Hospital Costs > In Ohio > Mercy Hospital Clermont, 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 Mcc | 22 | 103 / 35 | $22.414,90 | 212 / 16 | $8.848,05 | 110 / 5 | $7.955,64 | 110 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 49 | $13.269,10 | 344 / 24 | $5.256,38 | 655 / 50 | $3.966,19 | 652 / 46 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 48 | $16.077,20 | 158 / 14 | $7.255,08 | 296 / 25 | $6.034,00 | 295 / 23 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 43 | $13.895,60 | 853 / 48 | $3.788,93 | 715 / 44 | $2.597,36 | 711 / 43 |
Cellulitis W/O Mcc | 19 | 170 / 58 | $13.378,90 | 646 / 42 | $5.357,68 | 982 / 42 | $4.258,74 | 976 / 64 |
Chronic Obstructive Pulmonary Disease W Cc | 55 | 124 / 28 | $12.441,90 | 275 / 19 | $5.755,89 | 973 / 40 | $4.935,00 | 970 / 63 |
Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 47 | $16.921,40 | 469 / 32 | $7.177,61 | 303 / 41 | $5.565,34 | 302 / 21 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 37 | $10.214,80 | 264 / 14 | $4.756,47 | 822 / 48 | $3.594,00 | 818 / 55 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 17 | $17.361,00 | 198 / 8 | $5.917,58 | 271 / 13 | $4.659,33 | 270 / 18 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 27 | $21.588,50 | 281 / 20 | $7.314,27 | 554 / 22 | $6.739,09 | 549 / 40 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 59 | $13.684,90 | 587 / 42 | $4.952,47 | 689 / 57 | $3.560,58 | 685 / 38 |
G.I. Hemorrhage W Cc | 17 | 201 / 60 | $19.492,20 | 706 / 38 | $6.892,47 | 356 / 72 | $4.765,88 | 356 / 24 |
G.I. Obstruction W Cc | 14 | 78 / 29 | $14.486,60 | 254 / 18 | $5.677,07 | 456 / 31 | $4.411,07 | 455 / 30 |
Heart Failure & Shock W Cc | 31 | 247 / 70 | $16.586,60 | 756 / 42 | $6.210,84 | 748 / 49 | $5.103,65 | 747 / 46 |
Heart Failure & Shock W Mcc | 67 | 217 / 43 | $23.161,30 | 607 / 35 | $9.431,19 | 313 / 59 | $7.429,69 | 313 / 21 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 29 | $12.196,30 | 497 / 31 | $4.486,29 | 867 / 42 | $3.610,41 | 863 / 53 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 39 | $41.326,40 | 697 / 43 | $11.680,10 | 797 / 39 | $10.608,30 | 788 / 54 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 31 | $91.336,20 | 390 / 27 | $31.841,90 | 626 / 31 | $30.709,20 | 620 / 42 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 38 | $23.610,80 | 166 / 10 | $10.730,60 | 82 / 35 | $8.022,77 | 82 / 10 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 62 | $13.125,90 | 661 / 41 | $4.789,40 | 812 / 37 | $3.829,75 | 807 / 54 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 53 | 511 / 74 | $43.152,10 | 936 / 55 | $13.231,90 | 952 / 51 | $10.973,70 | 933 / 65 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 25 | $46.467,50 | 321 / 18 | $15.193,70 | 297 / 27 | $12.861,40 | 295 / 24 |
Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 18 | $73.193,00 | 150 / 7 | $26.490,30 | 33 / 9 | $23.346,40 | 33 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 21 | $17.764,30 | 295 / 21 | $7.017,13 | 389 / 33 | $5.855,26 | 386 / 31 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 50 | $18.713,90 | 1423 / 77 | $4.663,57 | 1143 / 56 | $3.759,86 | 1140 / 72 |
Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 11 | $30.332,10 | 117 / 6 | $9.122,57 | 41 / 5 | $8.142,43 | 41 / 5 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 32 | $25.759,20 | 129 / 9 | $10.930,90 | 23 / 21 | $8.429,06 | 23 / 2 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 30 | $16.556,50 | 218 / 15 | $6.331,09 | 229 / 25 | $4.722,55 | 227 / 18 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 28 | $20.106,80 | 124 / 7 | $8.754,91 | 130 / 12 | $7.689,55 | 130 / 12 |
Poisoning & Toxic Effects Of Drugs W Mcc | 22 | 50 / 9 | $26.196,70 | 251 / 12 | $8.454,55 | 216 / 10 | $7.339,77 | 215 / 13 |
Psychoses | 151 | 152 / 10 | $15.753,20 | 201 / 11 | $6.506,30 | 146 / 7 | $5.289,64 | 146 / 7 |
Pulmonary Edema & Respiratory Failure | 47 | 156 / 37 | $19.493,70 | 379 / 22 | $7.577,21 | 527 / 36 | $6.362,92 | 527 / 39 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 15 | $25.136,80 | 317 / 24 | $7.796,40 | 405 / 19 | $7.132,47 | 403 / 33 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 38 | $12.937,00 | 275 / 13 | $5.184,44 | 711 / 42 | $4.192,50 | 706 / 52 |
Renal Failure W Cc | 47 | 174 / 45 | $15.360,10 | 496 / 28 | $6.355,26 | 506 / 64 | $4.763,21 | 502 / 33 |
Renal Failure W Mcc | 51 | 144 / 33 | $25.747,00 | 502 / 28 | $9.739,57 | 962 / 54 | $8.844,78 | 962 / 67 |
Respiratory Infections & Inflammations W Cc | 26 | 62 / 16 | $18.376,50 | 204 / 18 | $7.891,27 | 92 / 16 | $6.439,23 | 92 / 7 |
Respiratory Infections & Inflammations W Mcc | 87 | 50 / 8 | $33.558,20 | 537 / 36 | $11.399,30 | 350 / 33 | $10.130,90 | 350 / 28 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 27 | $46.834,70 | 536 / 37 | $13.594,30 | 530 / 25 | $12.518,20 | 523 / 37 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 21 | $129.883,00 | 388 / 25 | $37.625,60 | 183 / 20 | $31.505,00 | 183 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 107 | 409 / 57 | $41.053,60 | 1362 / 70 | $11.450,70 | 778 / 56 | $9.883,40 | 777 / 55 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 47 | $17.601,90 | 573 / 32 | $6.668,95 | 764 / 40 | $5.451,38 | 762 / 47 |
Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 59 | $14.981,40 | 560 / 31 | $6.075,53 | 779 / 44 | $4.887,29 | 776 / 51 |
Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 36 | $23.042,30 | 570 / 40 | $8.694,66 | 352 / 43 | $7.117,02 | 352 / 29 |
Syncope & Collapse | 14 | 155 / 43 | $16.150,80 | 500 / 34 | $4.758,50 | 676 / 40 | $3.723,00 | 673 / 50 | Total 45 procedures | 1.361 | 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.