Hospital Costs > In Ohio > Mount Carmel St Ann's, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 130 | 386 / 47 | $26.571,40 | 622 / 34 | $12.185,20 | 1384 / 74 | $10.802,20 | 1357 / 78 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 97 | 467 / 50 | $47.426,10 | 1160 / 75 | $14.059,80 | 1359 / 72 | $11.713,50 | 1327 / 85 |
Simple Pneumonia & Pleurisy W Cc | 95 | 108 / 8 | $13.029,40 | 360 / 19 | $6.967,41 | 1201 / 84 | $5.225,93 | 1197 / 77 |
Heart Failure & Shock W Mcc | 95 | 189 / 31 | $18.526,40 | 343 / 20 | $9.736,73 | 1290 / 67 | $8.701,71 | 1287 / 75 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 86 | 189 / 25 | $12.178,50 | 417 / 24 | $5.864,33 | 1364 / 91 | $4.020,14 | 1353 / 81 |
Kidney & Urinary Tract Infections W/O Mcc | 75 | 158 / 24 | $11.052,50 | 394 / 23 | $5.626,05 | 1602 / 84 | $4.444,93 | 1591 / 90 |
Heart Failure & Shock W Cc | 74 | 204 / 42 | $11.932,80 | 262 / 15 | $6.758,00 | 1453 / 78 | $5.717,18 | 1448 / 83 |
Renal Failure W Cc | 66 | 155 / 35 | $11.929,70 | 206 / 12 | $6.796,48 | 1111 / 75 | $5.302,73 | 1103 / 70 |
Cellulitis W/O Mcc | 65 | 124 / 23 | $10.301,30 | 273 / 20 | $6.065,88 | 1393 / 82 | $4.621,31 | 1387 / 85 |
Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 31 | $15.139,70 | 320 / 18 | $8.024,64 | 1381 / 76 | $6.679,73 | 1375 / 80 |
Chronic Obstructive Pulmonary Disease W Cc | 62 | 117 / 23 | $11.620,50 | 201 / 12 | $6.517,95 | 1394 / 74 | $5.372,32 | 1389 / 83 |
Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 31 | $17.894,60 | 259 / 21 | $9.359,78 | 1108 / 71 | $8.000,29 | 1108 / 76 |
G.I. Hemorrhage W Cc | 47 | 171 / 37 | $14.518,10 | 264 / 14 | $7.011,53 | 1361 / 75 | $5.771,96 | 1358 / 81 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 40 | 91 / 21 | $25.769,30 | 73 / 6 | $14.497,50 | 558 / 42 | $12.604,60 | 550 / 38 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 30 | $14.219,30 | 295 / 16 | $7.290,76 | 1258 / 63 | $5.936,45 | 1253 / 71 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 34 | $10.563,80 | 142 / 12 | $5.838,84 | 909 / 72 | $4.204,66 | 906 / 60 |
Diabetes W Cc | 31 | 61 / 12 | $10.065,10 | 86 / 5 | $6.307,23 | 361 / 53 | $4.100,84 | 361 / 29 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 31 | 61 / 8 | $60.551,90 | 36 / 2 | $32.729,10 | 128 / 10 | $30.569,00 | 128 / 11 |
G.I. Obstruction W Cc | 30 | 62 / 14 | $12.761,20 | 151 / 11 | $6.399,47 | 797 / 52 | $4.809,73 | 795 / 51 |
Other Circulatory System Diagnoses W Mcc | 29 | 87 / 19 | $19.051,30 | 42 / 3 | $10.994,50 | 151 / 23 | $9.371,41 | 151 / 17 |
Other Vascular Procedures W Mcc | 28 | 69 / 13 | $54.002,40 | 107 / 4 | $20.581,20 | 280 / 14 | $18.524,60 | 279 / 17 |
Respiratory Infections & Inflammations W Mcc | 28 | 108 / 30 | $19.322,30 | 85 / 6 | $11.887,70 | 589 / 43 | $10.655,70 | 581 / 46 |
Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 27 | $35.831,40 | 446 / 30 | $13.015,80 | 854 / 63 | $10.707,60 | 843 / 56 |
Pulmonary Edema & Respiratory Failure | 28 | 175 / 50 | $18.703,40 | 327 / 19 | $8.372,04 | 1350 / 63 | $7.491,11 | 1346 / 75 |
Respiratory Infections & Inflammations W Cc | 27 | 61 / 15 | $15.712,90 | 119 / 6 | $9.107,11 | 740 / 39 | $7.828,52 | 735 / 43 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 15 | $9.951,11 | 210 / 9 | $5.275,41 | 1137 / 56 | $3.824,07 | 1131 / 58 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 35 | $18.103,30 | 246 / 18 | $8.378,92 | 1103 / 57 | $7.360,65 | 1100 / 69 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 37 | $17.099,00 | 292 / 13 | $7.868,42 | 873 / 63 | $5.659,92 | 871 / 54 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 26 | 45 / 12 | $50.717,30 | 26 / 3 | $29.029,00 | 120 / 9 | $26.663,10 | 120 / 10 |
Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 29 | $17.563,70 | 402 / 29 | $7.418,12 | 1020 / 59 | $6.433,65 | 1017 / 65 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 42 | $55.111,80 | 342 / 24 | $14.031,20 | 614 / 33 | $10.979,20 | 610 / 39 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 23 | $56.090,30 | 78 / 4 | $28.365,00 | 231 / 14 | $27.227,20 | 231 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 41 | $10.519,70 | 374 / 17 | $5.378,36 | 1443 / 81 | $4.014,52 | 1438 / 82 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 34 | $8.600,62 | 200 / 11 | $4.350,42 | 1254 / 69 | $3.092,67 | 1249 / 77 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 26 | $16.679,40 | 235 / 15 | $7.730,67 | 845 / 50 | $6.683,00 | 842 / 58 |
Renal Failure W Mcc | 24 | 171 / 54 | $24.495,60 | 433 / 24 | $10.515,40 | 959 / 69 | $8.840,12 | 959 / 66 |
Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 31 | $94.954,70 | 678 / 38 | $26.850,00 | 663 / 33 | $22.828,50 | 659 / 43 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 24 | $9.277,04 | 201 / 11 | $5.047,65 | 1443 / 63 | $4.309,13 | 1431 / 73 |
Other Digestive System Diagnoses W Cc | 22 | 75 / 19 | $13.169,80 | 98 / 7 | $6.789,32 | 790 / 34 | $5.764,14 | 786 / 44 |
Red Blood Cell Disorders W/O Mcc | 21 | 122 / 33 | $15.150,90 | 464 / 30 | $6.472,00 | 630 / 74 | $4.122,00 | 626 / 47 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 21 | $17.832,20 | 79 / 2 | $10.010,60 | 510 / 31 | $9.144,26 | 508 / 38 |
Medical Back Problems W/O Mcc | 19 | 102 / 28 | $16.252,20 | 292 / 18 | $5.843,32 | 766 / 38 | $4.694,68 | 763 / 50 |
Other Vascular Procedures W Cc | 18 | 84 / 23 | $62.036,10 | 399 / 20 | $16.415,60 | 541 / 18 | $15.211,50 | 538 / 26 |
Signs & Symptoms W/O Mcc | 18 | 73 / 17 | $11.123,30 | 138 / 13 | $5.170,83 | 408 / 38 | $3.538,67 | 407 / 29 |
Transient Ischemia | 18 | 107 / 34 | $14.563,00 | 270 / 14 | $5.202,33 | 1046 / 48 | $4.132,78 | 1041 / 58 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 26 | $12.780,90 | 128 / 4 | $5.509,61 | 844 / 47 | $4.058,83 | 840 / 51 |
Syncope & Collapse | 17 | 152 / 40 | $12.896,20 | 259 / 16 | $5.373,00 | 1197 / 64 | $4.386,76 | 1190 / 74 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 40 | $21.897,30 | 197 / 12 | $10.852,20 | 582 / 48 | $9.177,00 | 581 / 43 |
Seizures W/O Mcc | 17 | 91 / 23 | $14.360,50 | 228 / 15 | $5.599,18 | 741 / 35 | $4.582,00 | 738 / 40 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 34 | $19.175,80 | 76 / 4 | $10.590,60 | 593 / 34 | $9.590,29 | 592 / 39 |
Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 17 | $33.838,80 | 524 / 22 | $7.719,59 | 353 / 23 | $5.350,65 | 353 / 19 |
Major Cardiovasc Procedures W Mcc | 17 | 51 / 13 | $82.742,30 | 65 / 5 | $31.349,10 | 178 / 8 | $30.142,10 | 178 / 13 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 14 | $21.758,10 | 202 / 10 | $8.817,19 | 371 / 34 | $7.027,00 | 369 / 31 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 18 | $12.262,90 | 85 / 5 | $6.926,81 | 334 / 35 | $4.953,19 | 332 / 23 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 38 | $8.266,94 | 107 / 5 | $5.219,88 | 1562 / 76 | $4.562,50 | 1551 / 91 |
G.I. Hemorrhage W Mcc | 16 | 105 / 35 | $26.794,10 | 219 / 13 | $10.765,70 | 110 / 36 | $8.515,56 | 110 / 11 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 15 | $9.432,25 | 110 / 6 | $4.664,50 | 915 / 32 | $3.718,25 | 912 / 45 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 20 | $17.037,10 | 238 / 11 | $7.154,13 | 754 / 35 | $5.680,53 | 751 / 41 |
Seizures W Mcc | 15 | 51 / 16 | $22.854,70 | 77 / 5 | $9.674,27 | 235 / 15 | $8.514,67 | 235 / 15 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 18 | $13.802,70 | 86 / 3 | $7.763,13 | 212 / 25 | $5.916,80 | 211 / 17 |
Chest Pain | 15 | 136 / 34 | $12.734,90 | 285 / 15 | $4.778,73 | 913 / 56 | $3.411,53 | 908 / 52 |
Transurethral Procedures W Cc | 14 | 27 / 6 | $25.638,60 | 70 / 4 | $8.782,21 | 155 / 9 | $6.942,79 | 155 / 8 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 23 | $17.144,80 | 182 / 8 | $7.730,57 | 439 / 49 | $5.370,86 | 438 / 31 |
Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 13 | $76.792,10 | 271 / 11 | $21.220,60 | 353 / 6 | $20.144,70 | 352 / 19 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 9 | $8.749,21 | 47 / 3 | $5.129,00 | 497 / 19 | $3.929,57 | 497 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 25 | $18.699,90 | 162 / 10 | $8.233,54 | 551 / 39 | $6.736,08 | 546 / 39 |
Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 20 | $59.144,80 | 455 / 24 | $16.595,30 | 168 / 25 | $10.890,60 | 168 / 10 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 29 | $51.977,20 | 465 / 25 | $17.723,80 | 534 / 43 | $13.731,90 | 528 / 40 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 13 | $29.632,80 | 87 / 5 | $10.899,70 | 493 / 15 | $9.533,00 | 491 / 24 |
Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 10 | $58.148,10 | 372 / 14 | $12.705,70 | 417 / 12 | $11.518,30 | 416 / 15 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 9 | $30.240,30 | 193 / 10 | $10.688,70 | 550 / 16 | $9.496,33 | 548 / 18 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 16 | $50.435,20 | 168 / 11 | $18.202,70 | 339 / 19 | $16.852,00 | 336 / 23 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 9 | $15.676,30 | 83 / 8 | $5.502,18 | 106 / 18 | $3.247,82 | 106 / 10 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 44 | $25.582,10 | 310 / 19 | $7.477,00 | 910 / 43 | $6.155,18 | 907 / 50 |
Hypertension W/O Mcc | 11 | 54 / 14 | $11.180,00 | 88 / 4 | $4.868,45 | 505 / 19 | $3.797,45 | 503 / 23 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 14 | $56.375,60 | 197 / 12 | $18.982,50 | 323 / 12 | $17.775,60 | 321 / 15 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 10 | $25.723,10 | 89 / 3 | $8.256,55 | 347 / 6 | $6.941,82 | 346 / 8 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 7 | $41.104,50 | 44 / 1 | $15.809,50 | 203 / 7 | $14.437,60 | 202 / 12 |
Other Circulatory System Diagnoses W Cc | 11 | 55 / 17 | $11.720,50 | 43 / 2 | $6.773,36 | 300 / 20 | $5.547,18 | 299 / 24 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 15 | $35.562,70 | 89 / 7 | $13.333,00 | 116 / 14 | $9.964,82 | 116 / 4 | Total 80 procedures | 2.328 | 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.