Hospital Costs > In Ohio > Mercy Tiffin Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 45 | 519 / 79 | $45.466,40 | 1055 / 68 | $14.695,50 | 1723 / 87 | $12.620,70 | 1684 / 101 |
| Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 43 | $12.085,20 | 261 / 10 | $6.568,06 | 1478 / 75 | $5.491,14 | 1472 / 86 |
| Heart Failure & Shock W Cc | 27 | 251 / 72 | $11.060,70 | 201 / 9 | $6.651,85 | 1446 / 73 | $5.709,11 | 1441 / 82 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 54 | $13.634,00 | 231 / 13 | $7.804,46 | 1456 / 73 | $6.777,62 | 1450 / 84 |
| Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 58 | $11.858,20 | 220 / 14 | $6.298,70 | 1112 / 69 | $5.065,26 | 1108 / 72 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 63 | $9.538,84 | 245 / 13 | $5.113,37 | 946 / 59 | $3.919,63 | 939 / 59 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 46 | $8.347,68 | 174 / 10 | $4.743,79 | 1068 / 59 | $3.694,47 | 1065 / 67 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 18 | 498 / 89 | $19.500,20 | 241 / 11 | $11.982,00 | 1279 / 69 | $10.598,10 | 1258 / 75 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 54 | $12.489,90 | 46 / 3 | $9.450,94 | 1234 / 72 | $8.195,28 | 1234 / 82 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 40 | $7.426,00 | 103 / 5 | $3.749,35 | 829 / 42 | $2.694,00 | 825 / 58 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 24 | $11.622,40 | 384 / 21 | $4.770,00 | 897 / 39 | $3.590,00 | 892 / 47 |
| Cellulitis W/O Mcc | 16 | 173 / 61 | $10.594,20 | 312 / 21 | $5.678,81 | 1204 / 68 | $4.432,88 | 1198 / 76 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 72 | $12.958,20 | 501 / 31 | $5.025,27 | 1044 / 60 | $3.785,20 | 1036 / 65 |
| Heart Failure & Shock W Mcc | 14 | 270 / 80 | $16.367,10 | 215 / 12 | $10.023,40 | 1513 / 75 | $9.087,00 | 1509 / 83 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 39 | $9.093,93 | 157 / 9 | $4.834,50 | 966 / 54 | $3.705,14 | 957 / 69 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 46 | $22.504,70 | 161 / 12 | $13.089,00 | 1137 / 59 | $12.211,20 | 1123 / 67 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 53 | $10.044,00 | 112 / 11 | $5.331,27 | 935 / 59 | $4.228,55 | 932 / 63 | Total 17 procedures | 347 | 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.