Hospital Costs > In Ohio > Mercy Hospital Fairfield, 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 | 179 | 337 / 29 | $37.617,70 | 1189 / 61 | $11.255,50 | 615 / 53 | $9.684,67 | 614 / 45 |
Heart Failure & Shock W Mcc | 142 | 142 / 12 | $27.957,60 | 972 / 56 | $8.627,06 | 503 / 29 | $7.694,23 | 503 / 36 |
Respiratory Infections & Inflammations W Mcc | 122 | 23 / 2 | $30.466,10 | 396 / 25 | $11.049,90 | 190 / 21 | $9.701,01 | 190 / 16 |
Renal Failure W Cc | 119 | 102 / 10 | $18.431,60 | 817 / 45 | $5.849,73 | 721 / 32 | $4.931,11 | 714 / 49 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 107 | 168 / 18 | $16.787,20 | 974 / 63 | $4.831,05 | 364 / 47 | $3.296,98 | 363 / 21 |
Heart Failure & Shock W Cc | 100 | 178 / 26 | $21.238,20 | 1319 / 67 | $6.165,46 | 473 / 47 | $4.873,09 | 473 / 28 |
Simple Pneumonia & Pleurisy W Mcc | 88 | 117 / 12 | $27.275,10 | 851 / 55 | $8.507,66 | 444 / 36 | $7.245,58 | 444 / 38 |
Pulmonary Edema & Respiratory Failure | 79 | 124 / 18 | $21.994,30 | 537 / 33 | $7.339,59 | 311 / 23 | $6.108,06 | 311 / 17 |
Kidney & Urinary Tract Infections W/O Mcc | 78 | 155 / 22 | $14.363,00 | 837 / 49 | $4.768,24 | 766 / 34 | $3.803,00 | 761 / 49 |
Renal Failure W Mcc | 74 | 121 / 19 | $27.714,00 | 631 / 40 | $8.845,28 | 362 / 25 | $7.846,95 | 362 / 30 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 70 | 137 / 10 | $20.686,80 | 843 / 46 | $6.445,40 | 471 / 28 | $5.169,57 | 469 / 30 |
Cellulitis W/O Mcc | 69 | 120 / 21 | $12.566,60 | 536 / 33 | $5.198,38 | 702 / 30 | $4.049,12 | 698 / 46 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 65 | 499 / 67 | $43.110,10 | 932 / 54 | $13.018,50 | 890 / 45 | $10.881,70 | 871 / 60 |
G.I. Hemorrhage W Cc | 63 | 155 / 28 | $23.132,30 | 1044 / 61 | $6.236,51 | 401 / 41 | $4.809,03 | 400 / 29 |
Transient Ischemia | 55 | 70 / 7 | $17.778,30 | 476 / 25 | $4.359,22 | 361 / 17 | $3.220,07 | 360 / 30 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 55 | 111 / 16 | $13.415,40 | 747 / 42 | $4.450,09 | 415 / 36 | $3.255,55 | 415 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 53 | 108 / 18 | $17.711,50 | 829 / 52 | $5.089,72 | 278 / 40 | $3.584,66 | 278 / 23 |
Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 38 | $18.044,50 | 569 / 40 | $6.765,77 | 281 / 19 | $5.547,98 | 280 / 18 |
Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 32 | $15.240,50 | 587 / 36 | $5.928,84 | 605 / 33 | $4.746,31 | 602 / 38 |
Chest Pain | 49 | 102 / 7 | $15.603,90 | 552 / 32 | $3.903,84 | 276 / 22 | $2.656,65 | 275 / 17 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 47 | 141 / 22 | $29.642,90 | 500 / 28 | $6.628,68 | 353 / 20 | $5.231,81 | 352 / 17 |
Syncope & Collapse | 44 | 125 / 21 | $15.789,90 | 465 / 31 | $4.773,68 | 338 / 42 | $3.375,98 | 336 / 26 |
Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 6 | $16.920,90 | 1050 / 62 | $4.273,07 | 397 / 25 | $3.211,82 | 395 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 19 | $31.666,10 | 1039 / 60 | $8.912,90 | 336 / 68 | $6.112,38 | 335 / 28 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 40 | 156 / 30 | $50.802,10 | 242 / 18 | $11.732,70 | 279 / 3 | $10.078,50 | 279 / 15 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 40 | 110 / 23 | $14.369,70 | 908 / 53 | $3.573,88 | 444 / 23 | $2.394,88 | 441 / 27 |
Red Blood Cell Disorders W/O Mcc | 38 | 105 / 17 | $16.671,50 | 597 / 37 | $4.957,95 | 637 / 22 | $4.129,82 | 633 / 49 |
Kidney & Urinary Tract Infections W Mcc | 36 | 108 / 22 | $20.020,10 | 573 / 40 | $6.661,42 | 580 / 34 | $5.802,78 | 579 / 47 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 17 | $18.312,30 | 319 / 22 | $6.581,74 | 325 / 18 | $5.753,00 | 322 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 30 | $24.816,60 | 781 / 43 | $6.483,91 | 366 / 34 | $5.054,50 | 365 / 29 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 9 | $13.596,20 | 564 / 34 | $4.449,58 | 422 / 21 | $3.169,00 | 420 / 25 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 27 | $60.668,70 | 917 / 50 | $13.554,80 | 592 / 23 | $12.671,80 | 584 / 42 |
Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 48 | $14.480,90 | 463 / 35 | $5.616,61 | 588 / 29 | $4.628,15 | 586 / 38 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 19 | $76.367,40 | 225 / 14 | $26.491,50 | 93 / 6 | $25.417,70 | 93 / 7 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 31 | 62 / 8 | $48.728,40 | 297 / 19 | $12.921,70 | 262 / 14 | $11.349,00 | 257 / 20 |
Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 25 | $41.398,40 | 702 / 45 | $11.354,90 | 606 / 29 | $10.252,20 | 603 / 42 |
G.I. Hemorrhage W Mcc | 28 | 93 / 23 | $30.969,00 | 353 / 23 | $9.899,89 | 294 / 18 | $9.135,68 | 294 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 27 | $31.961,10 | 407 / 21 | $9.751,96 | 290 / 17 | $8.755,81 | 289 / 25 |
Red Blood Cell Disorders W Mcc | 25 | 46 / 7 | $24.813,90 | 306 / 22 | $7.454,08 | 232 / 13 | $6.653,88 | 232 / 23 |
G.I. Obstruction W Cc | 24 | 68 / 19 | $17.596,00 | 477 / 30 | $5.577,08 | 189 / 24 | $4.038,54 | 188 / 16 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 24 | 32 / 3 | $43.130,60 | 327 / 14 | $9.700,88 | 238 / 7 | $8.450,96 | 238 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 16 | $19.322,70 | 178 / 13 | $7.131,61 | 342 / 15 | $6.325,39 | 340 / 26 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 31 | $14.411,70 | 716 / 50 | $4.607,17 | 533 / 34 | $3.354,30 | 532 / 42 |
Respiratory Infections & Inflammations W Cc | 22 | 66 / 19 | $21.421,80 | 321 / 24 | $8.123,41 | 538 / 25 | $7.428,41 | 535 / 31 |
Other Circulatory System Diagnoses W Mcc | 21 | 95 / 27 | $33.460,40 | 301 / 23 | $10.825,00 | 314 / 17 | $10.048,60 | 313 / 33 |
Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 17 | $85.623,80 | 244 / 13 | $26.746,30 | 34 / 11 | $23.350,10 | 34 / 9 |
Seizures W Mcc | 21 | 45 / 12 | $22.659,80 | 75 / 4 | $8.145,14 | 55 / 3 | $7.343,57 | 55 / 5 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 21 | $24.938,80 | 676 / 38 | $6.502,00 | 699 / 29 | $5.552,50 | 695 / 39 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 24 | $18.352,20 | 457 / 22 | $4.608,25 | 509 / 16 | $3.643,25 | 505 / 33 |
Medical Back Problems W/O Mcc | 20 | 101 / 27 | $17.765,90 | 375 / 26 | $4.954,05 | 284 / 16 | $3.932,00 | 284 / 21 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 37 | $35.012,40 | 617 / 46 | $9.694,20 | 349 / 27 | $8.657,95 | 349 / 28 |
Other Vascular Procedures W Cc | 20 | 82 / 21 | $52.537,10 | 239 / 12 | $15.329,70 | 30 / 10 | $12.031,00 | 30 / 1 |
Major Small & Large Bowel Procedures W Cc | 19 | 89 / 23 | $48.884,80 | 391 / 22 | $14.588,30 | 433 / 17 | $13.362,10 | 430 / 36 |
Spinal Fusion Except Cervical W/O Mcc | 19 | 175 / 34 | $72.765,90 | 417 / 26 | $23.770,10 | 240 / 19 | $20.105,10 | 239 / 17 |
Diabetes W Cc | 19 | 73 / 22 | $16.340,40 | 437 / 30 | $4.917,95 | 417 / 10 | $4.178,00 | 417 / 35 |
Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 18 | $89.747,20 | 492 / 23 | $19.674,30 | 289 / 8 | $18.459,00 | 289 / 14 |
Atherosclerosis W/O Mcc | 19 | 39 / 4 | $14.023,50 | 141 / 7 | $3.855,42 | / 3 | $2.963,95 | / |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 18 | 77 / 10 | $63.274,70 | 211 / 11 | $11.392,90 | 158 / 3 | $10.571,80 | 156 / 8 |
Seizures W/O Mcc | 18 | 90 / 22 | $16.516,40 | 343 / 22 | $4.718,94 | 343 / 16 | $3.829,67 | 341 / 23 |
Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 12 | $140.629,00 | 318 / 14 | $35.268,00 | 9 / 20 | $20.032,10 | 9 / 2 |
O.R. Procedures For Obesity W/O Cc/Mcc | 17 | 60 / 12 | $31.552,20 | 101 / 4 | $9.616,53 | 64 / 3 | $7.539,29 | 64 / 5 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 14 | $15.031,50 | 527 / 29 | $3.897,12 | 328 / 15 | $2.736,59 | 328 / 20 |
Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 11 | $56.506,50 | 263 / 17 | $17.818,10 | 11 / 16 | $13.617,40 | 11 / 1 |
Diabetes W Mcc | 16 | 41 / 9 | $30.321,00 | 286 / 18 | $8.281,44 | 151 / 9 | $7.240,94 | 151 / 15 |
Hypertension W/O Mcc | 16 | 49 / 9 | $16.365,90 | 273 / 15 | $3.932,25 | 227 / 6 | $2.962,56 | 225 / 10 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 15 | $27.714,60 | 250 / 10 | $7.323,31 | 80 / 11 | $4.672,44 | 80 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 7 | $30.503,40 | 164 / 5 | $7.560,40 | 92 / 4 | $5.593,80 | 92 / 4 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 6 | $40.097,00 | 412 / 16 | $9.566,40 | 246 / 6 | $8.309,00 | 245 / 7 |
Disorders Of Pancreas Except Malignancy W Mcc | 15 | 31 / 5 | $24.767,30 | 31 / 2 | $10.044,70 | 62 / 1 | $9.340,00 | 62 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 4 | $43.598,70 | 58 / 3 | $14.690,10 | 43 / 4 | $12.260,00 | 43 / 7 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 17 | $53.317,10 | 752 / 36 | $10.357,90 | 623 / 26 | $9.264,07 | 621 / 29 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 14 | $18.954,60 | 167 / 17 | $5.639,71 | 239 / 7 | $5.285,29 | 238 / 18 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 24 | $24.603,80 | 504 / 30 | $6.363,15 | 430 / 19 | $5.348,85 | 429 / 30 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 7 | $17.244,70 | 109 / 10 | $4.318,31 | 89 / 8 | $3.138,69 | 89 / 9 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 12 | $45.011,20 | 220 / 11 | $12.415,50 | 181 / 3 | $11.238,20 | 180 / 11 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 22 | $13.843,80 | 114 / 5 | $5.988,69 | 127 / 15 | $4.424,15 | 127 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 20 | $23.592,60 | 425 / 27 | $7.068,54 | 419 / 15 | $6.446,77 | 418 / 28 |
Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 9 | $43.984,20 | 229 / 8 | $9.836,85 | 167 / 3 | $8.944,08 | 166 / 5 |
Other Vascular Procedures W Mcc | 13 | 84 / 25 | $61.847,20 | 174 / 12 | $17.956,50 | 122 / 3 | $17.196,10 | 122 / 7 |
Respiratory Neoplasms W Mcc | 13 | 39 / 10 | $44.196,50 | 307 / 10 | $10.419,40 | 43 / 7 | $8.322,77 | 43 / 2 |
Pulmonary Embolism W Mcc | 12 | 31 / 9 | $21.883,60 | 66 / 2 | $8.707,00 | 121 / 7 | $7.797,83 | 121 / 11 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 14 | $40.300,40 | 142 / 8 | $11.448,40 | 134 / 4 | $10.095,50 | 134 / 7 |
Signs & Symptoms W/O Mcc | 12 | 79 / 23 | $11.734,90 | 173 / 15 | $4.334,58 | 266 / 15 | $3.333,17 | 265 / 17 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 28 | $30.236,00 | 394 / 27 | $8.763,18 | 147 / 13 | $7.778,73 | 147 / 14 |
Diabetes W/O Cc/Mcc | 11 | 27 / 6 | $11.717,00 | 68 / 4 | $3.653,82 | 77 / 2 | $2.920,82 | 77 / 3 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 14 | $30.968,50 | 58 / 4 | $10.917,00 | 130 / 5 | $9.623,45 | 130 / 7 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 20 | $55.145,90 | 286 / 17 | $15.002,90 | 196 / 7 | $14.016,50 | 195 / 12 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 16 | $21.300,20 | 249 / 20 | $5.389,91 | 226 / 10 | $4.746,18 | 226 / 19 |
Other Digestive System O.R. Procedures W Mcc | 11 | 18 / 4 | $65.396,70 | 15 / 1 | $19.895,50 | 3 / 1 | $18.821,20 | 3 / 1 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 12 | $17.148,90 | 388 / 22 | $4.487,09 | 218 / 11 | $3.279,91 | 219 / 14 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 16 | $12.194,30 | 178 / 7 | $4.100,36 | 150 / 4 | $3.020,55 | 150 / 8 |
Cellulitis W Mcc | 11 | 47 / 19 | $39.986,80 | 597 / 43 | $8.743,55 | 213 / 23 | $7.506,36 | 212 / 25 | Total 92 procedures | 3.192 | 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.