Hospital Costs > In Iowa > Mercy Medical Center-North Iowa, 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 | 27 | 64 / 4 | $23.909,70 | 464 / 9 | $6.537,44 | 372 / 12 | $5.267,19 | 371 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 46 | 79 / 3 | $45.437,30 | 1003 / 15 | $11.646,00 | 1065 / 18 | $10.528,30 | 1062 / 18 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 7 | $29.097,10 | 557 / 10 | $4.830,09 | 236 / 7 | $3.660,45 | 235 / 8 |
| Acute Myocardial Infarction, Expired W Mcc | 11 | 19 / 1 | $39.378,60 | 69 / 1 | $10.206,30 | 33 / 1 | $9.143,00 | 33 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 62 | 63 / 1 | $13.392,00 | 268 / 11 | $4.424,87 | 214 / 7 | $3.566,08 | 214 / 7 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 7 | $35.367,40 | 114 / 6 | $11.351,30 | 211 / 5 | $10.350,20 | 210 / 10 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 7 | $19.843,00 | 91 / 4 | $6.715,88 | 273 / 5 | $5.480,25 | 272 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 1 | $14.708,20 | 180 / 3 | $6.017,36 | 252 / 4 | $4.226,16 | 249 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 100 | 61 / 2 | $14.450,70 | 464 / 11 | $4.996,52 | 805 / 12 | $4.111,64 | 802 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 41 | 82 / 4 | $25.971,80 | 724 / 17 | $7.546,02 | 666 / 12 | $6.617,24 | 663 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 90 | 61 / 2 | $11.287,60 | 497 / 15 | $3.643,24 | 803 / 15 | $2.673,68 | 799 / 15 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 22 | 96 / 3 | $138.672,00 | 244 / 3 | $31.564,90 | 190 / 2 | $30.488,50 | 190 / 3 |
| Cellulitis W/O Mcc | 60 | 129 / 7 | $12.876,70 | 566 / 9 | $5.517,92 | 595 / 17 | $3.965,57 | 592 / 12 |
| Cervical Spinal Fusion W Cc | 17 | 36 / 3 | $46.290,80 | 67 / 2 | $17.425,60 | 156 / 2 | $16.308,50 | 155 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 37 | 67 / 1 | $34.399,90 | 114 / 2 | $13.407,40 | 364 / 2 | $11.958,60 | 363 / 3 |
| Chest Pain | 25 | 126 / 5 | $13.079,00 | 321 / 5 | $3.903,16 | 508 / 6 | $2.940,60 | 505 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 50 | 129 / 3 | $16.307,30 | 642 / 12 | $5.978,96 | 766 / 14 | $4.771,58 | 764 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 6 | $21.353,10 | 842 / 17 | $7.167,15 | 775 / 16 | $6.025,66 | 770 / 16 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 3 | $11.400,10 | 381 / 6 | $4.611,73 | 570 / 10 | $3.383,60 | 569 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 29 | 64 / 3 | $41.113,90 | 169 / 1 | $13.181,90 | 120 / 3 | $10.622,00 | 117 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 81 | 107 / 3 | $31.724,40 | 597 / 15 | $6.791,01 | 603 / 11 | $5.590,73 | 601 / 11 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 28 | 48 / 2 | $145.554,00 | 338 / 5 | $29.935,20 | 393 / 5 | $28.593,60 | 393 / 5 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 25 | 63 / 4 | $124.216,00 | 385 / 8 | $23.230,80 | 325 / 5 | $22.170,50 | 324 / 7 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 4 | $72.455,60 | 64 / 2 | $29.082,90 | 241 / 3 | $27.960,60 | 241 / 3 |
| Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 6 | $19.582,30 | 222 / 4 | $6.200,41 | 251 / 4 | $5.152,53 | 251 / 4 |
| Diabetes W Cc | 18 | 74 / 6 | $14.255,10 | 287 / 4 | $5.527,00 | 390 / 7 | $4.134,22 | 390 / 6 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 7 | $15.104,50 | 119 / 3 | $5.736,36 | 195 / 4 | $4.483,09 | 195 / 4 |
| Disorders Of The Biliary Tract W Cc | 17 | 37 / 3 | $18.737,90 | 53 / 1 | $6.436,76 | 63 / 1 | $5.199,18 | 63 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 10 | $22.697,80 | 326 / 5 | $7.317,00 | 301 / 8 | $6.243,86 | 299 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 7 | $16.105,80 | 881 / 17 | $4.862,55 | 312 / 19 | $3.244,94 | 311 / 10 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 14 | 30 / 3 | $58.173,70 | 112 / 2 | $18.057,90 | 67 / 2 | $14.534,60 | 66 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 3 | $114.146,00 | 313 / 2 | $31.960,50 | 404 / 1 | $30.780,90 | 404 / 2 |
| Extracranial Procedures W/O Cc/Mcc | 29 | 69 / 7 | $31.678,30 | 478 / 11 | $6.454,52 | 325 / 4 | $5.265,76 | 325 / 7 |
| Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 5 | $8.748,55 | 46 / 1 | $4.554,20 | 280 / 3 | $3.414,30 | 281 / 4 |
| G.I. Hemorrhage W Cc | 68 | 150 / 8 | $21.725,40 | 914 / 21 | $6.323,29 | 794 / 18 | $5.176,51 | 792 / 15 |
| G.I. Hemorrhage W Mcc | 26 | 95 / 6 | $25.962,20 | 200 / 7 | $10.619,20 | 529 / 11 | $9.742,62 | 530 / 11 |
| G.I. Obstruction W Cc | 37 | 55 / 5 | $18.840,10 | 573 / 18 | $5.587,78 | 652 / 14 | $4.639,19 | 651 / 14 |
| G.I. Obstruction W/O Cc/Mcc | 33 | 38 / 2 | $14.931,80 | 522 / 11 | $3.973,79 | 540 / 7 | $3.011,61 | 539 / 10 |
| Heart Failure & Shock W Cc | 121 | 157 / 3 | $17.826,50 | 910 / 18 | $6.127,75 | 1049 / 16 | $5.326,13 | 1047 / 18 |
| Heart Failure & Shock W Mcc | 74 | 210 / 8 | $29.642,00 | 1057 / 20 | $9.413,43 | 1222 / 18 | $8.607,99 | 1219 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 38 | 72 / 3 | $14.673,00 | 812 / 13 | $4.358,42 | 711 / 11 | $3.482,13 | 707 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 70 | 73 / 3 | $40.155,20 | 644 / 16 | $12.131,10 | 763 / 17 | $10.549,00 | 755 / 15 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 8 | $48.067,10 | 129 / 3 | $18.244,60 | 368 / 12 | $17.059,50 | 365 / 13 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 5 | $28.962,40 | 167 / 3 | $9.877,29 | 331 / 7 | $8.592,57 | 330 / 7 |
| Hypertension W/O Mcc | 14 | 51 / 3 | $13.904,90 | 173 / 1 | $4.029,36 | 184 / 1 | $2.854,21 | 182 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 57 | 125 / 5 | $20.838,10 | 521 / 14 | $6.824,61 | 784 / 17 | $5.528,56 | 782 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 32 | 136 / 6 | $25.904,10 | 231 / 7 | $10.467,40 | 540 / 10 | $9.443,56 | 539 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 8 | $16.921,40 | 359 / 11 | $4.786,67 | 424 / 10 | $3.538,29 | 421 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 11 | $17.282,20 | 387 / 8 | $6.901,47 | 816 / 12 | $6.113,47 | 815 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 6 | $12.021,80 | 517 / 12 | $4.887,50 | 824 / 21 | $3.839,25 | 819 / 18 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 6 | $36.496,70 | 101 / 4 | $12.621,20 | 143 / 7 | $10.144,70 | 143 / 4 |
| Major Cardiovasc Procedures W Mcc | 15 | 53 / 5 | $127.481,00 | 249 / 5 | $33.057,20 | 252 / 4 | $31.787,60 | 252 / 4 |
| Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 8 | $68.479,90 | 234 / 5 | $20.185,70 | 189 / 4 | $17.734,30 | 189 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 8 | $19.365,00 | 271 / 9 | $7.784,09 | 177 / 9 | $5.850,27 | 177 / 6 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 5 | $19.012,20 | 48 / 1 | $7.951,83 | 51 / 2 | $5.849,83 | 51 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 9 | $44.892,00 | 245 / 5 | $13.392,80 | 277 / 7 | $11.465,10 | 274 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 27 | 38 / 5 | $49.992,40 | 123 / 5 | $20.999,90 | 408 / 13 | $18.412,10 | 406 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 404 | 183 / 4 | $36.197,40 | 534 / 7 | $13.110,00 | 1049 / 16 | $11.145,70 | 1026 / 16 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 18 | 51 / 5 | $46.646,40 | 103 / 4 | $15.773,60 | 225 / 5 | $14.644,70 | 225 / 6 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 7 | $52.477,40 | 255 / 8 | $9.155,00 | 14 / 7 | $4.985,08 | 14 / 3 |
| Major Small & Large Bowel Procedures W Cc | 30 | 78 / 7 | $57.454,90 | 577 / 15 | $16.073,10 | 580 / 14 | $13.907,40 | 574 / 13 |
| Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 6 | $80.577,80 | 200 / 6 | $31.274,30 | 545 / 7 | $30.056,80 | 543 / 9 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 32 | 32 / 2 | $45.328,60 | 396 / 8 | $10.587,70 | 164 / 6 | $7.883,22 | 164 / 4 |
| Medical Back Problems W/O Mcc | 25 | 96 / 7 | $14.729,20 | 213 / 7 | $5.392,16 | 405 / 11 | $4.103,56 | 405 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 6 | $17.025,90 | 246 / 4 | $6.835,96 | 560 / 7 | $6.117,65 | 557 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 61 | 105 / 4 | $12.745,40 | 646 / 15 | $4.496,61 | 735 / 15 | $3.476,87 | 733 / 13 |
| Organic Disturbances & Mental Retardation | 23 | 36 / 1 | $25.798,00 | 288 / 1 | $6.639,09 | 174 / 1 | $5.549,52 | 174 / 2 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 4 | $16.694,50 | 113 / 1 | $5.912,40 | 200 / 1 | $5.119,60 | 199 / 2 |
| Other Circulatory System Diagnoses W Mcc | 27 | 89 / 4 | $33.384,90 | 300 / 6 | $11.657,00 | 542 / 6 | $10.917,20 | 540 / 7 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 5 | $17.322,50 | 255 / 5 | $6.202,24 | 341 / 5 | $4.932,62 | 338 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 5 | $17.879,10 | 181 / 2 | $6.156,27 | 139 / 3 | $4.983,55 | 139 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 42 | 59 / 2 | $19.242,10 | 104 / 1 | $9.616,26 | 273 / 6 | $8.287,33 | 273 / 8 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 4 | $32.898,30 | 33 / 1 | $12.902,20 | 5 / 2 | $8.909,64 | 5 / 1 |
| Other Vascular Procedures W Cc | 13 | 89 / 8 | $68.699,30 | 500 / 6 | $15.466,90 | 393 / 5 | $14.353,90 | 391 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 25 | 75 / 5 | $73.857,20 | 209 / 6 | $20.820,80 | 186 / 10 | $17.045,60 | 185 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 70 | 126 / 3 | $56.175,00 | 368 / 11 | $12.741,80 | 271 / 14 | $10.058,20 | 271 / 7 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 19 | 76 / 3 | $41.980,50 | 54 / 1 | $11.849,70 | 203 / 1 | $10.939,40 | 201 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 25 | 52 / 3 | $44.761,90 | 132 / 1 | $15.882,60 | 328 / 3 | $14.737,90 | 327 / 3 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 5 | $55.538,10 | 55 / 2 | $22.211,10 | 221 / 5 | $21.104,10 | 221 / 4 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 24 | 33 / 3 | $39.791,60 | 141 / 4 | $12.907,30 | 283 / 5 | $11.831,40 | 282 / 4 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 7 | $15.797,10 | 335 / 6 | $4.240,50 | 75 / 3 | $2.797,93 | 75 / 2 |
| Psychoses | 278 | 73 / 3 | $15.115,20 | 182 / 8 | $6.362,55 | 123 / 6 | $5.236,00 | 123 / 5 |
| Pulmonary Edema & Respiratory Failure | 39 | 164 / 16 | $24.332,30 | 681 / 16 | $7.619,74 | 649 / 13 | $6.513,15 | 649 / 11 |
| Pulmonary Embolism W Mcc | 17 | 26 / 5 | $27.725,90 | 130 / 5 | $9.865,47 | 167 / 7 | $8.085,29 | 167 / 7 |
| Pulmonary Embolism W/O Mcc | 39 | 35 / 3 | $17.892,90 | 285 / 10 | $6.453,62 | 158 / 13 | $4.509,36 | 158 / 6 |
| Red Blood Cell Disorders W/O Mcc | 24 | 119 / 6 | $18.284,50 | 740 / 12 | $5.104,42 | 488 / 9 | $3.973,08 | 487 / 7 |
| Renal Failure W Cc | 79 | 142 / 3 | $15.212,70 | 483 / 9 | $6.126,76 | 819 / 15 | $5.019,09 | 812 / 16 |
| Renal Failure W Mcc | 37 | 158 / 10 | $29.238,20 | 713 / 13 | $9.840,13 | 766 / 15 | $8.486,00 | 766 / 13 |
| Respiratory Infections & Inflammations W Cc | 32 | 56 / 3 | $17.598,70 | 176 / 4 | $8.405,44 | 641 / 10 | $7.653,94 | 638 / 13 |
| Respiratory Infections & Inflammations W Mcc | 28 | 108 / 11 | $32.038,40 | 469 / 12 | $11.900,00 | 794 / 13 | $11.118,50 | 784 / 14 |
| Respiratory Neoplasms W Cc | 11 | 36 / 4 | $20.574,70 | 67 / 1 | $7.235,09 | 146 / 1 | $6.384,18 | 145 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 8 | $43.597,60 | 430 / 7 | $15.954,20 | 557 / 15 | $12.602,20 | 549 / 7 |
| Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 7 | $62.200,80 | 160 / 3 | $20.348,10 | 314 / 5 | $19.535,10 | 313 / 7 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 16 | 53 / 2 | $43.316,20 | 63 / 2 | $16.735,00 | 146 / 5 | $14.240,10 | 146 / 3 |
| Seizures W/O Mcc | 14 | 94 / 5 | $17.125,70 | 375 / 6 | $4.834,07 | 399 / 4 | $3.904,79 | 397 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 193 | 323 / 8 | $27.824,00 | 687 / 10 | $11.206,60 | 861 / 17 | $10.003,00 | 860 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 73 | 134 / 8 | $17.950,80 | 595 / 13 | $6.642,78 | 936 / 14 | $5.609,47 | 933 / 16 |
| Signs & Symptoms W/O Mcc | 32 | 59 / 4 | $16.996,20 | 473 / 9 | $4.630,84 | 123 / 7 | $3.041,56 | 123 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 85 | 118 / 5 | $15.204,00 | 583 / 10 | $6.098,61 | 900 / 19 | $4.998,26 | 897 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 12 | $22.533,20 | 546 / 9 | $8.920,04 | 565 / 16 | $7.399,81 | 565 / 10 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 12 | $9.046,62 | 146 / 2 | $4.489,88 | 586 / 14 | $3.305,12 | 584 / 12 |
| Spinal Fusion Except Cervical W/O Mcc | 84 | 110 / 2 | $45.561,40 | 79 / 2 | $24.439,00 | 416 / 9 | $21.340,50 | 413 / 9 |
| Syncope & Collapse | 16 | 153 / 15 | $16.529,50 | 532 / 11 | $4.625,75 | 922 / 10 | $3.967,25 | 917 / 12 |
| Transient Ischemia | 12 | 113 / 13 | $22.435,50 | 823 / 12 | $4.495,00 | 443 / 10 | $3.307,67 | 442 / 8 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 4 | $14.453,20 | 71 / 1 | $4.401,27 | 136 / 2 | $3.381,27 | 136 / 2 | Total 105 procedures | 4.154 | 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.