Hospital Costs > In Colorado > Lutheran Medical Center Wheat Ridge, 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 | 15 | 110 / 5 | $58.339,20 | 1299 / 9 | $10.796,60 | 834 / 5 | $9.810,73 | 833 / 7 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 14 | 13 / 2 | $57.767,10 | 118 / 3 | $9.983,00 | 12 / 1 | $8.050,00 | 12 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 5 | $46.315,60 | 816 / 10 | $4.723,25 | 267 / 3 | $3.698,92 | 267 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 7 | $30.630,50 | 1652 / 16 | $5.387,58 | 1100 / 11 | $4.394,97 | 1096 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 11 | $44.844,10 | 1436 / 10 | $8.098,95 | 566 / 9 | $6.468,58 | 563 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 11 | $22.237,40 | 1518 / 15 | $3.998,00 | 1110 / 11 | $2.917,33 | 1105 / 12 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 18 | 98 / 5 | $282.890,00 | 374 / 6 | $49.718,40 | 177 / 3 | $48.619,20 | 177 / 4 |
| Cellulitis W/O Mcc | 30 | 159 / 13 | $27.211,80 | 2005 / 16 | $5.497,53 | 1209 / 8 | $4.435,93 | 1203 / 14 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 10 | $29.043,20 | 1672 / 12 | $6.095,47 | 1109 / 8 | $5.064,32 | 1105 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 12 | $37.994,60 | 1861 / 15 | $7.879,88 | 1264 / 11 | $6.538,60 | 1258 / 11 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 5 | $33.864,00 | 581 / 5 | $6.323,55 | 313 / 4 | $5.321,73 | 313 / 4 |
| Diabetes W Cc | 17 | 75 / 6 | $28.765,90 | 1135 / 9 | $5.522,12 | 622 / 4 | $4.415,29 | 621 / 5 |
| Diabetes W Mcc | 14 | 43 / 3 | $41.826,60 | 481 / 1 | $10.851,00 | 134 / 4 | $7.171,00 | 134 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 7 | $30.282,00 | 636 / 5 | $9.936,45 | 199 / 9 | $4.488,73 | 199 / 2 |
| Endocrine Disorders W Cc | 11 | 27 / 2 | $32.359,90 | 199 / 1 | $8.220,09 | 115 / 1 | $5.802,18 | 115 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 7 | $29.678,70 | 628 / 1 | $7.770,40 | 615 / 7 | $6.911,00 | 610 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 11 | $29.932,20 | 2162 / 20 | $5.100,59 | 1263 / 13 | $3.936,39 | 1252 / 18 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 10 | $27.045,10 | 692 / 8 | $4.800,64 | 488 / 7 | $3.913,00 | 488 / 11 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 9 | $22.311,30 | 439 / 2 | $4.497,18 | 118 / 4 | $3.388,82 | 118 / 5 |
| G.I. Hemorrhage W Cc | 56 | 162 / 7 | $28.717,00 | 1485 / 13 | $6.973,89 | 955 / 18 | $5.328,68 | 953 / 13 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 3 | $65.342,50 | 1272 / 14 | $13.419,80 | 1123 / 14 | $11.811,00 | 1115 / 14 |
| G.I. Obstruction W Cc | 31 | 61 / 4 | $29.375,80 | 1179 / 10 | $5.794,87 | 760 / 6 | $4.770,87 | 758 / 11 |
| G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 5 | $22.586,20 | 934 / 12 | $4.317,45 | 607 / 9 | $3.103,25 | 606 / 7 |
| Heart Failure & Shock W Cc | 49 | 229 / 11 | $31.769,90 | 2050 / 22 | $6.753,51 | 1602 / 15 | $5.875,71 | 1597 / 22 |
| Heart Failure & Shock W Mcc | 67 | 217 / 5 | $44.432,70 | 1833 / 17 | $9.125,94 | 987 / 8 | $8.282,00 | 986 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 40 | 103 / 8 | $74.806,50 | 1630 / 21 | $12.073,80 | 1000 / 11 | $11.036,00 | 987 / 14 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 12 | $130.199,00 | 838 / 9 | $30.936,90 | 551 / 6 | $29.954,60 | 547 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 7 | $38.978,90 | 1483 / 12 | $6.876,55 | 1043 / 9 | $5.902,75 | 1040 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 10 | $56.666,40 | 1079 / 11 | $11.033,10 | 736 / 11 | $9.997,32 | 735 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 8 | $37.537,90 | 1300 / 11 | $5.475,11 | 693 / 9 | $3.851,00 | 689 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 6 | $33.404,80 | 1304 / 11 | $6.553,39 | 421 / 5 | $5.589,82 | 420 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 11 | $25.999,30 | 2025 / 17 | $5.157,02 | 1197 / 13 | $4.084,88 | 1189 / 15 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 6 | $48.637,40 | 436 / 5 | $11.049,40 | 316 / 5 | $8.709,93 | 316 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 2 | $25.252,00 | 488 / 4 | $7.884,19 | 360 / 9 | $6.298,76 | 359 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 4 | $101.426,00 | 663 / 8 | $20.911,10 | 557 / 12 | $20.080,10 | 554 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 104 | 460 / 22 | $71.585,70 | 2034 / 30 | $13.485,30 | 1484 / 8 | $12.006,80 | 1450 / 23 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 10 | $90.144,40 | 1112 / 19 | $15.874,80 | 802 / 10 | $14.738,80 | 794 / 16 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 11 | $164.375,00 | 889 / 9 | $31.799,30 | 598 / 8 | $30.736,10 | 596 / 9 |
| Medical Back Problems W/O Mcc | 27 | 94 / 9 | $29.904,60 | 1009 / 9 | $5.630,59 | 635 / 8 | $4.456,81 | 633 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 6 | $36.093,80 | 1203 / 12 | $7.131,68 | 715 / 8 | $6.417,44 | 712 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 12 | $25.151,20 | 1896 / 15 | $4.747,86 | 1216 / 11 | $3.823,17 | 1212 / 14 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 10 | $50.052,60 | 741 / 6 | $11.292,10 | 429 / 4 | $10.481,90 | 428 / 5 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 11 | $39.670,10 | 1128 / 11 | $6.444,17 | 683 / 6 | $5.523,17 | 679 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 5 | $26.292,40 | 429 / 5 | $6.519,57 | 342 / 7 | $5.651,86 | 342 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 7 | $34.020,10 | 499 / 2 | $8.904,32 | 286 / 4 | $8.321,59 | 286 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 6 | $187.836,00 | 938 / 13 | $23.117,10 | 701 / 7 | $22.016,00 | 697 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 14 | $117.626,00 | 1306 / 22 | $14.222,10 | 905 / 10 | $12.100,50 | 898 / 19 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 3 | $153.516,00 | 515 / 5 | $27.834,00 | 471 / 6 | $26.827,90 | 471 / 6 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 9 | $53.863,60 | 758 / 9 | $9.437,36 | 240 / 7 | $7.455,43 | 239 / 4 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 7 | $26.904,20 | 706 / 6 | $4.470,64 | 444 / 3 | $3.696,45 | 443 / 8 |
| Pulmonary Edema & Respiratory Failure | 71 | 132 / 6 | $40.162,60 | 1507 / 21 | $8.049,76 | 824 / 13 | $6.739,76 | 824 / 13 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 12 | $31.910,50 | 893 / 12 | $6.144,07 | 590 / 6 | $5.333,40 | 587 / 13 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 6 | $35.279,90 | 1670 / 10 | $5.459,50 | 881 / 5 | $4.391,75 | 876 / 7 |
| Renal Failure W Cc | 53 | 168 / 6 | $33.698,40 | 1851 / 17 | $6.610,68 | 875 / 15 | $5.060,30 | 867 / 13 |
| Renal Failure W Mcc | 31 | 164 / 10 | $42.221,70 | 1354 / 7 | $9.838,23 | 1053 / 9 | $9.019,90 | 1053 / 12 |
| Respiratory Infections & Inflammations W Cc | 19 | 69 / 5 | $30.033,00 | 691 / 4 | $8.397,21 | 227 / 4 | $6.815,37 | 225 / 1 |
| Respiratory Infections & Inflammations W Mcc | 36 | 100 / 5 | $56.552,50 | 1206 / 15 | $11.665,00 | 597 / 7 | $10.672,20 | 589 / 12 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 8 | $72.481,20 | 1185 / 6 | $14.251,30 | 820 / 4 | $13.379,70 | 812 / 7 |
| Seizures W/O Mcc | 15 | 93 / 8 | $24.483,90 | 756 / 3 | $5.135,00 | 595 / 3 | $4.242,73 | 592 / 8 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 4 | $172.246,00 | 643 / 3 | $36.989,50 | 153 / 3 | $31.027,10 | 153 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 247 | 269 / 3 | $51.594,40 | 1841 / 22 | $11.501,90 | 1188 / 11 | $10.464,90 | 1170 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 57 | 150 / 7 | $34.374,50 | 1838 / 23 | $6.987,84 | 900 / 11 | $5.576,86 | 898 / 13 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 10 | $25.296,80 | 898 / 9 | $4.940,23 | 402 / 9 | $3.528,54 | 401 / 8 |
| Simple Pneumonia & Pleurisy W Cc | 53 | 150 / 10 | $28.910,80 | 1896 / 21 | $6.398,68 | 1230 / 12 | $5.249,19 | 1226 / 17 |
| Simple Pneumonia & Pleurisy W Mcc | 64 | 141 / 8 | $44.331,50 | 1732 / 24 | $9.183,42 | 997 / 12 | $7.869,30 | 997 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 14 | $26.279,20 | 1513 / 18 | $4.881,54 | 1073 / 10 | $3.749,23 | 1067 / 12 |
| Spinal Fusion Except Cervical W/O Mcc | 21 | 173 / 24 | $167.134,00 | 1184 / 18 | $31.925,70 | 493 / 18 | $21.743,00 | 490 / 4 |
| Transient Ischemia | 11 | 114 / 9 | $30.187,00 | 1180 / 7 | $5.129,45 | 530 / 9 | $3.405,55 | 527 / 3 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 14 | 37 / 3 | $57.625,40 | 193 / 1 | $11.586,70 | 83 / 1 | $10.886,10 | 83 / 1 | Total 69 procedures | 2.022 | 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.