Hospital Costs > In Minnesota > Mayo Clinic Methodist- Hospital, 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 | 339 | 236 / 12 | $28.806,60 | 183 / 5 | $18.554,10 | 2137 / 45 | $14.234,30 | 2094 / 32 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 59 | 37 / 3 | $31.003,90 | 41 / 1 | $18.915,10 | 643 / 18 | $14.634,00 | 639 / 14 |
| Major Small & Large Bowel Procedures W Cc | 57 | 51 / 4 | $40.885,80 | 210 / 6 | $22.558,80 | 1098 / 23 | $16.546,70 | 1085 / 19 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 53 | 38 / 3 | $24.480,60 | 110 / 4 | $10.824,00 | 207 / 6 | $7.643,40 | 207 / 5 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 39 | 30 / 2 | $41.883,90 | 53 / 3 | $23.286,90 | 424 / 6 | $19.719,70 | 423 / 8 |
| Revision Of Hip Or Knee Replacement W Cc | 31 | 55 / 8 | $47.761,30 | 60 / 3 | $31.155,50 | 380 / 18 | $20.539,10 | 379 / 10 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 27 | 46 / 4 | $31.089,60 | 94 / 2 | $11.853,30 | 259 / 9 | $8.132,41 | 259 / 10 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 25 | 44 / 9 | $34.992,40 | 23 / 1 | $21.960,80 | 351 / 12 | $16.919,00 | 351 / 10 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 7 | $92.459,10 | 315 / 9 | $47.772,50 | 1103 / 18 | $41.144,00 | 1101 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 29 | $12.304,90 | 432 / 7 | $7.216,27 | 1801 / 39 | $4.479,55 | 1788 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 22 | 494 / 34 | $48.766,00 | 1746 / 42 | $22.391,20 | 2433 / 44 | $14.503,00 | 2389 / 41 |
| Kidney Transplant | 20 | 81 / 3 | $114.698,00 | 12 / 2 | $37.885,70 | 100 / 2 | $24.670,90 | 100 / 4 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 19 | 45 / 5 | $33.346,50 | 189 / 4 | $15.529,30 | 531 / 10 | $10.234,00 | 531 / 7 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 7 | $26.117,60 | 143 / 4 | $12.451,40 | 297 / 8 | $8.055,23 | 297 / 5 |
| Pancreas, Liver & Shunt Procedures W Cc | 12 | 43 / 4 | $46.865,50 | 9 / 1 | $25.797,10 | 46 / 2 | $17.622,40 | 46 / 2 |
| Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc | 12 | 14 / 3 | $43.693,20 | 16 / 1 | $17.562,00 | 36 / 2 | $14.750,20 | 36 / 2 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 11 | 34 / 5 | $30.898,70 | 14 / 2 | $16.148,50 | 106 / 3 | $12.530,90 | 106 / 5 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 11 | 23 / 3 | $34.429,20 | 1 / 1 | $22.250,80 | 14 / 1 | $16.910,90 | 14 / 1 | Total 18 procedures | 795 | 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.