Hospital Costs > In Indiana > Marion General Hospital Indiana, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Pulmonary Edema & Respiratory Failure | 111 | 92 / 8 | $12.614,10 | 57 / 1 | $7.739,67 | 894 / 35 | $6.803,23 | 894 / 35 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 93 | 471 / 40 | $62.783,70 | 1795 / 51 | $13.141,30 | 1381 / 27 | $11.768,90 | 1348 / 54 |
Heart Failure & Shock W Cc | 80 | 198 / 20 | $12.680,00 | 339 / 4 | $6.387,20 | 1218 / 47 | $5.468,80 | 1215 / 45 |
Heart Failure & Shock W Mcc | 58 | 226 / 33 | $18.225,50 | 323 / 5 | $9.278,45 | 847 / 40 | $8.103,95 | 847 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 57 | 459 / 50 | $23.326,60 | 441 / 7 | $11.241,10 | 1228 / 25 | $10.521,90 | 1207 / 38 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 51 | 69 / 10 | $8.743,04 | 129 / 2 | $4.775,76 | 929 / 32 | $3.676,69 | 921 / 40 |
Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 24 | $14.311,00 | 486 / 7 | $6.538,69 | 709 / 48 | $4.825,92 | 706 / 23 |
Chronic Obstructive Pulmonary Disease W Cc | 46 | 133 / 26 | $12.405,50 | 272 / 4 | $5.948,65 | 1015 / 35 | $4.965,78 | 1012 / 41 |
Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 28 | $11.406,90 | 441 / 5 | $5.025,87 | 1339 / 39 | $4.195,29 | 1330 / 53 |
Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 34 | $16.987,50 | 213 / 3 | $9.106,16 | 893 / 39 | $7.753,58 | 893 / 36 |
Cellulitis W/O Mcc | 40 | 149 / 24 | $9.811,45 | 225 / 2 | $5.502,08 | 1003 / 38 | $4.273,98 | 997 / 37 |
Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 38 | $13.351,70 | 206 / 2 | $7.482,68 | 1076 / 39 | $6.313,68 | 1071 / 41 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 18 | $21.155,50 | 18 / 1 | $13.856,90 | 740 / 18 | $13.101,80 | 732 / 27 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 30 | $16.118,10 | 448 / 7 | $6.709,06 | 1107 / 30 | $5.765,11 | 1103 / 45 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 31 | $14.281,40 | 650 / 14 | $4.992,44 | 971 / 38 | $3.745,12 | 963 / 37 |
Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 18 | $10.536,20 | 326 / 3 | $4.488,67 | 763 / 32 | $3.522,27 | 759 / 30 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 30 | $11.294,00 | 465 / 8 | $4.640,62 | 1314 / 38 | $3.894,69 | 1310 / 47 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 25 | $8.711,90 | 209 / 3 | $3.785,03 | 894 / 31 | $2.742,28 | 890 / 34 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 23 | $12.560,80 | 279 / 5 | $5.313,67 | 755 / 35 | $4.073,81 | 752 / 25 |
G.I. Hemorrhage W Cc | 26 | 192 / 35 | $21.089,80 | 846 / 22 | $6.307,00 | 1144 / 25 | $5.513,15 | 1142 / 36 |
Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 12 | $14.257,30 | 96 / 1 | $6.660,50 | 508 / 17 | $5.476,88 | 507 / 14 |
Red Blood Cell Disorders W/O Mcc | 24 | 119 / 21 | $14.945,60 | 450 / 10 | $5.226,50 | 625 / 23 | $4.118,50 | 621 / 19 |
Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 28 | $48.140,50 | 974 / 33 | $12.032,90 | 822 / 36 | $10.647,40 | 812 / 30 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 30 | $19.308,70 | 92 / 1 | $7.102,20 | 624 / 22 | $5.617,75 | 622 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 21 | $12.101,40 | 102 / 3 | $4.952,05 | 605 / 23 | $3.739,42 | 601 / 27 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 18 | $11.370,80 | 357 / 8 | $4.737,35 | 743 / 28 | $3.447,35 | 739 / 28 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 24 | $18.652,80 | 120 / 2 | $10.507,60 | 782 / 21 | $9.675,56 | 781 / 29 |
Syncope & Collapse | 16 | 153 / 32 | $12.865,70 | 256 / 4 | $5.032,38 | 603 / 35 | $3.654,06 | 600 / 18 |
Renal Failure W Cc | 15 | 206 / 44 | $12.536,30 | 258 / 3 | $6.051,80 | 1068 / 30 | $5.251,80 | 1060 / 39 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 32 | $21.925,50 | 144 / 3 | $11.797,40 | 579 / 22 | $10.629,40 | 571 / 22 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 18 | $21.919,60 | 343 / 9 | $8.515,71 | 776 / 22 | $7.914,57 | 771 / 31 |
Renal Failure W Mcc | 13 | 182 / 35 | $14.561,70 | 59 / 1 | $9.394,46 | 643 / 24 | $8.274,46 | 643 / 19 |
Diabetes W Cc | 13 | 79 / 21 | $15.296,50 | 353 / 8 | $5.376,69 | 707 / 17 | $4.539,77 | 705 / 26 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 22 | $80.871,60 | 201 / 8 | $30.490,40 | 493 / 11 | $29.559,80 | 491 / 13 |
Chest Pain | 13 | 138 / 24 | $7.833,62 | 68 / 1 | $4.058,31 | 842 / 19 | $3.317,38 | 837 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 35 | $12.317,10 | 50 / 1 | $7.563,08 | 613 / 23 | $6.541,54 | 610 / 27 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 12 | $18.542,10 | 333 / 8 | $5.265,64 | 213 / 11 | $3.632,00 | 213 / 10 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 19 | $14.849,10 | 145 / 2 | $6.262,09 | 668 / 14 | $5.491,18 | 665 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 40 | $16.025,00 | 214 / 5 | $7.150,27 | 460 / 41 | $5.175,09 | 459 / 16 | Total 39 procedures | 1.255 | 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.