Hospital Costs > In Minnesota > Lakeview Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 14 | 175 / 28 | $14.241,40 | 758 / 14 | $5.405,86 | 643 / 3 | $4.007,93 | 640 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 22 | $15.781,20 | 590 / 17 | $5.871,64 | 901 / 3 | $4.876,73 | 898 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 30 | $14.369,40 | 275 / 4 | $6.982,00 | 725 / 1 | $5.992,91 | 720 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 36 | $12.759,80 | 482 / 12 | $4.860,23 | 622 / 5 | $3.505,31 | 618 / 3 |
| G.I. Hemorrhage W Cc | 19 | 199 / 26 | $19.526,10 | 709 / 23 | $6.201,63 | 1081 / 5 | $5.443,74 | 1079 / 6 |
| G.I. Obstruction W Cc | 13 | 79 / 23 | $12.602,70 | 144 / 4 | $5.644,15 | 794 / 4 | $4.807,23 | 792 / 5 |
| Heart Failure & Shock W Cc | 27 | 251 / 27 | $21.778,60 | 1373 / 32 | $6.300,04 | 1288 / 5 | $5.541,52 | 1284 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 17 | $27.865,00 | 156 / 4 | $11.989,80 | 891 / 4 | $10.778,10 | 878 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 24 | $22.245,10 | 618 / 15 | $6.736,00 | 991 / 4 | $5.826,67 | 988 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 18 | 78 / 9 | $37.185,70 | 130 / 8 | $14.145,10 | 355 / 4 | $11.910,10 | 352 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 426 | 168 / 9 | $27.568,00 | 143 / 4 | $13.604,70 | 1200 / 4 | $11.385,20 | 1171 / 3 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 15 | 54 / 14 | $37.274,90 | 38 / 4 | $16.368,90 | 263 / 2 | $15.155,10 | 263 / 3 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 20 | $35.329,20 | 113 / 3 | $15.238,60 | 690 / 2 | $14.308,20 | 684 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 16 | $23.576,70 | 211 / 4 | $9.401,55 | 364 / 2 | $8.627,73 | 364 / 3 |
| Renal Failure W Cc | 22 | 199 / 21 | $18.543,50 | 829 / 23 | $5.982,05 | 729 / 5 | $4.939,14 | 722 / 3 |
| Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 14 | $52.903,60 | 86 / 6 | $21.066,90 | 365 / 1 | $20.264,70 | 364 / 8 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 24 | 45 / 4 | $33.035,90 | 16 / 1 | $17.119,10 | 259 / 1 | $15.390,90 | 258 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 57 | 459 / 25 | $25.297,50 | 555 / 17 | $10.878,70 | 752 / 1 | $9.851,14 | 751 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 22 | $17.724,60 | 584 / 18 | $6.438,77 | 540 / 2 | $5.247,40 | 538 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 23 | $15.921,40 | 672 / 19 | $5.947,85 | 1021 / 4 | $5.094,52 | 1018 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 31 | $30.464,70 | 1064 / 27 | $8.836,09 | 331 / 4 | $7.078,00 | 331 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 18 | $42.187,70 | 54 / 2 | $24.660,60 | 740 / 1 | $23.529,90 | 736 / 5 | Total 22 procedures | 834 | 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.