Hospital Costs > In Ohio > Metrohealth System, 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 | 14 | 77 / 23 | $20.558,60 | 304 / 19 | $12.258,00 | 1374 / 66 | $10.042,80 | 1372 / 66 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 38 | $35.005,90 | 615 / 45 | $17.881,70 | 1699 / 78 | $15.434,70 | 1686 / 80 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 18 | 48 / 9 | $47.161,50 | 240 / 12 | $19.488,20 | 544 / 22 | $16.875,90 | 540 / 22 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 23 | 66 / 10 | $28.978,00 | 276 / 12 | $12.260,10 | 741 / 27 | $10.308,30 | 740 / 27 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 9 | $12.880,00 | 124 / 6 | $10.746,00 | 1042 / 45 | $8.934,52 | 1038 / 45 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 52 | 109 / 19 | $18.585,90 | 914 / 54 | $10.293,80 | 2085 / 99 | $8.257,77 | 2080 / 99 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 27 | $28.515,40 | 884 / 54 | $15.080,40 | 1804 / 86 | $11.446,20 | 1801 / 86 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 27 | $13.350,90 | 767 / 43 | $7.982,40 | 1939 / 92 | $6.310,03 | 1933 / 92 |
| Cellulitis W Mcc | 20 | 38 / 11 | $20.811,40 | 146 / 13 | $15.383,80 | 890 / 48 | $12.728,50 | 888 / 48 |
| Cellulitis W/O Mcc | 67 | 122 / 22 | $13.471,30 | 657 / 44 | $10.759,00 | 2536 / 110 | $8.558,49 | 2528 / 111 |
| Cervical Spinal Fusion W Cc | 13 | 40 / 10 | $58.654,50 | 122 / 8 | $28.113,60 | 325 / 19 | $22.864,90 | 324 / 19 |
| Cervical Spinal Fusion W/O Cc/Mcc | 23 | 81 / 12 | $50.847,10 | 349 / 14 | $21.385,20 | 836 / 33 | $19.447,20 | 833 / 34 |
| Chest Pain | 48 | 103 / 8 | $14.310,90 | 437 / 24 | $8.440,38 | 1627 / 74 | $6.844,42 | 1618 / 74 |
| Chronic Obstructive Pulmonary Disease W Cc | 72 | 107 / 19 | $14.243,80 | 441 / 34 | $11.140,50 | 2350 / 110 | $9.231,31 | 2343 / 110 |
| Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 34 | $20.761,40 | 788 / 51 | $13.157,60 | 2451 / 111 | $10.827,10 | 2443 / 111 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 31 | $11.955,80 | 441 / 36 | $9.438,70 | 2043 / 103 | $7.483,91 | 2031 / 103 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 19 | $45.569,90 | 245 / 17 | $22.878,80 | 830 / 39 | $19.205,00 | 822 / 40 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 51 | 137 / 19 | $33.009,30 | 656 / 37 | $13.184,30 | 1554 / 70 | $10.118,30 | 1551 / 70 |
| Cirrhosis & Alcoholic Hepatitis W Cc | 13 | 13 / 3 | $12.746,30 | 4 / 1 | $11.240,40 | 83 / 3 | $9.563,54 | 83 / 3 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 9 | $13.112,30 | 69 / 5 | $10.805,60 | 703 / 38 | $9.029,89 | 703 / 38 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 26 | 72 / 8 | $109.875,00 | 235 / 3 | $40.715,30 | 415 / 12 | $34.773,50 | 415 / 13 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 15 | $20.723,50 | 256 / 18 | $12.321,40 | 804 / 35 | $9.444,00 | 804 / 35 |
| Diabetes W Cc | 44 | 48 / 4 | $16.291,80 | 425 / 26 | $10.712,70 | 1540 / 71 | $8.582,98 | 1535 / 71 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 11 | $17.703,20 | 136 / 9 | $11.418,00 | 528 / 23 | $9.638,42 | 528 / 23 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 18 | $20.994,50 | 334 / 18 | $11.526,40 | 922 / 39 | $9.285,00 | 919 / 39 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 29 | 52 / 5 | $260.952,00 | 47 / 4 | $128.754,00 | 252 / 10 | $117.465,00 | 251 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 13 | $20.342,30 | 214 / 15 | $13.928,80 | 1370 / 63 | $11.584,30 | 1365 / 63 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 85 | 190 / 26 | $13.301,50 | 543 / 36 | $9.541,39 | 2625 / 113 | $7.759,85 | 2610 / 113 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 19 | $27.012,50 | 342 / 14 | $11.511,90 | 915 / 37 | $10.023,60 | 912 / 37 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 10 | $21.957,10 | 429 / 26 | $9.618,50 | 775 / 36 | $7.655,78 | 773 / 36 |
| G.I. Hemorrhage W Cc | 46 | 172 / 38 | $20.774,50 | 813 / 47 | $11.787,20 | 2313 / 103 | $9.521,76 | 2309 / 103 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 32 | $27.326,30 | 241 / 16 | $17.385,20 | 1500 / 75 | $15.191,80 | 1490 / 75 |
| G.I. Obstruction W Cc | 17 | 75 / 26 | $15.103,80 | 295 / 19 | $11.304,80 | 1693 / 74 | $9.105,24 | 1688 / 74 |
| Heart Failure & Shock W Cc | 117 | 161 / 18 | $22.050,60 | 1402 / 75 | $12.496,80 | 2648 / 114 | $9.749,15 | 2642 / 114 |
| Heart Failure & Shock W Mcc | 98 | 186 / 29 | $29.943,40 | 1081 / 61 | $16.662,60 | 2461 / 109 | $13.536,40 | 2450 / 109 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 21 | $16.246,00 | 987 / 59 | $9.544,12 | 1951 / 87 | $7.362,54 | 1938 / 87 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 23 | $48.722,10 | 1004 / 60 | $20.050,70 | 1939 / 90 | $16.928,30 | 1919 / 90 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 12 | $77.807,40 | 499 / 25 | $30.507,30 | 883 / 43 | $25.741,60 | 880 / 43 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 33 | $90.707,10 | 379 / 26 | $45.937,10 | 1204 / 64 | $39.118,90 | 1196 / 63 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 68 | 114 / 16 | $20.393,90 | 502 / 27 | $12.660,20 | 1980 / 84 | $10.166,90 | 1976 / 84 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 52 | 116 / 13 | $32.094,40 | 414 / 22 | $18.311,80 | 1477 / 61 | $15.430,10 | 1470 / 63 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 24 | $25.863,10 | 944 / 51 | $10.044,20 | 1551 / 68 | $7.760,95 | 1547 / 68 |
| Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 43 | $14.073,90 | 805 / 47 | $9.794,24 | 2607 / 112 | $7.786,19 | 2596 / 112 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 20 | 35 / 7 | $45.557,10 | 214 / 12 | $19.899,20 | 588 / 24 | $16.444,00 | 584 / 24 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 18 | 29 / 4 | $30.894,90 | 127 / 3 | $15.735,60 | 494 / 14 | $13.570,20 | 494 / 14 |
| Major Cardiovasc Procedures W Mcc | 11 | 57 / 19 | $85.121,80 | 71 / 7 | $45.020,80 | 517 / 24 | $41.657,70 | 516 / 25 |
| Major Chest Trauma W Mcc | 11 | 8 / 1 | $29.631,80 | 3 / 1 | $15.939,60 | 17 / 1 | $12.906,00 | 17 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 21 | $19.275,80 | 267 / 16 | $13.636,40 | 1083 / 43 | $11.437,80 | 1081 / 44 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 13 | $27.000,50 | 93 / 6 | $18.588,70 | 595 / 32 | $15.756,30 | 594 / 32 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 84 | 480 / 56 | $31.415,70 | 288 / 12 | $21.121,30 | 2532 / 121 | $18.213,10 | 2486 / 123 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 24 | $62.201,90 | 688 / 38 | $26.456,80 | 1435 / 63 | $21.814,90 | 1421 / 63 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 25 | $132.248,00 | 675 / 36 | $53.266,80 | 1179 / 57 | $44.699,50 | 1176 / 57 |
| Medical Back Problems W Mcc | 18 | 21 / 4 | $31.362,50 | 79 / 5 | $16.306,50 | 289 / 13 | $13.447,80 | 289 / 14 |
| Medical Back Problems W/O Mcc | 62 | 59 / 6 | $22.493,30 | 700 / 42 | $10.391,00 | 1417 / 65 | $8.142,98 | 1412 / 65 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 46 | 80 / 10 | $17.382,90 | 267 / 17 | $12.873,60 | 1615 / 77 | $10.750,40 | 1612 / 77 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 63 | 103 / 12 | $13.108,20 | 701 / 39 | $9.384,48 | 2447 / 105 | $7.485,49 | 2438 / 105 |
| Other Circulatory System Diagnoses W Cc | 14 | 52 / 14 | $21.143,40 | 222 / 22 | $11.603,40 | 635 / 38 | $9.594,43 | 634 / 39 |
| Other Circulatory System Diagnoses W Mcc | 28 | 88 / 20 | $28.968,90 | 194 / 15 | $19.361,40 | 1225 / 66 | $16.347,50 | 1217 / 66 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 27 | $14.973,40 | 148 / 11 | $11.624,30 | 1385 / 58 | $10.006,50 | 1381 / 59 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 27 | $20.719,50 | 135 / 8 | $14.917,10 | 942 / 51 | $12.783,10 | 938 / 52 |
| Other Vascular Procedures W Cc | 16 | 86 / 24 | $59.840,20 | 356 / 15 | $25.322,60 | 1047 / 44 | $22.202,10 | 1042 / 44 |
| Other Vascular Procedures W Mcc | 15 | 82 / 23 | $57.988,70 | 140 / 10 | $30.031,20 | 844 / 42 | $26.631,70 | 841 / 43 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 21 | $62.242,30 | 94 / 4 | $29.522,50 | 907 / 41 | $26.809,00 | 902 / 43 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 38 | $48.235,70 | 193 / 8 | $19.697,50 | 1396 / 63 | $17.164,20 | 1388 / 63 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 11 | 43 / 8 | $79.220,30 | 83 / 1 | $29.262,40 | 220 / 8 | $26.000,80 | 220 / 8 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 15 | 80 / 13 | $84.915,30 | 375 / 23 | $24.645,40 | 548 / 25 | $17.304,60 | 544 / 25 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 13 | $20.601,80 | 437 / 30 | $11.870,30 | 1195 / 58 | $9.612,43 | 1192 / 58 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 14 | $28.335,20 | 313 / 17 | $14.908,00 | 870 / 40 | $12.274,50 | 867 / 40 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 21 | 40 / 7 | $16.991,00 | 400 / 19 | $9.185,86 | 872 / 33 | $7.152,95 | 871 / 33 |
| Pulmonary Edema & Respiratory Failure | 89 | 114 / 13 | $29.331,40 | 1000 / 54 | $14.512,00 | 2107 / 96 | $11.543,90 | 2101 / 96 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 20 | $12.833,40 | 92 / 4 | $10.822,90 | 1236 / 54 | $9.145,00 | 1233 / 54 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 14 | $23.749,60 | 257 / 18 | $14.103,90 | 1016 / 52 | $11.747,30 | 1012 / 52 |
| Red Blood Cell Disorders W/O Mcc | 40 | 103 / 15 | $18.571,40 | 762 / 50 | $10.588,10 | 1915 / 91 | $8.502,45 | 1906 / 91 |
| Renal Failure W Cc | 71 | 150 / 33 | $17.079,80 | 678 / 36 | $11.610,50 | 2338 / 102 | $9.433,93 | 2328 / 102 |
| Renal Failure W Mcc | 43 | 152 / 40 | $26.683,60 | 558 / 32 | $16.396,00 | 1989 / 94 | $13.698,40 | 1985 / 95 |
| Respiratory Infections & Inflammations W Mcc | 25 | 111 / 33 | $33.446,70 | 533 / 34 | $19.389,50 | 1651 / 78 | $15.925,00 | 1635 / 80 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 34 | $45.456,80 | 497 / 35 | $23.395,60 | 1656 / 76 | $19.811,10 | 1642 / 76 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 21 | $93.603,90 | 204 / 17 | $48.887,70 | 843 / 41 | $42.581,30 | 842 / 41 |
| Seizures W Mcc | 17 | 49 / 14 | $29.769,50 | 163 / 14 | $16.548,50 | 666 / 30 | $13.798,50 | 666 / 30 |
| Seizures W/O Mcc | 33 | 75 / 13 | $15.552,80 | 288 / 20 | $9.739,24 | 1247 / 50 | $8.057,61 | 1245 / 50 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 17 | $114.137,00 | 279 / 18 | $54.500,90 | 912 / 42 | $47.737,70 | 911 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 142 | 374 / 41 | $45.426,30 | 1595 / 85 | $20.052,00 | 2625 / 114 | $16.558,00 | 2580 / 114 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 39 | $22.568,60 | 1023 / 55 | $13.142,40 | 2448 / 98 | $9.893,72 | 2438 / 98 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 18 | 29 / 4 | $13.196,70 | 62 / 3 | $9.276,44 | 360 / 14 | $7.614,56 | 360 / 14 |
| Signs & Symptoms W Mcc | 14 | 27 / 6 | $24.133,20 | 95 / 3 | $13.098,00 | 237 / 12 | $10.231,90 | 237 / 12 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 16 | $14.736,20 | 312 / 22 | $9.427,74 | 1261 / 58 | $7.143,47 | 1258 / 58 |
| Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 36 | $15.549,30 | 627 / 38 | $11.220,70 | 2671 / 117 | $8.987,27 | 2662 / 117 |
| Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 43 | $26.097,80 | 777 / 51 | $15.671,10 | 2369 / 109 | $12.947,30 | 2363 / 110 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 24 | $13.498,40 | 551 / 32 | $9.323,47 | 1924 / 77 | $7.351,24 | 1916 / 77 |
| Spinal Fusion Except Cervical W/O Mcc | 28 | 166 / 28 | $61.776,10 | 239 / 12 | $36.043,40 | 1204 / 58 | $30.873,50 | 1199 / 57 |
| Spinal Procedures W Mcc | 14 | 4 / 1 | $83.435,40 | 3 / 1 | $44.330,20 | 9 / 1 | $40.711,70 | 9 / 2 |
| Syncope & Collapse | 52 | 117 / 18 | $16.328,20 | 513 / 35 | $9.522,52 | 1839 / 90 | $7.640,46 | 1831 / 90 |
| Transient Ischemia | 23 | 102 / 29 | $16.531,80 | 379 / 20 | $9.393,43 | 1619 / 71 | $7.538,61 | 1611 / 71 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 14 | 30 / 3 | $22.131,20 | 128 / 7 | $9.526,21 | 294 / 12 | $7.628,43 | 294 / 12 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 39 | 27 / 3 | $32.915,10 | 290 / 13 | $14.152,50 | 480 / 21 | $9.973,26 | 479 / 21 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 19 | 32 / 6 | $43.204,50 | 109 / 6 | $20.319,70 | 289 / 14 | $16.903,20 | 289 / 15 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 34 | 20 / 1 | $22.061,80 | 196 / 8 | $10.119,70 | 369 / 18 | $6.984,44 | 369 / 18 |
| Traumatic Stupor & Coma, Coma >1 Hr W Cc | 13 | 11 / 1 | $35.077,30 | 17 / 1 | $14.697,80 | 36 / 2 | $11.662,60 | 36 / 2 |
| Traumatic Stupor & Coma, Coma >1 Hr W/O Cc/Mcc | 11 | 10 / 1 | $26.895,00 | 14 / 1 | $10.675,10 | 18 / 1 | $8.443,45 | 18 / 1 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 16 | 30 / 4 | $24.528,60 | 79 / 2 | $11.400,70 | 240 / 8 | $9.439,56 | 240 / 8 |
| Vaginal Delivery W Complicating Diagnoses | 12 | 6 / 1 | $10.803,60 | 4 / 1 | $9.415,42 | 12 / 2 | $7.574,58 | 12 / 2 |
| Vaginal Delivery W/O Complicating Diagnoses | 13 | 12 / 3 | $11.689,50 | 35 / 1 | $8.324,62 | 69 / 5 | $6.274,15 | 69 / 5 | Total 102 procedures | 3.121 | 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.