Hospital Costs > In Iowa > Mercy Medical Center Cedar Rapids, 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 | 301 | 268 / 8 | $42.041,20 | 870 / 20 | $11.393,20 | 282 / 2 | $9.922,61 | 282 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 145 | 371 / 13 | $37.184,00 | 1164 / 24 | $10.324,30 | 423 / 6 | $9.386,05 | 423 / 6 |
Simple Pneumonia & Pleurisy W Cc | 129 | 75 / 2 | $15.937,50 | 676 / 15 | $5.224,65 | 62 / 3 | $4.031,74 | 62 / 3 |
Simple Pneumonia & Pleurisy W Mcc | 110 | 95 / 3 | $29.372,60 | 996 / 21 | $8.289,05 | 364 / 8 | $7.131,33 | 364 / 4 |
Spinal Fusion Except Cervical W/O Mcc | 99 | 95 / 1 | $69.653,10 | 365 / 8 | $21.639,60 | 227 / 2 | $20.055,70 | 226 / 5 |
Kidney & Urinary Tract Infections W/O Mcc | 95 | 138 / 3 | $12.546,10 | 578 / 15 | $4.085,00 | 76 / 2 | $3.074,79 | 76 / 3 |
Cellulitis W/O Mcc | 93 | 96 / 2 | $12.934,50 | 579 / 10 | $4.499,23 | 123 / 3 | $3.444,76 | 123 / 2 |
Pulmonary Edema & Respiratory Failure | 79 | 124 / 6 | $41.477,80 | 1553 / 24 | $7.647,61 | 850 / 14 | $6.768,68 | 850 / 16 |
Chronic Obstructive Pulmonary Disease W Mcc | 79 | 123 / 3 | $25.153,40 | 1136 / 20 | $6.719,20 | 263 / 8 | $5.531,06 | 262 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 6 | $16.712,50 | 965 / 18 | $3.998,33 | 128 / 3 | $2.996,74 | 128 / 3 |
Renal Failure W Cc | 66 | 155 / 6 | $18.149,40 | 789 / 13 | $5.101,62 | 97 / 3 | $4.170,89 | 97 / 4 |
Heart Failure & Shock W Cc | 61 | 217 / 11 | $15.957,00 | 685 / 15 | $5.276,75 | 89 / 2 | $4.320,72 | 89 / 2 |
Heart Failure & Shock W Mcc | 56 | 228 / 15 | $28.965,40 | 1021 / 19 | $8.067,88 | 197 / 2 | $7.232,18 | 197 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 53 | 40 / 1 | $13.882,30 | 606 / 16 | $3.810,51 | 72 / 1 | $2.640,66 | 72 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 53 | 129 / 6 | $17.477,80 | 317 / 8 | $5.634,92 | 26 / 3 | $4.267,53 | 26 / 2 |
Respiratory Infections & Inflammations W Mcc | 49 | 87 / 4 | $30.740,20 | 405 / 9 | $10.498,60 | 143 / 5 | $9.554,51 | 143 / 5 |
G.I. Hemorrhage W Cc | 43 | 175 / 12 | $22.504,70 | 983 / 24 | $5.393,84 | 149 / 3 | $4.471,47 | 149 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 6 | $17.561,10 | 758 / 13 | $4.947,48 | 69 / 2 | $3.916,10 | 69 / 2 |
Renal Failure W Mcc | 42 | 153 / 9 | $26.383,00 | 540 / 8 | $8.395,14 | 166 / 3 | $7.475,21 | 166 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 16 | $18.519,30 | 637 / 15 | $5.802,15 | 27 / 2 | $4.301,67 | 27 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 8 | $10.854,20 | 412 / 8 | $3.712,46 | 136 / 3 | $2.900,05 | 136 / 4 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 39 | 149 / 9 | $27.463,60 | 396 / 9 | $5.780,23 | 103 / 2 | $4.751,87 | 103 / 3 |
Kidney & Urinary Tract Infections W Mcc | 38 | 106 / 3 | $17.799,80 | 413 / 11 | $5.824,89 | 27 / 2 | $4.683,89 | 27 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 11 | $39.079,10 | 588 / 11 | $10.322,20 | 92 / 2 | $9.181,82 | 92 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 8 | $30.862,10 | 471 / 9 | $8.982,77 | 127 / 2 | $8.028,30 | 127 / 1 |
Respiratory Infections & Inflammations W Cc | 28 | 60 / 4 | $24.994,50 | 470 / 10 | $7.444,86 | 199 / 3 | $6.760,93 | 198 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 8 | $8.874,21 | 221 / 7 | $2.977,11 | 86 / 2 | $1.914,61 | 86 / 2 |
Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 6 | $12.043,00 | 474 / 7 | $3.625,79 | 33 / 1 | $2.597,93 | 33 / 2 |
Cervical Spinal Fusion W/O Cc/Mcc | 28 | 76 / 2 | $32.824,20 | 91 / 1 | $12.354,00 | 58 / 1 | $10.057,10 | 58 / 1 |
G.I. Obstruction W/O Cc/Mcc | 28 | 43 / 4 | $12.673,10 | 341 / 8 | $3.341,18 | 126 / 2 | $2.387,93 | 126 / 3 |
Renal Failure W/O Cc/Mcc | 27 | 29 / 1 | $10.149,70 | 120 / 2 | $3.272,63 | 23 / 1 | $2.347,07 | 23 / 1 |
G.I. Obstruction W Cc | 26 | 66 / 8 | $16.592,50 | 407 / 14 | $4.774,00 | 159 / 1 | $3.968,92 | 158 / 5 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 5 | $12.557,50 | 500 / 9 | $3.842,15 | 68 / 1 | $2.734,15 | 68 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 8 | $24.645,60 | 635 / 15 | $6.513,35 | 81 / 3 | $5.552,27 | 81 / 3 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 7 | $60.884,90 | 922 / 15 | $13.097,50 | 475 / 4 | $12.381,10 | 469 / 6 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 25 | 71 / 7 | $55.532,20 | 419 / 7 | $11.983,00 | 74 / 3 | $10.225,80 | 74 / 2 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 25 | 64 / 4 | $19.820,40 | 90 / 3 | $5.826,04 | 66 / 1 | $4.602,52 | 66 / 2 |
Syncope & Collapse | 25 | 144 / 7 | $17.017,30 | 572 / 12 | $3.901,16 | 76 / 2 | $2.940,04 | 76 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 24 | 144 / 9 | $20.443,40 | 97 / 2 | $8.263,96 | 3 / 1 | $6.838,75 | 3 / 1 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 24 | 100 / 7 | $9.868,96 | 130 / 4 | $3.804,62 | 16 / 1 | $2.631,71 | 16 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 23 | 33 / 3 | $35.146,80 | 305 / 7 | $8.688,35 | 56 / 1 | $7.427,57 | 56 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 23 | 50 / 4 | $13.952,60 | 89 / 4 | $6.096,48 | 62 / 2 | $5.422,13 | 62 / 3 |
Signs & Symptoms W/O Mcc | 22 | 69 / 6 | $18.897,80 | 597 / 10 | $3.735,27 | 58 / 1 | $2.854,73 | 58 / 1 |
G.I. Hemorrhage W Mcc | 21 | 100 / 9 | $31.119,90 | 358 / 11 | $9.054,05 | 75 / 2 | $8.350,52 | 75 / 4 |
Transient Ischemia | 21 | 104 / 6 | $14.992,00 | 297 / 4 | $3.743,00 | 37 / 2 | $2.619,29 | 37 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 15 | $78.416,70 | 840 / 21 | $12.343,70 | 440 / 9 | $10.493,70 | 439 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 8 | $15.439,70 | 284 / 7 | $3.992,33 | 122 / 1 | $3.039,48 | 120 / 6 |
Diabetes W Cc | 20 | 72 / 5 | $17.750,70 | 537 / 7 | $4.516,05 | 35 / 1 | $3.342,60 | 35 / 1 |
Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 9 | $69.684,90 | 124 / 2 | $24.385,90 | 40 / 2 | $23.461,90 | 40 / 2 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 20 | 49 / 5 | $67.317,90 | 332 / 7 | $9.888,85 | 56 / 2 | $8.640,55 | 56 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 14 | $16.921,30 | 739 / 15 | $4.333,05 | 13 / 1 | $2.959,60 | 13 / 1 |
Cervical Spinal Fusion W Cc | 20 | 33 / 2 | $36.108,60 | 23 / 1 | $15.663,50 | 29 / 1 | $13.800,90 | 29 / 1 |
Medical Back Problems W/O Mcc | 19 | 102 / 10 | $18.005,20 | 390 / 11 | $4.359,26 | 43 / 1 | $3.352,00 | 43 / 1 |
Cellulitis W Mcc | 19 | 39 / 3 | $22.022,90 | 167 / 3 | $7.616,63 | 42 / 2 | $6.575,68 | 42 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 8 | $18.638,20 | 339 / 7 | $5.980,11 | 53 / 2 | $5.088,32 | 53 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 7 | $22.094,40 | 300 / 4 | $6.424,68 | 31 / 2 | $5.320,26 | 31 / 2 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 19 | 47 / 4 | $33.893,90 | 97 / 4 | $10.139,10 | 31 / 1 | $8.625,05 | 31 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 18 | 29 / 2 | $31.825,50 | 136 / 5 | $8.071,94 | 54 / 1 | $6.817,17 | 54 / 2 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 14 | $44.421,10 | 283 / 6 | $13.845,50 | 110 / 4 | $11.942,50 | 110 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 12 | $21.020,20 | 329 / 7 | $5.677,71 | 81 / 2 | $4.632,29 | 81 / 2 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 10 | $15.537,20 | 498 / 8 | $4.309,50 | 18 / 2 | $3.055,12 | 18 / 1 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 16 | 31 / 1 | $113.960,00 | 35 / 1 | $33.930,10 | 32 / 1 | $32.757,40 | 32 / 1 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 3 | $50.859,90 | 114 / 3 | $14.729,30 | 89 / 1 | $13.483,90 | 89 / 2 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 10 | $17.429,20 | 258 / 8 | $5.262,27 | 40 / 2 | $4.076,53 | 40 / 2 |
Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 10 | $50.787,00 | 177 / 6 | $15.454,40 | 36 / 1 | $14.331,30 | 36 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 12 | $56.107,10 | 192 / 6 | $16.423,90 | 55 / 2 | $15.312,90 | 55 / 3 |
Major Male Pelvic Procedures W/O Cc/Mcc | 14 | 59 / 6 | $26.673,30 | 49 / 3 | $7.676,93 | 5 / 2 | $4.543,36 | 5 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 4 | $28.284,50 | 115 / 2 | $9.760,93 | 67 / 1 | $9.498,21 | 67 / 3 |
Seizures W/O Mcc | 13 | 95 / 6 | $13.415,70 | 184 / 3 | $4.095,85 | 9 / 1 | $2.749,31 | 9 / 1 |
Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 12 | $26.877,10 | 334 / 8 | $5.602,38 | 52 / 1 | $4.458,54 | 52 / 2 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 6 | $22.049,90 | 364 / 6 | $4.259,08 | 30 / 2 | $2.939,92 | 30 / 3 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 9 | $27.818,70 | 168 / 3 | $10.362,50 | 10 / 3 | $8.033,46 | 10 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 6 | $53.348,20 | 255 / 3 | $14.276,20 | 94 / 1 | $13.292,20 | 94 / 1 |
Combined Anterior/Posterior Spinal Fusion W Cc | 12 | 34 / 1 | $111.545,00 | 13 / 1 | $42.310,00 | 11 / 1 | $37.184,10 | 11 / 1 |
G.I. Obstruction W Mcc | 12 | 30 / 7 | $26.509,90 | 86 / 2 | $9.058,25 | 64 / 2 | $8.168,58 | 64 / 3 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 11 | 18 / 2 | $16.213,70 | 30 / 1 | $5.151,45 | 2 / 1 | $4.106,91 | 2 / 1 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 7 | $14.284,50 | 256 / 4 | $3.485,55 | 16 / 1 | $2.572,45 | 16 / 1 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 7 | $34.304,50 | 205 / 5 | $8.516,55 | 100 / 1 | $7.577,45 | 100 / 2 |
Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 8 | $63.208,60 | 167 / 4 | $18.207,60 | 106 / 1 | $17.055,60 | 106 / 2 | Total 79 procedures | 2.935 | 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.