Hospital Costs > In Arizona > Mercy Gilbert Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 202 | 314 / 14 | $64.171,40 | 2183 / 36 | $12.575,40 | 1572 / 19 | $11.155,40 | 1540 / 20 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 149 | 415 / 25 | $89.544,20 | 2354 / 44 | $14.798,70 | 1520 / 27 | $12.095,70 | 1485 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 80 | 127 / 9 | $38.222,90 | 1975 / 34 | $7.710,41 | 1507 / 19 | $6.269,49 | 1501 / 18 |
| Simple Pneumonia & Pleurisy W Mcc | 68 | 137 / 11 | $46.037,80 | 1792 / 27 | $9.824,76 | 1466 / 16 | $8.615,85 | 1466 / 19 |
| Cellulitis W/O Mcc | 62 | 127 / 11 | $30.137,10 | 2133 / 40 | $6.234,50 | 1678 / 19 | $4.942,34 | 1671 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 23 | $33.562,40 | 2306 / 41 | $5.615,80 | 1683 / 18 | $4.320,24 | 1670 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 13 | $41.679,30 | 2375 / 48 | $7.078,75 | 1925 / 20 | $6.039,60 | 1917 / 25 |
| Heart Failure & Shock W Mcc | 57 | 227 / 15 | $48.687,40 | 1957 / 31 | $10.111,70 | 1711 / 19 | $9.495,81 | 1706 / 24 |
| Heart Failure & Shock W Cc | 53 | 225 / 11 | $39.511,20 | 2310 / 42 | $6.858,83 | 1826 / 17 | $6.198,30 | 1821 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 48 | 78 / 4 | $46.562,90 | 1435 / 35 | $8.217,21 | 1183 / 16 | $7.600,54 | 1180 / 19 |
| Renal Failure W Cc | 48 | 173 / 11 | $33.527,60 | 1845 / 34 | $6.975,21 | 1536 / 19 | $5.811,56 | 1527 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 16 | $28.642,60 | 2160 / 40 | $5.655,81 | 1741 / 17 | $4.601,85 | 1730 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 46 | 136 / 12 | $44.839,10 | 1629 / 29 | $7.664,15 | 1146 / 20 | $6.060,91 | 1143 / 14 |
| Pulmonary Edema & Respiratory Failure | 43 | 160 / 18 | $48.688,90 | 1730 / 32 | $8.546,00 | 1357 / 14 | $7.508,26 | 1353 / 15 |
| G.I. Hemorrhage W Cc | 42 | 176 / 19 | $46.101,60 | 2095 / 35 | $7.236,17 | 1432 / 18 | $5.862,88 | 1429 / 16 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 40 | 63 / 2 | $29.380,40 | 511 / 13 | $6.891,83 | 483 / 9 | $6.181,83 | 483 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 15 | $41.617,50 | 1971 / 34 | $8.217,82 | 1496 / 18 | $6.832,00 | 1489 / 18 |
| Renal Failure W Mcc | 37 | 158 / 11 | $49.225,80 | 1563 / 25 | $10.502,70 | 1099 / 13 | $9.131,49 | 1099 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 12 | $21.625,90 | 1485 / 27 | $4.560,60 | 1203 / 21 | $3.025,11 | 1198 / 20 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 20 | $109.978,00 | 1252 / 35 | $14.549,90 | 807 / 15 | $11.679,20 | 802 / 15 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 16 | $159.789,00 | 1081 / 22 | $33.790,70 | 412 / 14 | $28.762,50 | 410 / 4 |
| Other Circulatory System Diagnoses W Mcc | 29 | 87 / 7 | $62.510,70 | 960 / 21 | $12.535,90 | 601 / 14 | $11.130,20 | 599 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 14 | $34.936,80 | 1800 / 36 | $5.940,96 | 1304 / 21 | $4.663,79 | 1299 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 13 | $42.867,90 | 1393 / 24 | $8.548,22 | 1202 / 16 | $7.613,52 | 1199 / 19 |
| Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 18 | $71.214,70 | 1566 / 29 | $13.136,10 | 930 / 18 | $10.856,80 | 917 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 25 | 71 / 7 | $108.093,00 | 775 / 19 | $16.191,00 | 445 / 18 | $12.439,40 | 442 / 10 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 25 | 76 / 13 | $43.223,80 | 692 / 15 | $9.833,24 | 540 / 6 | $9.269,40 | 538 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 24 | $33.077,70 | 2214 / 37 | $5.182,38 | 1772 / 16 | $4.425,04 | 1767 / 20 |
| Cellulitis W Mcc | 24 | 34 / 4 | $36.826,00 | 518 / 5 | $9.933,42 | 586 / 6 | $9.280,08 | 584 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 16 | $53.277,60 | 1279 / 31 | $8.841,74 | 805 / 26 | $5.921,83 | 803 / 12 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 18 | $72.091,20 | 1427 / 25 | $12.686,90 | 1091 / 13 | $12.029,50 | 1077 / 16 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 15 | $112.564,00 | 1307 / 25 | $16.599,40 | 670 / 14 | $14.241,20 | 664 / 11 |
| Medical Back Problems W/O Mcc | 21 | 100 / 14 | $38.777,00 | 1228 / 25 | $6.204,24 | 750 / 13 | $4.666,33 | 747 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 13 | $36.900,00 | 1287 / 28 | $5.553,05 | 1104 / 13 | $4.577,81 | 1100 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 19 | $40.310,10 | 2074 / 34 | $6.690,20 | 1658 / 16 | $5.781,40 | 1651 / 22 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 11 | $36.554,20 | 991 / 24 | $7.443,79 | 764 / 19 | $5.708,63 | 761 / 15 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 11 | $34.685,30 | 1837 / 23 | $5.315,68 | 1469 / 13 | $4.359,05 | 1458 / 17 |
| G.I. Obstruction W Cc | 19 | 73 / 16 | $37.450,20 | 1406 / 31 | $6.294,68 | 1167 / 15 | $5.469,42 | 1164 / 23 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 12 | $34.425,80 | 742 / 15 | $8.030,42 | 715 / 14 | $7.390,42 | 713 / 15 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 18 | 18 / 3 | $83.494,80 | 253 / 10 | $14.812,00 | 144 / 1 | $13.935,60 | 144 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 13 | $88.189,90 | 1397 / 27 | $14.644,90 | 950 / 10 | $13.912,40 | 941 / 12 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 15 | $78.586,20 | 1422 / 29 | $12.234,90 | 742 / 15 | $10.372,50 | 741 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 18 | $40.384,70 | 1513 / 26 | $7.754,61 | 1283 / 13 | $6.951,06 | 1279 / 15 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 11 | $45.119,90 | 1063 / 14 | $9.229,06 | 859 / 9 | $8.165,53 | 854 / 10 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 13 | $157.669,00 | 853 / 16 | $31.980,90 | 66 / 7 | $24.351,40 | 66 / 1 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 14 | $34.877,40 | 1018 / 21 | $6.888,18 | 840 / 14 | $5.898,06 | 836 / 18 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 7 | $78.458,10 | 570 / 14 | $17.083,90 | 230 / 16 | $11.499,10 | 229 / 5 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 17 | $35.831,90 | 1687 / 28 | $6.037,38 | 1150 / 16 | $4.725,94 | 1142 / 17 |
| Other Disorders Of Nervous System W Cc | 16 | 40 / 5 | $54.037,70 | 579 / 14 | $6.386,81 | 339 / 6 | $5.476,88 | 339 / 8 |
| Revision Of Hip Or Knee Replacement W Cc | 16 | 70 / 11 | $147.958,00 | 609 / 18 | $22.846,80 | 281 / 14 | $19.085,70 | 280 / 10 |
| Other Resp System O.R. Procedures W Mcc | 15 | 48 / 6 | $102.016,00 | 356 / 8 | $23.745,40 | 150 / 5 | $19.920,90 | 150 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 15 | $59.471,80 | 1318 / 21 | $10.548,50 | 781 / 6 | $9.669,60 | 780 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 14 | $54.079,10 | 1213 / 29 | $9.209,27 | 1024 / 18 | $8.242,87 | 1019 / 20 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 15 | 54 / 8 | $124.493,00 | 450 / 14 | $19.209,30 | 318 / 13 | $15.961,10 | 318 / 12 |
| Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 23 | $208.855,00 | 1290 / 26 | $31.782,60 | 146 / 24 | $19.438,40 | 145 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 18 | $24.261,20 | 1415 / 18 | $5.244,29 | 1402 / 13 | $4.208,86 | 1394 / 14 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 14 | $26.041,60 | 676 / 8 | $6.816,14 | 704 / 11 | $5.865,29 | 701 / 14 |
| Diabetes W Cc | 13 | 79 / 12 | $25.872,70 | 1033 / 7 | $5.750,54 | 1021 / 10 | $5.194,23 | 1017 / 14 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 10 | $155.059,00 | 495 / 13 | $29.441,80 | 280 / 3 | $28.518,70 | 280 / 7 |
| Syncope & Collapse | 13 | 156 / 22 | $37.815,80 | 1650 / 33 | $5.698,54 | 1258 / 21 | $4.499,23 | 1251 / 21 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 10 | $41.606,10 | 808 / 16 | $6.576,92 | 675 / 9 | $5.974,25 | 672 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 20 | $59.639,40 | 1130 / 24 | $11.019,30 | 829 / 9 | $10.315,30 | 827 / 13 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 9 | $53.159,70 | 804 / 14 | $7.322,64 | 531 / 12 | $4.410,55 | 527 / 11 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 11 | $34.433,20 | 1119 / 17 | $5.169,36 | 920 / 10 | $4.616,64 | 917 / 14 |
| Postoperative & Post-Traumatic Infections W Mcc | 11 | 32 / 3 | $68.483,50 | 164 / 6 | $12.590,70 | 90 / 4 | $12.046,70 | 90 / 5 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 11 | $31.261,10 | 738 / 14 | $6.278,64 | 711 / 9 | $5.513,55 | 707 / 12 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 14 | $74.153,70 | 690 / 20 | $11.133,80 | 597 / 10 | $10.144,70 | 595 / 15 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 5 | $66.801,30 | 249 / 5 | $11.627,10 | 142 / 2 | $10.859,10 | 143 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 16 | $49.037,40 | 1172 / 20 | $7.385,64 | 1040 / 12 | $6.841,64 | 1038 / 18 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 12 | $89.301,90 | 620 / 13 | $17.692,40 | 346 / 7 | $16.921,50 | 343 / 8 |
| Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 3 | $61.653,20 | 108 / 3 | $12.107,80 | 16 / 1 | $7.933,36 | 16 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 6 | $114.527,00 | 355 / 11 | $18.632,90 | 242 / 3 | $17.809,60 | 241 / 7 | Total 72 procedures | 2.149 | 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.