Hospital Costs > In Ohio > Marion General Hospital Ohio, procedure costs
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 Mcc | 95 | 421 / 61 | $27.209,20 | 656 / 37 | $10.768,90 | 704 / 36 | $9.795,91 | 703 / 52 |
Pulmonary Edema & Respiratory Failure | 95 | 108 / 8 | $19.133,80 | 352 / 21 | $7.918,47 | 688 / 52 | $6.576,79 | 688 / 48 |
Chronic Obstructive Pulmonary Disease W Mcc | 89 | 113 / 19 | $16.054,10 | 395 / 26 | $6.862,99 | 339 / 25 | $5.602,48 | 338 / 28 |
Heart Failure & Shock W Mcc | 62 | 222 / 47 | $20.528,00 | 451 / 26 | $8.778,13 | 623 / 32 | $7.841,00 | 623 / 46 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 61 | 503 / 69 | $49.429,30 | 1257 / 78 | $13.761,50 | 1082 / 66 | $11.188,00 | 1058 / 75 |
Cellulitis W/O Mcc | 59 | 130 / 27 | $10.289,60 | 271 / 18 | $5.162,31 | 603 / 27 | $3.977,22 | 600 / 38 |
Heart Failure & Shock W Cc | 53 | 225 / 56 | $11.799,20 | 255 / 14 | $5.654,51 | 423 / 15 | $4.814,75 | 423 / 24 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 52 | 144 / 25 | $50.531,10 | 238 / 17 | $13.288,50 | 484 / 25 | $10.609,80 | 482 / 30 |
Chronic Obstructive Pulmonary Disease W Cc | 52 | 127 / 29 | $11.276,20 | 167 / 9 | $5.552,60 | 573 / 21 | $4.615,79 | 571 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 47 | 76 / 16 | $15.903,10 | 151 / 13 | $7.554,57 | 713 / 33 | $6.682,15 | 710 / 51 |
Renal Failure W Cc | 40 | 181 / 49 | $16.170,70 | 583 / 30 | $5.990,35 | 755 / 39 | $4.966,45 | 748 / 52 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 40 | $14.216,40 | 469 / 25 | $6.048,79 | 872 / 43 | $4.969,62 | 869 / 60 |
Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 45 | $10.050,40 | 300 / 17 | $4.661,92 | 540 / 25 | $3.646,38 | 539 / 33 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 39 | 92 / 22 | $38.207,00 | 285 / 19 | $13.492,60 | 523 / 21 | $12.506,60 | 516 / 35 |
Renal Failure W Mcc | 38 | 157 / 43 | $18.166,80 | 160 / 8 | $8.721,53 | 141 / 21 | $7.417,92 | 141 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 58 | $11.918,80 | 377 / 20 | $4.792,19 | 1152 / 44 | $3.858,78 | 1144 / 74 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 42 | $17.675,90 | 248 / 19 | $8.293,33 | 406 / 23 | $7.194,81 | 406 / 34 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 32 | $8.694,41 | 204 / 11 | $4.540,12 | 542 / 45 | $3.335,53 | 540 / 33 |
G.I. Hemorrhage W Cc | 33 | 185 / 47 | $15.007,40 | 308 / 16 | $6.252,30 | 961 / 43 | $5.331,21 | 959 / 65 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 34 | $9.142,62 | 76 / 7 | $5.019,47 | 565 / 36 | $3.881,56 | 563 / 40 |
Red Blood Cell Disorders W/O Mcc | 30 | 113 / 24 | $14.211,90 | 373 / 21 | $5.051,47 | 502 / 31 | $3.983,07 | 501 / 38 |
Red Blood Cell Disorders W Mcc | 28 | 43 / 4 | $18.620,60 | 128 / 7 | $8.723,50 | 178 / 33 | $6.436,93 | 178 / 16 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 28 | 72 / 15 | $65.661,20 | 124 / 7 | $19.037,10 | 315 / 11 | $18.055,60 | 313 / 18 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 32 | $22.598,10 | 224 / 17 | $9.337,96 | 175 / 13 | $8.217,80 | 175 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 44 | $17.293,70 | 536 / 31 | $7.006,38 | 418 / 54 | $5.116,42 | 416 / 25 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 30 | $10.148,50 | 259 / 13 | $4.361,33 | 520 / 15 | $3.341,67 | 519 / 41 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 38 | $25.672,60 | 314 / 20 | $6.764,45 | 631 / 24 | $5.627,45 | 629 / 32 |
G.I. Obstruction W Cc | 22 | 70 / 21 | $14.434,20 | 250 / 17 | $5.562,09 | 454 / 23 | $4.410,68 | 453 / 29 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 37 | $9.274,81 | 261 / 18 | $3.750,52 | 763 / 43 | $2.640,05 | 759 / 50 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 29 | $13.519,20 | 104 / 5 | $7.019,75 | 341 / 34 | $5.773,85 | 338 / 23 |
Psychoses | 20 | 255 / 19 | $23.301,80 | 385 / 17 | $6.926,40 | 196 / 12 | $5.505,70 | 196 / 13 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 38 | $22.180,40 | 151 / 11 | $9.847,70 | 38 / 2 | $8.981,60 | 38 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 43 | $13.626,70 | 96 / 5 | $6.638,65 | 73 / 42 | $4.492,10 | 73 / 6 |
Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 19 | $67.363,90 | 107 / 6 | $28.169,00 | 225 / 16 | $26.688,50 | 223 / 26 |
Diabetes W Cc | 18 | 74 / 23 | $10.638,60 | 105 / 6 | $5.186,61 | 196 / 20 | $3.818,44 | 196 / 18 |
G.I. Hemorrhage W Mcc | 17 | 104 / 34 | $23.253,00 | 135 / 7 | $11.315,50 | 247 / 42 | $9.008,06 | 247 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 22 | $16.837,20 | 108 / 4 | $7.775,00 | 210 / 33 | $6.019,06 | 209 / 21 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 39 | $12.484,70 | 127 / 11 | $6.291,40 | 222 / 18 | $5.294,47 | 222 / 22 |
Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 38 | $60.334,90 | 222 / 11 | $31.349,50 | 49 / 49 | $18.130,40 | 49 / 2 |
Cellulitis W Mcc | 14 | 44 / 16 | $16.309,70 | 60 / 4 | $7.815,57 | 93 / 5 | $6.960,29 | 93 / 11 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 14 | $12.849,60 | 53 / 4 | $7.422,36 | 20 / 28 | $4.165,00 | 20 / 2 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 27 | $16.385,40 | 139 / 7 | $7.639,29 | 186 / 10 | $6.733,43 | 185 / 15 |
Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 23 | $58.758,50 | 119 / 6 | $19.597,50 | 327 / 5 | $18.784,10 | 327 / 20 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 32 | $9.194,50 | 196 / 10 | $4.418,93 | 558 / 39 | $3.352,21 | 556 / 31 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 23 | $22.124,40 | 382 / 24 | $6.151,86 | 199 / 15 | $4.940,00 | 199 / 16 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 28 | $10.580,00 | 277 / 14 | $4.514,23 | 687 / 27 | $3.406,54 | 684 / 39 |
Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 12 | $63.778,20 | 102 / 4 | $23.040,70 | 261 / 17 | $21.843,90 | 261 / 21 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 14 | $54.761,10 | 204 / 14 | $11.388,50 | 256 / 12 | $10.130,10 | 256 / 18 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 22 | $32.685,20 | 66 / 5 | $15.663,80 | 9 / 31 | $9.396,50 | 9 / 1 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 17 | $11.835,10 | 88 / 3 | $5.793,08 | 172 / 22 | $4.009,08 | 169 / 9 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 29 | $13.552,40 | 109 / 8 | $6.162,42 | 444 / 18 | $5.115,42 | 441 / 29 |
Syncope & Collapse | 12 | 157 / 45 | $8.119,58 | 48 / 4 | $5.075,00 | 499 / 58 | $3.554,42 | 497 / 39 | Total 52 procedures | 1.607 | 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.