Hospital Costs > In Indiana > Monroe 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 | 127 | 437 / 32 | $47.912,40 | 1187 / 28 | $11.944,90 | 512 / 5 | $10.335,10 | 509 / 14 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 47 | $19.343,10 | 367 / 12 | $6.645,50 | 152 / 1 | $5.809,50 | 152 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 41 | $12.925,30 | 665 / 15 | $3.821,14 | 166 / 2 | $2.961,71 | 166 / 3 |
| Cellulitis W/O Mcc | 13 | 176 / 41 | $15.669,50 | 943 / 30 | $4.710,77 | 153 / 3 | $3.490,77 | 153 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 47 | $12.310,60 | 280 / 3 | $5.339,75 | 92 / 2 | $4.131,75 | 92 / 1 | Total 5 procedures | 182 | 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.