Hospital Costs > In Oregon > Legacy Good Samaritan Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 12 | $30.012,50 | 738 / 12 | $9.224,08 | 1130 / 11 | $7.220,17 | 1128 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 13 | $30.262,30 | 451 / 6 | $14.024,10 | 1420 / 13 | $12.209,20 | 1408 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 13 | $19.337,80 | 991 / 16 | $7.137,48 | 1649 / 17 | $5.300,76 | 1644 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 14 | $33.253,20 | 1100 / 15 | $11.513,90 | 1632 / 17 | $9.421,50 | 1629 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 12 | $13.059,50 | 722 / 8 | $5.276,67 | 1427 / 13 | $3.357,80 | 1421 / 10 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 14 | 104 / 7 | $106.286,00 | 99 / 2 | $38.618,30 | 364 / 4 | $35.821,30 | 364 / 5 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 15 | 101 / 6 | $172.264,00 | 145 / 5 | $62.480,20 | 341 / 3 | $58.021,70 | 341 / 3 |
| Cellulitis W/O Mcc | 26 | 163 / 13 | $24.582,70 | 1850 / 24 | $7.689,27 | 1996 / 25 | $5.549,65 | 1988 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 9 | $20.044,50 | 1008 / 17 | $8.230,19 | 1931 / 19 | $6.478,71 | 1924 / 17 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 12 | $36.339,60 | 1809 / 25 | $10.569,40 | 2038 / 23 | $8.064,68 | 2030 / 21 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 8 | $28.161,70 | 434 / 8 | $10.024,70 | 1213 / 15 | $7.063,78 | 1210 / 11 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 6 | $98.069,50 | 241 / 4 | $32.434,20 | 426 / 7 | $24.556,30 | 425 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 10 | $27.254,70 | 533 / 7 | $10.401,50 | 1099 / 9 | $8.610,73 | 1094 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 16 | $17.489,10 | 1062 / 17 | $6.497,31 | 2070 / 25 | $4.924,76 | 2056 / 20 |
| G.I. Hemorrhage W Cc | 27 | 191 / 13 | $29.178,90 | 1514 / 26 | $9.202,04 | 1923 / 25 | $7.004,96 | 1919 / 23 |
| G.I. Obstruction W Cc | 12 | 80 / 9 | $22.163,70 | 811 / 14 | $8.237,50 | 1385 / 15 | $6.176,42 | 1380 / 14 |
| Heart Failure & Shock W Cc | 37 | 241 / 14 | $23.889,20 | 1574 / 23 | $8.835,84 | 2191 / 26 | $6.984,08 | 2185 / 23 |
| Heart Failure & Shock W Mcc | 37 | 247 / 15 | $40.449,90 | 1682 / 24 | $13.636,10 | 2157 / 22 | $11.042,00 | 2147 / 22 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 9 | $16.139,20 | 972 / 17 | $6.357,15 | 1530 / 18 | $4.528,38 | 1517 / 15 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 12 | $46.524,40 | 910 / 14 | $16.766,60 | 1552 / 19 | $13.071,00 | 1534 / 14 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 5 | $55.637,40 | 245 / 5 | $22.435,70 | 616 / 5 | $19.467,10 | 613 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 10 | $195.369,00 | 1242 / 14 | $65.923,90 | 1570 / 14 | $60.255,90 | 1560 / 13 |
| Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 11 | 19 / 1 | $125.187,00 | 55 / 2 | $40.993,00 | 67 / 2 | $36.130,50 | 67 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 11 | $26.543,70 | 1007 / 16 | $9.843,60 | 1498 / 16 | $7.607,60 | 1494 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 16 | $18.653,50 | 1421 / 20 | $6.936,60 | 2105 / 21 | $5.209,70 | 2094 / 16 |
| Kidney Transplant | 41 | 61 / 2 | $175.332,00 | 65 / 2 | $34.061,30 | 76 / 1 | $21.767,60 | 76 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 5 | $68.715,50 | 362 / 7 | $27.119,30 | 754 / 7 | $23.300,90 | 751 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 105 | 459 / 15 | $45.697,40 | 1068 / 21 | $17.990,20 | 1892 / 26 | $13.192,60 | 1850 / 20 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 29 | 44 / 2 | $34.350,10 | 126 / 3 | $11.520,20 | 228 / 4 | $7.509,03 | 228 / 3 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 12 | $64.440,80 | 736 / 11 | $22.339,90 | 1325 / 13 | $19.272,90 | 1311 / 13 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 8 | $110.415,00 | 482 / 7 | $39.701,20 | 902 / 6 | $35.453,90 | 900 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 7 | $26.277,40 | 777 / 14 | $9.543,83 | 1217 / 13 | $7.745,43 | 1214 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 12 | $19.632,90 | 1522 / 15 | $6.952,07 | 1847 / 17 | $4.555,71 | 1841 / 11 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 66 | 14 / 1 | $36.237,10 | 145 / 4 | $13.223,60 | 282 / 2 | $9.969,59 | 282 / 3 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 8 | $52.159,10 | 792 / 10 | $15.302,10 | 929 / 8 | $12.903,50 | 922 / 6 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 6 | $41.577,90 | 342 / 6 | $14.423,60 | 509 / 4 | $11.952,60 | 508 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 4 | $44.119,90 | 697 / 6 | $10.240,90 | 602 / 5 | $6.928,62 | 602 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 11 | $59.938,80 | 878 / 13 | $22.497,20 | 1087 / 13 | $18.508,00 | 1083 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 4 | $75.902,60 | 229 / 5 | $27.673,10 | 858 / 9 | $25.099,90 | 853 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 9 | $46.140,30 | 154 / 5 | $16.633,20 | 1014 / 14 | $12.589,90 | 1007 / 9 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 14 | $37.528,90 | 1407 / 20 | $11.816,90 | 1945 / 21 | $9.666,96 | 1939 / 21 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 7 | $27.701,70 | 1391 / 11 | $8.513,27 | 1729 / 10 | $6.500,80 | 1720 / 10 |
| Renal Failure W Cc | 22 | 199 / 13 | $27.543,50 | 1581 / 25 | $8.615,50 | 1861 / 22 | $6.576,50 | 1851 / 16 |
| Renal Failure W Mcc | 20 | 175 / 12 | $41.526,20 | 1323 / 20 | $15.147,50 | 1871 / 19 | $12.427,50 | 1867 / 19 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 13 | $39.738,30 | 318 / 3 | $18.152,90 | 1385 / 8 | $16.391,20 | 1371 / 8 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 5 | $58.132,90 | 125 / 3 | $26.477,20 | 538 / 6 | $24.279,90 | 536 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 103 | 413 / 14 | $50.540,10 | 1807 / 31 | $16.665,40 | 2222 / 29 | $13.231,40 | 2182 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 16 | $24.054,50 | 1165 / 23 | $10.229,60 | 1833 / 24 | $6.877,07 | 1825 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 16 | $22.071,00 | 1359 / 21 | $8.555,68 | 2205 / 19 | $6.637,95 | 2197 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 14 | $37.029,20 | 1451 / 24 | $12.673,50 | 2038 / 21 | $10.286,70 | 2037 / 20 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 15 | $58.643,80 | 198 / 3 | $30.939,10 | 999 / 12 | $26.418,30 | 994 / 14 |
| Syncope & Collapse | 13 | 156 / 11 | $18.149,30 | 694 / 11 | $6.584,85 | 1417 / 14 | $4.893,77 | 1410 / 11 |
| Transient Ischemia | 13 | 112 / 5 | $18.047,70 | 508 / 8 | $6.112,92 | 1229 / 11 | $4.603,23 | 1223 / 8 | Total 53 procedures | 1.216 | 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.