Hospital Costs > In Indiana > Major Hospital, procedure costs

Major Hospital, procedure costs

150 W Washington St, Shelbyville, IN 46176,

Procedure Costs @ Major Hospital
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 Mcc57459 / 50$29.253,70746 / 19$10.771,00635 / 16$9.712,67634 / 18
Kidney & Urinary Tract Infections W/O Mcc47186 / 26$16.110,501090 / 35$4.766,94939 / 18$3.917,23932 / 35
Chronic Obstructive Pulmonary Disease W Mcc44158 / 34$20.112,70722 / 18$7.099,36883 / 20$6.137,91878 / 30
Simple Pneumonia & Pleurisy W Cc43160 / 29$15.670,70641 / 13$6.213,86896 / 35$4.993,49893 / 32
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc42522 / 53$58.788,001644 / 46$14.014,201107 / 46$11.225,501083 / 41
Heart Failure & Shock W Cc32246 / 44$20.164,201203 / 35$6.125,091104 / 31$5.374,091102 / 43
Chronic Obstructive Pulmonary Disease W Cc29150 / 34$17.742,80772 / 25$5.813,45926 / 25$4.896,48923 / 36
Heart Failure & Shock W Mcc25259 / 45$25.378,20772 / 23$8.815,84794 / 19$8.041,44794 / 26
G.I. Hemorrhage W Cc25193 / 36$17.500,80534 / 9$6.502,60648 / 36$5.047,72647 / 15
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc24183 / 36$19.754,60759 / 19$7.131,04429 / 46$5.125,33427 / 9
Respiratory Infections & Inflammations W Cc2365 / 10$22.126,80354 / 11$8.346,87622 / 19$7.616,43619 / 27
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc20255 / 40$19.448,701318 / 39$4.924,00868 / 35$3.672,30863 / 29
Cellulitis W/O Mcc20169 / 35$20.386,601524 / 51$5.307,101018 / 25$4.283,101012 / 39
Hip & Femur Procedures Except Major Joint W Cc19124 / 30$57.508,301286 / 41$11.838,00913 / 32$10.822,50900 / 38
Cardiac Arrhythmia & Conduction Disorders W Cc19142 / 30$16.553,10693 / 21$4.968,79760 / 23$4.076,16757 / 26
Renal Failure W Cc19202 / 43$13.832,20369 / 10$5.826,47943 / 17$5.127,53935 / 33
Respiratory Infections & Inflammations W Mcc18118 / 28$30.043,00386 / 11$11.577,20638 / 20$10.770,10630 / 23
Simple Pneumonia & Pleurisy W Mcc18187 / 47$25.974,80768 / 22$8.659,72797 / 24$7.651,72797 / 29
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc16150 / 39$14.740,30921 / 30$4.377,06408 / 18$3.247,06408 / 11
G.I. Obstruction W Cc1676 / 21$17.520,40470 / 14$5.611,38644 / 21$4.631,38643 / 24
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc16104 / 32$13.981,90660 / 22$5.233,94686 / 49$3.474,50684 / 31
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1686 / 24$18.786,40496 / 18$4.858,94652 / 17$3.794,94648 / 31
Syncope & Collapse15154 / 33$16.797,20558 / 19$4.656,73721 / 16$3.769,27718 / 23
Kidney & Urinary Tract Infections W Mcc14130 / 36$18.948,30500 / 14$6.944,86786 / 21$6.080,86785 / 27
Pulmonary Edema & Respiratory Failure14189 / 49$21.528,10502 / 19$7.562,21794 / 21$6.698,21794 / 29
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc13137 / 37$12.099,70599 / 22$3.651,54862 / 23$2.718,62858 / 32
G.I. Hemorrhage W Mcc12109 / 23$21.292,8089 / 1$9.600,58244 / 5$9.000,58244 / 7
Major Small & Large Bowel Procedures W Cc1296 / 26$62.672,30705 / 27$15.645,90822 / 21$14.843,10814 / 32
Transient Ischemia12113 / 27$18.202,30520 / 22$4.499,00419 / 18$3.288,33418 / 13
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs12170 / 39$21.641,80579 / 20$6.442,67513 / 17$5.232,00512 / 19
Heart Failure & Shock W/O Cc/Mcc1199 / 33$13.764,90698 / 18$4.271,55986 / 21$3.718,82978 / 40
Simple Pneumonia & Pleurisy W/O Cc/Mcc1182 / 23$14.431,50665 / 15$4.525,55709 / 18$3.428,82705 / 25
Total 32 procedures714discharges

DATA

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.