Hospital Costs > In Ohio > Mercy Health - West Hospital, 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 | 296 | 222 / 8 | $33.608,50 | 979 / 53 | $11.326,30 | 960 / 55 | $10.137,40 | 953 / 64 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 145 | 419 / 37 | $43.019,10 | 925 / 52 | $13.436,40 | 932 / 57 | $10.943,30 | 913 / 63 |
| Heart Failure & Shock W Mcc | 123 | 161 / 15 | $26.270,30 | 847 / 50 | $9.166,37 | 844 / 48 | $8.100,30 | 844 / 58 |
| Renal Failure W Mcc | 93 | 102 / 10 | $26.974,40 | 576 / 34 | $9.411,80 | 588 / 44 | $8.187,44 | 588 / 47 |
| Renal Failure W Cc | 83 | 138 / 24 | $16.747,20 | 641 / 34 | $6.169,82 | 1042 / 51 | $5.230,39 | 1034 / 65 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 70 | 137 / 10 | $18.788,50 | 664 / 36 | $6.867,30 | 1100 / 49 | $5.762,54 | 1097 / 66 |
| Simple Pneumonia & Pleurisy W Mcc | 69 | 136 / 21 | $19.820,70 | 382 / 28 | $9.157,48 | 857 / 64 | $7.723,70 | 857 / 66 |
| Pulmonary Edema & Respiratory Failure | 62 | 141 / 25 | $22.359,80 | 561 / 34 | $7.887,31 | 775 / 47 | $6.682,50 | 775 / 55 |
| G.I. Hemorrhage W Cc | 56 | 162 / 33 | $20.842,40 | 817 / 48 | $6.623,29 | 937 / 60 | $5.311,32 | 935 / 63 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 54 | 221 / 45 | $14.331,60 | 661 / 45 | $5.080,96 | 1196 / 64 | $3.885,63 | 1185 / 77 |
| Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 36 | $14.476,60 | 854 / 52 | $5.166,90 | 1226 / 62 | $4.107,71 | 1217 / 73 |
| Heart Failure & Shock W Cc | 49 | 229 / 58 | $17.851,00 | 911 / 48 | $6.357,92 | 1047 / 55 | $5.323,73 | 1045 / 65 |
| Respiratory Infections & Inflammations W Mcc | 49 | 87 / 14 | $33.651,60 | 542 / 37 | $12.086,20 | 681 / 48 | $10.870,90 | 673 / 51 |
| Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 40 | $18.797,00 | 627 / 44 | $7.490,08 | 937 / 58 | $6.190,45 | 932 / 62 |
| Cellulitis W/O Mcc | 45 | 144 / 36 | $14.159,70 | 745 / 50 | $5.674,44 | 1245 / 67 | $4.466,73 | 1239 / 78 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 13 | $40.795,00 | 673 / 41 | $11.494,80 | 571 / 33 | $10.198,80 | 569 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 43 | 118 / 25 | $16.416,70 | 680 / 45 | $5.311,84 | 1107 / 56 | $4.404,67 | 1103 / 70 |
| Kidney & Urinary Tract Infections W Mcc | 41 | 103 / 18 | $18.367,40 | 457 / 30 | $7.002,20 | 667 / 51 | $5.897,24 | 666 / 53 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 21 | $22.319,20 | 480 / 31 | $7.739,15 | 770 / 43 | $6.760,95 | 767 / 55 |
| Syncope & Collapse | 39 | 130 / 24 | $18.165,90 | 697 / 46 | $4.954,46 | 827 / 50 | $3.876,21 | 823 / 60 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 39 | 85 / 14 | $86.991,10 | 323 / 25 | $30.630,10 | 367 / 26 | $28.450,20 | 367 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 38 | 88 / 15 | $20.665,20 | 444 / 29 | $7.191,37 | 518 / 42 | $6.047,47 | 515 / 40 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 20 | $29.863,50 | 335 / 19 | $9.529,27 | 184 / 12 | $8.448,76 | 183 / 16 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 36 | 160 / 34 | $49.885,50 | 224 / 15 | $13.168,60 | 405 / 22 | $10.414,10 | 405 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 29 | $21.089,10 | 538 / 29 | $6.551,64 | 800 / 36 | $5.549,86 | 798 / 51 |
| Transient Ischemia | 35 | 90 / 20 | $16.587,70 | 383 / 21 | $4.764,09 | 737 / 37 | $3.641,17 | 733 / 49 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 34 | $14.594,70 | 905 / 49 | $4.858,59 | 1036 / 65 | $3.677,50 | 1033 / 64 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 51 | $14.918,10 | 500 / 38 | $6.091,40 | 1223 / 57 | $5.189,90 | 1218 / 77 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 22 | $32.684,80 | 416 / 26 | $10.387,20 | 228 / 29 | $8.976,52 | 228 / 26 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 32 | $42.766,40 | 405 / 31 | $13.568,60 | 514 / 24 | $12.488,40 | 507 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 17 | $20.326,30 | 597 / 31 | $5.017,85 | 598 / 34 | $3.736,26 | 594 / 38 |
| Red Blood Cell Disorders W/O Mcc | 26 | 117 / 28 | $14.858,90 | 442 / 28 | $5.612,92 | 965 / 58 | $4.480,42 | 959 / 62 |
| Diabetes W Cc | 25 | 67 / 16 | $16.207,20 | 416 / 25 | $5.521,08 | 685 / 32 | $4.515,04 | 683 / 42 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 14 | $27.463,20 | 543 / 40 | $7.640,24 | 617 / 30 | $6.918,28 | 612 / 42 |
| Other Circulatory System Diagnoses W Mcc | 23 | 93 / 25 | $29.243,40 | 202 / 17 | $10.934,70 | 267 / 22 | $9.866,22 | 267 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 55 | $18.352,20 | 950 / 56 | $6.255,82 | 1166 / 60 | $5.206,91 | 1162 / 76 |
| G.I. Obstruction W Cc | 22 | 70 / 21 | $21.505,30 | 756 / 52 | $5.802,64 | 678 / 36 | $4.669,50 | 677 / 47 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 18 | $19.745,10 | 117 / 6 | $9.573,27 | 354 / 23 | $8.595,00 | 354 / 28 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 22 | 43 / 6 | $52.248,20 | 144 / 8 | $16.399,20 | 45 / 1 | $15.151,80 | 45 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 22 | 71 / 13 | $49.025,30 | 303 / 20 | $13.277,80 | 421 / 15 | $12.340,20 | 415 / 24 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 10 | $26.519,90 | 263 / 14 | $8.750,48 | 359 / 13 | $7.933,43 | 358 / 21 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 38 | $33.923,70 | 574 / 41 | $10.629,70 | 821 / 44 | $9.769,68 | 820 / 52 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 35 | $15.510,70 | 843 / 57 | $5.007,84 | 1016 / 68 | $3.749,37 | 1007 / 73 |
| Medical Back Problems W/O Mcc | 19 | 102 / 28 | $15.292,10 | 244 / 14 | $5.405,74 | 655 / 29 | $4.485,47 | 653 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 39 | $16.059,70 | 1104 / 64 | $3.992,94 | 1084 / 57 | $2.895,39 | 1079 / 68 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 11 | $54.232,50 | 232 / 15 | $16.775,60 | 188 / 11 | $15.810,40 | 187 / 14 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 40 | $30.908,90 | 560 / 31 | $6.989,41 | 801 / 33 | $5.908,41 | 799 / 47 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 25 | $46.861,20 | 329 / 19 | $15.839,50 | 408 / 31 | $13.252,90 | 405 / 33 |
| Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 20 | $98.563,80 | 569 / 27 | $24.198,40 | 128 / 28 | $17.224,80 | 128 / 8 |
| Renal Failure W/O Cc/Mcc | 16 | 40 / 9 | $14.574,60 | 345 / 19 | $4.477,50 | 358 / 22 | $3.229,94 | 357 / 20 |
| Cellulitis W Mcc | 16 | 42 / 14 | $24.335,20 | 220 / 18 | $8.686,56 | 272 / 21 | $7.715,69 | 271 / 30 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 26 | $10.338,10 | 249 / 13 | $5.020,53 | 660 / 50 | $3.383,07 | 657 / 37 |
| Other Vascular Procedures W Mcc | 14 | 83 / 24 | $97.521,10 | 575 / 32 | $20.439,40 | 381 / 13 | $19.480,90 | 379 / 25 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 9 | $10.532,00 | 100 / 9 | $4.497,14 | 337 / 12 | $3.554,71 | 338 / 18 |
| Pulmonary Embolism W Mcc | 14 | 29 / 7 | $33.471,90 | 226 / 10 | $9.283,14 | 168 / 9 | $8.088,07 | 168 / 13 |
| Other Vascular Procedures W Cc | 14 | 88 / 25 | $76.300,40 | 612 / 28 | $17.057,00 | 427 / 22 | $14.537,70 | 424 / 19 |
| Seizures W Mcc | 14 | 52 / 17 | $34.334,90 | 250 / 18 | $9.821,86 | 352 / 17 | $9.218,86 | 352 / 20 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 33 | $14.680,50 | 814 / 47 | $4.665,31 | 1003 / 49 | $3.735,31 | 995 / 60 |
| Chest Pain | 13 | 138 / 36 | $15.255,90 | 514 / 29 | $4.307,08 | 713 / 44 | $3.153,15 | 708 / 45 |
| Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 16 | $21.054,20 | 427 / 28 | $6.917,15 | 180 / 33 | $4.035,38 | 177 / 10 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 5 | $48.254,50 | 104 / 5 | $14.407,10 | 114 / 2 | $13.472,50 | 114 / 5 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 13 | $48.128,60 | 136 / 8 | $11.161,50 | 233 / 7 | $9.971,00 | 233 / 15 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 18 | $23.825,20 | 261 / 19 | $7.986,75 | 457 / 21 | $7.341,33 | 455 / 36 |
| Diabetes W Mcc | 12 | 45 / 12 | $21.240,80 | 98 / 11 | $7.880,17 | 117 / 6 | $7.093,25 | 117 / 13 |
| Dysequilibrium | 11 | 54 / 14 | $16.673,10 | 165 / 11 | $4.568,18 | 108 / 14 | $2.802,09 | 108 / 11 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 27 | $75.308,50 | 164 / 9 | $27.476,60 | 196 / 13 | $26.297,40 | 195 / 22 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 15 | $19.998,00 | 39 / 1 | $11.138,00 | 156 / 10 | $10.263,60 | 156 / 15 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 22 | $17.251,40 | 186 / 11 | $7.522,73 | 409 / 23 | $6.429,09 | 408 / 26 | Total 68 procedures | 2.491 | 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.