Hospital Costs > In Ohio > Mercy St Charles Hospital, 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 Mcc | 12 | 113 / 45 | $41.780,80 | 890 / 55 | $9.500,83 | 436 / 19 | $8.852,75 | 436 / 34 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 15 | $26.931,10 | 636 / 39 | $5.699,43 | 378 / 20 | $4.499,50 | 374 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 40 | $23.516,40 | 1319 / 81 | $5.285,96 | 892 / 53 | $4.193,32 | 889 / 59 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 42 | $26.164,00 | 738 / 43 | $7.608,68 | 661 / 35 | $6.606,32 | 658 / 48 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 37 | $20.826,80 | 1443 / 83 | $3.847,05 | 707 / 48 | $2.591,10 | 703 / 42 |
Cellulitis W Mcc | 15 | 43 / 15 | $37.633,20 | 538 / 39 | $8.367,60 | 127 / 12 | $7.142,40 | 127 / 16 |
Cellulitis W/O Mcc | 55 | 134 / 29 | $23.328,20 | 1762 / 100 | $5.618,84 | 899 / 61 | $4.197,80 | 893 / 59 |
Chest Pain | 38 | 113 / 15 | $20.922,70 | 985 / 55 | $4.187,37 | 433 / 38 | $2.863,45 | 431 / 25 |
Chronic Obstructive Pulmonary Disease W Cc | 78 | 101 / 15 | $25.042,80 | 1454 / 85 | $6.040,36 | 806 / 53 | $4.801,41 | 803 / 52 |
Chronic Obstructive Pulmonary Disease W Mcc | 72 | 130 / 26 | $36.750,00 | 1823 / 100 | $7.526,39 | 1043 / 59 | $6.285,29 | 1038 / 68 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 27 | $21.744,90 | 1389 / 90 | $4.980,74 | 443 / 65 | $3.273,93 | 442 / 31 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 43 | $36.745,00 | 827 / 50 | $7.040,79 | 715 / 34 | $5.768,36 | 713 / 40 |
Diabetes W Cc | 19 | 73 / 22 | $27.417,90 | 1092 / 62 | $5.405,37 | 346 / 25 | $4.079,95 | 346 / 28 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 10 | $45.494,20 | 262 / 12 | $11.306,60 | 142 / 6 | $10.416,10 | 142 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 75 | 200 / 31 | $24.365,60 | 1831 / 94 | $5.076,84 | 919 / 63 | $3.708,29 | 914 / 54 |
G.I. Hemorrhage W Cc | 44 | 174 / 40 | $32.024,70 | 1663 / 82 | $6.664,34 | 743 / 62 | $5.130,34 | 741 / 51 |
G.I. Hemorrhage W Mcc | 16 | 105 / 35 | $55.119,20 | 1113 / 63 | $11.921,90 | 841 / 51 | $10.653,80 | 837 / 53 |
G.I. Obstruction W Cc | 15 | 77 / 28 | $27.423,10 | 1102 / 66 | $5.945,80 | 453 / 43 | $4.409,13 | 452 / 28 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 18 | $24.120,40 | 982 / 51 | $4.197,46 | 517 / 27 | $2.985,23 | 516 / 33 |
Heart Failure & Shock W Cc | 77 | 201 / 39 | $26.784,10 | 1791 / 95 | $6.477,97 | 1058 / 64 | $5.334,09 | 1056 / 66 |
Heart Failure & Shock W Mcc | 68 | 216 / 42 | $42.576,10 | 1763 / 87 | $9.094,28 | 644 / 44 | $7.868,38 | 644 / 49 |
Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 19 | $23.337,40 | 1471 / 80 | $4.580,00 | 794 / 45 | $3.549,83 | 790 / 49 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 35 | $53.098,10 | 1150 / 64 | $12.042,50 | 858 / 44 | $10.711,70 | 847 / 57 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 32 | $165.997,00 | 1107 / 59 | $32.032,90 | 571 / 33 | $30.120,10 | 566 / 41 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 45 | $40.346,70 | 1526 / 76 | $6.911,67 | 830 / 49 | $5.583,06 | 828 / 53 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 32 | $38.038,30 | 1445 / 83 | $7.354,82 | 866 / 58 | $6.174,18 | 864 / 61 |
Kidney & Urinary Tract Infections W/O Mcc | 57 | 176 / 33 | $22.141,40 | 1766 / 99 | $5.194,72 | 779 / 64 | $3.811,37 | 774 / 50 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 60 | 504 / 70 | $65.868,70 | 1890 / 109 | $13.071,80 | 948 / 49 | $10.966,00 | 929 / 64 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 26 | $114.347,00 | 515 / 31 | $25.687,70 | 59 / 7 | $24.244,80 | 59 / 11 |
Medical Back Problems W/O Mcc | 14 | 107 / 33 | $21.795,10 | 656 / 41 | $5.491,36 | 508 / 34 | $4.235,36 | 507 / 36 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 32 | $28.802,90 | 907 / 53 | $7.167,71 | 382 / 39 | $5.845,00 | 379 / 29 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 36 | $18.158,70 | 1344 / 73 | $4.761,30 | 1085 / 60 | $3.708,33 | 1082 / 68 |
Other Circulatory System Diagnoses W Mcc | 23 | 93 / 25 | $69.159,10 | 1039 / 60 | $11.566,70 | 181 / 32 | $9.536,30 | 181 / 20 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 26 | $53.494,50 | 823 / 52 | $9.982,54 | 384 / 30 | $8.687,38 | 383 / 31 |
Pulmonary Edema & Respiratory Failure | 24 | 179 / 54 | $43.081,70 | 1606 / 82 | $7.918,38 | 901 / 51 | $6.811,42 | 901 / 59 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 40 | $21.619,60 | 1036 / 61 | $5.410,93 | 463 / 51 | $3.945,71 | 462 / 33 |
Renal Failure W Cc | 55 | 166 / 42 | $27.105,80 | 1553 / 84 | $6.282,18 | 860 / 62 | $5.050,53 | 853 / 58 |
Renal Failure W Mcc | 29 | 166 / 49 | $46.682,10 | 1496 / 83 | $9.825,48 | 742 / 56 | $8.442,03 | 742 / 58 |
Respiratory Infections & Inflammations W Cc | 23 | 65 / 18 | $40.348,90 | 968 / 58 | $8.581,04 | 678 / 31 | $7.713,26 | 673 / 40 |
Respiratory Infections & Inflammations W Mcc | 28 | 108 / 30 | $60.346,20 | 1269 / 72 | $12.283,00 | 847 / 51 | $11.246,50 | 837 / 58 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 42 | $76.134,90 | 1250 / 66 | $18.516,60 | 267 / 69 | $11.813,00 | 265 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 81 | 435 / 65 | $59.775,20 | 2082 / 97 | $11.510,50 | 935 / 59 | $10.106,00 | 931 / 63 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 42 | $37.973,10 | 1965 / 95 | $7.001,35 | 1068 / 53 | $5.727,96 | 1065 / 64 |
Signs & Symptoms W/O Mcc | 13 | 78 / 22 | $22.400,30 | 788 / 47 | $4.617,92 | 368 / 25 | $3.478,15 | 367 / 27 |
Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 39 | $26.921,10 | 1762 / 100 | $6.195,68 | 888 / 55 | $4.986,22 | 885 / 62 |
Simple Pneumonia & Pleurisy W Mcc | 42 | 163 / 38 | $43.244,90 | 1688 / 98 | $9.047,52 | 1080 / 59 | $7.962,33 | 1080 / 72 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 28 | $18.570,90 | 1082 / 58 | $4.795,69 | 237 / 40 | $2.973,08 | 235 / 13 |
Syncope & Collapse | 32 | 137 / 28 | $22.410,30 | 1064 / 68 | $5.039,22 | 473 / 55 | $3.532,06 | 471 / 36 |
Transient Ischemia | 22 | 103 / 30 | $23.405,10 | 876 / 49 | $4.748,64 | 431 / 36 | $3.299,05 | 430 / 33 | Total 49 procedures | 1.514 | 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.