Hospital Costs > In Indiana > Memorial Hospital And Health Care Center, 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 | 208 | 356 / 22 | $29.612,60 | 208 / 1 | $11.819,10 | 268 / 2 | $9.886,54 | 268 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 197 | 319 / 18 | $22.987,80 | 417 / 5 | $9.549,62 | 87 / 1 | $8.587,05 | 87 / 1 |
| Heart Failure & Shock W Mcc | 73 | 211 / 28 | $14.611,30 | 130 / 2 | $7.614,42 | 50 / 1 | $6.775,07 | 50 / 1 |
| Heart Failure & Shock W Cc | 51 | 227 / 31 | $12.363,80 | 301 / 1 | $5.508,20 | 65 / 4 | $4.255,65 | 65 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 50 | 75 / 5 | $18.041,80 | 107 / 1 | $8.823,16 | 41 / 3 | $7.380,72 | 41 / 2 |
| Respiratory Infections & Inflammations W Mcc | 43 | 93 / 12 | $19.205,50 | 82 / 1 | $9.283,65 | 17 / 1 | $8.636,95 | 17 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 25 | $13.294,10 | 234 / 2 | $5.783,40 | 156 / 3 | $4.771,30 | 156 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 17 | $7.280,42 | 91 / 1 | $3.161,33 | 145 / 2 | $2.036,86 | 145 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 20 | $33.883,30 | 39 / 1 | $11.185,40 | 118 / 1 | $9.519,66 | 118 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 35 | $15.993,90 | 168 / 1 | $7.438,05 | 9 / 1 | $5.889,48 | 9 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 34 | $12.372,00 | 559 / 12 | $4.376,97 | 143 / 3 | $3.220,21 | 143 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 18 | $10.591,70 | 144 / 2 | $4.374,59 | 288 / 2 | $3.591,53 | 288 / 6 |
| Renal Failure W Mcc | 33 | 162 / 27 | $14.617,90 | 60 / 2 | $7.582,67 | 47 / 1 | $6.962,06 | 47 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 19 | $24.105,60 | 68 / 1 | $10.059,00 | 78 / 2 | $9.113,97 | 78 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 19 | $15.164,00 | 123 / 3 | $6.775,22 | 97 / 2 | $5.605,88 | 97 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 43 | $13.584,50 | 227 / 3 | $6.330,72 | 186 / 1 | $5.385,72 | 186 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 34 | $12.833,30 | 488 / 6 | $4.782,23 | 111 / 24 | $2.967,10 | 111 / 3 |
| Pulmonary Edema & Respiratory Failure | 31 | 172 / 39 | $12.800,80 | 63 / 2 | $6.703,58 | 51 / 2 | $5.504,39 | 51 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 30 | $13.890,20 | 103 / 3 | $5.566,53 | 93 / 2 | $4.559,60 | 93 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 23 | $12.073,00 | 108 / 1 | $5.786,50 | 31 / 2 | $4.700,63 | 31 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 37 | $11.220,50 | 194 / 1 | $5.329,03 | 179 / 1 | $4.287,38 | 179 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 27 | $20.244,90 | 116 / 2 | $5.794,25 | 161 / 1 | $4.891,39 | 161 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 20 | $61.526,20 | 114 / 2 | $25.370,30 | 53 / 1 | $24.568,00 | 53 / 2 |
| Renal Failure W Cc | 26 | 195 / 39 | $11.922,90 | 205 / 2 | $5.145,38 | 71 / 2 | $4.103,04 | 71 / 1 |
| G.I. Hemorrhage W Cc | 26 | 192 / 35 | $12.478,30 | 132 / 1 | $5.382,23 | 119 / 1 | $4.407,46 | 119 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 11 | $18.189,40 | 230 / 4 | $5.819,52 | 25 / 5 | $4.332,36 | 25 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 22 | 43 / 6 | $38.506,20 | 30 / 1 | $17.273,50 | 35 / 2 | $14.857,90 | 35 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 25 | $19.758,70 | 90 / 3 | $8.735,43 | 19 / 2 | $7.522,48 | 19 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 41 | $12.527,00 | 280 / 5 | $5.275,67 | 43 / 2 | $3.827,76 | 43 / 1 |
| Respiratory Infections & Inflammations W Cc | 21 | 67 / 12 | $18.886,40 | 221 / 2 | $6.955,52 | 28 / 1 | $6.038,19 | 28 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 24 | $9.166,05 | 191 / 1 | $3.781,14 | 258 / 1 | $3.045,90 | 256 / 6 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 29 | $10.444,00 | 285 / 8 | $4.029,20 | 136 / 2 | $2.903,35 | 136 / 4 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 13 | $31.262,20 | 44 / 1 | $11.854,30 | 137 / 1 | $10.707,20 | 136 / 5 |
| Cellulitis W/O Mcc | 20 | 169 / 35 | $12.080,90 | 478 / 10 | $4.595,75 | 104 / 1 | $3.408,85 | 104 / 5 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 19 | $33.286,10 | 86 / 3 | $13.926,20 | 288 / 3 | $12.836,60 | 286 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 27 | $25.518,80 | 70 / 2 | $11.905,00 | 92 / 1 | $11.063,50 | 92 / 1 |
| Red Blood Cell Disorders W Mcc | 20 | 51 / 9 | $14.447,80 | 54 / 1 | $6.770,05 | 56 / 1 | $5.866,05 | 56 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 20 | $12.037,00 | 99 / 2 | $4.223,15 | 194 / 1 | $3.195,95 | 192 / 4 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 18 | 51 / 4 | $35.662,20 | 28 / 1 | $15.204,20 | 38 / 5 | $12.105,40 | 38 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 38 | $7.529,00 | 103 / 1 | $3.738,41 | 213 / 1 | $3.023,12 | 213 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 18 | $63.355,20 | 85 / 3 | $25.600,20 | 85 / 2 | $24.747,60 | 85 / 3 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 12 | $29.700,70 | 16 / 1 | $14.911,10 | 21 / 1 | $13.929,10 | 21 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 19 | $11.188,90 | 335 / 7 | $3.928,50 | 186 / 1 | $2.874,50 | 184 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 14 | $12.324,20 | 309 / 8 | $3.434,94 | 160 / 1 | $2.454,94 | 160 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 21 | $50.719,40 | 38 / 1 | $17.126,40 | 75 / 1 | $16.083,20 | 75 / 2 |
| Transient Ischemia | 14 | 111 / 26 | $11.024,40 | 102 / 1 | $3.905,07 | 64 / 1 | $2.700,50 | 64 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 14 | 31 / 3 | $40.939,70 | 4 / 1 | $15.429,10 | 11 / 1 | $14.485,10 | 11 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 20 | $13.137,60 | 36 / 1 | $5.716,21 | 123 / 2 | $4.765,36 | 123 / 3 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 17 | $16.268,50 | 204 / 8 | $5.300,79 | 108 / 1 | $4.434,50 | 107 / 1 |
| G.I. Obstruction W Cc | 14 | 78 / 23 | $13.700,70 | 204 / 5 | $4.902,21 | 70 / 1 | $3.682,93 | 70 / 2 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 22 | $26.765,80 | 218 / 7 | $9.490,69 | 121 / 3 | $8.565,15 | 121 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 16 | $35.373,00 | 45 / 1 | $14.163,70 | 76 / 1 | $13.144,60 | 76 / 3 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 32 | $10.971,80 | 151 / 2 | $4.441,00 | 70 / 1 | $3.331,67 | 70 / 1 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 12 | $46.559,00 | 24 / 1 | $20.209,50 | 96 / 3 | $19.438,50 | 96 / 4 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 12 | $30.138,50 | 15 / 1 | $9.747,00 | 116 / 1 | $9.086,64 | 116 / 5 |
| Seizures W/O Mcc | 11 | 97 / 17 | $10.505,50 | 85 / 2 | $4.366,82 | 4 / 3 | $2.577,27 | 4 / 1 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 19 | $10.592,70 | 40 / 1 | $5.338,64 | 104 / 1 | $4.349,55 | 104 / 3 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 11 | $20.529,00 | 317 / 6 | $4.181,82 | 69 / 1 | $3.189,82 | 69 / 3 | Total 58 procedures | 1.797 | 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.