Hospital Costs > In Colorado > Montrose Memorial 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 Cc | 11 | 80 / 9 | $21.960,90 | 374 / 1 | $6.599,45 | 629 / 3 | $5.715,09 | 628 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 15 | $12.627,20 | 670 / 1 | $3.735,25 | 771 / 4 | $2.649,00 | 767 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 15 | $14.758,00 | 299 / 1 | $7.320,50 | 1059 / 5 | $6.298,10 | 1054 / 9 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 10 | $12.536,10 | 499 / 3 | $4.579,25 | 682 / 2 | $3.472,58 | 680 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 19 | $15.135,80 | 774 / 2 | $4.738,78 | 949 / 8 | $3.732,56 | 942 / 12 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 9 | $11.468,50 | 136 / 1 | $4.542,75 | 291 / 3 | $3.436,08 | 292 / 3 |
| G.I. Hemorrhage W Cc | 17 | 201 / 22 | $13.531,80 | 193 / 1 | $6.276,35 | 759 / 10 | $5.141,29 | 757 / 11 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 8 | $11.493,50 | 243 / 1 | $3.943,38 | 567 / 4 | $3.043,38 | 566 / 5 |
| Heart Failure & Shock W Cc | 30 | 248 / 15 | $15.937,40 | 682 / 5 | $6.219,13 | 1285 / 8 | $5.537,53 | 1281 / 17 |
| Heart Failure & Shock W Mcc | 13 | 271 / 23 | $25.263,80 | 760 / 4 | $9.399,46 | 1131 / 11 | $8.469,00 | 1128 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 21 | $29.265,30 | 201 / 2 | $12.291,10 | 1021 / 13 | $11.084,30 | 1008 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 13 | $12.317,50 | 109 / 1 | $4.835,64 | 851 / 5 | $4.064,73 | 847 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 19 | $11.919,60 | 503 / 4 | $4.904,47 | 615 / 9 | $3.698,58 | 613 / 10 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 9 | $23.225,70 | 408 / 2 | $7.317,27 | 546 / 3 | $6.770,36 | 544 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 116 | 448 / 21 | $34.500,60 | 428 / 1 | $13.691,60 | 1491 / 10 | $12.028,00 | 1457 / 25 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 16 | $42.156,00 | 242 / 1 | $17.124,00 | 540 / 18 | $13.765,10 | 534 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 22 | $15.166,10 | 976 / 5 | $4.483,58 | 740 / 8 | $3.480,92 | 738 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 14 | $52.810,20 | 278 / 1 | $12.836,10 | 834 / 3 | $11.790,30 | 828 / 14 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 27 | $15.364,20 | 164 / 1 | $7.620,00 | 903 / 8 | $6.812,00 | 903 / 15 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 12 | $15.061,80 | 156 / 1 | $6.306,13 | 300 / 8 | $4.805,13 | 300 / 6 |
| Renal Failure W Cc | 12 | 209 / 22 | $10.044,20 | 99 / 1 | $6.036,83 | 714 / 9 | $4.927,50 | 707 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 35 | $28.238,00 | 706 / 6 | $11.533,80 | 1296 / 12 | $10.639,50 | 1274 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 24 | $19.313,80 | 723 / 5 | $6.664,35 | 1093 / 8 | $5.753,95 | 1090 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 16 | $15.859,30 | 667 / 4 | $6.499,46 | 694 / 14 | $4.814,32 | 691 / 10 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 22 | $23.958,80 | 630 / 3 | $9.123,53 | 1290 / 11 | $8.298,26 | 1290 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 15 | $10.378,60 | 255 / 1 | $4.512,42 | 580 / 6 | $3.299,08 | 578 / 6 | Total 26 procedures | 542 | 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.