Hospital Costs > In Arizona > Mountain Vista Medical Center, Lp, 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 | 123 | 441 / 26 | $73.145,00 | 2075 / 41 | $16.123,60 | 1617 / 34 | $12.351,90 | 1580 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 69 | 447 / 33 | $75.372,20 | 2366 / 43 | $16.433,70 | 1592 / 38 | $11.215,70 | 1560 / 21 |
| Spinal Fusion Except Cervical W/O Mcc | 62 | 132 / 10 | $184.699,00 | 1235 / 25 | $28.174,10 | 808 / 17 | $24.172,90 | 804 / 18 |
| G.I. Hemorrhage W Cc | 48 | 170 / 17 | $38.435,70 | 1905 / 31 | $8.193,52 | 1475 / 25 | $5.937,15 | 1471 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 19 | $34.424,10 | 2161 / 40 | $7.660,76 | 1797 / 30 | $5.840,74 | 1789 / 22 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 13 | $81.230,10 | 892 / 18 | $13.506,20 | 970 / 11 | $12.356,50 | 963 / 22 |
| Renal Failure W Cc | 39 | 182 / 16 | $33.125,70 | 1837 / 33 | $7.560,03 | 1496 / 25 | $5.749,85 | 1487 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 30 | $41.445,60 | 2502 / 43 | $6.305,41 | 2209 / 28 | $5.245,95 | 2194 / 29 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 36 | 59 / 6 | $91.560,00 | 421 / 9 | $15.689,00 | 284 / 11 | $11.752,90 | 281 / 8 |
| Heart Failure & Shock W Mcc | 35 | 249 / 24 | $43.654,30 | 1807 / 23 | $9.963,94 | 1719 / 17 | $9.515,94 | 1714 / 25 |
| Other Vascular Procedures W Cc | 34 | 68 / 2 | $106.801,00 | 893 / 18 | $20.097,40 | 560 / 19 | $15.302,50 | 557 / 12 |
| Heart Failure & Shock W Cc | 34 | 244 / 23 | $33.558,10 | 2124 / 34 | $6.977,85 | 1870 / 18 | $6.267,26 | 1865 / 24 |
| Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 21 | $27.118,30 | 2084 / 36 | $6.427,30 | 1612 / 27 | $4.454,09 | 1601 / 17 |
| Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 21 | $47.120,70 | 1817 / 28 | $10.235,50 | 1428 / 22 | $8.555,31 | 1428 / 17 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 17 | $32.110,80 | 1597 / 17 | $7.904,26 | 1562 / 16 | $6.928,77 | 1554 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 28 | $38.802,70 | 1997 / 35 | $7.810,40 | 1582 / 20 | $6.401,77 | 1575 / 21 |
| Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 17 | $84.389,80 | 1759 / 36 | $12.852,30 | 1226 / 15 | $11.727,90 | 1211 / 17 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 17 | $187.884,00 | 1211 / 28 | $30.930,50 | 598 / 4 | $30.324,80 | 593 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 12 | $34.225,90 | 719 / 3 | $7.636,68 | 1086 / 15 | $6.644,68 | 1083 / 18 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 12 | $24.045,00 | 1408 / 17 | $6.548,27 | 1193 / 20 | $3.898,88 | 1187 / 13 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 10 | $89.868,30 | 1414 / 28 | $16.848,30 | 735 / 23 | $13.068,60 | 727 / 8 |
| Pulmonary Edema & Respiratory Failure | 25 | 178 / 23 | $34.801,00 | 1287 / 12 | $8.452,92 | 1418 / 11 | $7.633,72 | 1414 / 18 |
| Transient Ischemia | 25 | 100 / 11 | $28.857,40 | 1140 / 14 | $5.248,40 | 1024 / 14 | $4.088,72 | 1019 / 16 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 5 | $129.710,00 | 725 / 19 | $24.926,70 | 438 / 18 | $19.146,30 | 434 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 22 | $39.192,70 | 1493 / 25 | $9.707,67 | 1218 / 29 | $6.175,00 | 1215 / 16 |
| Cellulitis W/O Mcc | 23 | 166 / 31 | $31.351,40 | 2175 / 42 | $6.050,00 | 1710 / 16 | $4.998,17 | 1703 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 16 | $48.796,70 | 936 / 14 | $11.408,10 | 854 / 12 | $10.427,70 | 852 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 12 | $33.974,10 | 1215 / 23 | $7.704,86 | 934 / 27 | $4.193,18 | 930 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 26 | $26.663,20 | 1969 / 31 | $5.250,38 | 1752 / 18 | $4.402,38 | 1747 / 19 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 4 | $76.472,20 | 308 / 7 | $20.724,20 | 305 / 15 | $16.017,40 | 304 / 12 |
| Renal Failure W Mcc | 19 | 176 / 25 | $50.908,90 | 1596 / 26 | $10.321,40 | 1333 / 12 | $9.748,79 | 1333 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 21 | $26.053,40 | 1458 / 23 | $5.782,22 | 1460 / 18 | $4.911,11 | 1455 / 23 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 15 | $68.516,30 | 1323 / 27 | $18.064,70 | 712 / 28 | $10.248,20 | 712 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 22 | $24.882,40 | 1622 / 35 | $4.358,33 | 1289 / 16 | $3.154,78 | 1284 / 22 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 10 | $34.005,90 | 879 / 10 | $7.332,61 | 828 / 11 | $6.189,50 | 826 / 14 |
| Extracranial Procedures W Cc | 17 | 29 / 2 | $109.945,00 | 361 / 7 | $11.356,30 | 286 / 4 | $10.575,10 | 286 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 21 | $31.598,00 | 1794 / 22 | $6.707,06 | 1620 / 17 | $5.718,82 | 1613 / 21 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 15 | $202.069,00 | 1050 / 26 | $32.739,90 | 668 / 9 | $31.852,30 | 666 / 16 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 9 | $180.772,00 | 585 / 16 | $31.005,80 | 354 / 9 | $29.814,30 | 354 / 13 |
| Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 14 | 9 / 1 | $39.901,40 | 25 / 2 | $8.842,71 | 26 / 2 | $7.635,86 | 26 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 11 | $39.304,80 | 565 / 9 | $8.900,79 | 417 / 7 | $8.210,50 | 416 / 10 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 9 | $80.899,60 | 583 / 15 | $14.240,90 | 456 / 9 | $13.207,70 | 455 / 15 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 11 | $70.477,80 | 663 / 18 | $15.167,60 | 459 / 20 | $9.360,21 | 457 / 11 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 5 | $20.928,70 | 582 / 6 | $4.790,31 | 560 / 8 | $3.766,31 | 559 / 9 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 15 | $38.987,60 | 996 / 23 | $6.605,00 | 702 / 9 | $5.859,15 | 699 / 13 |
| Syncope & Collapse | 13 | 156 / 22 | $30.084,10 | 1434 / 20 | $5.408,31 | 1200 / 15 | $4.389,23 | 1193 / 19 |
| Transurethral Procedures W Cc | 13 | 28 / 6 | $47.511,30 | 264 / 10 | $8.744,92 | 242 / 7 | $7.725,85 | 242 / 8 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 19 | $37.303,90 | 1719 / 29 | $7.224,85 | 961 / 25 | $4.478,15 | 955 / 12 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 15 | $129.722,00 | 789 / 22 | $21.839,60 | 559 / 9 | $20.911,60 | 559 / 12 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 16 | $25.604,50 | 1566 / 12 | $5.238,00 | 1385 / 12 | $4.218,92 | 1374 / 15 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 17 | $38.941,70 | 1032 / 32 | $6.814,08 | 890 / 14 | $6.078,08 | 887 / 21 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 22 | $43.857,80 | 1587 / 28 | $7.777,50 | 1359 / 14 | $7.169,50 | 1355 / 17 |
| Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 4 | $278.278,00 | 347 / 5 | $41.693,10 | 167 / 1 | $40.591,70 | 167 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 18 | $60.727,80 | 1338 / 22 | $11.681,40 | 1080 / 15 | $10.574,80 | 1075 / 15 |
| Chest Pain | 12 | 139 / 17 | $21.549,20 | 1022 / 7 | $4.353,08 | 787 / 11 | $3.246,42 | 782 / 12 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 8 | $32.025,60 | 236 / 4 | $8.968,42 | 289 / 4 | $8.373,75 | 289 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 6 | $62.042,10 | 493 / 12 | $13.982,80 | 181 / 13 | $6.066,08 | 181 / 3 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 5 | $137.330,00 | 391 / 13 | $20.951,80 | 315 / 8 | $20.242,40 | 313 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 17 | $40.447,60 | 959 / 16 | $8.259,17 | 839 / 13 | $7.555,17 | 834 / 15 |
| G.I. Obstruction W Cc | 12 | 80 / 20 | $34.036,00 | 1325 / 29 | $6.237,00 | 1006 / 14 | $5.127,67 | 1003 / 17 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 10 | $70.666,80 | 795 / 15 | $11.089,80 | 613 / 8 | $9.876,42 | 611 / 10 |
| Diabetes W Cc | 12 | 80 / 13 | $36.126,20 | 1329 / 25 | $6.006,33 | 1137 / 12 | $5.502,33 | 1132 / 18 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 7 | $96.947,60 | 344 / 10 | $19.910,90 | 153 / 10 | $13.786,70 | 152 / 3 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 4 | $32.092,10 | 389 / 6 | $4.935,00 | 295 / 4 | $3.841,18 | 294 / 5 |
| Other Vascular Procedures W Mcc | 11 | 86 / 11 | $90.799,20 | 501 / 7 | $18.585,70 | 31 / 3 | $16.105,90 | 31 / 1 |
| Major Chest Procedures W Mcc | 11 | 38 / 5 | $213.663,00 | 287 / 12 | $32.901,20 | 178 / 5 | $32.246,60 | 177 / 5 |
| Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 14 | $108.899,00 | 491 / 14 | $21.887,90 | 423 / 12 | $21.122,80 | 421 / 15 | Total 67 procedures | 1.569 | 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.