Hospital Costs > In Ohio > Mercy Regional Medical Center Lorain, 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 | 25 | 66 / 15 | $21.573,20 | 361 / 22 | $6.780,80 | 247 / 32 | $5.045,88 | 247 / 19 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 26 | $30.174,80 | 446 / 29 | $10.397,40 | 470 / 38 | $8.928,10 | 470 / 38 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 10 | $28.783,50 | 551 / 26 | $4.697,50 | 254 / 10 | $3.702,50 | 253 / 13 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 16 | $14.371,30 | 311 / 13 | $4.560,13 | 235 / 11 | $3.619,73 | 235 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 43 | 118 / 25 | $16.165,20 | 644 / 42 | $5.198,56 | 708 / 48 | $4.019,23 | 705 / 47 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 23 | $24.142,50 | 597 / 36 | $7.546,53 | 768 / 31 | $6.759,53 | 765 / 54 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 65 | 85 / 9 | $12.947,70 | 704 / 39 | $3.836,29 | 850 / 47 | $2.709,12 | 846 / 59 |
| Cellulitis W Mcc | 12 | 46 / 18 | $19.300,00 | 115 / 9 | $8.396,83 | 172 / 15 | $7.323,67 | 171 / 23 |
| Cellulitis W/O Mcc | 81 | 108 / 15 | $13.440,40 | 653 / 43 | $5.457,42 | 866 / 47 | $4.175,11 | 860 / 58 |
| Chest Pain | 29 | 122 / 21 | $18.036,20 | 772 / 41 | $4.056,31 | 673 / 33 | $3.104,66 | 669 / 40 |
| Chronic Obstructive Pulmonary Disease W Cc | 101 | 78 / 5 | $14.196,80 | 436 / 33 | $5.952,83 | 995 / 51 | $4.953,61 | 992 / 65 |
| Chronic Obstructive Pulmonary Disease W Mcc | 115 | 87 / 9 | $17.117,00 | 487 / 34 | $7.222,62 | 968 / 45 | $6.214,43 | 963 / 66 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 57 | 63 / 8 | $11.482,50 | 391 / 28 | $4.711,65 | 919 / 44 | $3.668,40 | 911 / 66 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 46 | 142 / 23 | $35.524,90 | 783 / 46 | $6.846,54 | 637 / 27 | $5.644,13 | 635 / 34 |
| Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 12 | $22.032,80 | 296 / 23 | $6.272,76 | 296 / 14 | $5.260,53 | 296 / 21 |
| Diabetes W Cc | 40 | 52 / 6 | $15.525,00 | 368 / 21 | $6.827,05 | 611 / 57 | $4.408,75 | 610 / 40 |
| Diabetes W Mcc | 14 | 43 / 10 | $28.330,00 | 246 / 16 | $8.467,43 | 236 / 11 | $7.754,29 | 236 / 21 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 8 | $14.494,50 | 76 / 4 | $5.848,27 | 199 / 4 | $5.343,47 | 199 / 12 |
| Dysequilibrium | 12 | 53 / 13 | $22.180,00 | 293 / 17 | $4.253,42 | 99 / 10 | $2.754,92 | 99 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 17 | $21.644,50 | 286 / 22 | $7.402,45 | 477 / 25 | $6.575,00 | 474 / 36 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 99 | 176 / 20 | $16.391,20 | 926 / 59 | $4.923,05 | 895 / 55 | $3.690,98 | 890 / 51 |
| Extracranial Procedures W/O Cc/Mcc | 26 | 72 / 10 | $17.083,30 | 82 / 5 | $6.613,19 | 169 / 11 | $4.898,08 | 169 / 9 |
| G.I. Hemorrhage W Cc | 62 | 156 / 29 | $21.194,80 | 859 / 52 | $6.377,65 | 934 / 48 | $5.309,40 | 932 / 62 |
| G.I. Hemorrhage W Mcc | 27 | 94 / 24 | $33.442,70 | 444 / 28 | $9.948,22 | 326 / 20 | $9.232,52 | 326 / 33 |
| G.I. Hemorrhage W/O Cc/Mcc | 29 | 39 / 1 | $16.437,80 | 399 / 25 | $4.617,66 | 442 / 15 | $3.641,24 | 438 / 25 |
| G.I. Obstruction W Cc | 30 | 62 / 14 | $17.699,40 | 486 / 32 | $5.667,17 | 660 / 30 | $4.648,17 | 659 / 45 |
| G.I. Obstruction W Mcc | 11 | 31 / 10 | $30.054,20 | 132 / 6 | $9.516,64 | 13 / 8 | $7.443,55 | 13 / 2 |
| Heart Failure & Shock W Cc | 96 | 182 / 30 | $18.307,60 | 964 / 52 | $6.263,20 | 1012 / 53 | $5.301,55 | 1010 / 64 |
| Heart Failure & Shock W Mcc | 94 | 190 / 32 | $24.038,40 | 665 / 39 | $9.038,97 | 976 / 43 | $8.261,37 | 975 / 64 |
| Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 19 | $11.864,90 | 449 / 29 | $4.535,33 | 669 / 43 | $3.446,73 | 667 / 40 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 24 | $33.623,20 | 368 / 27 | $11.629,30 | 759 / 37 | $10.539,30 | 752 / 48 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 8 | $31.784,10 | 233 / 13 | $9.781,62 | 341 / 9 | $8.623,62 | 340 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 26 | $24.466,50 | 757 / 41 | $6.664,07 | 787 / 43 | $5.531,93 | 785 / 50 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 23 | $33.520,20 | 463 / 26 | $10.183,60 | 438 / 24 | $9.187,03 | 437 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 22 | $22.916,10 | 781 / 42 | $4.986,14 | 425 / 31 | $3.538,91 | 422 / 28 |
| Kidney & Urinary Tract Infections W Mcc | 38 | 106 / 21 | $16.945,50 | 364 / 27 | $6.743,89 | 537 / 39 | $5.754,95 | 536 / 42 |
| Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 34 | $15.618,30 | 1022 / 59 | $4.990,73 | 969 / 51 | $3.942,34 | 962 / 61 |
| Major Cardiovasc Procedures W/O Mcc | 31 | 70 / 8 | $56.263,20 | 98 / 4 | $19.733,30 | 118 / 9 | $17.102,70 | 118 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 23 | 50 / 11 | $17.885,90 | 205 / 12 | $7.119,87 | 411 / 16 | $6.433,43 | 410 / 27 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 10 | $22.775,50 | 62 / 3 | $10.437,90 | 98 / 5 | $9.792,75 | 98 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 13 | $47.447,20 | 100 / 4 | $17.730,20 | 175 / 8 | $16.543,30 | 175 / 13 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 100 | 464 / 49 | $43.440,40 | 950 / 58 | $14.522,10 | 1099 / 84 | $11.220,50 | 1075 / 76 |
| Major Small & Large Bowel Procedures W Cc | 22 | 86 / 20 | $40.718,20 | 200 / 8 | $13.959,30 | 106 / 8 | $11.929,70 | 106 / 9 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 24 | $56.318,90 | 55 / 4 | $24.404,40 | 14 / 3 | $21.862,60 | 14 / 4 |
| Medical Back Problems W/O Mcc | 19 | 102 / 28 | $22.601,10 | 707 / 44 | $5.434,26 | 652 / 30 | $4.483,63 | 650 / 45 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 20 | $14.699,80 | 134 / 6 | $6.899,12 | 415 / 30 | $5.898,22 | 412 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 56 | 110 / 15 | $13.521,40 | 759 / 43 | $4.582,39 | 1046 / 49 | $3.683,46 | 1043 / 65 |
| Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 8 | $21.874,10 | 160 / 5 | $5.960,44 | 98 / 3 | $4.839,56 | 98 / 2 |
| Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 11 | $23.371,70 | 54 / 3 | $9.539,79 | 106 / 6 | $8.941,50 | 106 / 8 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 15 | $18.527,70 | 158 / 16 | $6.064,15 | 193 / 12 | $5.106,46 | 192 / 14 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 28 | $41.109,60 | 511 / 37 | $11.074,20 | 106 / 26 | $9.173,65 | 106 / 14 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 19 | $18.025,70 | 285 / 18 | $6.135,36 | 486 / 17 | $5.176,68 | 483 / 31 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 17 | $19.199,00 | 224 / 10 | $6.270,18 | 304 / 10 | $5.507,27 | 304 / 16 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 26 | $25.755,50 | 265 / 17 | $9.094,77 | 263 / 17 | $8.244,31 | 263 / 21 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 13 | $67.570,80 | 135 / 8 | $20.835,00 | 162 / 9 | $20.085,30 | 162 / 12 |
| Other Vascular Procedures W Cc | 29 | 73 / 14 | $32.887,20 | 45 / 2 | $14.889,70 | 202 / 7 | $13.376,00 | 202 / 11 |
| Other Vascular Procedures W Mcc | 16 | 81 / 22 | $57.780,20 | 138 / 8 | $18.411,90 | 150 / 4 | $17.448,80 | 150 / 8 |
| Other Vascular Procedures W/O Cc/Mcc | 21 | 35 / 4 | $30.031,00 | 61 / 1 | $11.057,00 | 7 / 6 | $7.138,14 | 7 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 21 | 79 / 20 | $69.617,90 | 161 / 12 | $18.617,00 | 233 / 8 | $17.407,90 | 232 / 14 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 66 | 130 / 19 | $63.954,60 | 536 / 40 | $13.128,00 | 421 / 21 | $10.447,50 | 420 / 27 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 22 | $11.660,00 | 74 / 3 | $5.656,08 | 324 / 12 | $4.925,75 | 322 / 21 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 9 | $25.047,80 | 116 / 5 | $8.148,92 | 126 / 5 | $7.159,69 | 126 / 9 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 16 | $59.958,00 | 344 / 21 | $15.828,10 | 120 / 14 | $13.471,50 | 120 / 6 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 13 | $89.274,00 | 263 / 19 | $22.947,00 | 264 / 15 | $21.995,20 | 264 / 22 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 14 | $45.104,50 | 222 / 12 | $13.568,30 | 91 / 10 | $10.649,80 | 91 / 5 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 12 | $25.398,60 | 222 / 11 | $8.654,21 | 339 / 12 | $7.850,11 | 338 / 19 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 11 | $14.258,40 | 271 / 14 | $4.327,81 | 382 / 9 | $3.545,56 | 381 / 17 |
| Psychoses | 300 | 65 / 2 | $12.313,70 | 122 / 9 | $6.448,77 | 175 / 6 | $5.401,23 | 175 / 11 |
| Pulmonary Edema & Respiratory Failure | 46 | 157 / 38 | $21.989,40 | 536 / 32 | $7.582,72 | 763 / 37 | $6.664,20 | 763 / 54 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 23 | $20.579,00 | 412 / 21 | $6.299,75 | 640 / 25 | $5.433,25 | 637 / 36 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 18 | $23.111,60 | 241 / 15 | $7.706,75 | 370 / 17 | $7.025,92 | 368 / 30 |
| Red Blood Cell Disorders W/O Mcc | 57 | 86 / 6 | $17.302,90 | 654 / 44 | $5.330,19 | 561 / 48 | $4.048,60 | 559 / 41 |
| Renal Failure W Cc | 65 | 156 / 36 | $19.784,20 | 961 / 53 | $6.130,43 | 1071 / 46 | $5.254,28 | 1063 / 68 |
| Renal Failure W Mcc | 46 | 149 / 37 | $28.409,10 | 675 / 41 | $9.062,24 | 283 / 35 | $7.704,61 | 283 / 23 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 13 | $14.250,00 | 324 / 18 | $4.136,08 | 399 / 15 | $3.316,08 | 398 / 22 |
| Respiratory Infections & Inflammations W Cc | 21 | 67 / 20 | $17.077,00 | 157 / 9 | $8.122,57 | 471 / 24 | $7.280,19 | 468 / 27 |
| Respiratory Infections & Inflammations W Mcc | 35 | 101 / 25 | $31.582,50 | 437 / 27 | $11.260,30 | 385 / 28 | $10.228,70 | 384 / 31 |
| Respiratory Neoplasms W Cc | 12 | 35 / 7 | $22.541,80 | 92 / 6 | $7.285,75 | 160 / 5 | $6.462,42 | 159 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 53 | 78 / 15 | $41.378,30 | 362 / 27 | $13.697,00 | 502 / 28 | $12.441,20 | 495 / 33 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 18 | $73.564,80 | 84 / 8 | $27.015,10 | 74 / 2 | $25.932,40 | 74 / 9 |
| Seizures W Mcc | 14 | 52 / 17 | $26.640,40 | 119 / 8 | $8.836,93 | 108 / 11 | $7.804,50 | 108 / 10 |
| Seizures W/O Mcc | 29 | 79 / 15 | $18.529,40 | 464 / 28 | $5.012,21 | 306 / 21 | $3.763,66 | 304 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 99 | 417 / 60 | $29.204,90 | 743 / 40 | $10.661,70 | 419 / 32 | $9.375,62 | 419 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 41 | $19.179,50 | 712 / 38 | $6.319,70 | 670 / 22 | $5.370,22 | 668 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 110 | 93 / 5 | $16.058,30 | 692 / 43 | $6.163,37 | 1033 / 53 | $5.103,08 | 1030 / 68 |
| Simple Pneumonia & Pleurisy W Mcc | 81 | 124 / 14 | $21.968,70 | 508 / 34 | $8.824,14 | 750 / 48 | $7.607,60 | 750 / 58 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 42 | 51 / 5 | $12.403,40 | 448 / 25 | $4.696,71 | 810 / 37 | $3.509,83 | 806 / 43 |
| Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 35 | $50.043,20 | 117 / 7 | $21.774,80 | 135 / 7 | $19.351,60 | 134 / 11 |
| Syncope & Collapse | 55 | 114 / 15 | $19.755,90 | 838 / 53 | $4.763,18 | 665 / 41 | $3.708,96 | 662 / 48 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 14 | 28 / 4 | $15.940,50 | 81 / 4 | $5.344,86 | 147 / 6 | $4.584,14 | 147 / 8 |
| Transient Ischemia | 71 | 54 / 2 | $21.717,40 | 784 / 45 | $4.677,30 | 547 / 33 | $3.422,07 | 544 / 40 | Total 91 procedures | 3.476 | 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.