Hospital Costs > In Delaware > Nanticoke Memorial Hospital, 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 | 188 | 328 / 5 | $25.118,00 | 541 / 1 | $14.896,70 | 2374 / 5 | $14.086,30 | 2332 / 6 |
| Heart Failure & Shock W Mcc | 107 | 177 / 4 | $19.865,50 | 420 / 1 | $11.982,50 | 2191 / 5 | $11.208,90 | 2181 / 6 |
| Heart Failure & Shock W Cc | 107 | 171 / 4 | $12.074,60 | 276 / 1 | $7.955,18 | 2270 / 5 | $7.202,80 | 2264 / 6 |
| Pulmonary Edema & Respiratory Failure | 81 | 122 / 4 | $16.562,50 | 215 / 1 | $9.793,15 | 1829 / 4 | $9.048,46 | 1824 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 64 | 500 / 4 | $39.026,70 | 700 / 4 | $18.776,90 | 2170 / 6 | $14.472,30 | 2126 / 6 |
| G.I. Hemorrhage W Cc | 59 | 159 / 4 | $14.708,90 | 280 / 1 | $8.351,76 | 1962 / 5 | $7.127,97 | 1958 / 6 |
| Cellulitis W/O Mcc | 59 | 130 / 4 | $11.331,30 | 395 / 1 | $6.787,56 | 2075 / 5 | $5.745,63 | 2067 / 6 |
| Renal Failure W Cc | 58 | 163 / 4 | $13.547,50 | 343 / 1 | $7.810,78 | 1947 / 5 | $6.817,22 | 1937 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 4 | $15.803,10 | 417 / 1 | $8.609,43 | 2123 / 4 | $7.693,02 | 2115 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 55 | 147 / 4 | $14.280,20 | 265 / 1 | $9.391,89 | 2064 / 5 | $8.135,91 | 2056 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 5 | $18.204,00 | 276 / 1 | $11.550,10 | 2055 / 5 | $10.382,10 | 2054 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 4 | $11.743,70 | 354 / 1 | $6.480,83 | 1959 / 5 | $4.698,98 | 1945 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 44 | 135 / 3 | $13.302,40 | 351 / 1 | $7.637,89 | 1823 / 5 | $6.155,32 | 1816 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 40 | 91 / 4 | $39.452,80 | 312 / 1 | $18.750,60 | 1482 / 6 | $17.342,90 | 1468 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 3 | $19.995,10 | 154 / 1 | $13.869,40 | 1456 / 4 | $12.494,00 | 1444 / 5 |
| Renal Failure W Mcc | 34 | 161 / 5 | $20.524,30 | 247 / 1 | $12.229,50 | 1764 / 5 | $11.519,90 | 1761 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 5 | $48.836,10 | 204 / 2 | $17.926,40 | 1244 / 4 | $14.620,00 | 1237 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 6 | $10.054,10 | 302 / 1 | $6.203,72 | 2140 / 5 | $5.297,72 | 2129 / 6 |
| Transient Ischemia | 29 | 96 / 3 | $11.885,40 | 126 / 1 | $5.661,34 | 1235 / 4 | $4.617,48 | 1229 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 4 | $30.525,10 | 241 / 1 | $15.644,90 | 1777 / 6 | $14.707,00 | 1758 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 3 | $66.062,60 | 146 / 1 | $41.637,20 | 1211 / 3 | $39.233,50 | 1202 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 6 | $13.392,80 | 387 / 1 | $7.864,24 | 2317 / 5 | $6.953,90 | 2309 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 5 | $10.910,20 | 168 / 1 | $6.626,18 | 1476 / 5 | $4.942,61 | 1471 / 4 |
| G.I. Hemorrhage W Mcc | 27 | 94 / 3 | $23.143,70 | 130 / 1 | $13.855,30 | 1285 / 5 | $12.831,80 | 1275 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 2 | $13.992,40 | 120 / 1 | $8.872,00 | 1306 / 4 | $8.144,89 | 1303 / 5 |
| Respiratory Infections & Inflammations W Mcc | 27 | 109 / 3 | $17.277,70 | 47 / 1 | $15.631,80 | 1573 / 3 | $14.962,10 | 1557 / 4 |
| Syncope & Collapse | 26 | 143 / 4 | $11.658,40 | 179 / 1 | $5.957,04 | 1357 / 4 | $4.733,31 | 1350 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 4 | $19.362,60 | 302 / 1 | $10.269,60 | 1625 / 5 | $9.373,60 | 1622 / 6 |
| Other Circulatory System Diagnoses W Mcc | 24 | 92 / 4 | $29.146,20 | 198 / 2 | $14.842,80 | 1074 / 3 | $14.184,10 | 1066 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 4 | $15.914,10 | 207 / 1 | $8.672,75 | 1720 / 5 | $7.715,42 | 1716 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 4 | $13.130,20 | 707 / 1 | $5.681,86 | 1839 / 3 | $4.543,64 | 1833 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 5 | $12.213,20 | 115 / 1 | $9.022,80 | 1612 / 4 | $8.174,80 | 1608 / 6 |
| Diabetes W Cc | 20 | 72 / 3 | $10.357,30 | 94 / 1 | $6.612,25 | 1218 / 5 | $5.825,05 | 1213 / 6 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 5 | $11.224,40 | 171 / 1 | $6.716,26 | 1486 / 5 | $5.435,11 | 1477 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 6 | $9.961,89 | 239 / 1 | $6.783,47 | 1549 / 6 | $4.541,68 | 1538 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 4 | $8.658,26 | 206 / 1 | $4.680,32 | 1423 / 5 | $3.338,21 | 1417 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 4 | $10.031,80 | 224 / 1 | $5.848,94 | 1501 / 4 | $4.442,33 | 1493 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 5 | $10.465,30 | 312 / 1 | $5.464,94 | 1552 / 4 | $4.595,61 | 1539 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 4 | $57.848,10 | 64 / 1 | $25.634,10 | 836 / 3 | $24.561,10 | 831 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 5 | $19.335,90 | 80 / 1 | $13.730,00 | 1287 / 3 | $12.875,40 | 1281 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 4 | $18.848,20 | 79 / 1 | $8.630,12 | 1350 / 3 | $7.798,12 | 1347 / 5 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 3 | $20.673,20 | 124 / 2 | $12.113,80 | 832 / 3 | $11.471,70 | 829 / 4 |
| G.I. Obstruction W Cc | 15 | 77 / 5 | $13.008,40 | 161 / 1 | $7.027,47 | 1450 / 3 | $6.466,40 | 1445 / 5 |
| Other Vascular Procedures W Cc | 15 | 87 / 3 | $49.933,70 | 207 / 3 | $21.020,10 | 967 / 3 | $20.055,80 | 962 / 4 |
| Other Disorders Of Nervous System W Mcc | 14 | 26 / 3 | $23.140,20 | 32 / 1 | $12.554,30 | 243 / 2 | $11.818,40 | 243 / 3 |
| Diabetes W Mcc | 14 | 43 / 3 | $22.924,90 | 130 / 1 | $11.032,40 | 593 / 2 | $10.532,90 | 592 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 4 | $17.699,80 | 202 / 1 | $8.988,64 | 1123 / 4 | $7.200,93 | 1121 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 6 | $13.481,20 | 153 / 1 | $6.128,23 | 1272 / 5 | $5.104,23 | 1268 / 6 |
| Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 13 | 16 / 2 | $37.584,30 | 10 / 1 | $17.251,90 | 51 / 1 | $16.227,90 | 51 / 2 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 4 | $58.470,50 | 33 / 1 | $37.649,50 | 594 / 4 | $36.903,60 | 594 / 5 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 5 | $10.078,80 | 42 / 1 | $7.601,62 | 945 / 4 | $6.879,15 | 942 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 5 | $16.771,60 | 174 / 1 | $9.331,15 | 884 / 4 | $8.395,77 | 882 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 4 | $11.811,20 | 50 / 1 | $7.205,67 | 755 / 3 | $6.501,67 | 752 / 4 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 5 | $12.750,30 | 201 / 3 | $5.647,83 | 789 / 5 | $4.842,50 | 785 / 6 |
| Major Cardiovasc Procedures W Mcc | 11 | 57 / 3 | $70.226,40 | 26 / 1 | $39.346,60 | 462 / 1 | $38.468,20 | 461 / 1 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 4 | $11.960,30 | 40 / 1 | $8.103,36 | 313 / 4 | $5.337,45 | 313 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 4 | $22.012,50 | 51 / 1 | $14.805,60 | 537 / 3 | $14.145,30 | 536 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 5 | $14.279,50 | 66 / 1 | $9.568,91 | 1143 / 4 | $8.908,55 | 1138 / 5 | Total 58 procedures | 1.898 | 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.