Hospital Costs > In Ohio > Lutheran 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 | 208 | 356 / 19 | $44.367,30 | 989 / 64 | $12.921,20 | 850 / 39 | $10.830,30 | 836 / 58 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 102 | 37 / 3 | $12.078,40 | 204 / 8 | $4.831,75 | 271 / 15 | $3.704,53 | 271 / 15 |
| Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 23 | $74.628,20 | 446 / 27 | $25.432,10 | 362 / 27 | $21.014,60 | 361 / 26 |
| Cellulitis W/O Mcc | 40 | 149 / 41 | $15.240,80 | 888 / 64 | $5.631,17 | 1203 / 62 | $4.432,58 | 1197 / 75 |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 53 | $30.224,10 | 1491 / 86 | $7.666,75 | 1327 / 64 | $6.602,75 | 1321 / 77 |
| Renal Failure W Cc | 28 | 193 / 55 | $20.752,90 | 1054 / 59 | $6.243,07 | 1102 / 57 | $5.293,79 | 1094 / 69 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 55 | $23.838,30 | 1374 / 81 | $6.181,27 | 1161 / 62 | $5.109,15 | 1157 / 74 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 30 | $16.543,20 | 974 / 68 | $4.903,08 | 1220 / 59 | $3.975,75 | 1211 / 82 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 22 | 494 / 86 | $38.933,60 | 1272 / 64 | $10.955,00 | 658 / 40 | $9.738,32 | 657 / 50 |
| Renal Failure W Mcc | 20 | 175 / 57 | $29.547,70 | 734 / 44 | $9.718,45 | 978 / 52 | $8.883,40 | 978 / 69 |
| Heart Failure & Shock W Mcc | 20 | 264 / 75 | $27.089,10 | 907 / 54 | $9.461,30 | 1094 / 62 | $8.423,85 | 1091 / 69 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 53 | $27.919,00 | 904 / 59 | $9.126,84 | 1216 / 61 | $8.160,79 | 1216 / 81 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 59 | $30.870,70 | 1090 / 60 | $7.754,00 | 952 / 44 | $6.868,58 | 952 / 61 |
| Heart Failure & Shock W Cc | 17 | 261 / 77 | $22.592,90 | 1450 / 79 | $6.641,47 | 1240 / 72 | $5.491,71 | 1236 / 75 |
| Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 12 | $72.970,90 | 243 / 10 | $23.313,70 | 52 / 17 | $16.191,50 | 52 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 72 | $16.563,80 | 946 / 60 | $4.993,13 | 1124 / 59 | $3.840,80 | 1116 / 69 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 16 | $48.682,70 | 310 / 10 | $13.487,20 | 402 / 13 | $12.179,70 | 399 / 20 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 14 | 35 / 3 | $8.391,71 | 58 / 3 | $3.367,57 | 27 / 1 | $2.808,00 | 27 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 63 | $18.523,20 | 971 / 58 | $6.218,08 | 1053 / 57 | $5.125,62 | 1050 / 69 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 48 | $28.356,90 | 872 / 53 | $7.641,33 | 524 / 36 | $6.401,67 | 521 / 42 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 69 | $21.153,70 | 1687 / 94 | $5.166,33 | 1103 / 61 | $4.022,92 | 1095 / 69 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 30 | $18.909,70 | 1113 / 59 | $4.624,55 | 748 / 34 | $3.450,09 | 744 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 53 | $19.187,80 | 1469 / 85 | $4.872,91 | 1434 / 68 | $4.006,73 | 1429 / 81 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 47 | $33.480,50 | 535 / 35 | $11.145,90 | 215 / 23 | $9.814,64 | 215 / 18 | Total 24 procedures | 746 | 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.