Hospital Costs > In Oregon > Legacy Emanuel Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 7 | $47.964,80 | 250 / 8 | $19.164,50 | 527 / 7 | $15.913,00 | 523 / 7 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 8 | $35.390,50 | 394 / 12 | $15.284,00 | 740 / 12 | $10.270,70 | 739 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 14 | $21.110,50 | 1139 / 19 | $10.802,30 | 2142 / 22 | $10.002,10 | 2137 / 22 |
| Cellulitis W/O Mcc | 23 | 166 / 14 | $14.619,30 | 809 / 10 | $10.979,60 | 2578 / 27 | $9.767,83 | 2570 / 27 |
| Chest Pain | 12 | 139 / 6 | $14.712,50 | 471 / 6 | $9.419,33 | 1681 / 10 | $8.825,17 | 1672 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 14 | $17.488,60 | 751 / 9 | $11.885,10 | 2406 / 23 | $10.937,30 | 2399 / 23 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 15 | $28.636,50 | 1381 / 21 | $12.672,80 | 2495 / 25 | $11.599,90 | 2487 / 26 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 22 | 76 / 4 | $149.653,00 | 345 / 8 | $45.800,60 | 485 / 7 | $44.142,80 | 485 / 8 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 19 | 62 / 2 | $585.515,00 | 313 / 2 | $196.679,00 | 434 / 2 | $192.479,00 | 433 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 17 | $26.934,40 | 1999 / 30 | $10.141,30 | 2662 / 30 | $8.638,57 | 2647 / 30 |
| Full Thickness Burn W Skin Graft Or Inhal Inj W Cc/Mcc | 13 | 18 / 1 | $197.228,00 | 28 / 1 | $73.674,60 | 38 / 1 | $70.370,50 | 38 / 1 |
| G.I. Hemorrhage W Cc | 14 | 204 / 23 | $31.002,80 | 1612 / 27 | $12.730,10 | 2395 / 28 | $11.910,40 | 2391 / 28 |
| Heart Failure & Shock W Cc | 24 | 254 / 21 | $19.808,60 | 1161 / 18 | $12.303,90 | 2713 / 28 | $11.525,60 | 2707 / 29 |
| Heart Failure & Shock W Mcc | 28 | 256 / 19 | $35.568,00 | 1428 / 19 | $15.948,00 | 2534 / 25 | $15.040,20 | 2523 / 25 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 15 | $54.450,50 | 1193 / 22 | $19.247,60 | 1971 / 21 | $17.855,20 | 1950 / 22 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 5 | $83.893,10 | 571 / 12 | $28.434,60 | 902 / 11 | $26.756,60 | 899 / 11 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 12 | $196.859,00 | 1251 / 15 | $65.125,80 | 1576 / 13 | $62.485,40 | 1566 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 16 | $33.739,40 | 1313 / 23 | $12.961,40 | 2029 / 24 | $11.521,40 | 2025 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 11 | $70.760,20 | 1271 / 17 | $20.795,90 | 1584 / 17 | $19.354,70 | 1577 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 13 | $20.158,50 | 583 / 9 | $10.578,30 | 1590 / 15 | $9.363,45 | 1586 / 15 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 3 | $94.867,40 | 566 / 7 | $43.059,90 | 626 / 7 | $19.886,90 | 622 / 7 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 17 | 30 / 2 | $46.472,60 | 278 / 7 | $15.987,20 | 503 / 7 | $14.264,40 | 503 / 7 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 10 | $96.272,80 | 544 / 11 | $33.794,20 | 928 / 11 | $29.048,10 | 927 / 11 |
| Medical Back Problems W/O Mcc | 26 | 95 / 4 | $39.706,20 | 1242 / 10 | $12.760,80 | 1442 / 10 | $8.820,35 | 1437 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 6 | $23.137,30 | 600 / 8 | $12.961,30 | 1675 / 15 | $12.278,40 | 1671 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 14 | $17.899,50 | 1311 / 12 | $10.175,30 | 2507 / 20 | $9.135,33 | 2498 / 20 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 7 | $39.030,30 | 455 / 5 | $19.843,00 | 1287 / 9 | $18.051,10 | 1279 / 10 |
| Other Multiple Significant Trauma W Cc | 11 | 14 / 1 | $71.104,90 | 39 / 1 | $26.479,40 | 26 / 1 | $10.711,50 | 26 / 1 |
| Other Vascular Procedures W Mcc | 27 | 70 / 3 | $61.182,40 | 169 / 4 | $28.995,60 | 877 / 6 | $28.002,50 | 874 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 6 | $98.403,50 | 467 / 10 | $39.440,90 | 982 / 10 | $31.241,20 | 977 / 10 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 27 | 169 / 11 | $53.450,10 | 298 / 8 | $19.926,80 | 1416 / 17 | $17.808,90 | 1408 / 18 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 25 | 47 / 3 | $49.489,20 | 699 / 10 | $19.134,00 | 978 / 11 | $18.190,10 | 975 / 11 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 5 | $19.029,50 | 479 / 5 | $9.701,55 | 903 / 6 | $8.824,45 | 902 / 6 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 14 | $28.945,40 | 976 / 12 | $14.520,30 | 2144 / 23 | $12.299,80 | 2138 / 23 |
| Renal Failure W Cc | 13 | 208 / 19 | $20.179,10 | 998 / 13 | $11.985,00 | 2385 / 25 | $10.897,40 | 2375 / 25 |
| Renal Failure W Mcc | 14 | 181 / 17 | $32.702,90 | 934 / 13 | $16.434,00 | 2076 / 20 | $15.490,10 | 2072 / 20 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 11 | $39.249,70 | 757 / 9 | $19.561,80 | 1706 / 14 | $17.191,00 | 1690 / 14 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 11 | $69.438,80 | 1132 / 12 | $22.488,40 | 1734 / 14 | $21.343,70 | 1720 / 15 |
| Seizures W Mcc | 12 | 54 / 3 | $45.513,60 | 427 / 4 | $15.842,60 | 702 / 4 | $14.878,30 | 702 / 5 |
| Seizures W/O Mcc | 13 | 95 / 5 | $18.692,80 | 475 / 5 | $10.569,80 | 1285 / 6 | $9.525,69 | 1283 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 93 | 423 / 15 | $49.806,10 | 1780 / 30 | $18.897,40 | 2673 / 31 | $17.601,90 | 2628 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 14 | $22.356,20 | 1007 / 19 | $12.849,70 | 2485 / 28 | $10.656,30 | 2475 / 28 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 19 | $26.923,50 | 830 / 13 | $15.590,00 | 2445 / 26 | $14.471,60 | 2439 / 27 |
| Syncope & Collapse | 31 | 138 / 2 | $21.271,80 | 962 / 15 | $10.827,00 | 1886 / 17 | $8.910,03 | 1878 / 17 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 1 | $484.629,00 | 497 / 1 | $159.305,00 | 567 / 1 | $154.740,00 | 566 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 24 | 42 / 1 | $44.327,70 | 388 / 4 | $15.072,20 | 514 / 3 | $12.481,50 | 513 / 4 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 3 | $29.360,70 | 279 / 3 | $10.411,60 | 396 / 3 | $9.423,73 | 396 / 3 | Total 47 procedures | 895 | 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.