Hospital Costs > In Oregon > Legacy Mount Hood 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 Mcc | 17 | 108 / 12 | $44.103,30 | 965 / 15 | $12.316,40 | 1307 / 6 | $11.533,30 | 1297 / 9 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 10 | $19.775,90 | 89 / 1 | $8.626,67 | 541 / 6 | $6.841,73 | 540 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 18 | $18.628,10 | 916 / 14 | $6.392,69 | 1700 / 11 | $5.462,23 | 1695 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 16 | $26.065,30 | 731 / 10 | $9.460,36 | 637 / 11 | $6.574,27 | 634 / 2 |
| Cellulitis W/O Mcc | 18 | 171 / 15 | $17.065,50 | 1134 / 15 | $6.810,61 | 2025 / 17 | $5.626,56 | 2017 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 12 | $17.951,60 | 801 / 13 | $7.453,50 | 1984 / 15 | $6.625,50 | 1977 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 12 | $23.969,30 | 1050 / 15 | $8.833,16 | 2014 / 13 | $8.007,89 | 2006 / 19 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 6 | $16.615,80 | 979 / 5 | $6.011,67 | 1718 / 7 | $5.009,00 | 1707 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 21 | $18.077,90 | 1141 / 20 | $6.192,78 | 2183 / 18 | $5.191,89 | 2169 / 25 |
| G.I. Hemorrhage W Cc | 12 | 206 / 25 | $27.632,10 | 1411 / 23 | $7.900,67 | 1861 / 17 | $6.791,33 | 1857 / 19 |
| Heart Failure & Shock W Cc | 31 | 247 / 19 | $21.372,20 | 1339 / 20 | $7.617,84 | 2182 / 15 | $6.953,06 | 2176 / 22 |
| Heart Failure & Shock W Mcc | 45 | 239 / 11 | $29.200,90 | 1034 / 14 | $10.842,30 | 1948 / 11 | $10.198,00 | 1941 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 17 | $27.981,30 | 1004 / 21 | $8.383,00 | 1652 / 15 | $7.432,14 | 1648 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 14 | $35.699,90 | 542 / 6 | $12.689,50 | 1158 / 7 | $11.852,50 | 1152 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 13 | $18.472,20 | 468 / 8 | $8.497,67 | 1425 / 11 | $7.396,33 | 1421 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 65 | 499 / 21 | $34.044,20 | 396 / 3 | $15.797,20 | 1609 / 12 | $12.343,80 | 1572 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 8 | $22.888,20 | 582 / 7 | $8.588,45 | 1273 / 9 | $7.981,91 | 1270 / 11 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 9 | $35.046,80 | 525 / 10 | $10.998,30 | 642 / 5 | $9.749,20 | 640 / 4 |
| Pulmonary Edema & Respiratory Failure | 50 | 153 / 7 | $43.473,50 | 1619 / 22 | $9.826,18 | 1820 / 15 | $9.008,90 | 1815 / 18 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 3 | $31.291,50 | 487 / 3 | $9.486,73 | 763 / 2 | $8.712,91 | 759 / 1 |
| Renal Failure W Cc | 20 | 201 / 14 | $17.536,90 | 732 / 8 | $8.147,70 | 1831 / 20 | $6.481,95 | 1821 / 14 |
| Renal Failure W Mcc | 18 | 177 / 14 | $29.031,90 | 704 / 9 | $11.376,80 | 1559 / 10 | $10.503,90 | 1557 / 10 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 9 | $31.383,00 | 432 / 3 | $13.349,90 | 1226 / 3 | $12.626,70 | 1211 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 91 | 425 / 16 | $36.972,80 | 1151 / 21 | $13.949,40 | 2092 / 20 | $12.730,20 | 2055 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 18 | $17.676,80 | 580 / 8 | $8.134,40 | 1938 / 14 | $7.113,60 | 1930 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 16 | $23.241,30 | 1473 / 22 | $8.923,36 | 2055 / 21 | $6.276,27 | 2047 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 12 | $30.192,20 | 1045 / 18 | $10.656,00 | 1913 / 14 | $9.740,58 | 1913 / 17 |
| Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 14 | $48.150,60 | 99 / 2 | $27.482,90 | 998 / 6 | $26.407,30 | 993 / 13 |
| Syncope & Collapse | 11 | 158 / 13 | $16.540,90 | 534 / 8 | $6.081,55 | 1444 / 10 | $4.981,91 | 1437 / 12 | Total 29 procedures | 677 | 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.