Hospital Costs > In Iowa > Marshalltown Medical & Surgical Center, 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/O Cc/Mcc | 12 | 138 / 15 | $7.960,00 | 139 / 4 | $3.637,00 | 1004 / 14 | $2.830,50 | 999 / 17 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 6 | $12.609,30 | 64 / 2 | $5.786,58 | 300 / 5 | $4.752,25 | 299 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 24 | $10.734,40 | 266 / 4 | $4.747,44 | 995 / 18 | $3.762,56 | 987 / 20 |
| G.I. Hemorrhage W Cc | 37 | 181 / 16 | $13.000,80 | 166 / 3 | $6.267,89 | 678 / 17 | $5.069,62 | 677 / 13 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 13 | $15.696,80 | 26 / 1 | $10.910,20 | 694 / 12 | $10.215,20 | 695 / 15 |
| G.I. Obstruction W Cc | 15 | 77 / 13 | $10.438,90 | 68 / 1 | $5.570,80 | 667 / 13 | $4.655,33 | 666 / 15 |
| Heart Failure & Shock W Cc | 23 | 255 / 21 | $17.275,30 | 844 / 17 | $6.426,00 | 580 / 18 | $4.972,35 | 580 / 10 |
| Heart Failure & Shock W Mcc | 32 | 252 / 22 | $18.925,50 | 368 / 5 | $9.277,81 | 1162 / 16 | $8.517,91 | 1159 / 18 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 21 | $25.967,10 | 99 / 1 | $12.211,40 | 929 / 19 | $10.854,50 | 916 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 21 | $15.019,50 | 153 / 3 | $6.701,09 | 840 / 16 | $5.598,91 | 838 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 13 | $20.663,50 | 103 / 3 | $10.744,90 | 688 / 11 | $9.856,45 | 687 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 24 | $9.481,31 | 240 / 3 | $4.879,85 | 676 / 19 | $3.737,92 | 672 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 13 | $39.266,40 | 40 / 1 | $21.523,50 | 583 / 16 | $20.419,40 | 580 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 43 | 521 / 28 | $28.735,40 | 180 / 1 | $13.551,00 | 1425 / 22 | $11.866,70 | 1392 / 25 |
| Nonspecific Cerebrovascular Disorders W Mcc | 18 | 33 / 4 | $17.147,40 | 9 / 1 | $10.188,30 | 138 / 3 | $9.422,17 | 138 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 10 | $25.336,60 | 253 / 5 | $11.370,00 | 784 / 12 | $10.712,50 | 782 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 10 | $51.842,50 | 42 / 1 | $20.019,70 | 422 / 4 | $19.006,40 | 419 / 11 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 18 | $18.083,60 | 293 / 4 | $7.555,00 | 793 / 11 | $6.697,74 | 793 / 15 |
| Renal Failure W Cc | 27 | 194 / 18 | $10.465,90 | 121 / 1 | $6.019,67 | 1155 / 14 | $5.331,37 | 1147 / 19 |
| Renal Failure W Mcc | 25 | 170 / 16 | $19.231,60 | 200 / 2 | $9.907,00 | 1144 / 17 | $9.236,04 | 1144 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 276 | 242 / 4 | $22.780,40 | 402 / 6 | $11.589,80 | 1209 / 21 | $10.494,00 | 1190 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 79 | 128 / 6 | $14.016,00 | 278 / 3 | $6.660,43 | 1007 / 16 | $5.667,43 | 1004 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 18 | $19.606,10 | 363 / 4 | $8.964,23 | 1137 / 18 | $8.036,07 | 1137 / 19 | Total 23 procedures | 769 | 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.