Hospital Costs > In Ohio > Lima Memorial Health System, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 113 | 403 / 53 | $31.293,30 | 844 / 43 | $10.625,60 | 506 / 31 | $9.525,65 | 506 / 35 |
| Heart Failure & Shock W Cc | 108 | 170 / 22 | $15.192,30 | 599 / 35 | $5.844,85 | 744 / 26 | $5.100,81 | 743 / 45 |
| Renal Failure W Cc | 72 | 149 / 32 | $17.574,10 | 733 / 41 | $5.785,19 | 673 / 25 | $4.897,82 | 666 / 44 |
| Chronic Obstructive Pulmonary Disease W Mcc | 57 | 145 / 35 | $15.949,10 | 386 / 23 | $6.844,81 | 566 / 23 | $5.834,88 | 565 / 40 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 51 | 137 / 19 | $24.712,20 | 275 / 14 | $6.678,33 | 363 / 21 | $5.252,00 | 362 / 20 |
| Chronic Obstructive Pulmonary Disease W Cc | 50 | 129 / 31 | $14.573,60 | 473 / 37 | $5.582,08 | 662 / 26 | $4.689,42 | 660 / 43 |
| Cellulitis W/O Mcc | 48 | 141 / 33 | $12.224,10 | 503 / 30 | $5.027,27 | 374 / 20 | $3.775,98 | 371 / 26 |
| Heart Failure & Shock W Mcc | 47 | 237 / 58 | $22.159,30 | 543 / 33 | $9.475,28 | 570 / 63 | $7.778,81 | 570 / 41 |
| Pulmonary Edema & Respiratory Failure | 43 | 160 / 40 | $20.778,90 | 449 / 27 | $7.648,23 | 318 / 38 | $6.115,51 | 318 / 18 |
| G.I. Hemorrhage W Cc | 42 | 176 / 41 | $20.575,80 | 800 / 45 | $6.016,19 | 627 / 25 | $5.027,50 | 626 / 44 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 40 | 156 / 30 | $50.410,90 | 235 / 16 | $12.198,00 | 393 / 8 | $10.376,00 | 393 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 27 | $17.702,10 | 325 / 15 | $6.547,23 | 426 / 35 | $5.132,17 | 425 / 34 |
| Renal Failure W Mcc | 38 | 157 / 43 | $23.293,50 | 379 / 19 | $9.012,89 | 277 / 33 | $7.690,13 | 277 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 58 | $14.698,70 | 714 / 47 | $4.836,03 | 433 / 49 | $3.346,32 | 431 / 28 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 21 | $28.336,20 | 382 / 26 | $9.628,95 | 362 / 26 | $8.687,11 | 362 / 30 |
| Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 43 | $17.810,40 | 255 / 20 | $8.167,09 | 83 / 17 | $6.536,11 | 83 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 32 | $14.766,20 | 491 / 36 | $4.846,82 | 398 / 25 | $3.731,56 | 398 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 50 | $12.255,60 | 541 / 35 | $4.721,31 | 594 / 29 | $3.683,59 | 592 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 34 | $12.716,40 | 641 / 36 | $4.339,34 | 697 / 28 | $3.448,97 | 695 / 43 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 29 | 535 / 86 | $55.468,80 | 1524 / 90 | $12.727,10 | 921 / 32 | $10.920,90 | 902 / 62 |
| Extracranial Procedures W/O Cc/Mcc | 28 | 70 / 9 | $23.091,00 | 225 / 10 | $6.744,79 | 185 / 12 | $4.928,46 | 185 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 51 | $14.187,10 | 461 / 24 | $5.804,42 | 687 / 25 | $4.807,31 | 684 / 45 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 33 | $40.757,10 | 349 / 24 | $13.237,60 | 494 / 18 | $12.416,30 | 487 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 43 | $20.361,00 | 817 / 45 | $6.434,92 | 746 / 27 | $5.434,32 | 744 / 44 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 36 | $16.735,90 | 184 / 15 | $7.187,52 | 424 / 21 | $6.258,28 | 422 / 34 |
| Other Vascular Procedures W Cc | 25 | 77 / 18 | $70.599,80 | 525 / 25 | $16.322,00 | 577 / 16 | $15.408,50 | 574 / 28 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 26 | $25.184,00 | 181 / 12 | $10.174,00 | 211 / 24 | $8.931,16 | 211 / 24 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 30 | $15.499,50 | 281 / 22 | $6.380,92 | 168 / 21 | $5.203,92 | 168 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 35 | $13.069,30 | 724 / 40 | $3.596,83 | 570 / 25 | $2.494,74 | 566 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 30 | $22.730,40 | 145 / 9 | $9.457,45 | 202 / 11 | $8.493,14 | 201 / 19 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 22 | 54 / 9 | $121.448,00 | 233 / 9 | $29.289,00 | 201 / 8 | $24.927,30 | 201 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 28 | $16.244,70 | 203 / 14 | $6.334,45 | 393 / 11 | $5.858,68 | 390 / 32 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 32 | $17.109,80 | 633 / 40 | $5.131,95 | 370 / 40 | $3.841,09 | 369 / 29 |
| Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 17 | $92.408,50 | 514 / 26 | $27.330,00 | 275 / 37 | $18.380,30 | 275 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 17 | $36.221,80 | 105 / 8 | $13.478,90 | 46 / 17 | $10.072,30 | 46 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 29 | $53.794,70 | 69 / 3 | $25.512,20 | 46 / 2 | $24.314,20 | 46 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 37 | $56.763,50 | 1270 / 69 | $13.664,10 | 515 / 72 | $10.089,40 | 514 / 33 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 41 | $18.780,10 | 73 / 5 | $10.242,60 | 188 / 7 | $9.699,12 | 188 / 15 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 15 | $45.241,20 | 142 / 8 | $15.586,90 | 33 / 12 | $12.661,80 | 33 / 2 |
| G.I. Obstruction W Cc | 16 | 76 / 27 | $17.602,30 | 480 / 31 | $5.405,88 | 392 / 18 | $4.336,06 | 391 / 25 |
| Angina Pectoris | 15 | 10 / 1 | $9.840,00 | 3 / 1 | $3.824,20 | 10 / 2 | $2.567,93 | 10 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 17 | $11.807,60 | 268 / 19 | $3.899,71 | 255 / 16 | $2.633,71 | 255 / 16 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 20 | $76.916,70 | 98 / 11 | $28.376,90 | 172 / 7 | $27.484,40 | 172 / 14 |
| Other Circulatory System Diagnoses W Cc | 14 | 52 / 14 | $14.853,00 | 76 / 7 | $5.635,36 | 122 / 6 | $4.800,50 | 121 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 23 | $19.867,60 | 278 / 16 | $6.740,93 | 186 / 30 | $4.909,86 | 186 / 15 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 25 | $67.544,40 | 140 / 9 | $19.325,20 | 378 / 13 | $18.533,60 | 376 / 21 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 22 | $85.734,50 | 110 / 8 | $31.456,80 | 86 / 5 | $29.641,20 | 86 / 9 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 28 | $13.124,30 | 94 / 5 | $5.686,62 | 138 / 10 | $4.514,15 | 137 / 11 |
| Syncope & Collapse | 13 | 156 / 44 | $15.273,20 | 415 / 27 | $4.533,08 | 491 / 26 | $3.546,46 | 489 / 38 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 33 | $10.048,00 | 265 / 15 | $4.259,77 | 684 / 24 | $3.454,77 | 681 / 42 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 41 | $11.344,20 | 376 / 26 | $4.496,50 | 485 / 25 | $3.314,67 | 484 / 35 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 21 | $18.701,00 | 234 / 15 | $6.719,00 | 210 / 12 | $5.915,83 | 209 / 16 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 13 | $38.205,90 | 19 / 1 | $19.871,10 | 74 / 6 | $18.635,70 | 74 / 10 |
| Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 12 | $155.543,00 | 124 / 6 | $46.674,00 | 104 / 12 | $38.314,80 | 104 / 9 |
| Extracranial Procedures W Cc | 12 | 34 / 6 | $33.449,40 | 108 / 2 | $9.308,75 | 87 / 3 | $8.044,00 | 87 / 3 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 13 | $65.646,80 | 115 / 7 | $21.680,50 | 201 / 12 | $20.825,40 | 201 / 14 |
| Diabetes W Cc | 12 | 80 / 27 | $11.707,80 | 137 / 12 | $4.967,67 | 516 / 12 | $4.301,00 | 516 / 39 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 26 | $96.265,80 | 350 / 18 | $31.556,90 | 576 / 30 | $30.398,10 | 574 / 41 |
| Medical Back Problems W/O Mcc | 12 | 109 / 35 | $26.539,20 | 894 / 51 | $8.180,00 | 211 / 59 | $3.785,75 | 211 / 16 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 13 | $101.997,00 | 265 / 7 | $21.667,60 | 237 / 5 | $20.641,10 | 236 / 11 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 19 | $29.057,40 | 432 / 30 | $7.142,55 | 187 / 7 | $6.511,45 | 187 / 17 |
| Hypertension W/O Mcc | 11 | 54 / 14 | $14.626,40 | 205 / 11 | $3.955,82 | 251 / 7 | $3.023,45 | 249 / 13 | Total 62 procedures | 1.701 | 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.