Hospital Costs > In Ohio > Medina 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 | 192 | 372 / 22 | $30.160,40 | 226 / 6 | $12.004,90 | 295 / 13 | $9.950,50 | 295 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 109 | 407 / 56 | $36.976,90 | 1152 / 59 | $10.296,70 | 311 / 22 | $9.191,82 | 311 / 24 |
Heart Failure & Shock W Mcc | 62 | 222 / 47 | $32.878,10 | 1279 / 69 | $8.154,55 | 294 / 10 | $7.411,37 | 294 / 18 |
G.I. Hemorrhage W Cc | 60 | 158 / 30 | $21.021,80 | 837 / 49 | $5.416,03 | 96 / 4 | $4.357,22 | 96 / 5 |
Renal Failure W Cc | 57 | 164 / 41 | $19.188,80 | 896 / 49 | $5.241,60 | 196 / 9 | $4.368,79 | 195 / 10 |
Kidney & Urinary Tract Infections W/O Mcc | 50 | 183 / 37 | $16.211,20 | 1108 / 64 | $4.148,74 | 129 / 4 | $3.192,36 | 129 / 8 |
Renal Failure W Mcc | 49 | 146 / 35 | $30.664,10 | 800 / 48 | $8.364,61 | 198 / 10 | $7.531,29 | 198 / 16 |
Heart Failure & Shock W Cc | 47 | 231 / 60 | $20.273,60 | 1215 / 63 | $5.393,38 | 186 / 7 | $4.508,06 | 186 / 7 |
Cellulitis W/O Mcc | 47 | 142 / 34 | $16.442,00 | 1046 / 71 | $4.524,51 | 248 / 3 | $3.631,15 | 246 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 54 | $16.812,90 | 976 / 64 | $4.074,26 | 93 / 5 | $2.929,36 | 93 / 4 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 40 | $16.961,00 | 793 / 50 | $5.365,85 | 139 / 6 | $4.215,26 | 139 / 9 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 29 | $14.792,80 | 930 / 50 | $3.697,61 | 43 / 1 | $2.687,34 | 43 / 4 |
Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 48 | $27.160,50 | 1279 / 73 | $6.488,47 | 305 / 10 | $5.568,53 | 304 / 22 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 46 | $26.901,50 | 828 / 53 | $7.868,68 | 243 / 9 | $6.921,00 | 243 / 21 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 38 | $19.535,60 | 743 / 41 | $5.872,80 | 154 / 6 | $4.766,80 | 154 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 35 | $15.050,30 | 526 / 39 | $4.244,43 | 83 / 2 | $3.241,07 | 83 / 4 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 32 | $10.162,60 | 365 / 26 | $3.124,78 | 54 / 8 | $1.840,85 | 54 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 34 | $21.247,30 | 405 / 26 | $6.773,41 | 104 / 8 | $5.637,85 | 104 / 6 |
G.I. Hemorrhage W Mcc | 27 | 94 / 24 | $33.938,60 | 466 / 30 | $9.180,26 | 41 / 4 | $8.120,81 | 41 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 55 | $16.976,30 | 700 / 50 | $4.965,31 | 156 / 1 | $4.098,58 | 156 / 10 |
Respiratory Infections & Inflammations W Mcc | 26 | 110 / 32 | $29.632,90 | 374 / 23 | $9.863,58 | 73 / 3 | $9.256,46 | 73 / 3 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 31 | $19.674,00 | 556 / 38 | $5.819,48 | 38 / 2 | $4.751,57 | 38 / 3 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 56 | $26.020,90 | 792 / 46 | $6.893,23 | 195 / 8 | $5.899,32 | 195 / 11 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 33 | $28.956,30 | 191 / 12 | $10.882,30 | 33 / 16 | $8.815,64 | 33 / 2 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 32 | $27.011,00 | 1359 / 74 | $4.432,91 | 143 / 6 | $3.509,27 | 143 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 42 | $21.734,10 | 587 / 31 | $5.575,10 | 53 / 4 | $4.392,38 | 53 / 4 |
Major Small & Large Bowel Procedures W Cc | 20 | 88 / 22 | $40.833,80 | 208 / 10 | $13.387,50 | 176 / 4 | $12.335,50 | 175 / 20 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 26 | $13.424,30 | 651 / 39 | $3.659,85 | 80 / 4 | $2.731,40 | 79 / 6 |
Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 35 | $46.868,80 | 88 / 5 | $21.617,60 | 286 / 4 | $20.457,70 | 285 / 21 |
Peripheral Vascular Disorders W Cc | 17 | 67 / 17 | $17.501,90 | 293 / 23 | $4.930,35 | 81 / 2 | $4.328,47 | 81 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 24 | $16.804,80 | 912 / 52 | $3.818,35 | 178 / 3 | $2.860,53 | 176 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 31 | $71.456,60 | 183 / 10 | $27.824,80 | 127 / 12 | $25.972,40 | 127 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 33 | $17.695,80 | 290 / 19 | $5.996,88 | 75 / 5 | $5.208,06 | 75 / 4 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 19 | $17.689,90 | 267 / 13 | $4.970,12 | 15 / 1 | $3.750,19 | 15 / 2 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 26 | $29.160,40 | 656 / 43 | $7.463,93 | 135 / 7 | $6.595,93 | 135 / 9 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 24 | $27.707,50 | 325 / 23 | $8.549,93 | 67 / 8 | $7.387,13 | 67 / 6 |
G.I. Obstruction W Cc | 15 | 77 / 28 | $15.644,30 | 336 / 24 | $4.642,53 | 100 / 2 | $3.781,13 | 99 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 29 | $19.231,50 | 522 / 26 | $4.060,27 | 101 / 2 | $2.996,00 | 99 / 8 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 18 | $20.767,90 | 313 / 19 | $6.307,53 | 67 / 3 | $5.454,27 | 67 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 13 | $39.764,80 | 299 / 20 | $11.854,90 | 275 / 17 | $11.105,50 | 274 / 21 |
Cellulitis W Mcc | 13 | 45 / 17 | $20.593,60 | 137 / 12 | $7.569,85 | 61 / 4 | $6.768,77 | 61 / 7 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 13 | 50 / 6 | $44.118,00 | 18 / 1 | $20.234,00 | 30 / 3 | $16.392,70 | 30 / 5 |
Syncope & Collapse | 13 | 156 / 44 | $17.323,50 | 596 / 41 | $3.940,23 | 36 / 3 | $2.797,85 | 36 / 3 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 41 | $16.219,50 | 932 / 64 | $3.878,25 | 111 / 5 | $2.839,67 | 111 / 8 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 19 | $8.713,08 | 79 / 4 | $3.571,25 | 4 / 8 | $1.828,83 | 4 / 2 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 19 | $16.878,30 | 57 / 5 | $6.063,09 | 22 / 3 | $4.258,36 | 22 / 1 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 12 | $39.757,40 | 45 / 1 | $14.925,30 | 118 / 1 | $13.792,00 | 118 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 46 | $20.809,80 | 167 / 8 | $7.887,55 | 29 / 1 | $7.198,64 | 29 / 1 | Total 48 procedures | 1.486 | 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.