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Mercy Hospital Anderson, procedure costs

7500 State Road, Cincinnati, OH 45255,

Procedure Costs @ Mercy Hospital Anderson
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 Mcc224292 / 20$32.867,90929 / 50$10.974,10539 / 41$9.576,08538 / 37
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc168396 / 28$45.123,101033 / 67$13.717,10369 / 65$10.103,90368 / 30
Heart Failure & Shock W Mcc118166 / 18$24.294,10683 / 40$8.822,51636 / 35$7.860,21636 / 47
Respiratory Infections & Inflammations W Mcc9939 / 6$31.683,50443 / 28$11.206,50509 / 26$10.500,80504 / 38
Circulatory Disorders Except Ami, W Card Cath W/O Mcc9791 / 6$30.925,30561 / 32$6.869,76387 / 28$5.293,19385 / 22
Pulmonary Edema & Respiratory Failure79124 / 18$23.612,20642 / 37$7.455,49564 / 30$6.411,82564 / 43
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc74122 / 14$53.498,70301 / 21$12.264,70363 / 11$10.311,00363 / 21
Renal Failure W Mcc72123 / 21$27.432,50604 / 36$8.957,65400 / 30$7.919,97400 / 34
Renal Failure W Cc71150 / 33$16.272,50589 / 31$5.812,44701 / 27$4.917,93694 / 48
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc71204 / 33$15.665,00841 / 54$4.744,18975 / 37$3.748,70967 / 63
Simple Pneumonia & Pleurisy W Mcc71134 / 19$20.370,60412 / 30$8.495,41333 / 35$7.079,18333 / 27
G.I. Hemorrhage W Cc67151 / 25$19.306,10693 / 37$6.184,10773 / 34$5.159,18771 / 56
Heart Failure & Shock W Cc56222 / 54$21.248,601321 / 68$6.228,55706 / 50$5.067,68705 / 43
Transient Ischemia5273 / 9$15.665,60335 / 15$4.635,92274 / 32$3.120,85274 / 17
Kidney & Urinary Tract Infections W/O Mcc52181 / 36$15.825,301049 / 61$4.830,35804 / 38$3.826,04799 / 53
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc44163 / 26$19.934,90775 / 43$6.584,59937 / 37$5.609,75934 / 58
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc4185 / 13$23.618,40623 / 38$6.784,37197 / 28$5.529,68195 / 13
Cellulitis W/O Mcc41148 / 40$14.616,20808 / 59$5.205,41853 / 32$4.163,46847 / 57
Kidney & Urinary Tract Infections W Mcc40104 / 19$19.019,20510 / 35$6.781,98632 / 42$5.857,45631 / 51
Hip & Femur Procedures Except Major Joint W Cc39104 / 17$37.136,50507 / 33$11.265,30496 / 26$10.064,10495 / 32
Simple Pneumonia & Pleurisy W Cc38165 / 41$16.243,20712 / 44$5.949,34546 / 34$4.683,92543 / 33
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc3858 / 7$49.095,40319 / 11$13.759,90211 / 15$11.122,10209 / 12
Chronic Obstructive Pulmonary Disease W Cc38141 / 43$14.123,50430 / 30$5.648,32817 / 33$4.814,05814 / 53
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc36114 / 26$14.651,00947 / 55$3.682,31734 / 34$2.619,89730 / 46
Acute Myocardial Infarction, Discharged Alive W Mcc3590 / 23$32.932,30547 / 35$10.625,90825 / 42$9.788,83824 / 53
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc34132 / 32$12.312,00582 / 34$4.507,35547 / 43$3.340,03545 / 34
Cardiac Arrhythmia & Conduction Disorders W Cc32129 / 34$14.882,50503 / 37$5.111,81464 / 42$3.785,16464 / 31
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2967 / 10$25.236,10442 / 33$7.286,76319 / 21$6.274,62317 / 25
Cardiac Arrhythmia & Conduction Disorders W Mcc2994 / 32$24.302,50611 / 37$7.650,52850 / 38$6.891,90847 / 58
Circulatory Disorders Except Ami, W Card Cath W Mcc2865 / 9$36.614,10111 / 10$12.432,90185 / 9$10.987,40181 / 13
Chronic Obstructive Pulmonary Disease W Mcc28174 / 53$15.663,40367 / 19$7.278,07571 / 48$5.842,32570 / 41
Chest Pain27124 / 23$18.322,30795 / 44$3.983,81549 / 29$2.971,44545 / 29
G.I. Hemorrhage W Mcc2794 / 24$28.147,40270 / 17$10.090,90300 / 22$9.148,07300 / 30
G.I. Obstruction W Cc2666 / 17$20.385,00685 / 47$5.732,81493 / 33$4.465,46492 / 36
Other Circulatory System Diagnoses W Mcc2591 / 23$39.405,30466 / 35$11.611,60342 / 34$10.135,20341 / 36
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2478 / 20$18.584,90475 / 24$4.766,96458 / 21$3.577,83455 / 32
Syncope & Collapse24145 / 34$16.112,20496 / 33$4.731,79369 / 39$3.414,17367 / 29
Respiratory System Diagnosis W Ventilator Support <96 Hours24107 / 35$56.222,70807 / 44$13.362,40607 / 19$12.717,50599 / 43
Respiratory Infections & Inflammations W Cc2464 / 17$17.469,40172 / 14$7.956,71421 / 19$7.198,92418 / 23
Infectious & Parasitic Diseases W O.R. Procedure W Mcc23101 / 25$127.046,00799 / 45$34.017,20790 / 40$32.599,70784 / 49
Intracranial Hemorrhage Or Cerebral Infarction W Mcc23145 / 29$25.438,30217 / 14$9.315,0939 / 9$7.758,7439 / 5
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc2372 / 8$54.725,70139 / 7$11.890,40106 / 6$10.120,40105 / 7
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc2247 / 5$57.378,20231 / 16$11.216,90154 / 8$9.276,55154 / 11
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs21161 / 42$19.271,80431 / 24$6.411,19637 / 31$5.366,76636 / 45
Revision Of Hip Or Knee Replacement W Cc2066 / 10$67.567,50202 / 8$18.606,10152 / 2$17.482,80152 / 8
Other Kidney & Urinary Tract Diagnoses W Mcc1982 / 21$23.156,20193 / 11$9.758,3258 / 27$7.318,2658 / 4
Medical Back Problems W/O Mcc18103 / 29$15.675,70260 / 15$5.339,89471 / 28$4.190,17471 / 34
Hip & Femur Procedures Except Major Joint W Mcc1844 / 10$50.115,10162 / 10$16.678,30192 / 8$15.837,20191 / 16
G.I. Obstruction W/O Cc/Mcc1853 / 13$12.362,70318 / 21$3.949,39531 / 17$3.001,44530 / 35
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1748 / 8$61.484,60278 / 14$17.717,60166 / 7$16.491,40166 / 12
Acute Myocardial Infarction, Discharged Alive W Cc1774 / 20$32.032,40817 / 46$6.518,24473 / 28$5.429,94472 / 33
Disorders Of Pancreas Except Malignancy W Cc1645 / 13$19.245,60280 / 14$5.734,00491 / 9$5.249,25489 / 26
Septicemia Or Severe Sepsis W Mv 96+ Hours1676 / 19$166.886,00617 / 34$38.144,40499 / 24$36.746,00498 / 34
Major Joint/Limb Reattachment Procedure Of Upper Extremities1653 / 12$52.197,20150 / 8$14.479,80130 / 5$13.419,60130 / 10
Heart Failure & Shock W/O Cc/Mcc1595 / 31$13.443,50655 / 40$4.355,00573 / 34$3.367,00571 / 33
Atherosclerosis W/O Mcc1543 / 8$11.607,9077 / 1$3.969,60 / 4$3.185,73 /
Other Digestive System Diagnoses W Cc1582 / 26$18.993,00350 / 26$6.209,8768 / 21$4.283,2067 / 7
Red Blood Cell Disorders W/O Mcc14129 / 40$17.541,60678 / 45$5.066,21950 / 35$4.465,57944 / 61
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc14106 / 39$10.610,10306 / 19$5.175,86113 / 74$2.842,36113 / 9
Cellulitis W Mcc1444 / 16$21.520,60159 / 15$8.635,86193 / 20$7.404,71192 / 24
Respiratory System Diagnosis W Ventilator Support 96+ Hours1358 / 21$136.102,00484 / 29$30.704,50330 / 14$29.570,80330 / 23
Permanent Cardiac Pacemaker Implant W Cc1364 / 18$61.107,20365 / 22$15.863,50305 / 15$14.652,50304 / 17
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1387 / 26$71.560,00179 / 13$19.665,3055 / 15$15.806,1055 / 6
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1376 / 18$27.742,00251 / 11$6.635,00242 / 7$5.391,85242 / 14
Pulmonary Embolism W Mcc1231 / 9$31.920,70198 / 8$8.834,6784 / 8$7.590,4284 / 8
Diabetes W Mcc1245 / 12$37.958,60430 / 27$8.912,33384 / 15$8.572,08384 / 30
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents1233 / 6$98.058,30160 / 6$22.011,90197 / 6$21.019,90196 / 6
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1244 / 14$35.376,20223 / 16$11.279,60123 / 12$9.986,75123 / 10
Dysequilibrium1253 / 13$14.599,50116 / 5$4.309,25120 / 11$2.858,33120 / 12
Seizures W Mcc1155 / 20$21.028,1065 / 1$8.540,18107 / 8$7.787,27107 / 9
Renal Failure W/O Cc/Mcc1145 / 14$15.012,00368 / 21$4.090,18370 / 13$3.245,00369 / 21
Coronary Bypass W Cardiac Cath W Mcc1145 / 13$199.285,00234 / 13$56.589,1067 / 19$36.539,7067 / 7
Diabetes W Cc1181 / 28$13.523,00236 / 16$5.424,73171 / 27$3.768,64171 / 16
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc1136 / 9$20.773,40175 / 8$4.447,00103 / 3$3.735,91103 / 5
Disorders Of The Biliary Tract W/O Cc/Mcc1118 / 3$14.224,608 / 1$4.786,0913 / 1$3.628,8213 / 1
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1162 / 22$17.120,30183 / 10$6.619,91227 / 9$5.961,91226 / 18
Total 76 procedures2.705discharges

DATA

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.