Hospital Costs > In Colorado > Mercy Regional Medical Center Durango, 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 | 15 | 76 / 6 | $24.641,10 | 505 / 3 | $8.133,93 | 1094 / 10 | $7.090,73 | 1092 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 17 | $15.370,90 | 554 / 1 | $6.076,00 | 1430 / 20 | $4.865,33 | 1425 / 20 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 15 | $15.700,70 | 1077 / 4 | $4.231,08 | 1275 / 14 | $3.135,08 | 1270 / 17 |
Cellulitis W/O Mcc | 18 | 171 / 17 | $17.739,60 | 1210 / 3 | $6.478,56 | 1892 / 22 | $5.339,00 | 1884 / 24 |
Cervical Spinal Fusion W/O Cc/Mcc | 23 | 81 / 8 | $69.326,50 | 568 / 5 | $17.376,80 | 750 / 14 | $16.165,00 | 747 / 17 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 3 | $26.346,20 | 129 / 1 | $15.343,00 | 4 / 3 | $4.549,82 | 4 / 1 |
Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 16 | $16.896,90 | 694 / 2 | $8.171,27 | 1106 / 18 | $5.061,91 | 1102 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 14 | $32.142,60 | 1604 / 13 | $9.027,29 | 2052 / 23 | $8.105,43 | 2044 / 25 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 9 | $30.147,80 | 524 / 2 | $8.356,60 | 1272 / 15 | $7.340,28 | 1269 / 17 |
Combined Anterior/Posterior Spinal Fusion W Cc | 32 | 16 / 1 | $167.919,00 | 40 / 1 | $65.921,00 | 89 / 3 | $61.386,10 | 89 / 3 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 27 | 20 / 2 | $146.918,00 | 56 / 1 | $49.989,80 | 101 / 2 | $48.783,30 | 101 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 24 | $18.644,10 | 1235 / 4 | $5.696,67 | 1736 / 22 | $4.382,12 | 1723 / 23 |
G.I. Hemorrhage W Cc | 19 | 199 / 20 | $31.824,50 | 1652 / 16 | $8.416,00 | 2056 / 29 | $7.525,00 | 2052 / 30 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 11 | $14.424,30 | 492 / 6 | $4.664,85 | 891 / 13 | $3.643,31 | 888 / 15 |
Heart Failure & Shock W Cc | 16 | 262 / 24 | $20.063,00 | 1193 / 9 | $7.888,94 | 1945 / 32 | $6.410,75 | 1940 / 29 |
Heart Failure & Shock W Mcc | 12 | 272 / 24 | $22.307,40 | 554 / 2 | $11.611,20 | 2129 / 28 | $10.901,90 | 2119 / 29 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 14 | $46.660,30 | 916 / 7 | $17.723,90 | 1520 / 30 | $12.870,80 | 1502 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 18 | $26.045,50 | 860 / 3 | $9.371,91 | 1404 / 21 | $6.574,18 | 1401 / 19 |
Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 24 | $16.090,10 | 1085 / 6 | $5.886,08 | 1875 / 24 | $4.782,08 | 1864 / 26 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 101 | 463 / 23 | $44.012,10 | 976 / 4 | $16.966,60 | 2240 / 36 | $14.907,50 | 2196 / 37 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 12 | $46.874,80 | 330 / 2 | $19.606,20 | 1276 / 24 | $18.470,20 | 1262 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 18 | $14.612,40 | 907 / 4 | $5.396,19 | 1807 / 18 | $4.490,19 | 1802 / 23 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 8 | $82.130,20 | 906 / 10 | $19.613,00 | 1240 / 27 | $14.586,70 | 1233 / 26 |
Pulmonary Edema & Respiratory Failure | 29 | 174 / 19 | $32.534,30 | 1174 / 12 | $10.737,80 | 1868 / 31 | $9.220,41 | 1863 / 32 |
Pulmonary Embolism W/O Mcc | 23 | 51 / 7 | $16.563,70 | 217 / 3 | $7.607,22 | 999 / 18 | $6.552,61 | 996 / 20 |
Renal Failure W Cc | 19 | 202 / 19 | $18.252,60 | 803 / 2 | $7.394,16 | 1842 / 22 | $6.503,21 | 1832 / 27 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 10 | $33.353,80 | 531 / 3 | $15.261,00 | 1523 / 20 | $14.413,00 | 1507 / 22 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 14 | $57.590,60 | 852 / 2 | $18.859,40 | 1539 / 16 | $18.088,40 | 1525 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 57 | 459 / 27 | $50.445,90 | 1798 / 21 | $16.596,10 | 2556 / 36 | $15.706,20 | 2512 / 38 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 14 | $20.807,80 | 862 / 6 | $8.396,79 | 1863 / 30 | $6.958,41 | 1855 / 27 |
Signs & Symptoms W/O Mcc | 13 | 78 / 10 | $24.775,40 | 881 / 7 | $5.878,08 | 1026 / 16 | $5.043,69 | 1023 / 17 |
Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 18 | $19.722,80 | 1103 / 9 | $7.650,59 | 2160 / 29 | $6.516,62 | 2152 / 31 |
Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 21 | $28.627,20 | 949 / 8 | $11.728,20 | 2102 / 30 | $10.670,80 | 2098 / 31 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 14 | $13.673,40 | 574 / 4 | $5.418,62 | 1553 / 17 | $4.576,77 | 1545 / 20 |
Spinal Fusion Except Cervical W/O Mcc | 55 | 139 / 11 | $95.607,20 | 690 / 6 | $31.774,10 | 1195 / 17 | $30.584,90 | 1190 / 25 | Total 35 procedures | 842 | 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.