Hospital Costs > In Indiana > Iu Health West 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 | 119 | 397 / 35 | $43.734,80 | 1515 / 51 | $11.962,30 | 1295 / 48 | $10.637,80 | 1273 / 44 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 91 | 473 / 42 | $78.922,10 | 2190 / 67 | $14.078,70 | 1435 / 49 | $11.879,40 | 1402 / 59 |
| Heart Failure & Shock W Mcc | 71 | 213 / 30 | $36.256,20 | 1465 / 58 | $9.178,76 | 1105 / 36 | $8.437,80 | 1102 / 44 |
| Chronic Obstructive Pulmonary Disease W Cc | 60 | 119 / 18 | $20.676,10 | 1073 / 42 | $6.032,10 | 852 / 38 | $4.843,10 | 849 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 20 | $23.322,60 | 1871 / 65 | $4.923,27 | 901 / 34 | $3.889,28 | 894 / 30 |
| Simple Pneumonia & Pleurisy W Mcc | 59 | 146 / 28 | $34.992,40 | 1349 / 48 | $8.844,64 | 1057 / 33 | $7.932,10 | 1057 / 41 |
| Heart Failure & Shock W Cc | 58 | 220 / 27 | $25.115,40 | 1676 / 61 | $6.151,64 | 972 / 35 | $5.270,98 | 971 / 36 |
| Pulmonary Edema & Respiratory Failure | 56 | 147 / 29 | $30.161,60 | 1051 / 42 | $7.905,55 | 713 / 40 | $6.607,73 | 713 / 23 |
| Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 27 | $27.839,90 | 1336 / 54 | $7.433,63 | 1138 / 37 | $6.381,50 | 1133 / 45 |
| Renal Failure W Cc | 52 | 169 / 29 | $30.209,70 | 1702 / 58 | $6.108,15 | 973 / 32 | $5.157,38 | 965 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 23 | $24.932,00 | 1882 / 64 | $4.763,94 | 845 / 23 | $3.659,27 | 840 / 27 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 24 | $28.026,80 | 1506 / 53 | $6.576,11 | 1063 / 23 | $5.719,93 | 1060 / 42 |
| Cellulitis W/O Mcc | 44 | 145 / 21 | $25.424,20 | 1894 / 66 | $5.371,27 | 1179 / 29 | $4.414,18 | 1173 / 48 |
| Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 31 | $27.048,50 | 1772 / 62 | $6.312,92 | 1434 / 38 | $5.450,56 | 1428 / 51 |
| Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 19 | $28.376,80 | 1109 / 42 | $7.009,81 | 899 / 26 | $6.223,65 | 897 / 35 |
| G.I. Hemorrhage W Cc | 35 | 183 / 30 | $33.046,00 | 1716 / 55 | $6.356,29 | 715 / 30 | $5.104,51 | 714 / 19 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 35 | 61 / 6 | $85.595,50 | 685 / 19 | $14.119,40 | 523 / 12 | $12.983,80 | 520 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 28 | $20.995,80 | 1644 / 59 | $4.664,12 | 783 / 40 | $3.507,06 | 780 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 28 | $24.606,80 | 768 / 27 | $6.734,61 | 347 / 27 | $5.032,85 | 346 / 11 |
| Respiratory Infections & Inflammations W Mcc | 32 | 104 / 18 | $48.946,60 | 1047 / 40 | $12.416,10 | 1039 / 32 | $11.814,10 | 1026 / 36 |
| Syncope & Collapse | 32 | 137 / 20 | $26.505,00 | 1296 / 46 | $4.863,09 | 946 / 27 | $3.996,09 | 940 / 36 |
| Renal Failure W Mcc | 29 | 166 / 28 | $35.839,40 | 1087 / 35 | $10.127,70 | 220 / 36 | $7.579,14 | 220 / 2 |
| G.I. Obstruction W Cc | 28 | 64 / 11 | $24.163,50 | 938 / 37 | $5.596,64 | 805 / 19 | $4.817,21 | 803 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 25 | $18.693,00 | 920 / 34 | $5.028,36 | 970 / 26 | $4.257,80 | 967 / 37 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 24 | 45 / 2 | $98.712,50 | 403 / 12 | $17.007,40 | 310 / 8 | $15.896,80 | 310 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 18 | $24.321,90 | 866 / 38 | $4.824,43 | 585 / 16 | $3.721,13 | 581 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 26 | $26.139,30 | 734 / 27 | $7.108,35 | 407 / 9 | $6.229,74 | 405 / 13 |
| Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 29 | $72.705,30 | 1589 / 52 | $12.082,10 | 985 / 37 | $10.995,70 | 972 / 40 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 30 | $40.770,90 | 970 / 42 | $7.496,45 | 288 / 34 | $5.128,35 | 288 / 11 |
| G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 10 | $20.508,10 | 842 / 30 | $3.986,00 | 549 / 15 | $3.019,60 | 548 / 21 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 8 | $98.932,60 | 646 / 19 | $20.491,90 | 514 / 13 | $19.478,10 | 511 / 15 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 12 | $29.284,30 | 812 / 29 | $6.432,95 | 692 / 17 | $5.543,68 | 689 / 24 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 30 | $17.430,50 | 1057 / 44 | $4.798,53 | 597 / 33 | $3.403,63 | 596 / 27 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 25 | $21.807,50 | 1060 / 32 | $5.100,32 | 653 / 19 | $4.145,37 | 649 / 21 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 22 | $43.407,10 | 941 / 30 | $9.964,89 | 623 / 14 | $9.264,26 | 622 / 21 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 32 | $83.027,60 | 919 / 37 | $12.473,90 | 749 / 12 | $11.400,20 | 745 / 29 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 29 | $57.092,40 | 839 / 38 | $14.445,10 | 373 / 27 | $12.071,90 | 369 / 9 |
| Diabetes W Cc | 16 | 76 / 19 | $24.197,60 | 951 / 36 | $5.254,69 | 506 / 14 | $4.289,69 | 506 / 17 |
| Other Disorders Of Nervous System W Cc | 16 | 40 / 6 | $28.559,20 | 354 / 11 | $5.620,19 | 237 / 3 | $5.016,19 | 237 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 35 | $13.595,80 | 808 / 33 | $3.677,47 | 971 / 26 | $2.798,53 | 966 / 37 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 13 | $26.545,50 | 526 / 17 | $5.778,00 | 325 / 7 | $4.829,43 | 324 / 9 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 14 | $90.957,10 | 632 / 21 | $17.821,90 | 342 / 10 | $16.871,00 | 339 / 14 |
| Medical Back Problems W/O Mcc | 13 | 108 / 23 | $21.181,90 | 615 / 19 | $5.378,62 | 627 / 14 | $4.448,15 | 625 / 26 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 10 | $19.225,60 | 353 / 9 | $4.941,62 | 157 / 9 | $3.495,23 | 157 / 5 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 18 | $29.717,80 | 853 / 33 | $6.061,62 | 353 / 13 | $4.953,92 | 350 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 22 | $48.806,10 | 1135 / 34 | $14.954,30 | 297 / 35 | $6.238,38 | 295 / 7 |
| G.I. Obstruction W Mcc | 13 | 29 / 9 | $31.085,60 | 147 / 8 | $10.051,30 | 180 / 9 | $9.100,62 | 180 / 9 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 15 | $25.785,70 | 918 / 25 | $4.467,46 | 350 / 10 | $3.455,85 | 349 / 9 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 11 | $29.730,50 | 406 / 10 | $6.851,50 | 418 / 10 | $6.150,17 | 417 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 14 | $19.817,70 | 288 / 6 | $7.602,17 | 244 / 16 | $5.999,92 | 243 / 11 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 12 | $22.912,70 | 503 / 13 | $5.497,67 | 419 / 5 | $4.591,00 | 415 / 14 |
| Transient Ischemia | 12 | 113 / 27 | $17.101,20 | 423 / 14 | $4.506,00 | 623 / 19 | $3.498,00 | 619 / 26 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 22 | $82.747,80 | 1021 / 32 | $17.719,00 | 1067 / 32 | $16.604,30 | 1063 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 31 | $38.899,30 | 660 / 27 | $10.252,50 | 421 / 16 | $9.155,73 | 420 / 15 |
| Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 11 | $109.541,00 | 495 / 12 | $23.729,00 | 514 / 10 | $23.182,00 | 512 / 13 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 21 | $37.129,50 | 902 / 34 | $8.532,73 | 594 / 23 | $7.540,73 | 591 / 22 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 27 | $86.700,50 | 1075 / 39 | $19.148,90 | 878 / 38 | $15.104,60 | 870 / 36 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 8 | $23.715,10 | 619 / 14 | $4.585,00 | 405 / 8 | $3.712,27 | 405 / 10 | Total 58 procedures | 1.705 | 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.