Hospital Costs > In Iowa > Mercy Medical Center-Clinton, 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 | 38 | 53 / 1 | $27.945,30 | 647 / 12 | $6.954,97 | 739 / 13 | $5.964,66 | 737 / 13 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 54 | 71 / 2 | $34.498,50 | 599 / 12 | $11.431,00 | 1087 / 17 | $10.595,80 | 1082 / 19 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 12 | $16.454,50 | 392 / 13 | $4.512,45 | 236 / 8 | $3.620,64 | 236 / 8 |
Atherosclerosis W/O Mcc | 30 | 28 / 1 | $16.272,30 | 216 / 1 | $3.989,47 | / 1 | $2.939,40 | / |
Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 10 | $18.374,40 | 892 / 16 | $5.261,00 | 744 / 14 | $4.058,48 | 741 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 9 | $19.522,40 | 308 / 7 | $8.010,24 | 842 / 16 | $6.875,40 | 839 / 16 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 51 | 99 / 5 | $12.365,40 | 640 / 18 | $3.715,71 | 739 / 16 | $2.623,61 | 735 / 14 |
Cellulitis W/O Mcc | 37 | 152 / 12 | $15.586,20 | 930 / 22 | $5.893,84 | 917 / 22 | $4.211,95 | 911 / 19 |
Chest Pain | 30 | 121 / 4 | $16.849,30 | 676 / 9 | $4.095,50 | 417 / 9 | $2.848,33 | 415 / 7 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 16 | $18.450,50 | 841 / 17 | $6.167,14 | 1215 / 17 | $5.180,95 | 1210 / 17 |
Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 12 | $25.905,30 | 1190 / 22 | $8.235,72 | 1397 / 25 | $6.696,17 | 1391 / 22 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 10 | $13.020,10 | 554 / 10 | $4.704,12 | 873 / 11 | $3.632,71 | 868 / 12 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 8 | $33.204,00 | 665 / 16 | $7.336,26 | 797 / 15 | $5.901,56 | 795 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 11 | $22.755,60 | 327 / 6 | $7.829,08 | 787 / 11 | $7.357,54 | 782 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 14 | $18.020,10 | 1132 / 23 | $4.885,46 | 1237 / 21 | $3.918,08 | 1226 / 23 |
G.I. Hemorrhage W Cc | 31 | 187 / 18 | $21.902,00 | 935 / 22 | $6.606,90 | 1397 / 23 | $5.818,39 | 1394 / 25 |
G.I. Hemorrhage W Mcc | 17 | 104 / 11 | $35.639,00 | 535 / 14 | $11.584,90 | 921 / 16 | $10.938,80 | 915 / 18 |
G.I. Obstruction W Cc | 34 | 58 / 6 | $17.424,70 | 463 / 16 | $5.847,71 | 758 / 17 | $4.769,88 | 756 / 16 |
Heart Failure & Shock W Cc | 40 | 238 / 16 | $20.822,10 | 1272 / 25 | $6.536,40 | 1587 / 19 | $5.862,10 | 1582 / 25 |
Heart Failure & Shock W Mcc | 38 | 246 / 20 | $27.096,60 | 908 / 18 | $9.867,13 | 1531 / 24 | $9.118,92 | 1527 / 24 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 13 | $12.814,20 | 577 / 10 | $4.439,54 | 849 / 13 | $3.600,15 | 845 / 14 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 20 | $42.214,40 | 731 / 19 | $12.967,80 | 1258 / 25 | $11.827,90 | 1242 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 21 | $17.173,60 | 299 / 7 | $7.030,09 | 1202 / 18 | $6.147,73 | 1199 / 23 |
Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 6 | $16.458,50 | 331 / 6 | $7.428,44 | 1145 / 14 | $6.649,40 | 1141 / 15 |
Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 9 | $15.834,40 | 1052 / 26 | $5.075,09 | 1052 / 22 | $3.994,44 | 1044 / 22 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 5 | $19.240,60 | 264 / 7 | $7.748,88 | 752 / 8 | $7.527,47 | 750 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 43 | 521 / 28 | $49.599,50 | 1266 / 26 | $15.069,30 | 1638 / 30 | $12.404,30 | 1601 / 29 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 12 | $20.733,20 | 448 / 9 | $7.325,45 | 673 / 10 | $6.331,27 | 670 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 40 | 126 / 7 | $14.934,30 | 950 / 20 | $4.617,73 | 1212 / 16 | $3.820,98 | 1208 / 16 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 10 | $74.016,00 | 211 / 7 | $21.264,50 | 395 / 11 | $18.677,40 | 393 / 10 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 37 | 159 / 11 | $61.431,20 | 490 / 15 | $13.877,80 | 1038 / 22 | $12.792,90 | 1031 / 22 |
Psychoses | 55 | 224 / 12 | $16.712,60 | 237 / 11 | $6.660,00 | 131 / 8 | $5.251,96 | 131 / 7 |
Pulmonary Edema & Respiratory Failure | 68 | 135 / 7 | $29.874,40 | 1037 / 18 | $8.078,00 | 1191 / 18 | $7.216,79 | 1189 / 22 |
Pulmonary Embolism W Mcc | 11 | 32 / 9 | $30.868,30 | 175 / 6 | $10.060,60 | 349 / 9 | $9.286,27 | 349 / 10 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 11 | $20.049,20 | 386 / 12 | $6.507,14 | 695 / 14 | $5.549,57 | 692 / 16 |
Renal Failure W Cc | 36 | 185 / 14 | $16.737,20 | 640 / 12 | $6.403,53 | 1306 / 20 | $5.499,81 | 1298 / 21 |
Renal Failure W Mcc | 36 | 159 / 11 | $30.632,40 | 796 / 15 | $10.129,80 | 1160 / 19 | $9.280,83 | 1160 / 22 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 7 | $14.282,40 | 326 / 7 | $4.104,93 | 346 / 6 | $3.215,07 | 345 / 7 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 10 | $27.224,10 | 581 / 11 | $9.905,29 | 608 / 16 | $7.579,29 | 605 / 12 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 14 | $34.065,60 | 558 / 16 | $13.296,50 | 1242 / 20 | $12.681,70 | 1227 / 21 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 13 | $40.576,00 | 344 / 5 | $14.882,20 | 1000 / 9 | $14.115,40 | 990 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 159 | 357 / 10 | $29.267,10 | 749 / 13 | $12.170,10 | 1617 / 24 | $11.263,50 | 1585 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 16 | $23.320,90 | 1101 / 22 | $7.232,90 | 1221 / 23 | $5.902,67 | 1216 / 21 |
Simple Pneumonia & Pleurisy W Cc | 78 | 125 / 7 | $20.922,10 | 1232 / 25 | $6.513,99 | 1380 / 23 | $5.395,88 | 1374 / 24 |
Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 13 | $26.415,70 | 792 / 17 | $10.480,30 | 1193 / 26 | $8.130,00 | 1193 / 20 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 9 | $17.800,20 | 996 / 21 | $4.623,90 | 967 / 16 | $3.650,80 | 962 / 18 |
Syncope & Collapse | 39 | 130 / 5 | $18.783,80 | 747 / 13 | $4.770,74 | 884 / 12 | $3.927,51 | 879 / 11 | Total 47 procedures | 1.572 | 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.