Hospital Costs > In Ohio > Mercy St Anne Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Mcc | 73 | 129 / 25 | $42.212,60 | 1995 / 106 | $6.854,31 | 259 / 24 | $5.521,49 | 258 / 15 |
Heart Failure & Shock W Cc | 68 | 210 / 45 | $37.980,70 | 2266 / 113 | $5.928,22 | 229 / 30 | $4.586,46 | 229 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 41 | $24.850,80 | 1876 / 98 | $4.544,46 | 262 / 23 | $3.189,93 | 262 / 13 |
Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 26 | $38.135,00 | 2277 / 117 | $5.741,89 | 600 / 21 | $4.744,78 | 597 / 37 |
Cellulitis W/O Mcc | 53 | 136 / 31 | $24.771,80 | 1858 / 106 | $5.056,34 | 354 / 22 | $3.753,02 | 351 / 25 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 51 | 513 / 76 | $98.277,50 | 2453 / 123 | $13.832,20 | 423 / 69 | $10.212,50 | 421 / 35 |
Simple Pneumonia & Pleurisy W Mcc | 49 | 156 / 32 | $49.337,40 | 1896 / 107 | $8.615,00 | 529 / 39 | $7.356,02 | 529 / 48 |
Chronic Obstructive Pulmonary Disease W Cc | 48 | 131 / 33 | $34.210,80 | 1888 / 106 | $5.548,58 | 282 / 20 | $4.295,85 | 281 / 18 |
Renal Failure W Cc | 47 | 174 / 45 | $34.314,20 | 1874 / 98 | $5.671,38 | 434 / 19 | $4.681,23 | 431 / 29 |
Heart Failure & Shock W Mcc | 44 | 240 / 60 | $54.371,80 | 2100 / 103 | $8.544,41 | 477 / 23 | $7.662,16 | 477 / 35 |
Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 43 | $26.862,70 | 2070 / 109 | $4.689,60 | 541 / 28 | $3.647,10 | 540 / 34 |
G.I. Hemorrhage W Cc | 40 | 178 / 42 | $39.753,80 | 1949 / 98 | $6.022,15 | 173 / 26 | $4.506,52 | 173 / 12 |
Red Blood Cell Disorders W/O Mcc | 37 | 106 / 18 | $27.999,40 | 1413 / 79 | $4.758,76 | 379 / 16 | $3.848,70 | 378 / 31 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 31 | $25.632,90 | 1920 / 103 | $4.231,80 | 388 / 19 | $3.227,74 | 388 / 21 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 29 | 487 / 85 | $74.518,20 | 2347 / 110 | $12.047,40 | 414 / 73 | $9.367,62 | 414 / 30 |
Renal Failure W Mcc | 28 | 167 / 50 | $63.401,20 | 1800 / 92 | $9.294,96 | 689 / 42 | $8.351,79 | 689 / 56 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 31 | $39.205,50 | 1484 / 87 | $6.393,43 | 468 / 22 | $5.665,96 | 467 / 38 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 43 | $35.819,00 | 1824 / 99 | $4.653,27 | 557 / 18 | $3.868,41 | 555 / 39 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 38 | $24.224,30 | 1596 / 89 | $3.413,53 | 386 / 17 | $2.343,21 | 383 / 24 |
Chest Pain | 19 | 132 / 31 | $28.762,10 | 1347 / 72 | $3.671,53 | 238 / 12 | $2.604,53 | 237 / 15 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 37 | $27.015,60 | 1613 / 101 | $4.301,18 | 264 / 14 | $3.102,47 | 264 / 21 |
Syncope & Collapse | 17 | 152 / 40 | $37.673,90 | 1645 / 90 | $4.443,53 | 197 / 21 | $3.180,47 | 196 / 15 |
G.I. Obstruction W Cc | 16 | 76 / 27 | $22.475,90 | 823 / 54 | $5.943,19 | 124 / 42 | $3.870,38 | 123 / 11 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 17 | $31.588,30 | 696 / 40 | $6.512,62 | 77 / 7 | $5.481,50 | 77 / 7 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 15 | $44.222,70 | 742 / 50 | $7.228,73 | 147 / 9 | $6.328,20 | 147 / 14 |
Pulmonary Edema & Respiratory Failure | 14 | 189 / 64 | $55.303,40 | 1851 / 91 | $7.092,43 | 501 / 15 | $6.335,71 | 501 / 35 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 15 | $53.257,90 | 882 / 39 | $6.770,71 | 640 / 23 | $5.804,86 | 637 / 30 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 43 | $64.723,60 | 1392 / 74 | $9.791,00 | 416 / 29 | $8.801,00 | 416 / 32 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 24 | $154.417,00 | 830 / 46 | $30.185,10 | 417 / 26 | $28.699,00 | 415 / 36 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 35 | $44.628,50 | 1398 / 76 | $6.603,08 | 512 / 21 | $6.032,77 | 509 / 39 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 39 | $118.695,00 | 926 / 51 | $28.464,20 | 36 / 40 | $17.700,80 | 36 / 1 |
Transient Ischemia | 13 | 112 / 39 | $31.052,80 | 1216 / 64 | $4.195,85 | 307 / 14 | $3.160,08 | 307 / 21 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 24 | $39.233,20 | 1016 / 58 | $6.007,46 | 34 / 12 | $4.391,69 | 34 / 3 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 14 | $27.759,90 | 415 / 30 | $5.207,38 | 83 / 6 | $4.116,77 | 83 / 9 |
Diabetes W Cc | 12 | 80 / 27 | $30.744,80 | 1204 / 68 | $5.440,00 | 13 / 28 | $3.140,50 | 13 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 29 | $27.323,60 | 1536 / 77 | $4.149,92 | 171 / 11 | $2.847,42 | 169 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 49 | $42.416,70 | 1379 / 77 | $7.038,18 | 297 / 16 | $6.034,45 | 296 / 24 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 31 | $87.789,40 | 1082 / 54 | $13.513,90 | 10 / 5 | $10.816,20 | 10 / 1 | Total 38 procedures | 1.089 | 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.