Hospital Costs > In Indiana > Major Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 30 | $16.553,10 | 693 / 21 | $4.968,79 | 760 / 23 | $4.076,16 | 757 / 26 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 37 | $12.099,70 | 599 / 22 | $3.651,54 | 862 / 23 | $2.718,62 | 858 / 32 |
Cellulitis W/O Mcc | 20 | 169 / 35 | $20.386,60 | 1524 / 51 | $5.307,10 | 1018 / 25 | $4.283,10 | 1012 / 39 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 34 | $17.742,80 | 772 / 25 | $5.813,45 | 926 / 25 | $4.896,48 | 923 / 36 |
Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 34 | $20.112,70 | 722 / 18 | $7.099,36 | 883 / 20 | $6.137,91 | 878 / 30 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 32 | $13.981,90 | 660 / 22 | $5.233,94 | 686 / 49 | $3.474,50 | 684 / 31 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 40 | $19.448,70 | 1318 / 39 | $4.924,00 | 868 / 35 | $3.672,30 | 863 / 29 |
G.I. Hemorrhage W Cc | 25 | 193 / 36 | $17.500,80 | 534 / 9 | $6.502,60 | 648 / 36 | $5.047,72 | 647 / 15 |
G.I. Hemorrhage W Mcc | 12 | 109 / 23 | $21.292,80 | 89 / 1 | $9.600,58 | 244 / 5 | $9.000,58 | 244 / 7 |
G.I. Obstruction W Cc | 16 | 76 / 21 | $17.520,40 | 470 / 14 | $5.611,38 | 644 / 21 | $4.631,38 | 643 / 24 |
Heart Failure & Shock W Cc | 32 | 246 / 44 | $20.164,20 | 1203 / 35 | $6.125,09 | 1104 / 31 | $5.374,09 | 1102 / 43 |
Heart Failure & Shock W Mcc | 25 | 259 / 45 | $25.378,20 | 772 / 23 | $8.815,84 | 794 / 19 | $8.041,44 | 794 / 26 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 33 | $13.764,90 | 698 / 18 | $4.271,55 | 986 / 21 | $3.718,82 | 978 / 40 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 30 | $57.508,30 | 1286 / 41 | $11.838,00 | 913 / 32 | $10.822,50 | 900 / 38 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 39 | $21.641,80 | 579 / 20 | $6.442,67 | 513 / 17 | $5.232,00 | 512 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 24 | $18.786,40 | 496 / 18 | $4.858,94 | 652 / 17 | $3.794,94 | 648 / 31 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 36 | $18.948,30 | 500 / 14 | $6.944,86 | 786 / 21 | $6.080,86 | 785 / 27 |
Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 26 | $16.110,50 | 1090 / 35 | $4.766,94 | 939 / 18 | $3.917,23 | 932 / 35 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 42 | 522 / 53 | $58.788,00 | 1644 / 46 | $14.014,20 | 1107 / 46 | $11.225,50 | 1083 / 41 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 26 | $62.672,30 | 705 / 27 | $15.645,90 | 822 / 21 | $14.843,10 | 814 / 32 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 39 | $14.740,30 | 921 / 30 | $4.377,06 | 408 / 18 | $3.247,06 | 408 / 11 |
Pulmonary Edema & Respiratory Failure | 14 | 189 / 49 | $21.528,10 | 502 / 19 | $7.562,21 | 794 / 21 | $6.698,21 | 794 / 29 |
Renal Failure W Cc | 19 | 202 / 43 | $13.832,20 | 369 / 10 | $5.826,47 | 943 / 17 | $5.127,53 | 935 / 33 |
Respiratory Infections & Inflammations W Cc | 23 | 65 / 10 | $22.126,80 | 354 / 11 | $8.346,87 | 622 / 19 | $7.616,43 | 619 / 27 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 28 | $30.043,00 | 386 / 11 | $11.577,20 | 638 / 20 | $10.770,10 | 630 / 23 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 57 | 459 / 50 | $29.253,70 | 746 / 19 | $10.771,00 | 635 / 16 | $9.712,67 | 634 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 36 | $19.754,60 | 759 / 19 | $7.131,04 | 429 / 46 | $5.125,33 | 427 / 9 |
Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 29 | $15.670,70 | 641 / 13 | $6.213,86 | 896 / 35 | $4.993,49 | 893 / 32 |
Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 47 | $25.974,80 | 768 / 22 | $8.659,72 | 797 / 24 | $7.651,72 | 797 / 29 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 23 | $14.431,50 | 665 / 15 | $4.525,55 | 709 / 18 | $3.428,82 | 705 / 25 |
Syncope & Collapse | 15 | 154 / 33 | $16.797,20 | 558 / 19 | $4.656,73 | 721 / 16 | $3.769,27 | 718 / 23 |
Transient Ischemia | 12 | 113 / 27 | $18.202,30 | 520 / 22 | $4.499,00 | 419 / 18 | $3.288,33 | 418 / 13 | Total 32 procedures | 714 | 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.