Hospital Costs > In Ohio > Mercy Hospital Anderson, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 20 | $32.032,40 | 817 / 46 | $6.518,24 | 473 / 28 | $5.429,94 | 472 / 33 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 23 | $32.932,30 | 547 / 35 | $10.625,90 | 825 / 42 | $9.788,83 | 824 / 53 |
| Atherosclerosis W/O Mcc | 15 | 43 / 8 | $11.607,90 | 77 / 1 | $3.969,60 | / 4 | $3.185,73 | / |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 18 | $27.742,00 | 251 / 11 | $6.635,00 | 242 / 7 | $5.391,85 | 242 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 34 | $14.882,50 | 503 / 37 | $5.111,81 | 464 / 42 | $3.785,16 | 464 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 32 | $24.302,50 | 611 / 37 | $7.650,52 | 850 / 38 | $6.891,90 | 847 / 58 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 26 | $14.651,00 | 947 / 55 | $3.682,31 | 734 / 34 | $2.619,89 | 730 / 46 |
| Cellulitis W Mcc | 14 | 44 / 16 | $21.520,60 | 159 / 15 | $8.635,86 | 193 / 20 | $7.404,71 | 192 / 24 |
| Cellulitis W/O Mcc | 41 | 148 / 40 | $14.616,20 | 808 / 59 | $5.205,41 | 853 / 32 | $4.163,46 | 847 / 57 |
| Chest Pain | 27 | 124 / 23 | $18.322,30 | 795 / 44 | $3.983,81 | 549 / 29 | $2.971,44 | 545 / 29 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 43 | $14.123,50 | 430 / 30 | $5.648,32 | 817 / 33 | $4.814,05 | 814 / 53 |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 53 | $15.663,40 | 367 / 19 | $7.278,07 | 571 / 48 | $5.842,32 | 570 / 41 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 39 | $10.610,10 | 306 / 19 | $5.175,86 | 113 / 74 | $2.842,36 | 113 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 28 | 65 / 9 | $36.614,10 | 111 / 10 | $12.432,90 | 185 / 9 | $10.987,40 | 181 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 97 | 91 / 6 | $30.925,30 | 561 / 32 | $6.869,76 | 387 / 28 | $5.293,19 | 385 / 22 |
| Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 13 | $199.285,00 | 234 / 13 | $56.589,10 | 67 / 19 | $36.539,70 | 67 / 7 |
| Diabetes W Cc | 11 | 81 / 28 | $13.523,00 | 236 / 16 | $5.424,73 | 171 / 27 | $3.768,64 | 171 / 16 |
| Diabetes W Mcc | 12 | 45 / 12 | $37.958,60 | 430 / 27 | $8.912,33 | 384 / 15 | $8.572,08 | 384 / 30 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 13 | $19.245,60 | 280 / 14 | $5.734,00 | 491 / 9 | $5.249,25 | 489 / 26 |
| Disorders Of The Biliary Tract W/O Cc/Mcc | 11 | 18 / 3 | $14.224,60 | 8 / 1 | $4.786,09 | 13 / 1 | $3.628,82 | 13 / 1 |
| Dysequilibrium | 12 | 53 / 13 | $14.599,50 | 116 / 5 | $4.309,25 | 120 / 11 | $2.858,33 | 120 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 10 | $25.236,10 | 442 / 33 | $7.286,76 | 319 / 21 | $6.274,62 | 317 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 71 | 204 / 33 | $15.665,00 | 841 / 54 | $4.744,18 | 975 / 37 | $3.748,70 | 967 / 63 |
| G.I. Hemorrhage W Cc | 67 | 151 / 25 | $19.306,10 | 693 / 37 | $6.184,10 | 773 / 34 | $5.159,18 | 771 / 56 |
| G.I. Hemorrhage W Mcc | 27 | 94 / 24 | $28.147,40 | 270 / 17 | $10.090,90 | 300 / 22 | $9.148,07 | 300 / 30 |
| G.I. Obstruction W Cc | 26 | 66 / 17 | $20.385,00 | 685 / 47 | $5.732,81 | 493 / 33 | $4.465,46 | 492 / 36 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 13 | $12.362,70 | 318 / 21 | $3.949,39 | 531 / 17 | $3.001,44 | 530 / 35 |
| Heart Failure & Shock W Cc | 56 | 222 / 54 | $21.248,60 | 1321 / 68 | $6.228,55 | 706 / 50 | $5.067,68 | 705 / 43 |
| Heart Failure & Shock W Mcc | 118 | 166 / 18 | $24.294,10 | 683 / 40 | $8.822,51 | 636 / 35 | $7.860,21 | 636 / 47 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 31 | $13.443,50 | 655 / 40 | $4.355,00 | 573 / 34 | $3.367,00 | 571 / 33 |
| Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 17 | $37.136,50 | 507 / 33 | $11.265,30 | 496 / 26 | $10.064,10 | 495 / 32 |
| Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 10 | $50.115,10 | 162 / 10 | $16.678,30 | 192 / 8 | $15.837,20 | 191 / 16 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 25 | $127.046,00 | 799 / 45 | $34.017,20 | 790 / 40 | $32.599,70 | 784 / 49 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 42 | $19.271,80 | 431 / 24 | $6.411,19 | 637 / 31 | $5.366,76 | 636 / 45 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 29 | $25.438,30 | 217 / 14 | $9.315,09 | 39 / 9 | $7.758,74 | 39 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 20 | $18.584,90 | 475 / 24 | $4.766,96 | 458 / 21 | $3.577,83 | 455 / 32 |
| Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 19 | $19.019,20 | 510 / 35 | $6.781,98 | 632 / 42 | $5.857,45 | 631 / 51 |
| Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 36 | $15.825,30 | 1049 / 61 | $4.830,35 | 804 / 38 | $3.826,04 | 799 / 53 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 22 | $17.120,30 | 183 / 10 | $6.619,91 | 227 / 9 | $5.961,91 | 226 / 18 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 14 | $35.376,20 | 223 / 16 | $11.279,60 | 123 / 12 | $9.986,75 | 123 / 10 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 38 | 58 / 7 | $49.095,40 | 319 / 11 | $13.759,90 | 211 / 15 | $11.122,10 | 209 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 8 | $61.484,60 | 278 / 14 | $17.717,60 | 166 / 7 | $16.491,40 | 166 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 168 | 396 / 28 | $45.123,10 | 1033 / 67 | $13.717,10 | 369 / 65 | $10.103,90 | 368 / 30 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 16 | 53 / 12 | $52.197,20 | 150 / 8 | $14.479,80 | 130 / 5 | $13.419,60 | 130 / 10 |
| Medical Back Problems W/O Mcc | 18 | 103 / 29 | $15.675,70 | 260 / 15 | $5.339,89 | 471 / 28 | $4.190,17 | 471 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 41 | 85 / 13 | $23.618,40 | 623 / 38 | $6.784,37 | 197 / 28 | $5.529,68 | 195 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 32 | $12.312,00 | 582 / 34 | $4.507,35 | 547 / 43 | $3.340,03 | 545 / 34 |
| Other Circulatory System Diagnoses W Mcc | 25 | 91 / 23 | $39.405,30 | 466 / 35 | $11.611,60 | 342 / 34 | $10.135,20 | 341 / 36 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 26 | $18.993,00 | 350 / 26 | $6.209,87 | 68 / 21 | $4.283,20 | 67 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 21 | $23.156,20 | 193 / 11 | $9.758,32 | 58 / 27 | $7.318,26 | 58 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 26 | $71.560,00 | 179 / 13 | $19.665,30 | 55 / 15 | $15.806,10 | 55 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 74 | 122 / 14 | $53.498,70 | 301 / 21 | $12.264,70 | 363 / 11 | $10.311,00 | 363 / 21 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 12 | 33 / 6 | $98.058,30 | 160 / 6 | $22.011,90 | 197 / 6 | $21.019,90 | 196 / 6 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 22 | 47 / 5 | $57.378,20 | 231 / 16 | $11.216,90 | 154 / 8 | $9.276,55 | 154 / 11 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 23 | 72 / 8 | $54.725,70 | 139 / 7 | $11.890,40 | 106 / 6 | $10.120,40 | 105 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 18 | $61.107,20 | 365 / 22 | $15.863,50 | 305 / 15 | $14.652,50 | 304 / 17 |
| Pulmonary Edema & Respiratory Failure | 79 | 124 / 18 | $23.612,20 | 642 / 37 | $7.455,49 | 564 / 30 | $6.411,82 | 564 / 43 |
| Pulmonary Embolism W Mcc | 12 | 31 / 9 | $31.920,70 | 198 / 8 | $8.834,67 | 84 / 8 | $7.590,42 | 84 / 8 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 40 | $17.541,60 | 678 / 45 | $5.066,21 | 950 / 35 | $4.465,57 | 944 / 61 |
| Renal Failure W Cc | 71 | 150 / 33 | $16.272,50 | 589 / 31 | $5.812,44 | 701 / 27 | $4.917,93 | 694 / 48 |
| Renal Failure W Mcc | 72 | 123 / 21 | $27.432,50 | 604 / 36 | $8.957,65 | 400 / 30 | $7.919,97 | 400 / 34 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 14 | $15.012,00 | 368 / 21 | $4.090,18 | 370 / 13 | $3.245,00 | 369 / 21 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 17 | $17.469,40 | 172 / 14 | $7.956,71 | 421 / 19 | $7.198,92 | 418 / 23 |
| Respiratory Infections & Inflammations W Mcc | 99 | 39 / 6 | $31.683,50 | 443 / 28 | $11.206,50 | 509 / 26 | $10.500,80 | 504 / 38 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 35 | $56.222,70 | 807 / 44 | $13.362,40 | 607 / 19 | $12.717,50 | 599 / 43 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 21 | $136.102,00 | 484 / 29 | $30.704,50 | 330 / 14 | $29.570,80 | 330 / 23 |
| Revision Of Hip Or Knee Replacement W Cc | 20 | 66 / 10 | $67.567,50 | 202 / 8 | $18.606,10 | 152 / 2 | $17.482,80 | 152 / 8 |
| Seizures W Mcc | 11 | 55 / 20 | $21.028,10 | 65 / 1 | $8.540,18 | 107 / 8 | $7.787,27 | 107 / 9 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 19 | $166.886,00 | 617 / 34 | $38.144,40 | 499 / 24 | $36.746,00 | 498 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 224 | 292 / 20 | $32.867,90 | 929 / 50 | $10.974,10 | 539 / 41 | $9.576,08 | 538 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 26 | $19.934,90 | 775 / 43 | $6.584,59 | 937 / 37 | $5.609,75 | 934 / 58 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 9 | $20.773,40 | 175 / 8 | $4.447,00 | 103 / 3 | $3.735,91 | 103 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 41 | $16.243,20 | 712 / 44 | $5.949,34 | 546 / 34 | $4.683,92 | 543 / 33 |
| Simple Pneumonia & Pleurisy W Mcc | 71 | 134 / 19 | $20.370,60 | 412 / 30 | $8.495,41 | 333 / 35 | $7.079,18 | 333 / 27 |
| Syncope & Collapse | 24 | 145 / 34 | $16.112,20 | 496 / 33 | $4.731,79 | 369 / 39 | $3.414,17 | 367 / 29 |
| Transient Ischemia | 52 | 73 / 9 | $15.665,60 | 335 / 15 | $4.635,92 | 274 / 32 | $3.120,85 | 274 / 17 | Total 76 procedures | 2.705 | 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.