Hospital Costs > In Minnesota > Lake Region Healthcare Corporation, 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 | 128 | 436 / 28 | $38.254,30 | 655 / 27 | $12.869,30 | 1339 / 1 | $11.678,40 | 1307 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 63 | 453 / 23 | $22.599,70 | 388 / 7 | $11.054,70 | 1020 / 2 | $10.212,10 | 1009 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 22 | $18.146,70 | 609 / 19 | $6.489,23 | 653 / 4 | $5.359,63 | 651 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 22 | $16.580,30 | 743 / 23 | $5.952,93 | 847 / 5 | $4.949,90 | 844 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 25 | $14.395,70 | 672 / 18 | $4.649,86 | 782 / 3 | $3.613,29 | 777 / 5 |
| Heart Failure & Shock W Cc | 25 | 253 / 29 | $13.663,20 | 430 / 6 | $6.009,12 | 862 / 2 | $5.184,80 | 861 / 3 |
| G.I. Hemorrhage W Cc | 23 | 195 / 23 | $16.636,30 | 455 / 13 | $6.118,52 | 730 / 4 | $5.119,57 | 729 / 4 |
| Heart Failure & Shock W Mcc | 21 | 263 / 30 | $22.975,90 | 600 / 15 | $9.009,62 | 785 / 3 | $8.032,81 | 785 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 21 | $10.191,20 | 330 / 3 | $4.408,95 | 613 / 2 | $3.388,32 | 611 / 2 |
| Renal Failure W Cc | 19 | 202 / 22 | $16.494,30 | 613 / 18 | $5.906,47 | 966 / 4 | $5.148,58 | 958 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 21 | $20.544,40 | 512 / 12 | $6.536,89 | 776 / 3 | $5.521,32 | 774 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 23 | $36.620,80 | 475 / 19 | $11.601,90 | 869 / 1 | $10.727,30 | 856 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 22 | $13.870,60 | 405 / 11 | $4.919,50 | 461 / 4 | $3.779,50 | 461 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 28 | $20.191,90 | 403 / 8 | $8.810,07 | 1046 / 2 | $7.924,73 | 1046 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 27 | $15.344,50 | 341 / 7 | $7.043,93 | 473 / 2 | $5.759,36 | 472 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 16 | $16.536,30 | 629 / 19 | $3.879,00 | 354 / 1 | $2.772,33 | 354 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 31 | $14.061,40 | 803 / 21 | $4.773,58 | 723 / 4 | $3.770,92 | 718 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 18 | $24.694,20 | 280 / 6 | $11.586,80 | 791 / 9 | $9.693,00 | 790 / 6 |
| G.I. Obstruction W Cc | 11 | 81 / 25 | $19.560,90 | 619 / 18 | $5.436,36 | 479 / 2 | $4.447,27 | 478 / 3 | Total 19 procedures | 513 | 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.