Hospital Costs > In Iowa > Mercy Medical Center-Dubuque, 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 | 32 | 93 / 7 | $24.081,40 | 264 / 3 | $8.927,00 | 136 / 1 | $8.063,00 | 136 / 2 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 2 | $15.574,00 | 146 / 2 | $3.959,52 | 17 / 1 | $2.852,00 | 17 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 9 | $10.265,30 | 137 / 6 | $4.070,00 | 6 / 3 | $2.372,05 | 6 / 1 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 23 | 40 / 3 | $44.663,00 | 21 / 1 | $18.494,90 | 17 / 1 | $15.756,40 | 17 / 1 |
| Bone Diseases & Arthropathies W/O Mcc | 13 | 31 / 2 | $8.750,15 | 31 / 2 | $3.770,38 | 4 / 1 | $2.741,77 | 4 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 7 | $13.913,60 | 410 / 9 | $4.514,72 | 15 / 4 | $2.976,67 | 15 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 59 | 64 / 2 | $18.540,00 | 270 / 6 | $6.345,59 | 44 / 1 | $5.382,41 | 44 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 6 | $10.590,10 | 401 / 14 | $2.904,39 | 117 / 1 | $1.970,92 | 117 / 4 |
| Cellulitis W Mcc | 16 | 42 / 5 | $24.885,00 | 245 / 4 | $7.402,19 | 30 / 1 | $6.456,44 | 30 / 1 |
| Cellulitis W/O Mcc | 39 | 150 / 11 | $13.790,20 | 701 / 16 | $4.421,51 | 161 / 1 | $3.500,28 | 161 / 3 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 38 | 53 / 4 | $18.046,00 | 52 / 1 | $5.686,53 | 6 / 1 | $4.770,32 | 6 / 1 |
| Chest Pain | 13 | 138 / 12 | $14.209,30 | 425 / 8 | $3.446,23 | 9 / 1 | $1.969,15 | 9 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 15 | $14.476,90 | 462 / 9 | $4.752,55 | 34 / 1 | $3.757,91 | 34 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 71 | 131 / 4 | $20.675,70 | 776 / 13 | $6.064,96 | 95 / 3 | $5.150,23 | 95 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 13 | $22.902,90 | 191 / 4 | $5.689,75 | 75 / 1 | $4.673,17 | 75 / 2 |
| Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 3 | $16.340,40 | 120 / 2 | $5.184,90 | 20 / 1 | $4.054,33 | 20 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 12 | $25.267,20 | 444 / 9 | $6.256,17 | 45 / 1 | $5.412,00 | 45 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 97 | 178 / 4 | $14.434,10 | 676 / 10 | $3.900,45 | 68 / 2 | $2.878,81 | 68 / 2 |
| Extracranial Procedures W Cc | 14 | 32 / 3 | $22.585,70 | 32 / 1 | $8.334,29 | 18 / 1 | $7.204,71 | 18 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 39 | 59 / 4 | $21.744,70 | 193 / 4 | $5.829,97 | 41 / 2 | $4.423,51 | 41 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 26 | 35 / 2 | $11.136,50 | 119 / 3 | $3.738,46 | 18 / 2 | $2.600,54 | 18 / 2 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 5 | $10.897,90 | 78 / 1 | $3.857,83 | 6 / 1 | $2.636,00 | 6 / 1 |
| G.I. Hemorrhage W Cc | 73 | 145 / 7 | $17.391,40 | 524 / 12 | $5.230,11 | 75 / 2 | $4.284,74 | 75 / 1 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 7 | $28.526,90 | 280 / 9 | $8.852,00 | 66 / 1 | $8.292,80 | 66 / 2 |
| G.I. Obstruction W Cc | 34 | 58 / 6 | $14.834,80 | 277 / 8 | $4.774,21 | 54 / 2 | $3.642,53 | 54 / 1 |
| G.I. Obstruction W Mcc | 14 | 28 / 6 | $26.888,20 | 91 / 3 | $8.328,86 | 15 / 1 | $7.519,00 | 15 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 5 | $13.794,40 | 432 / 10 | $3.186,23 | 46 / 1 | $2.146,85 | 46 / 1 |
| Heart Failure & Shock W Cc | 75 | 203 / 7 | $16.455,10 | 739 / 16 | $5.202,68 | 61 / 1 | $4.238,40 | 61 / 1 |
| Heart Failure & Shock W Mcc | 102 | 182 / 5 | $25.426,00 | 775 / 15 | $8.438,39 | 53 / 5 | $6.782,71 | 53 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 48 | 62 / 2 | $11.705,20 | 430 / 4 | $3.858,83 | 26 / 4 | $2.592,48 | 26 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 66 | 77 / 5 | $35.232,30 | 417 / 9 | $10.563,80 | 12 / 4 | $8.515,12 | 12 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 8 | $46.905,80 | 113 / 2 | $18.628,60 | 1 / 13 | $11.819,50 | 1 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 51 | 131 / 7 | $19.249,40 | 429 / 13 | $5.566,71 | 49 / 2 | $4.383,10 | 49 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 8 | $19.294,80 | 78 / 1 | $8.728,36 | 46 / 2 | $7.832,60 | 46 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 40 | 62 / 4 | $14.712,10 | 234 / 5 | $4.543,70 | 26 / 8 | $2.757,88 | 26 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 6 | $17.771,00 | 411 / 10 | $5.582,40 | 11 / 1 | $4.537,52 | 11 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 6 | $13.479,80 | 707 / 18 | $4.119,30 | 49 / 3 | $3.029,36 | 49 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 7 | $65.273,30 | 188 / 4 | $17.382,30 | 49 / 1 | $16.257,70 | 49 / 1 |
| Major Chest Procedures W Mcc | 11 | 38 / 4 | $111.237,00 | 118 / 2 | $27.317,10 | 29 / 1 | $24.395,40 | 29 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 7 | $19.306,70 | 268 / 8 | $5.994,69 | 37 / 1 | $5.221,46 | 37 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 8 | $33.697,80 | 79 / 1 | $11.809,60 | 44 / 1 | $9.916,15 | 44 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 7 | $45.880,30 | 84 / 4 | $15.393,20 | 21 / 1 | $14.283,80 | 21 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 340 | 235 / 6 | $34.842,50 | 450 / 6 | $11.394,20 | 210 / 3 | $9.754,89 | 210 / 2 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 10 | $37.714,50 | 40 / 1 | $13.514,80 | 57 / 1 | $12.391,80 | 57 / 3 |
| Major Small & Large Bowel Procedures W Cc | 32 | 76 / 6 | $60.801,60 | 656 / 17 | $13.557,40 | 210 / 2 | $12.522,50 | 208 / 4 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 7 | $77.612,90 | 179 / 5 | $23.966,00 | 29 / 1 | $23.117,90 | 29 / 1 |
| Medical Back Problems W/O Mcc | 46 | 75 / 5 | $13.870,20 | 165 / 5 | $4.577,02 | 46 / 2 | $3.367,67 | 46 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 10 | $20.686,50 | 445 / 8 | $5.841,62 | 39 / 1 | $4.972,54 | 39 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 10 | $12.950,10 | 669 / 16 | $3.678,71 | 70 / 2 | $2.764,77 | 70 / 3 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 8 | $23.749,20 | 96 / 1 | $9.522,50 | 35 / 1 | $8.626,64 | 35 / 2 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 6 | $18.081,10 | 287 / 6 | $5.062,74 | 37 / 1 | $4.152,95 | 37 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 5 | $27.781,90 | 474 / 5 | $5.649,36 | 6 / 1 | $4.066,45 | 6 / 1 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 18 | 22 / 1 | $33.049,00 | 20 / 1 | $11.275,40 | 4 / 1 | $9.022,17 | 4 / 1 |
| Other Vascular Procedures W Cc | 14 | 88 / 7 | $41.762,10 | 106 / 2 | $13.176,80 | 39 / 1 | $12.113,50 | 39 / 1 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 6 | $40.786,50 | 186 / 1 | $8.912,55 | 20 / 1 | $7.676,73 | 20 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 10 | $59.728,80 | 77 / 2 | $20.261,30 | 4 / 7 | $13.196,80 | 4 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 60 | 136 / 5 | $46.002,90 | 150 / 4 | $11.337,10 | 90 / 2 | $9.310,63 | 90 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 7 | $45.688,20 | 104 / 2 | $9.558,00 | 33 / 1 | $8.326,83 | 33 / 2 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 4 | $11.085,00 | 58 / 1 | $4.722,14 | 30 / 1 | $4.015,14 | 30 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 6 | $27.205,80 | 32 / 1 | $11.292,30 | 38 / 1 | $10.170,30 | 38 / 1 |
| Psychoses | 154 | 150 / 8 | $16.801,80 | 242 / 12 | $5.370,82 | 13 / 1 | $4.364,34 | 13 / 1 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 15 | $20.698,80 | 444 / 10 | $7.120,98 | 13 / 3 | $5.176,12 | 13 / 1 |
| Pulmonary Embolism W Mcc | 13 | 30 / 8 | $25.186,40 | 100 / 3 | $7.285,69 | 5 / 1 | $6.327,69 | 5 / 1 |
| Pulmonary Embolism W/O Mcc | 28 | 46 / 5 | $14.582,90 | 137 / 4 | $4.929,96 | 29 / 1 | $3.960,68 | 29 / 1 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 8 | $13.703,80 | 329 / 7 | $4.201,32 | 33 / 1 | $3.164,58 | 33 / 2 |
| Renal Failure W Cc | 31 | 190 / 16 | $19.493,00 | 929 / 21 | $5.097,48 | 42 / 2 | $4.010,68 | 42 / 2 |
| Renal Failure W Mcc | 21 | 174 / 18 | $22.965,40 | 362 / 5 | $8.070,71 | 21 / 1 | $6.715,19 | 21 / 1 |
| Respiratory Infections & Inflammations W Cc | 25 | 63 / 6 | $17.137,30 | 159 / 2 | $7.051,72 | 45 / 2 | $6.202,76 | 45 / 2 |
| Respiratory Infections & Inflammations W Mcc | 73 | 63 / 2 | $26.736,30 | 287 / 6 | $10.028,50 | 67 / 3 | $9.212,84 | 67 / 3 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 5 | $29.357,60 | 102 / 1 | $8.918,45 | 35 / 1 | $8.222,64 | 35 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 11 | $52.426,20 | 692 / 9 | $12.579,30 | 37 / 1 | $10.521,10 | 37 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 111 | 405 / 17 | $31.116,00 | 834 / 19 | $10.286,50 | 50 / 5 | $8.401,29 | 50 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 55 | 152 / 11 | $19.244,10 | 716 / 16 | $5.628,09 | 91 / 1 | $4.611,60 | 91 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 10 | $15.758,90 | 653 / 13 | $5.174,60 | 48 / 2 | $3.975,90 | 48 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 108 | 97 / 4 | $21.750,10 | 488 / 7 | $7.701,65 | 180 / 1 | $6.770,90 | 180 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 4 | $11.730,70 | 396 / 10 | $3.902,18 | 11 / 4 | $2.385,88 | 11 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 8 | $59.094,00 | 205 / 4 | $20.998,20 | 193 / 1 | $19.825,40 | 192 / 3 |
| Syncope & Collapse | 23 | 146 / 8 | $16.101,90 | 494 / 10 | $3.805,22 | 79 / 1 | $2.944,78 | 79 / 3 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 3 | $13.954,60 | 56 / 1 | $4.389,27 | 5 / 1 | $3.157,64 | 5 / 1 |
| Transient Ischemia | 14 | 111 / 11 | $12.462,20 | 142 / 1 | $3.651,57 | 23 / 1 | $2.520,00 | 23 / 1 | Total 80 procedures | 3.029 | 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.