Hospital Costs > In Iowa > Mercy Hospital Iowa City, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 407 | 181 / 3 | $52.578,40 | 1402 / 32 | $12.351,40 | 470 / 6 | $10.271,20 | 467 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 151 | 365 / 11 | $32.092,30 | 890 / 20 | $10.518,20 | 515 / 7 | $9.547,09 | 515 / 9 |
| Psychoses | 111 | 182 / 11 | $11.780,10 | 111 / 5 | $5.664,68 | 20 / 2 | $4.476,81 | 20 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 79 | 128 / 6 | $16.702,80 | 495 / 9 | $5.888,75 | 206 / 4 | $4.858,18 | 205 / 6 |
| Heart Failure & Shock W Cc | 72 | 206 / 9 | $18.922,60 | 1040 / 20 | $5.690,65 | 316 / 7 | $4.699,54 | 316 / 6 |
| Heart Failure & Shock W Mcc | 70 | 214 / 9 | $30.929,10 | 1145 / 21 | $8.726,14 | 538 / 9 | $7.732,94 | 538 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 64 | 211 / 8 | $16.004,20 | 871 / 16 | $4.227,92 | 146 / 8 | $3.034,42 | 146 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 8 | $32.272,70 | 310 / 3 | $11.015,10 | 117 / 7 | $9.262,29 | 116 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 40 | 156 / 10 | $48.122,10 | 188 / 5 | $11.428,00 | 242 / 3 | $9.957,60 | 242 / 6 |
| G.I. Hemorrhage W Cc | 40 | 178 / 14 | $16.934,30 | 477 / 11 | $5.560,88 | 193 / 6 | $4.551,83 | 193 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 17 | $27.768,50 | 888 / 18 | $8.138,67 | 436 / 6 | $7.233,38 | 436 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 16 | $16.817,00 | 771 / 18 | $5.445,66 | 158 / 6 | $4.248,16 | 158 / 5 |
| Cellulitis W/O Mcc | 35 | 154 / 13 | $15.270,00 | 892 / 20 | $4.708,71 | 433 / 5 | $3.819,26 | 430 / 8 |
| Renal Failure W Cc | 32 | 189 / 15 | $14.472,90 | 417 / 7 | $5.522,31 | 204 / 6 | $4.382,69 | 203 / 6 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 31 | 32 / 2 | $69.628,50 | 96 / 2 | $19.597,30 | 92 / 2 | $18.372,50 | 92 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 13 | $21.619,50 | 576 / 17 | $6.002,47 | 274 / 5 | $4.934,63 | 273 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 29 | 67 / 5 | $66.807,90 | 557 / 9 | $12.525,40 | 158 / 4 | $10.819,30 | 156 / 4 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 28 | 61 / 3 | $26.083,70 | 216 / 7 | $6.088,79 | 128 / 2 | $4.909,07 | 128 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 12 | $25.501,80 | 304 / 8 | $6.168,61 | 123 / 4 | $4.809,46 | 123 / 4 |
| Transient Ischemia | 28 | 97 / 3 | $15.930,40 | 352 / 6 | $4.007,86 | 86 / 4 | $2.749,50 | 86 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 10 | $26.799,70 | 330 / 5 | $9.728,26 | 383 / 7 | $8.724,96 | 383 / 7 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 10 | $52.134,00 | 469 / 13 | $14.611,20 | 505 / 7 | $13.629,20 | 500 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 8 | $21.115,60 | 396 / 10 | $6.754,42 | 237 / 5 | $5.939,88 | 237 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 9 | $11.800,60 | 560 / 17 | $3.254,58 | 31 / 5 | $1.791,92 | 31 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 14 | $14.110,00 | 851 / 18 | $3.829,80 | 260 / 4 | $3.081,00 | 260 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 7 | $17.046,00 | 372 / 12 | $4.206,64 | 113 / 3 | $3.029,92 | 111 / 5 |
| Pulmonary Edema & Respiratory Failure | 25 | 178 / 19 | $26.598,60 | 828 / 17 | $6.812,64 | 137 / 1 | $5.772,44 | 137 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 13 | $73.916,70 | 434 / 9 | $22.387,80 | 396 / 3 | $21.216,70 | 395 / 8 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 24 | 45 / 3 | $50.213,30 | 157 / 3 | $11.473,20 | 8 / 4 | $7.560,75 | 8 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 19 | $23.567,30 | 1027 / 18 | $6.488,75 | 476 / 5 | $5.761,04 | 475 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 7 | $16.068,30 | 312 / 4 | $6.062,22 | 59 / 4 | $4.889,35 | 59 / 4 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 23 | 43 / 1 | $29.065,60 | 43 / 1 | $10.834,30 | 51 / 2 | $8.936,13 | 51 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 7 | $20.698,70 | 311 / 5 | $5.975,87 | 83 / 3 | $4.642,96 | 83 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 10 | $74.901,70 | 215 / 2 | $30.661,60 | 522 / 5 | $29.673,40 | 518 / 7 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 8 | $15.005,20 | 854 / 14 | $3.771,45 | 97 / 3 | $2.767,68 | 96 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 16 | $18.927,70 | 890 / 19 | $5.193,57 | 208 / 4 | $4.196,14 | 208 / 7 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 2 | $17.885,00 | 227 / 5 | $4.264,05 | 27 / 3 | $2.923,62 | 27 / 2 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 14 | $28.506,80 | 341 / 8 | $10.435,70 | 99 / 4 | $9.380,40 | 99 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 18 | $13.497,50 | 709 / 19 | $4.300,15 | 164 / 7 | $3.251,50 | 164 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 14 | $14.196,70 | 439 / 10 | $4.405,95 | 106 / 3 | $3.305,20 | 106 / 3 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 6 | $102.406,00 | 268 / 6 | $21.791,10 | 126 / 3 | $19.214,50 | 125 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 8 | $11.860,80 | 272 / 6 | $3.395,74 | 115 / 3 | $2.362,68 | 115 / 2 |
| Syncope & Collapse | 19 | 150 / 12 | $13.223,60 | 274 / 5 | $4.049,11 | 119 / 3 | $3.021,16 | 119 / 4 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 18 | 55 / 4 | $24.103,90 | 36 / 2 | $7.547,78 | 41 / 1 | $5.395,78 | 41 / 4 |
| Renal Failure W Mcc | 18 | 177 / 20 | $28.620,00 | 686 / 11 | $9.316,39 | 914 / 13 | $8.745,06 | 914 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 9 | $60.338,20 | 265 / 12 | $19.511,60 | 401 / 10 | $18.342,20 | 399 / 10 |
| Revision Of Hip Or Knee Replacement W Cc | 17 | 69 / 5 | $76.635,80 | 268 / 7 | $19.149,50 | 192 / 3 | $17.919,40 | 192 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 4 | $28.321,70 | 155 / 2 | $9.103,12 | 160 / 2 | $8.019,12 | 160 / 3 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 9 | $16.399,60 | 207 / 6 | $5.529,50 | 277 / 4 | $4.758,75 | 277 / 8 |
| G.I. Obstruction W Cc | 16 | 76 / 12 | $14.509,50 | 255 / 7 | $4.907,50 | 113 / 4 | $3.829,38 | 112 / 3 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 10 | $12.465,80 | 239 / 4 | $4.467,81 | 126 / 3 | $3.476,25 | 126 / 5 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 16 | 53 / 7 | $73.150,80 | 301 / 10 | $14.753,80 | 144 / 2 | $13.606,90 | 144 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 9 | $50.776,90 | 174 / 5 | $18.147,90 | 366 / 11 | $17.050,20 | 363 / 12 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 3 | $72.134,00 | 276 / 5 | $15.475,60 | 148 / 3 | $14.251,70 | 148 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 10 | $32.805,20 | 733 / 12 | $6.671,36 | 94 / 4 | $5.679,64 | 94 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 16 | $14.692,30 | 701 / 17 | $3.828,08 | 92 / 2 | $2.700,00 | 92 / 3 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 5 | $127.404,00 | 268 / 3 | $28.984,20 | 358 / 3 | $27.745,50 | 358 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 16 | $61.117,50 | 926 / 16 | $14.488,20 | 812 / 8 | $13.363,50 | 804 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 13 | $32.703,80 | 429 / 10 | $10.073,70 | 38 / 9 | $7.757,73 | 38 / 3 | Total 59 procedures | 2.164 | 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.