Hospital Costs > In Utah > Lds Hospital, 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 | 231 | 333 / 8 | $36.515,10 | 554 / 10 | $14.515,70 | 304 / 11 | $9.977,29 | 304 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 121 | 395 / 6 | $32.276,60 | 902 / 15 | $12.712,30 | 1219 / 19 | $10.505,90 | 1199 / 17 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 53 | 72 / 1 | $24.101,70 | 593 / 3 | $7.212,34 | 325 / 3 | $3.867,34 | 325 / 3 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 27 | 42 / 4 | $43.472,50 | 65 / 2 | $17.462,10 | 58 / 3 | $13.119,10 | 58 / 3 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 4 | $53.399,50 | 495 / 5 | $19.590,40 | 471 / 7 | $13.515,20 | 467 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 9 | $19.754,40 | 758 / 9 | $7.425,68 | 1398 / 10 | $6.113,56 | 1393 / 12 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 22 | 74 / 8 | $39.964,00 | 174 / 4 | $14.908,90 | 256 / 4 | $11.369,40 | 253 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 13 | $20.409,50 | 1166 / 18 | $7.753,48 | 1047 / 19 | $5.121,10 | 1044 / 6 |
| Heart Failure & Shock W Cc | 21 | 257 / 8 | $17.770,00 | 903 / 7 | $6.994,19 | 1748 / 10 | $6.057,43 | 1743 / 13 |
| Renal Failure W Cc | 20 | 201 / 10 | $14.937,10 | 456 / 4 | $6.961,20 | 1337 / 12 | $5.545,35 | 1329 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 7 | $19.503,50 | 1326 / 15 | $5.663,32 | 1949 / 12 | $4.683,11 | 1935 / 14 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 7 | $43.636,30 | 1626 / 10 | $9.630,16 | 1805 / 8 | $8.943,42 | 1800 / 9 |
| G.I. Hemorrhage W Cc | 18 | 200 / 10 | $19.784,90 | 733 / 9 | $7.119,28 | 1536 / 6 | $6.023,72 | 1532 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 10 | $26.855,40 | 824 / 12 | $10.826,70 | 173 / 15 | $6.760,67 | 173 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 3 | $30.608,40 | 144 / 3 | $11.600,40 | 377 / 3 | $9.031,88 | 377 / 4 |
| Heart Failure & Shock W Mcc | 14 | 270 / 11 | $34.611,30 | 1376 / 12 | $9.699,21 | 1354 / 9 | $8.795,79 | 1351 / 9 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 7 | $114.606,00 | 680 / 6 | $47.262,50 | 667 / 7 | $31.221,80 | 661 / 4 |
| Cellulitis W/O Mcc | 13 | 176 / 8 | $15.075,30 | 870 / 2 | $6.101,46 | 1891 / 4 | $5.336,54 | 1883 / 7 |
| Renal Failure W Mcc | 11 | 184 / 10 | $28.128,60 | 658 / 9 | $11.090,80 | 713 / 10 | $8.390,55 | 713 / 5 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 9 | $75.829,80 | 168 / 2 | $39.527,00 | 22 / 8 | $22.340,90 | 22 / 1 |
| Autologous Bone Marrow Transplant W Cc/Mcc | 11 | 24 / 1 | $156.647,00 | 21 / 1 | $44.447,90 | 19 / 1 | $42.716,80 | 19 / 1 | Total 21 procedures | 731 | 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.