1080 / 44 | $4.053,25 | 544 / 10 | $3.338,92 | 542 / 19 |
Renal Failure W Mcc | 11 | 184 / 37 | $29.947,50 | 763 / 19 | $8.589,73 | 228 / 5 | $7.591,55 | 228 / 3 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 19 | $25.397,80 | 657 / 24 | $5.949,18 | 384 / 9 | $4.954,09 | 384 / 11 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 35 | $35.959,30 | 627 / 21 | $10.887,00 | 340 / 8 | $10.107,00 | 340 / 9 | Total 40 procedures | 1.131 | 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.