Hospital Costs > In Minnesota > Mayo Clinic Health System - Mankato, 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 | 296 | 272 / 16 | $26.617,70 | 119 / 3 | $14.515,20 | 1677 / 13 | $12.494,90 | 1640 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 180 | 336 / 14 | $37.361,90 | 1174 / 30 | $13.759,60 | 1960 / 29 | $12.222,00 | 1924 / 31 |
| Psychoses | 105 | 187 / 10 | $19.955,80 | 326 / 5 | $7.665,50 | 292 / 5 | $5.926,12 | 292 / 5 |
| Heart Failure & Shock W Mcc | 91 | 193 / 12 | $26.443,90 | 858 / 23 | $10.704,80 | 1699 / 22 | $9.470,59 | 1694 / 20 |
| Renal Failure W Cc | 77 | 144 / 8 | $15.675,60 | 529 / 15 | $7.055,87 | 1463 / 20 | $5.696,81 | 1454 / 16 |
| Renal Failure W Mcc | 75 | 120 / 5 | $27.486,20 | 608 / 9 | $10.975,10 | 1437 / 15 | $10.060,00 | 1437 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 14 | $15.596,40 | 828 / 21 | $5.268,41 | 1620 / 10 | $4.245,59 | 1607 / 13 |
| G.I. Hemorrhage W Cc | 67 | 151 / 12 | $22.520,20 | 987 / 30 | $7.211,96 | 1493 / 20 | $5.953,02 | 1489 / 17 |
| Heart Failure & Shock W Cc | 63 | 215 / 16 | $16.930,90 | 795 / 18 | $6.873,76 | 1701 / 16 | $5.999,32 | 1696 / 18 |
| Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 9 | $13.733,30 | 760 / 19 | $5.766,80 | 1309 / 22 | $4.175,46 | 1300 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 60 | 145 / 11 | $23.660,80 | 611 / 14 | $9.799,23 | 1548 / 15 | $8.791,58 | 1548 / 21 |
| Respiratory Infections & Inflammations W Mcc | 58 | 78 / 5 | $32.583,10 | 496 / 10 | $13.296,90 | 1191 / 14 | $12.527,00 | 1176 / 18 |
| Cellulitis W/O Mcc | 55 | 134 / 9 | $12.398,00 | 523 / 11 | $6.055,02 | 1450 / 13 | $4.672,80 | 1443 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 54 | 107 / 11 | $13.464,40 | 366 / 10 | $5.545,26 | 1331 / 10 | $4.706,56 | 1326 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 48 | 134 / 12 | $26.852,40 | 915 / 23 | $7.874,06 | 1233 / 20 | $6.190,77 | 1230 / 15 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 47 | 18 / 1 | $40.291,40 | 14 / 2 | $23.495,30 | 170 / 3 | $21.505,00 | 169 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 45 | 151 / 14 | $44.637,20 | 127 / 3 | $14.062,20 | 900 / 7 | $12.087,40 | 893 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 44 | 124 / 11 | $27.595,80 | 274 / 6 | $11.710,50 | 937 / 8 | $10.789,30 | 934 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 11 | $21.006,50 | 130 / 2 | $8.026,00 | 948 / 12 | $6.235,23 | 945 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 11 | $27.603,90 | 148 / 3 | $13.251,70 | 1198 / 14 | $11.626,50 | 1184 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 41 | 82 / 10 | $20.007,70 | 339 / 7 | $8.239,17 | 1061 / 9 | $7.239,15 | 1058 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 17 | $21.332,20 | 904 / 31 | $7.564,00 | 1342 / 20 | $6.035,95 | 1337 / 14 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 17 | $21.081,80 | 472 / 10 | $8.997,60 | 1482 / 17 | $7.792,17 | 1477 / 20 |
| Major Small & Large Bowel Procedures W Cc | 38 | 70 / 9 | $34.979,20 | 109 / 2 | $18.669,20 | 891 / 16 | $15.187,90 | 883 / 10 |
| Other Circulatory System Diagnoses W Mcc | 37 | 79 / 5 | $33.095,00 | 288 / 5 | $12.874,70 | 791 / 7 | $12.034,40 | 787 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 9 | $15.447,20 | 557 / 15 | $6.489,81 | 1448 / 16 | $5.440,25 | 1443 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 18 | $12.814,80 | 338 / 6 | $6.747,26 | 1745 / 16 | $5.774,23 | 1737 / 21 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 7 | $41.201,30 | 861 / 18 | $14.658,70 | 1470 / 21 | $12.592,40 | 1458 / 19 |
| G.I. Hemorrhage W Mcc | 34 | 87 / 9 | $35.491,40 | 529 / 7 | $12.751,80 | 1159 / 11 | $11.960,60 | 1151 / 15 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 34 | 67 / 8 | $29.680,10 | 375 / 8 | $15.574,90 | 658 / 16 | $9.869,06 | 656 / 13 |
| Medical Back Problems W/O Mcc | 34 | 87 / 9 | $15.531,80 | 253 / 5 | $5.897,50 | 862 / 8 | $4.893,65 | 859 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 33 | 32 / 2 | $43.087,80 | 64 / 3 | $22.890,80 | 675 / 13 | $21.700,30 | 672 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 17 | $14.372,70 | 276 / 5 | $7.936,34 | 1578 / 15 | $6.951,91 | 1570 / 20 |
| Major Small & Large Bowel Procedures W Mcc | 32 | 53 / 5 | $84.332,10 | 236 / 6 | $40.719,40 | 1028 / 15 | $38.311,40 | 1026 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 9 | $9.248,57 | 258 / 3 | $4.171,97 | 1197 / 8 | $3.013,97 | 1192 / 9 |
| Other Digestive System Diagnoses W Cc | 30 | 67 / 10 | $15.998,60 | 189 / 3 | $6.685,87 | 819 / 5 | $5.829,27 | 815 / 10 |
| Revision Of Hip Or Knee Replacement W Cc | 29 | 57 / 9 | $40.564,20 | 30 / 2 | $22.727,30 | 361 / 7 | $20.218,90 | 360 / 7 |
| G.I. Obstruction W Cc | 29 | 63 / 14 | $15.252,70 | 309 / 11 | $6.557,34 | 750 / 16 | $4.763,00 | 748 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 11 | $74.279,90 | 210 / 2 | $38.810,70 | 1153 / 10 | $37.811,90 | 1145 / 11 |
| Respiratory Infections & Inflammations W Cc | 28 | 60 / 7 | $19.030,10 | 227 / 8 | $9.286,25 | 988 / 11 | $8.630,21 | 983 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 16 | $12.228,30 | 576 / 12 | $4.996,50 | 1498 / 13 | $4.067,77 | 1493 / 15 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 9 | $20.823,50 | 320 / 7 | $7.203,88 | 843 / 6 | $6.230,58 | 841 / 7 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 25 | 71 / 6 | $39.427,90 | 168 / 9 | $16.540,60 | 440 / 11 | $12.410,60 | 437 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 10 | $69.454,50 | 1133 / 12 | $18.615,70 | 1511 / 11 | $17.707,50 | 1497 / 13 |
| Chest Pain | 25 | 126 / 11 | $13.733,00 | 377 / 8 | $4.364,04 | 879 / 5 | $3.377,08 | 874 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 24 | 49 / 6 | $16.325,80 | 157 / 3 | $8.013,88 | 737 / 5 | $7.493,12 | 735 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 11 | $56.200,70 | 56 / 1 | $22.283,80 | 628 / 3 | $21.057,30 | 624 / 8 |
| Seizures W/O Mcc | 23 | 85 / 9 | $12.255,70 | 141 / 2 | $5.336,00 | 598 / 4 | $4.250,04 | 595 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 8 | $16.489,30 | 334 / 2 | $7.714,61 | 1224 / 10 | $6.814,78 | 1220 / 11 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 23 | 80 / 6 | $13.106,60 | 70 / 2 | $6.798,30 | 402 / 8 | $5.860,52 | 402 / 7 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 22 | 47 / 5 | $34.363,50 | 21 / 2 | $18.514,20 | 313 / 2 | $16.273,70 | 312 / 5 |
| Diabetes W Cc | 21 | 71 / 8 | $19.380,20 | 650 / 12 | $6.876,52 | 562 / 15 | $4.349,76 | 562 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 21 | 35 / 3 | $27.505,80 | 105 / 2 | $12.626,00 | 359 / 5 | $11.850,70 | 358 / 5 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 20 | 20 / 2 | $16.271,50 | 29 / 2 | $7.657,15 | 126 / 5 | $6.720,60 | 126 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 7 | $34.157,70 | 77 / 2 | $13.913,80 | 493 / 2 | $12.876,20 | 487 / 3 |
| Syncope & Collapse | 19 | 150 / 17 | $15.936,60 | 476 / 5 | $5.156,63 | 1034 / 6 | $4.108,32 | 1027 / 7 |
| Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 7 | $40.352,60 | 57 / 2 | $20.230,40 | 577 / 12 | $19.129,30 | 574 / 13 |
| Other Digestive System Diagnoses W Mcc | 19 | 43 / 6 | $27.763,50 | 125 / 3 | $11.365,30 | 369 / 5 | $10.591,30 | 368 / 7 |
| Nonspecific Cerebrovascular Disorders W Mcc | 18 | 33 / 3 | $29.087,20 | 105 / 2 | $11.317,70 | 224 / 3 | $10.502,30 | 224 / 5 |
| Complications Of Treatment W Cc | 18 | 34 / 7 | $21.605,70 | 116 / 6 | $6.788,22 | 144 / 3 | $5.862,33 | 144 / 2 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 11 | $16.556,10 | 216 / 6 | $6.789,47 | 777 / 7 | $5.752,00 | 774 / 11 |
| Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 17 | $40.835,80 | 47 / 1 | $26.782,20 | 945 / 10 | $25.667,20 | 940 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 16 | $11.756,90 | 437 / 9 | $4.807,50 | 1299 / 6 | $4.088,94 | 1289 / 12 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 6 | $32.900,20 | 24 / 1 | $12.138,90 | 357 / 3 | $10.967,90 | 356 / 3 |
| Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 11 | $46.179,80 | 23 / 1 | $24.687,50 | 362 / 4 | $23.736,00 | 362 / 6 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 9 | $15.696,80 | 219 / 6 | $5.502,33 | 297 / 6 | $3.884,47 | 297 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 11 | $40.993,90 | 90 / 1 | $17.589,90 | 567 / 6 | $16.420,40 | 566 / 7 |
| Peripheral Vascular Disorders W Mcc | 14 | 35 / 3 | $32.594,10 | 249 / 4 | $12.499,40 | 510 / 6 | $11.562,90 | 510 / 7 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 9 | $41.326,40 | 594 / 12 | $15.247,60 | 886 / 13 | $12.791,60 | 883 / 14 |
| Digestive Malignancy W Cc | 13 | 34 / 6 | $21.198,90 | 46 / 2 | $8.508,92 | 200 / 1 | $7.809,69 | 198 / 3 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 12 | $26.644,30 | 701 / 15 | $4.790,58 | 284 / 4 | $3.306,00 | 283 / 2 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 11 | $21.304,80 | 340 / 7 | $5.721,42 | 598 / 7 | $4.687,67 | 594 / 9 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 9 | $18.624,60 | 182 / 3 | $6.832,08 | 496 / 5 | $6.069,08 | 496 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 17 | $20.616,80 | 443 / 4 | $7.618,42 | 878 / 6 | $6.743,58 | 875 / 7 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 8 | $14.422,80 | 71 / 3 | $6.553,75 | 391 / 5 | $6.010,92 | 390 / 7 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 11 | $90.016,30 | 147 / 5 | $35.607,90 | 408 / 8 | $34.520,90 | 408 / 11 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 11 | $11.905,80 | 437 / 8 | $5.007,92 | 1300 / 6 | $4.071,67 | 1289 / 13 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 10 | $12.971,80 | 196 / 4 | $5.043,83 | 520 / 6 | $3.987,00 | 520 / 6 |
| G.I. Obstruction W Mcc | 12 | 30 / 8 | $30.327,60 | 135 / 4 | $10.941,80 | 263 / 4 | $9.848,42 | 263 / 3 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 19 | $20.024,00 | 903 / 17 | $5.648,73 | 1148 / 9 | $4.724,45 | 1140 / 10 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 11 | 18 / 3 | $30.210,30 | 14 / 2 | $15.403,40 | 44 / 1 | $14.662,60 | 43 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 17 | $21.983,90 | 717 / 16 | $5.383,36 | 907 / 7 | $4.136,82 | 903 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 16 | $11.863,80 | 408 / 10 | $5.019,64 | 1094 / 7 | $3.776,27 | 1088 / 7 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 14 | $20.086,20 | 417 / 4 | $6.719,91 | 768 / 6 | $6.077,36 | 765 / 8 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 7 | $14.977,80 | 190 / 2 | $6.080,55 | 590 / 1 | $5.048,55 | 586 / 3 | Total 85 procedures | 3.025 | 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.