Hospital Costs > In Ohio > Medcentral Health System Mansfield Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 46 | 45 / 2 | $19.284,20 | 261 / 15 | $6.419,63 | 494 / 24 | $5.459,39 | 493 / 35 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 50 | 75 / 15 | $23.122,10 | 236 / 19 | $10.438,80 | 669 / 39 | $9.353,28 | 668 / 47 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 23 | 30 / 3 | $16.750,00 | 194 / 9 | $4.785,57 | 364 / 13 | $3.910,43 | 361 / 20 |
Angina Pectoris | 11 | 14 / 2 | $10.546,00 | 5 / 2 | $3.721,91 | 27 / 1 | $3.033,00 | 27 / 3 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 18 | $15.582,80 | 219 / 15 | $5.454,09 | 340 / 11 | $4.415,64 | 336 / 21 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 65 | 96 / 14 | $13.329,30 | 350 / 26 | $4.970,32 | 785 / 31 | $4.100,09 | 782 / 55 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 48 | 75 / 15 | $14.541,60 | 107 / 10 | $7.340,27 | 628 / 26 | $6.567,46 | 625 / 46 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 40 | 110 / 23 | $8.620,60 | 203 / 12 | $3.654,95 | 630 / 28 | $2.540,95 | 626 / 36 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 17 | 101 / 10 | $112.257,00 | 127 / 2 | $33.663,50 | 107 / 4 | $28.520,80 | 107 / 3 |
Cellulitis W Mcc | 16 | 42 / 14 | $21.436,10 | 156 / 14 | $8.565,44 | 146 / 18 | $7.214,88 | 146 / 17 |
Cellulitis W/O Mcc | 98 | 91 / 6 | $11.244,80 | 385 / 28 | $5.245,41 | 733 / 34 | $4.072,52 | 729 / 47 |
Chest Pain | 21 | 130 / 29 | $12.017,00 | 249 / 11 | $3.922,57 | 546 / 24 | $2.970,05 | 542 / 28 |
Chronic Obstructive Pulmonary Disease W Cc | 71 | 108 / 20 | $12.947,70 | 321 / 24 | $5.746,00 | 838 / 39 | $4.832,85 | 835 / 55 |
Chronic Obstructive Pulmonary Disease W Mcc | 118 | 84 / 8 | $17.690,10 | 536 / 39 | $7.168,43 | 612 / 39 | $5.877,58 | 610 / 43 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 47 | 73 / 14 | $11.409,80 | 382 / 27 | $4.639,19 | 517 / 37 | $3.340,68 | 516 / 40 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 40 | $24.707,90 | 273 / 13 | $8.271,00 | 412 / 55 | $5.321,24 | 410 / 24 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 12 | 30 / 6 | $17.214,10 | 5 / 1 | $11.008,40 | 8 / 3 | $8.144,00 | 8 / 2 |
Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 13 | $97.219,40 | 105 / 5 | $26.742,00 | 227 / 2 | $25.505,50 | 227 / 12 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 34 | 54 / 3 | $69.449,10 | 69 / 3 | $19.593,10 | 78 / 2 | $18.437,40 | 78 / 4 |
Depressive Neuroses | 39 | 12 / 1 | $10.067,20 | 52 / 3 | $4.263,59 | 34 / 2 | $3.364,97 | 34 / 3 |
Diabetes W Cc | 34 | 58 / 10 | $10.923,90 | 115 / 8 | $5.061,06 | 432 / 15 | $4.195,38 | 432 / 37 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 8 | $13.698,90 | 107 / 7 | $4.303,17 | 73 / 5 | $2.778,17 | 73 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 25 | $19.296,20 | 177 / 12 | $7.264,62 | 281 / 18 | $6.193,00 | 279 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 75 | 200 / 31 | $13.230,80 | 531 / 33 | $4.768,36 | 901 / 41 | $3.696,77 | 896 / 52 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 16 | $13.285,20 | 39 / 4 | $6.420,89 | 367 / 7 | $5.395,89 | 367 / 21 |
G.I. Hemorrhage W Cc | 45 | 173 / 39 | $18.507,70 | 610 / 31 | $6.187,73 | 592 / 35 | $4.992,84 | 591 / 40 |
G.I. Hemorrhage W Mcc | 18 | 103 / 33 | $20.477,50 | 76 / 4 | $9.946,50 | 22 / 19 | $8.042,44 | 22 / 1 |
G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 8 | $13.290,50 | 238 / 12 | $4.877,90 | 193 / 20 | $3.165,00 | 192 / 14 |
G.I. Obstruction W Cc | 11 | 81 / 32 | $14.115,70 | 230 / 15 | $6.382,64 | 28 / 51 | $3.481,64 | 28 / 1 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 20 | $10.839,40 | 196 / 14 | $3.883,45 | 418 / 13 | $2.862,27 | 417 / 24 |
Heart Failure & Shock W Cc | 98 | 180 / 28 | $12.908,80 | 364 / 24 | $6.010,22 | 775 / 36 | $5.124,86 | 774 / 50 |
Heart Failure & Shock W Mcc | 75 | 209 / 39 | $20.584,40 | 454 / 28 | $8.607,25 | 563 / 25 | $7.773,67 | 563 / 40 |
Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 15 | $11.111,00 | 373 / 23 | $4.707,91 | 246 / 53 | $3.028,09 | 244 / 14 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 24 | $29.100,60 | 199 / 13 | $11.287,60 | 589 / 27 | $10.224,80 | 586 / 40 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 7 | $31.394,20 | 221 / 12 | $9.740,14 | 346 / 8 | $8.654,21 | 345 / 11 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 34 | $56.267,60 | 79 / 5 | $28.389,00 | 251 / 15 | $27.369,40 | 251 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 44 | 138 / 24 | $17.042,20 | 286 / 12 | $6.173,73 | 490 / 20 | $5.215,50 | 489 / 36 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 36 | $32.111,30 | 415 / 23 | $10.544,90 | 186 / 32 | $8.458,33 | 185 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 23 | $16.285,70 | 325 / 15 | $4.695,00 | 448 / 18 | $3.569,24 | 445 / 30 |
Kidney & Urinary Tract Infections W Mcc | 39 | 105 / 20 | $15.134,20 | 253 / 19 | $6.635,79 | 651 / 31 | $5.879,59 | 650 / 52 |
Kidney & Urinary Tract Infections W/O Mcc | 135 | 98 / 6 | $11.772,50 | 484 / 32 | $4.861,06 | 716 / 41 | $3.765,22 | 712 / 47 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 13 | $32.207,10 | 129 / 8 | $9.901,58 | 324 / 10 | $8.728,67 | 324 / 17 |
Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 15 | $64.344,60 | 175 / 13 | $21.764,30 | 68 / 22 | $16.551,90 | 68 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 15 | $15.107,30 | 120 / 7 | $6.695,17 | 342 / 10 | $6.245,17 | 341 / 23 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 6 | $30.557,20 | 215 / 8 | $7.364,71 | 137 / 3 | $6.521,86 | 137 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 89 | 475 / 53 | $34.103,30 | 401 / 21 | $13.573,90 | 761 / 62 | $10.709,60 | 750 / 52 |
Major Small & Large Bowel Procedures W Cc | 30 | 78 / 13 | $41.360,00 | 221 / 11 | $16.099,70 | 674 / 32 | $14.246,80 | 668 / 44 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 23 | $76.418,30 | 171 / 10 | $35.285,50 | 143 / 41 | $25.684,90 | 143 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 16 | $17.661,30 | 288 / 18 | $6.528,36 | 372 / 16 | $5.824,75 | 369 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 18 | $14.011,60 | 835 / 45 | $4.453,57 | 780 / 39 | $3.506,27 | 777 / 49 |
Organic Disturbances & Mental Retardation | 16 | 43 / 5 | $12.288,90 | 49 / 1 | $6.263,50 | 125 / 4 | $5.197,12 | 125 / 5 |
Other Circulatory System Diagnoses W Cc | 17 | 49 / 11 | $13.323,40 | 59 / 5 | $6.314,59 | 106 / 17 | $4.744,00 | 106 / 8 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 26 | $23.479,40 | 89 / 6 | $10.700,40 | 222 / 16 | $9.648,23 | 222 / 25 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 21 | $16.456,50 | 213 / 14 | $6.003,35 | 481 / 15 | $5.163,30 | 478 / 30 |
Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 14 | $15.967,70 | 125 / 5 | $6.447,00 | 138 / 11 | $4.979,88 | 138 / 11 |
Other Vascular Procedures W Cc | 16 | 86 / 24 | $50.538,30 | 216 / 10 | $15.936,90 | 530 / 14 | $15.135,50 | 527 / 25 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 19 | 177 / 48 | $56.791,90 | 380 / 31 | $18.436,20 | 15 / 60 | $8.515,53 | 15 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 14 | $53.600,90 | 195 / 13 | $10.823,30 | 187 / 5 | $9.581,58 | 187 / 13 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 15 | $43.378,40 | 60 / 5 | $14.031,20 | 92 / 17 | $9.956,31 | 91 / 5 |
Peripheral Vascular Disorders W Cc | 22 | 62 / 12 | $19.671,10 | 397 / 28 | $7.914,82 | 700 / 45 | $5.853,00 | 697 / 39 |
Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 11 | $36.343,60 | 51 / 2 | $15.006,10 | 203 / 8 | $14.044,60 | 202 / 13 |
Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 10 | $12.247,00 | 28 / 1 | $6.103,08 | 140 / 3 | $5.549,83 | 140 / 7 |
Psychoses | 194 | 122 / 8 | $10.861,60 | 84 / 6 | $6.233,15 | 109 / 3 | $5.188,07 | 109 / 5 |
Pulmonary Edema & Respiratory Failure | 59 | 144 / 27 | $19.706,00 | 390 / 23 | $7.436,36 | 750 / 28 | $6.652,02 | 750 / 53 |
Pulmonary Embolism W/O Mcc | 21 | 53 / 15 | $17.337,90 | 253 / 12 | $6.138,38 | 468 / 19 | $5.135,95 | 466 / 28 |
Red Blood Cell Disorders W/O Mcc | 38 | 105 / 17 | $19.039,20 | 808 / 54 | $5.053,76 | 660 / 32 | $4.149,50 | 656 / 51 |
Renal Failure W Cc | 118 | 103 / 11 | $17.347,40 | 713 / 40 | $6.139,25 | 945 / 48 | $5.130,49 | 937 / 62 |
Renal Failure W Mcc | 62 | 133 / 26 | $27.629,60 | 623 / 39 | $9.451,71 | 776 / 45 | $8.502,73 | 776 / 59 |
Renal Failure W/O Cc/Mcc | 28 | 28 / 2 | $10.106,40 | 117 / 6 | $4.024,32 | 289 / 9 | $3.114,71 | 288 / 15 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 26 | $23.076,80 | 389 / 27 | $8.332,80 | 750 / 27 | $7.847,60 | 745 / 44 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 35 | $27.197,40 | 300 / 19 | $10.925,90 | 132 / 16 | $9.508,22 | 132 / 8 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 42 | 89 / 20 | $38.752,40 | 298 / 20 | $14.107,40 | 647 / 38 | $12.810,00 | 639 / 45 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 27 | 44 / 11 | $73.986,60 | 85 / 9 | $29.346,80 | 227 / 11 | $28.287,40 | 227 / 19 |
Seizures W/O Mcc | 16 | 92 / 24 | $9.726,75 | 64 / 2 | $4.757,38 | 207 / 17 | $3.578,88 | 206 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 88 | 428 / 63 | $24.734,90 | 515 / 27 | $11.097,70 | 1131 / 47 | $10.369,50 | 1115 / 71 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 29 | $15.473,00 | 390 / 23 | $6.447,23 | 697 / 29 | $5.385,49 | 695 / 42 |
Signs & Symptoms W/O Mcc | 18 | 73 / 17 | $11.309,60 | 147 / 14 | $5.011,33 | 220 / 34 | $3.264,44 | 219 / 14 |
Simple Pneumonia & Pleurisy W Cc | 129 | 75 / 3 | $16.267,30 | 716 / 45 | $5.983,22 | 772 / 38 | $4.879,12 | 769 / 50 |
Simple Pneumonia & Pleurisy W Mcc | 134 | 71 / 5 | $22.170,80 | 520 / 36 | $8.623,73 | 881 / 40 | $7.742,79 | 881 / 68 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 45 | 48 / 4 | $12.687,00 | 475 / 27 | $4.474,09 | 876 / 23 | $3.571,98 | 872 / 44 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 39 | $44.654,50 | 69 / 3 | $23.788,50 | 265 / 21 | $20.279,50 | 264 / 20 |
Syncope & Collapse | 23 | 146 / 35 | $13.308,70 | 282 / 19 | $5.140,83 | 450 / 60 | $3.499,48 | 448 / 35 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 15 | $101.088,00 | 16 / 3 | $51.281,90 | 70 / 2 | $50.389,00 | 70 / 8 |
Transient Ischemia | 12 | 113 / 40 | $12.387,70 | 137 / 5 | $5.096,33 | 231 / 46 | $3.057,42 | 231 / 16 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 15 | 31 / 5 | $11.854,10 | 33 / 2 | $4.765,53 | 113 / 12 | $3.292,73 | 113 / 11 | Total 85 procedures | 3.243 | 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.