Hospital Costs > In Utah > Jordan Valley Medical Center, 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 | 111 | 453 / 16 | $45.216,20 | 1042 / 20 | $14.944,30 | 1057 / 15 | $11.156,40 | 1034 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 76 | 440 / 10 | $31.457,00 | 858 / 14 | $12.361,60 | 1245 / 16 | $10.546,00 | 1224 / 18 |
| Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 5 | $25.010,20 | 703 / 10 | $9.535,94 | 1275 / 8 | $8.273,92 | 1275 / 11 |
| Pulmonary Edema & Respiratory Failure | 47 | 156 / 2 | $23.559,70 | 635 / 5 | $8.542,02 | 1206 / 4 | $7.237,32 | 1204 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 4 | $14.526,50 | 866 / 6 | $5.915,68 | 1714 / 12 | $4.572,97 | 1703 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 7 | $18.373,40 | 953 / 16 | $6.997,81 | 1903 / 10 | $5.989,81 | 1895 / 18 |
| Spinal Fusion Except Cervical W/O Mcc | 28 | 166 / 12 | $65.798,30 | 303 / 8 | $25.983,60 | 458 / 6 | $21.563,10 | 455 / 13 |
| Heart Failure & Shock W Mcc | 27 | 257 / 7 | $24.877,50 | 726 / 6 | $9.831,44 | 1002 / 10 | $8.301,52 | 1001 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 9 | $23.264,20 | 1097 / 13 | $7.400,96 | 1677 / 9 | $6.531,84 | 1670 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 5 | $20.477,50 | 761 / 5 | $8.093,12 | 1590 / 4 | $6.972,67 | 1582 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 9 | $73.676,90 | 753 / 6 | $16.307,90 | 707 / 9 | $11.260,00 | 703 / 5 |
| G.I. Hemorrhage W Cc | 21 | 197 / 9 | $17.811,20 | 551 / 7 | $7.412,43 | 940 / 9 | $5.316,76 | 938 / 3 |
| Renal Failure W Cc | 20 | 201 / 10 | $19.605,60 | 944 / 14 | $7.171,85 | 1298 / 13 | $5.490,10 | 1290 / 13 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 7 | $45.166,10 | 845 / 7 | $13.155,40 | 1032 / 7 | $11.106,20 | 1019 / 5 |
| Renal Failure W Mcc | 16 | 179 / 8 | $27.191,30 | 590 / 6 | $10.136,40 | 1186 / 7 | $9.380,44 | 1186 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 8 | $24.098,10 | 734 / 6 | $7.650,75 | 1176 / 9 | $6.098,25 | 1173 / 9 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 4 | $31.011,00 | 371 / 8 | $10.949,50 | 739 / 6 | $10.193,50 | 737 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 5 | $16.291,00 | 320 / 2 | $7.746,47 | 1209 / 6 | $6.777,93 | 1205 / 6 |
| Cellulitis W/O Mcc | 15 | 174 / 6 | $17.142,10 | 1144 / 6 | $6.314,47 | 1900 / 6 | $5.345,93 | 1892 / 8 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 6 | $41.607,10 | 847 / 7 | $12.740,90 | 1139 / 4 | $12.224,40 | 1125 / 7 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 5 | $20.450,60 | 278 / 1 | $9.119,86 | 912 / 3 | $8.342,71 | 907 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 4 | $15.920,40 | 601 / 3 | $6.850,29 | 1714 / 6 | $5.904,00 | 1707 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 10 | $17.442,40 | 1057 / 11 | $5.736,43 | 2082 / 13 | $4.954,71 | 2068 / 16 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 11 | $48.427,50 | 303 / 7 | $14.240,40 | 527 / 2 | $13.031,30 | 524 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 5 | $24.622,10 | 633 / 5 | $9.505,64 | 895 / 5 | $6.968,57 | 892 / 4 |
| Diabetes W Cc | 13 | 79 / 1 | $15.434,80 | 362 / 2 | $6.218,69 | 1200 / 2 | $5.751,00 | 1195 / 4 |
| Heart Failure & Shock W Cc | 13 | 265 / 13 | $22.335,90 | 1431 / 13 | $7.187,38 | 1909 / 12 | $6.350,46 | 1904 / 16 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 6 | $46.983,80 | 539 / 2 | $14.561,10 | 875 / 1 | $13.635,50 | 867 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 8 | $80.443,30 | 198 / 3 | $28.319,10 | 289 / 1 | $27.316,40 | 287 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 10 | $13.466,10 | 546 / 8 | $5.516,45 | 1492 / 13 | $4.416,82 | 1484 / 15 | Total 30 procedures | 766 | 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.