Hospital Costs > In Minnesota > Mayo Clinic Health System - Albert Lea, 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 | 228 | 288 / 12 | $20.935,10 | 304 / 4 | $13.763,70 | 2145 / 30 | $12.975,90 | 2107 / 32 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 165 | 399 / 24 | $31.797,40 | 303 / 10 | $16.212,40 | 2221 / 30 | $14.771,30 | 2177 / 37 |
Heart Failure & Shock W Cc | 96 | 182 / 10 | $14.689,10 | 544 / 9 | $7.347,68 | 2052 / 27 | $6.629,68 | 2047 / 31 |
Heart Failure & Shock W Mcc | 68 | 216 / 14 | $19.360,90 | 390 / 5 | $11.060,40 | 1976 / 24 | $10.296,20 | 1969 / 28 |
Simple Pneumonia & Pleurisy W Cc | 65 | 138 / 6 | $14.574,60 | 507 / 14 | $7.370,92 | 2025 / 30 | $6.216,26 | 2017 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 12 | $12.720,70 | 195 / 4 | $7.896,76 | 1842 / 27 | $6.895,93 | 1834 / 32 |
Pulmonary Edema & Respiratory Failure | 57 | 146 / 12 | $21.570,20 | 505 / 11 | $9.393,96 | 1736 / 24 | $8.631,58 | 1731 / 28 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 43 | 232 / 20 | $12.368,30 | 441 / 8 | $5.480,21 | 1778 / 17 | $4.443,56 | 1765 / 21 |
Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 11 | $18.950,40 | 641 / 18 | $8.793,88 | 2000 / 28 | $7.960,36 | 1992 / 32 |
G.I. Hemorrhage W Cc | 35 | 183 / 20 | $14.515,60 | 263 / 6 | $7.372,43 | 1750 / 22 | $6.477,34 | 1746 / 28 |
Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 10 | $13.604,40 | 380 / 8 | $6.908,50 | 1842 / 24 | $6.196,97 | 1835 / 27 |
Respiratory Infections & Inflammations W Cc | 33 | 55 / 5 | $15.463,70 | 114 / 4 | $10.215,20 | 1154 / 15 | $9.399,18 | 1149 / 17 |
Cellulitis W/O Mcc | 33 | 156 / 15 | $10.283,80 | 269 / 2 | $6.215,48 | 1861 / 16 | $5.266,15 | 1853 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 24 | $10.586,30 | 350 / 4 | $5.656,70 | 1753 / 18 | $4.626,78 | 1742 / 23 |
G.I. Obstruction W Cc | 26 | 66 / 16 | $12.392,70 | 137 / 3 | $6.545,15 | 1230 / 15 | $5.662,69 | 1226 / 21 |
Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 11 | $11.687,70 | 428 / 8 | $4.980,21 | 1239 / 12 | $4.018,88 | 1229 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 17 | $13.922,70 | 828 / 15 | $5.172,50 | 1699 / 18 | $4.319,17 | 1694 / 23 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 14 | $22.848,90 | 167 / 3 | $14.557,80 | 1464 / 19 | $14.008,40 | 1449 / 21 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 21 | $30.383,80 | 237 / 6 | $14.737,70 | 1686 / 24 | $13.936,30 | 1667 / 28 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 6 | $13.628,00 | 568 / 15 | $5.187,30 | 1330 / 12 | $4.101,39 | 1322 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 25 | $22.460,50 | 538 / 12 | $10.665,50 | 1910 / 24 | $9.731,73 | 1910 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 19 | $15.509,60 | 135 / 2 | $8.864,37 | 1266 / 15 | $7.786,47 | 1263 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 13 | $13.971,40 | 192 / 3 | $5.605,28 | 1052 / 9 | $4.458,61 | 1048 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 22 | $15.224,30 | 166 / 4 | $7.868,65 | 1521 / 19 | $6.944,41 | 1518 / 23 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 11 | $16.982,30 | 235 / 7 | $7.205,65 | 911 / 11 | $6.138,35 | 908 / 18 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 16 | $17.121,00 | 90 / 2 | $12.815,20 | 1364 / 18 | $11.841,20 | 1353 / 18 |
G.I. Hemorrhage W Mcc | 15 | 106 / 17 | $18.101,30 | 51 / 1 | $12.580,70 | 1135 / 9 | $11.851,10 | 1127 / 13 |
Diabetes W Cc | 15 | 77 / 11 | $14.670,10 | 315 / 3 | $6.109,60 | 1036 / 8 | $5.224,27 | 1032 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 23 | $12.068,50 | 239 / 4 | $5.830,27 | 1326 / 17 | $4.699,60 | 1321 / 14 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 8 | $12.439,20 | 180 / 3 | $5.257,86 | 676 / 8 | $4.476,14 | 675 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 18 | $18.635,90 | 67 / 2 | $12.606,90 | 1125 / 12 | $11.676,50 | 1119 / 13 |
Renal Failure W Cc | 12 | 209 / 26 | $14.403,40 | 410 / 11 | $7.123,33 | 1763 / 21 | $6.315,33 | 1753 / 25 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 18 | $10.198,30 | 115 / 3 | $5.904,92 | 1356 / 16 | $5.096,92 | 1347 / 20 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 16 | $12.256,80 | 67 / 2 | $7.787,73 | 1077 / 14 | $7.016,82 | 1075 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 14 | $46.645,50 | 96 / 4 | $26.077,20 | 806 / 15 | $24.630,80 | 803 / 15 | Total 35 procedures | 1.356 | 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.