Hospital Costs > In Ohio > Mercy St Vincent Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 242 | 90 / 4 | $35.775,50 | 521 / 20 | $13.367,80 | 423 / 20 | $7.029,61 | 423 / 20 |
Heart Failure & Shock W Mcc | 119 | 165 / 17 | $43.943,70 | 1815 / 91 | $13.455,90 | 2023 / 102 | $10.474,80 | 2014 / 100 |
Heart Failure & Shock W Cc | 103 | 175 / 24 | $31.378,80 | 2030 / 103 | $9.519,32 | 2203 / 108 | $7.006,05 | 2197 / 107 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 102 | 414 / 59 | $76.575,20 | 2388 / 111 | $16.906,40 | 2178 / 108 | $13.091,50 | 2140 / 103 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 99 | 97 / 7 | $122.036,00 | 1330 / 63 | $17.087,10 | 1218 / 57 | $14.316,20 | 1211 / 59 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 69 | 56 / 5 | $81.083,30 | 1562 / 79 | $17.037,20 | 1481 / 77 | $12.719,20 | 1469 / 74 |
Renal Failure W Mcc | 68 | 127 / 23 | $48.708,90 | 1550 / 84 | $13.893,40 | 1451 / 88 | $10.105,40 | 1450 / 82 |
Renal Failure W Cc | 63 | 158 / 37 | $30.272,90 | 1705 / 93 | $9.395,10 | 1834 / 98 | $6.490,05 | 1824 / 94 |
Chronic Obstructive Pulmonary Disease W Mcc | 62 | 140 / 32 | $35.570,00 | 1776 / 99 | $10.849,20 | 2131 / 105 | $8.426,19 | 2123 / 104 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 62 | 213 / 39 | $34.177,80 | 2328 / 113 | $8.283,76 | 2236 / 110 | $5.339,79 | 2221 / 107 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 61 | 127 / 15 | $45.917,50 | 1099 / 57 | $10.033,20 | 1280 / 65 | $7.388,59 | 1277 / 63 |
Spinal Fusion Except Cervical W/O Mcc | 61 | 133 / 16 | $115.445,00 | 895 / 50 | $31.986,40 | 930 / 53 | $25.476,20 | 925 / 50 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 60 | 71 / 10 | $75.216,50 | 1237 / 65 | $20.030,20 | 1294 / 70 | $15.685,20 | 1281 / 68 |
Chronic Obstructive Pulmonary Disease W Cc | 57 | 122 / 26 | $27.775,90 | 1607 / 96 | $9.178,88 | 2057 / 106 | $6.912,12 | 2050 / 105 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 53 | 115 / 12 | $108.821,00 | 1546 / 63 | $18.357,80 | 1361 / 62 | $13.579,20 | 1355 / 58 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 52 | 130 / 20 | $65.200,10 | 1941 / 84 | $10.860,30 | 1723 / 80 | $7.770,15 | 1719 / 79 |
Simple Pneumonia & Pleurisy W Mcc | 48 | 157 / 33 | $43.227,50 | 1686 / 97 | $12.731,90 | 1841 / 103 | $9.526,58 | 1841 / 97 |
Cellulitis W/O Mcc | 48 | 141 / 33 | $24.962,70 | 1870 / 107 | $8.649,60 | 2152 / 106 | $5.946,23 | 2144 / 102 |
Transient Ischemia | 46 | 79 / 13 | $40.668,80 | 1456 / 71 | $7.411,39 | 1224 / 67 | $4.589,98 | 1218 / 63 |
Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 36 | $34.467,90 | 2162 / 113 | $9.486,05 | 2334 / 112 | $6.992,95 | 2325 / 110 |
Syncope & Collapse | 44 | 125 / 21 | $32.230,40 | 1509 / 87 | $7.652,00 | 1496 / 87 | $5.129,05 | 1489 / 81 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 42 | 522 / 81 | $68.941,40 | 1957 / 111 | $18.036,40 | 1767 / 115 | $12.752,20 | 1727 / 102 |
Chest Pain | 41 | 110 / 12 | $23.861,40 | 1157 / 67 | $6.684,02 | 1339 / 71 | $4.401,85 | 1331 / 68 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 41 | 59 / 8 | $160.305,00 | 867 / 43 | $31.210,00 | 719 / 43 | $22.248,40 | 715 / 39 |
Seizures W/O Mcc | 37 | 71 / 10 | $29.780,60 | 939 / 45 | $7.626,35 | 941 / 46 | $5.259,51 | 939 / 46 |
Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 47 | $33.262,10 | 2325 / 112 | $8.597,16 | 2355 / 110 | $5.979,70 | 2344 / 109 |
Medical Back Problems W/O Mcc | 37 | 84 / 17 | $32.401,30 | 1096 / 61 | $9.545,84 | 893 / 63 | $4.968,35 | 890 / 53 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 35 | 60 / 5 | $104.653,00 | 477 / 25 | $19.097,90 | 394 / 23 | $12.984,90 | 390 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 26 | $48.630,00 | 1504 / 84 | $12.130,40 | 1577 / 82 | $9.106,31 | 1574 / 79 |
G.I. Hemorrhage W Cc | 34 | 184 / 46 | $45.951,80 | 2090 / 101 | $9.983,26 | 1924 / 101 | $7.006,79 | 1920 / 97 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 34 | 92 / 18 | $49.758,30 | 1488 / 77 | $11.695,90 | 1419 / 75 | $8.833,79 | 1416 / 74 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 18 | $161.242,00 | 1084 / 57 | $40.825,20 | 889 / 56 | $33.803,70 | 883 / 51 |
G.I. Hemorrhage W Mcc | 33 | 88 / 18 | $66.551,80 | 1291 / 72 | $15.998,50 | 1218 / 71 | $12.351,20 | 1210 / 69 |
Poisoning & Toxic Effects Of Drugs W Mcc | 33 | 39 / 4 | $54.955,70 | 771 / 39 | $13.513,00 | 728 / 38 | $10.051,00 | 726 / 34 |
Other Vascular Procedures W Mcc | 32 | 65 / 11 | $134.248,00 | 805 / 44 | $28.648,20 | 739 / 40 | $24.379,10 | 736 / 39 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 35 | $25.924,80 | 1934 / 105 | $7.241,77 | 1905 / 101 | $4.669,94 | 1899 / 94 |
Pulmonary Edema & Respiratory Failure | 30 | 173 / 48 | $38.713,30 | 1459 / 75 | $11.334,10 | 1834 / 89 | $9.059,10 | 1829 / 91 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 36 | $30.882,80 | 1661 / 96 | $8.075,79 | 1743 / 95 | $5.590,03 | 1738 / 90 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 28 | 61 / 7 | $33.682,20 | 360 / 17 | $10.238,70 | 375 / 25 | $5.862,46 | 374 / 18 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 27 | 54 / 7 | $522.985,00 | 282 / 13 | $150.883,00 | 110 / 14 | $94.134,20 | 110 / 8 |
Other Circulatory System Diagnoses W Mcc | 27 | 89 / 21 | $73.773,60 | 1090 / 63 | $17.759,00 | 981 / 61 | $13.470,70 | 974 / 60 |
Diabetes W Cc | 26 | 66 / 15 | $30.206,70 | 1178 / 66 | $8.112,65 | 1258 / 66 | $5.989,12 | 1253 / 66 |
Coronary Bypass W Cardiac Cath W/O Mcc | 26 | 50 / 7 | $249.846,00 | 554 / 29 | $44.891,50 | 485 / 27 | $31.716,50 | 485 / 27 |
Other Vascular Procedures W Cc | 26 | 76 / 17 | $82.906,00 | 683 / 34 | $21.520,40 | 835 / 39 | $17.778,10 | 830 / 40 |
Seizures W Mcc | 25 | 41 / 9 | $56.571,30 | 542 / 26 | $13.836,40 | 540 / 27 | $11.109,90 | 540 / 27 |
Major Male Pelvic Procedures W/O Cc/Mcc | 25 | 48 / 4 | $122.154,00 | 365 / 10 | $11.926,40 | 280 / 9 | $8.344,28 | 280 / 10 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 29 | $22.671,60 | 1437 / 92 | $7.220,08 | 1797 / 99 | $5.328,36 | 1786 / 98 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 25 | 41 / 9 | $59.325,20 | 466 / 21 | $10.931,30 | 365 / 19 | $7.633,36 | 364 / 17 |
Major Cardiovasc Procedures W Mcc | 24 | 44 / 7 | $192.338,00 | 495 / 24 | $44.904,10 | 315 / 23 | $33.262,80 | 315 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 20 | $55.153,00 | 1535 / 68 | $8.057,54 | 1153 / 66 | $4.698,54 | 1149 / 58 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 32 | $81.028,90 | 1720 / 91 | $16.909,30 | 1658 / 86 | $13.719,50 | 1639 / 85 |
Peripheral Vascular Disorders W Cc | 23 | 61 / 11 | $32.569,00 | 872 / 55 | $9.315,70 | 905 / 54 | $6.673,43 | 902 / 52 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 31 | $38.539,50 | 1461 / 85 | $10.890,80 | 1507 / 86 | $7.636,22 | 1503 / 85 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 17 | $39.639,70 | 934 / 59 | $11.518,70 | 964 / 59 | $8.031,50 | 959 / 57 |
G.I. Obstruction W Cc | 21 | 71 / 22 | $25.510,00 | 1019 / 60 | $9.005,81 | 1458 / 70 | $6.515,19 | 1453 / 70 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 17 | $37.678,50 | 976 / 54 | $9.726,52 | 1114 / 61 | $7.152,38 | 1112 / 61 |
Pulmonary Embolism W/O Mcc | 21 | 53 / 15 | $39.983,40 | 1056 / 53 | $9.894,10 | 1070 / 51 | $6.960,00 | 1067 / 50 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 21 | 48 / 6 | $120.270,00 | 527 / 25 | $16.256,20 | 476 / 25 | $13.213,30 | 474 / 24 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 20 | 98 / 8 | $211.682,00 | 432 / 15 | $38.659,20 | 351 / 12 | $35.102,70 | 351 / 13 |
Coronary Bypass W Cardiac Cath W Mcc | 20 | 36 / 6 | $343.377,00 | 388 / 23 | $60.565,40 | 361 / 21 | $54.579,00 | 361 / 22 |
Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 17 | $109.120,00 | 665 / 36 | $26.027,60 | 756 / 34 | $23.573,90 | 755 / 38 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 16 | $212.046,00 | 790 / 43 | $60.173,00 | 591 / 44 | $38.451,70 | 590 / 36 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 19 | 38 / 7 | $83.262,90 | 596 / 27 | $17.148,20 | 585 / 27 | $15.057,60 | 584 / 28 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 27 | $22.133,10 | 1408 / 76 | $7.201,26 | 1685 / 83 | $5.018,42 | 1672 / 84 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 9 | $35.136,70 | 811 / 33 | $8.810,94 | 634 / 32 | $4.371,89 | 633 / 26 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 37 | $31.126,10 | 1545 / 84 | $8.130,18 | 1553 / 87 | $5.664,71 | 1544 / 83 |
Headaches W/O Mcc | 17 | 26 / 5 | $27.281,80 | 155 / 9 | $7.065,29 | 122 / 8 | $3.877,82 | 122 / 4 |
Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 17 | $67.364,60 | 552 / 28 | $17.460,60 | 677 / 27 | $14.565,50 | 674 / 29 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 17 | $176.542,00 | 664 / 37 | $41.627,70 | 641 / 37 | $35.653,40 | 640 / 37 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 10 | $61.240,80 | 359 / 16 | $16.260,00 | 432 / 19 | $13.188,20 | 429 / 20 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 17 | 81 / 11 | $213.654,00 | 445 / 14 | $41.918,40 | 345 / 13 | $31.523,80 | 345 / 10 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 25 | $102.699,00 | 1238 / 60 | $22.604,10 | 1221 / 58 | $17.759,40 | 1207 / 59 |
Peripheral Vascular Disorders W Mcc | 16 | 33 / 8 | $61.675,20 | 489 / 24 | $13.676,60 | 463 / 22 | $10.488,50 | 463 / 22 |
Hypertension W/O Mcc | 16 | 49 / 9 | $28.904,20 | 621 / 30 | $6.665,06 | 614 / 29 | $4.491,06 | 612 / 27 |
Other Disorders Of Nervous System W Cc | 16 | 40 / 8 | $53.416,40 | 574 / 21 | $10.282,30 | 518 / 20 | $7.110,06 | 517 / 20 |
Kidney & Ureter Procedures For Neoplasm W Cc | 16 | 28 / 2 | $136.999,00 | 177 / 8 | $17.786,00 | 105 / 7 | $13.670,10 | 105 / 6 |
Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 9 | $148.131,00 | 505 / 28 | $31.963,00 | 482 / 27 | $27.115,40 | 482 / 28 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 41 | $27.207,90 | 1688 / 92 | $6.239,44 | 1654 / 89 | $3.908,50 | 1648 / 87 |
Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 18 | $57.720,60 | 827 / 35 | $9.202,88 | 738 / 30 | $6.887,25 | 735 / 32 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 12 | $197.180,00 | 625 / 30 | $51.151,90 | 550 / 28 | $34.747,30 | 550 / 28 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 15 | 27 / 5 | $229.373,00 | 146 / 9 | $45.235,50 | 112 / 6 | $40.272,70 | 112 / 7 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 13 | $280.270,00 | 297 / 16 | $63.434,80 | 146 / 12 | $55.586,60 | 146 / 12 |
Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 14 | $44.949,60 | 720 / 35 | $10.798,50 | 678 / 33 | $7.532,27 | 678 / 33 |
Major Chest Procedures W Cc | 15 | 59 / 7 | $140.314,00 | 465 / 16 | $22.788,30 | 422 / 14 | $19.618,60 | 420 / 15 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 15 | 73 / 9 | $203.817,00 | 542 / 21 | $28.699,90 | 452 / 16 | $25.261,50 | 451 / 20 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 14 | $34.943,70 | 813 / 44 | $9.191,73 | 773 / 42 | $5.812,73 | 769 / 39 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 15 | 61 / 7 | $95.652,70 | 498 / 21 | $19.486,00 | 459 / 19 | $15.587,50 | 459 / 20 |
Other Circulatory System O.R. Procedures | 15 | 40 / 6 | $73.047,30 | 235 / 9 | $21.729,20 | 254 / 12 | $18.330,70 | 254 / 13 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 14 | 20 / 4 | $141.743,00 | 139 / 9 | $37.500,00 | 128 / 8 | $32.387,60 | 128 / 9 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 14 | 40 / 9 | $40.090,80 | 342 / 18 | $7.460,00 | 282 / 13 | $5.200,57 | 282 / 14 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 20 | $70.019,20 | 583 / 33 | $17.884,40 | 569 / 36 | $13.423,60 | 563 / 34 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 13 | $23.835,90 | 321 / 23 | $8.242,93 | 442 / 32 | $5.609,50 | 442 / 31 |
Other Resp System O.R. Procedures W Cc | 14 | 33 / 6 | $78.450,30 | 275 / 11 | $16.876,10 | 253 / 9 | $14.117,00 | 253 / 9 |
Disorders Of The Biliary Tract W Cc | 14 | 40 / 5 | $34.844,00 | 273 / 12 | $11.024,60 | 231 / 14 | $6.339,29 | 231 / 11 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 29 | $26.111,70 | 724 / 42 | $9.541,17 | 947 / 54 | $6.280,00 | 943 / 51 |
O.R. Procedures For Obesity W/O Cc/Mcc | 12 | 65 / 14 | $99.200,00 | 401 / 18 | $13.949,80 | 58 / 16 | $7.428,00 | 58 / 4 |
Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 19 | $91.195,10 | 711 / 38 | $29.884,10 | 613 / 40 | $16.900,00 | 612 / 33 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 12 | 33 / 8 | $76.968,60 | 158 / 8 | $15.953,70 | 128 / 8 | $13.201,30 | 128 / 8 |
Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 11 | $24.369,70 | 197 / 13 | $9.348,18 | 321 / 15 | $7.154,00 | 321 / 15 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 13 | $85.123,50 | 271 / 14 | $17.321,60 | 228 / 13 | $13.885,50 | 228 / 13 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 11 | 39 / 8 | $127.510,00 | 94 / 5 | $40.311,90 | 162 / 8 | $37.781,50 | 162 / 10 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 15 | $40.218,00 | 739 / 35 | $7.577,45 | 731 / 35 | $5.525,00 | 727 / 35 |
Major Chest Procedures W Mcc | 11 | 38 / 9 | $203.767,00 | 274 / 17 | $45.945,10 | 83 / 17 | $27.818,90 | 83 / 8 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 22 | $27.072,40 | 562 / 32 | $11.503,30 | 925 / 41 | $8.684,91 | 923 / 42 | Total 104 procedures | 3.339 | 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.