Hospital Costs > In Iowa > Mercy Medical Center-Sioux City, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 248 | 268 / 5 | $33.371,10 | 967 / 22 | $10.945,70 | 443 / 10 | $9.410,39 | 443 / 7 |
| Heart Failure & Shock W Mcc | 78 | 206 / 7 | $23.801,30 | 651 / 10 | $8.526,40 | 389 / 6 | $7.552,27 | 389 / 6 |
| Renal Failure W Cc | 73 | 148 / 4 | $16.655,70 | 633 / 11 | $5.681,01 | 375 / 9 | $4.628,44 | 372 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 71 | 131 / 4 | $15.917,40 | 385 / 5 | $6.869,77 | 308 / 10 | $5.572,17 | 307 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 64 | 500 / 23 | $42.839,30 | 918 / 21 | $12.528,40 | 547 / 7 | $10.389,40 | 542 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 10 | $20.962,60 | 879 / 17 | $6.153,56 | 479 / 7 | $5.177,67 | 477 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 10 | $24.905,50 | 694 / 14 | $8.456,05 | 240 / 9 | $6.914,16 | 240 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 53 | 90 / 7 | $45.193,70 | 848 / 21 | $11.120,90 | 434 / 8 | $9.970,72 | 433 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 50 | 146 / 8 | $45.779,00 | 145 / 3 | $12.021,20 | 202 / 7 | $9.814,50 | 202 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 10 | $16.440,80 | 733 / 17 | $5.709,83 | 368 / 11 | $4.533,62 | 366 / 10 |
| Renal Failure W Mcc | 48 | 147 / 8 | $34.306,80 | 1016 / 18 | $9.562,12 | 610 / 14 | $8.227,31 | 610 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 48 | 134 / 8 | $21.156,80 | 544 / 15 | $6.216,48 | 378 / 7 | $5.076,81 | 377 / 8 |
| G.I. Hemorrhage W Cc | 47 | 171 / 10 | $18.033,00 | 569 / 14 | $5.876,53 | 211 / 9 | $4.577,19 | 211 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 12 | $15.586,30 | 826 / 14 | $4.484,84 | 513 / 13 | $3.414,84 | 511 / 13 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 41 | 83 / 4 | $85.300,50 | 304 / 5 | $31.111,90 | 160 / 7 | $26.377,70 | 160 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 38 | 88 / 2 | $21.313,60 | 475 / 10 | $6.432,84 | 241 / 4 | $5.604,21 | 239 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 5 | $31.032,80 | 379 / 9 | $9.687,08 | 144 / 6 | $8.285,68 | 143 / 7 |
| Major Small & Large Bowel Procedures W Cc | 36 | 72 / 4 | $47.869,30 | 352 / 9 | $12.998,60 | 88 / 1 | $11.832,20 | 88 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 9 | $14.020,30 | 416 / 4 | $5.391,91 | 455 / 8 | $4.490,21 | 454 / 10 |
| Heart Failure & Shock W Cc | 33 | 245 / 18 | $14.590,70 | 531 / 10 | $5.697,00 | 324 / 8 | $4.704,48 | 324 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 9 | $13.410,50 | 360 / 8 | $4.665,97 | 386 / 8 | $3.718,09 | 386 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 31 | 163 / 11 | $63.059,60 | 254 / 5 | $23.377,80 | 202 / 7 | $19.898,30 | 201 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 30 | 32 / 4 | $69.431,20 | 409 / 13 | $17.715,70 | 296 / 8 | $16.540,30 | 293 / 8 |
| Cellulitis W/O Mcc | 30 | 159 / 15 | $15.921,20 | 987 / 23 | $4.988,37 | 687 / 11 | $4.035,57 | 683 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 9 | $32.252,70 | 520 / 10 | $9.999,21 | 521 / 9 | $9.045,69 | 520 / 10 |
| Medical Back Problems W/O Mcc | 28 | 93 / 6 | $15.457,10 | 249 / 8 | $5.082,64 | 184 / 8 | $3.719,18 | 184 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 25 | 11 / 1 | $41.283,40 | 63 / 1 | $14.982,80 | 8 / 2 | $10.802,20 | 8 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 25 | 73 / 8 | $24.435,00 | 265 / 6 | $6.455,80 | 118 / 5 | $4.746,96 | 118 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 15 | $12.483,30 | 574 / 14 | $4.576,20 | 557 / 13 | $3.663,24 | 556 / 16 |
| Chest Pain | 24 | 127 / 6 | $11.502,50 | 225 / 3 | $3.995,92 | 153 / 7 | $2.467,62 | 152 / 3 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 23 | 43 / 2 | $39.238,00 | 155 / 8 | $14.891,90 | 66 / 10 | $9.130,30 | 66 / 7 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 8 | $29.719,10 | 319 / 10 | $10.598,90 | 71 / 10 | $8.330,70 | 71 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 7 | $118.596,00 | 545 / 12 | $32.314,40 | 633 / 9 | $31.242,60 | 631 / 11 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 22 | 51 / 2 | $31.167,70 | 95 / 5 | $7.686,41 | 58 / 3 | $5.638,95 | 58 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 7 | $26.682,90 | 293 / 7 | $8.785,14 | 190 / 5 | $7.945,43 | 190 / 6 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 21 | $19.049,00 | 347 / 7 | $7.404,29 | 197 / 9 | $5.902,10 | 197 / 4 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 21 | 70 / 5 | $27.741,60 | 139 / 4 | $6.422,14 | 34 / 2 | $5.911,29 | 34 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 18 | $11.066,20 | 432 / 9 | $4.336,52 | 299 / 12 | $3.132,67 | 299 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 10 | $8.135,43 | 155 / 5 | $3.532,86 | 217 / 11 | $2.160,38 | 216 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 21 | 44 / 6 | $59.428,20 | 249 / 10 | $18.905,70 | 298 / 7 | $17.577,50 | 296 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 10 | $20.908,60 | 325 / 6 | $6.333,35 | 131 / 8 | $4.776,55 | 131 / 4 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 14 | $25.085,00 | 235 / 3 | $10.692,30 | 242 / 7 | $9.867,65 | 242 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 9 | $54.760,10 | 759 / 10 | $15.360,20 | 1116 / 12 | $14.673,50 | 1104 / 16 |
| Admit For Renal Dialysis | 19 | 2 / 1 | $15.461,80 | 3 / 1 | $5.411,53 | 2 / 1 | $4.538,37 | 2 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 8 | $13.677,60 | 418 / 9 | $3.692,11 | 152 / 5 | $2.440,42 | 152 / 4 |
| Transient Ischemia | 19 | 106 / 8 | $16.679,10 | 392 / 8 | $4.164,58 | 219 / 5 | $3.045,00 | 219 / 5 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 18 | 71 / 5 | $25.920,10 | 212 / 6 | $6.345,61 | 58 / 3 | $4.551,94 | 58 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 16 | $24.000,60 | 246 / 7 | $6.607,50 | 68 / 9 | $4.642,11 | 68 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 10 | $15.557,20 | 291 / 8 | $5.407,50 | 16 / 15 | $2.634,44 | 16 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 12 | $16.362,60 | 170 / 3 | $7.014,22 | 247 / 6 | $5.958,22 | 247 / 6 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 6 | $31.670,40 | 257 / 4 | $10.292,90 | 105 / 2 | $9.172,39 | 105 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 3 | $32.193,40 | 128 / 4 | $9.382,71 | 227 / 1 | $8.401,29 | 227 / 3 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 17 | 30 / 3 | $35.757,60 | 181 / 6 | $8.780,71 | 57 / 5 | $6.854,41 | 57 / 3 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 4 | $16.842,60 | 198 / 3 | $4.855,06 | 57 / 8 | $3.111,69 | 57 / 4 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 4 | $20.070,50 | 300 / 6 | $5.407,50 | 158 / 2 | $4.365,75 | 158 / 3 |
| Nervous System Neoplasms W Mcc | 16 | 32 / 2 | $19.648,90 | 18 / 1 | $7.429,88 | 30 / 1 | $6.527,94 | 30 / 1 |
| Other Vascular Procedures W Cc | 15 | 87 / 6 | $38.199,90 | 79 / 1 | $14.056,70 | 212 / 2 | $13.438,20 | 212 / 3 |
| Diabetes W Cc | 15 | 77 / 8 | $11.850,00 | 144 / 2 | $4.899,33 | 227 / 4 | $3.883,20 | 227 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 12 | $16.445,10 | 330 / 5 | $6.313,27 | 139 / 6 | $5.124,73 | 139 / 5 |
| Seizures W Mcc | 14 | 52 / 4 | $28.347,40 | 136 / 3 | $8.697,93 | 123 / 2 | $7.895,21 | 123 / 2 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 11 | $21.157,40 | 449 / 15 | $6.062,21 | 129 / 9 | $4.429,86 | 129 / 4 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 2 | $20.699,20 | 191 / 1 | $5.098,57 | 114 / 1 | $4.420,86 | 114 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 14 | $11.059,20 | 324 / 7 | $4.227,07 | 312 / 10 | $3.061,50 | 310 / 8 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 6 | $34.117,10 | 201 / 4 | $8.719,00 | 22 / 2 | $6.820,21 | 22 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 5 | $134.803,00 | 422 / 2 | $35.724,20 | 375 / 2 | $34.604,20 | 374 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 4 | $16.672,50 | 143 / 1 | $5.766,23 | 32 / 2 | $4.387,08 | 32 / 2 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 5 | $14.862,10 | 61 / 1 | $7.107,69 | 172 / 1 | $6.414,46 | 172 / 2 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 9 | $13.393,90 | 283 / 6 | $3.800,46 | 114 / 3 | $2.737,54 | 113 / 4 |
| Syncope & Collapse | 13 | 156 / 16 | $16.071,60 | 493 / 9 | $4.363,54 | 620 / 6 | $3.669,08 | 617 / 9 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 13 | 85 / 5 | $65.054,40 | 40 / 1 | $22.703,10 | 14 / 1 | $20.306,20 | 14 / 1 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 11 | $23.714,30 | 841 / 16 | $4.867,92 | 161 / 9 | $3.132,50 | 161 / 5 |
| G.I. Obstruction W Cc | 12 | 80 / 15 | $15.217,20 | 307 / 9 | $5.140,42 | 223 / 6 | $4.088,75 | 222 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 6 | $26.318,20 | 86 / 1 | $10.912,10 | 31 / 3 | $9.132,00 | 31 / 1 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 6 | $15.232,20 | 195 / 3 | $5.621,42 | 255 / 2 | $4.759,42 | 254 / 3 |
| Seizures W/O Mcc | 12 | 96 / 7 | $13.466,40 | 187 / 4 | $5.258,25 | 100 / 6 | $3.297,67 | 100 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 5 | $33.892,10 | 442 / 5 | $10.533,90 | 1 / 5 | $5.227,73 | 1 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 12 | $10.249,10 | 136 / 5 | $4.024,27 | 80 / 2 | $3.105,00 | 80 / 3 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 7 | $25.584,50 | 402 / 7 | $6.325,00 | 353 / 5 | $5.459,64 | 353 / 7 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 6 | $13.582,10 | 146 / 1 | $5.149,91 | 289 / 2 | $4.300,09 | 286 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 11 | $60.354,00 | 82 / 3 | $22.353,50 | 23 / 13 | $15.003,30 | 23 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 8 | $44.172,70 | 198 / 7 | $10.814,50 | 94 / 1 | $9.765,09 | 94 / 2 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 12 | $12.146,10 | 222 / 3 | $4.767,09 | 289 / 5 | $3.746,00 | 289 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 4 | $42.333,20 | 52 / 1 | $13.988,50 | 34 / 1 | $12.125,40 | 34 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 13 | $21.001,60 | 247 / 3 | $6.872,27 | 259 / 5 | $6.155,55 | 257 / 6 | Total 84 procedures | 2.345 | 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.