Hospital Costs > In Minnesota > Maple Grove 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 | 224 | 340 / 21 | $41.030,20 | 811 / 34 | $16.914,00 | 1750 / 41 | $12.691,50 | 1710 / 20 |
| Spinal Fusion Except Cervical W/O Mcc | 44 | 150 / 8 | $59.263,40 | 210 / 6 | $29.074,50 | 795 / 15 | $24.038,90 | 791 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 41 | 475 / 27 | $36.621,90 | 1127 / 29 | $15.264,40 | 1527 / 37 | $11.061,50 | 1496 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 22 | $20.583,90 | 1462 / 40 | $8.051,66 | 2006 / 41 | $4.797,94 | 1992 / 35 |
| Renal Failure W Cc | 33 | 188 / 18 | $16.021,30 | 564 / 16 | $9.051,42 | 1569 / 33 | $5.868,42 | 1560 / 21 |
| Heart Failure & Shock W Mcc | 32 | 252 / 24 | $25.155,70 | 748 / 21 | $12.606,30 | 1558 / 33 | $9.184,06 | 1553 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 22 | $26.594,70 | 810 / 22 | $12.771,10 | 1403 / 33 | $8.501,55 | 1403 / 16 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 19 | $19.149,50 | 353 / 4 | $10.277,90 | 1519 / 28 | $7.883,48 | 1514 / 21 |
| Cellulitis W/O Mcc | 24 | 165 / 21 | $18.425,90 | 1293 / 34 | $8.685,88 | 1866 / 36 | $5.275,75 | 1858 / 25 |
| Heart Failure & Shock W Cc | 22 | 256 / 31 | $17.247,40 | 840 / 21 | $9.206,41 | 2107 / 40 | $6.750,50 | 2101 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 28 | $17.706,60 | 879 / 28 | $8.818,05 | 1722 / 43 | $5.749,85 | 1714 / 19 |
| Renal Failure W Mcc | 19 | 176 / 17 | $31.334,30 | 837 / 16 | $15.494,90 | 1777 / 22 | $11.628,80 | 1774 / 21 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 16 | $36.961,20 | 654 / 14 | $16.144,50 | 808 / 22 | $11.142,60 | 798 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 27 | $16.317,10 | 1124 / 28 | $7.794,89 | 1927 / 38 | $4.864,39 | 1916 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 29 | $17.309,80 | 538 / 16 | $9.471,44 | 1088 / 41 | $5.747,78 | 1085 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 14 | $19.557,20 | 546 / 10 | $10.409,20 | 1230 / 19 | $6.837,19 | 1226 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 26 | $19.207,60 | 651 / 20 | $10.191,80 | 1530 / 36 | $6.875,40 | 1523 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 23 | $13.024,50 | 321 / 5 | $6.824,93 | 1594 / 27 | $5.181,60 | 1589 / 26 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 25 | $33.537,70 | 359 / 13 | $15.528,40 | 1276 / 28 | $11.882,50 | 1259 / 19 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 11 | $73.262,80 | 151 / 4 | $39.066,30 | 45 / 13 | $23.885,40 | 45 / 1 |
| G.I. Hemorrhage W Cc | 13 | 205 / 31 | $14.129,70 | 234 / 4 | $8.174,08 | 1580 / 32 | $6.104,77 | 1576 / 24 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 11 | $21.264,30 | 330 / 10 | $11.307,20 | 563 / 14 | $6.829,55 | 561 / 6 | Total 22 procedures | 702 | 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.