Hospital Costs > In Colorado > North Colorado Medical Center, 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 | 233 | 283 / 4 | $45.959,00 | 1621 / 17 | $12.277,30 | 1594 / 16 | $11.219,30 | 1562 / 21 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 163 | 401 / 15 | $61.628,00 | 1756 / 20 | $15.058,70 | 1610 / 25 | $12.345,00 | 1573 / 27 |
| Heart Failure & Shock W Mcc | 95 | 189 / 1 | $38.492,50 | 1582 / 10 | $9.969,41 | 1267 / 16 | $8.672,52 | 1264 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 88 | 117 / 4 | $26.037,80 | 772 / 7 | $9.762,00 | 1126 / 19 | $8.025,03 | 1126 / 16 |
| Pulmonary Edema & Respiratory Failure | 72 | 131 / 5 | $32.238,60 | 1156 / 10 | $8.488,40 | 1213 / 17 | $7.244,88 | 1211 / 18 |
| G.I. Hemorrhage W Cc | 72 | 146 / 3 | $25.590,30 | 1249 / 8 | $6.805,38 | 1501 / 16 | $5.966,26 | 1497 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 68 | 207 / 9 | $19.169,70 | 1298 / 5 | $5.224,38 | 1741 / 15 | $4.388,62 | 1728 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 66 | 141 / 4 | $24.002,70 | 1161 / 9 | $7.404,09 | 1345 / 19 | $6.039,27 | 1340 / 19 |
| Chronic Obstructive Pulmonary Disease W Mcc | 63 | 139 / 2 | $28.809,20 | 1395 / 9 | $7.624,89 | 1204 / 9 | $6.468,75 | 1198 / 10 |
| Heart Failure & Shock W Cc | 59 | 219 / 6 | $27.715,90 | 1839 / 17 | $6.876,44 | 1376 / 18 | $5.621,03 | 1371 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 56 | 147 / 8 | $20.949,10 | 1237 / 10 | $6.746,34 | 1458 / 15 | $5.469,50 | 1452 / 18 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 56 | 140 / 6 | $77.173,70 | 821 / 9 | $14.407,80 | 955 / 12 | $12.292,00 | 948 / 20 |
| Respiratory Infections & Inflammations W Mcc | 51 | 85 / 1 | $39.674,80 | 774 / 5 | $12.150,20 | 912 / 11 | $11.429,30 | 902 / 16 |
| Cellulitis W/O Mcc | 49 | 140 / 5 | $23.335,60 | 1764 / 7 | $5.630,18 | 1272 / 12 | $4.504,02 | 1266 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 49 | 112 / 3 | $25.765,70 | 1436 / 9 | $5.493,51 | 1242 / 13 | $4.555,06 | 1237 / 18 |
| Renal Failure W Cc | 49 | 172 / 7 | $27.794,80 | 1590 / 11 | $7.451,49 | 1448 / 23 | $5.675,16 | 1439 / 22 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 44 | 80 / 3 | $125.723,00 | 791 / 6 | $33.279,20 | 779 / 15 | $32.376,70 | 773 / 15 |
| Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 11 | $18.745,40 | 1430 / 7 | $5.366,23 | 1618 / 17 | $4.459,02 | 1607 / 20 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 39 | 149 / 2 | $44.165,00 | 1052 / 9 | $7.931,41 | 950 / 13 | $6.239,26 | 947 / 13 |
| Kidney & Urinary Tract Infections W Mcc | 38 | 106 / 3 | $22.634,50 | 759 / 2 | $7.734,89 | 1080 / 15 | $6.535,11 | 1076 / 14 |
| Renal Failure W Mcc | 36 | 159 / 7 | $36.369,80 | 1117 / 2 | $10.157,70 | 1149 / 12 | $9.245,28 | 1149 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 10 | $61.349,80 | 1388 / 13 | $13.559,40 | 1086 / 22 | $11.260,40 | 1072 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 7 | $19.241,40 | 928 / 3 | $6.428,03 | 1391 / 12 | $5.367,56 | 1386 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 9 | $16.749,10 | 1171 / 7 | $4.899,29 | 1512 / 13 | $4.083,29 | 1507 / 19 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 5 | $57.711,30 | 858 / 3 | $14.641,00 | 911 / 7 | $13.761,50 | 903 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 3 | $35.807,30 | 1187 / 5 | $8.406,45 | 1156 / 11 | $7.494,94 | 1153 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 11 | $24.506,20 | 763 / 2 | $7.188,00 | 1163 / 13 | $6.086,42 | 1160 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 5 | $16.981,60 | 1196 / 7 | $4.056,78 | 1181 / 12 | $2.998,78 | 1176 / 15 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 1 | $49.129,00 | 1115 / 6 | $11.598,80 | 1107 / 6 | $10.700,70 | 1102 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 30 | 71 / 2 | $36.729,30 | 561 / 4 | $9.767,30 | 457 / 8 | $8.975,30 | 456 / 10 |
| Spinal Fusion Except Cervical W/O Mcc | 30 | 164 / 19 | $126.567,00 | 980 / 10 | $25.715,20 | 858 / 4 | $24.665,60 | 854 / 18 |
| Major Small & Large Bowel Procedures W Cc | 28 | 80 / 9 | $64.551,60 | 740 / 7 | $15.401,90 | 779 / 9 | $14.669,30 | 771 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 5 | $28.187,00 | 869 / 3 | $8.379,43 | 822 / 16 | $6.630,14 | 819 / 11 |
| Chest Pain | 27 | 124 / 7 | $18.506,70 | 806 / 4 | $4.335,96 | 831 / 9 | $3.290,30 | 826 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 8 | $34.443,40 | 505 / 3 | $11.076,60 | 828 / 12 | $10.313,40 | 826 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 26 | 74 / 2 | $126.422,00 | 707 / 8 | $22.150,30 | 631 / 4 | $21.080,80 | 627 / 8 |
| Pulmonary Embolism W/O Mcc | 25 | 49 / 6 | $18.962,20 | 341 / 4 | $6.507,40 | 669 / 13 | $5.492,36 | 666 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 5 | $32.879,40 | 737 / 3 | $8.032,70 | 686 / 10 | $7.086,61 | 681 / 10 |
| Medical Back Problems W/O Mcc | 23 | 98 / 11 | $18.652,80 | 431 / 2 | $5.847,87 | 915 / 13 | $5.008,91 | 912 / 18 |
| G.I. Obstruction W Cc | 23 | 69 / 8 | $18.203,70 | 528 / 2 | $6.302,65 | 876 / 12 | $4.923,48 | 874 / 12 |
| Syncope & Collapse | 23 | 146 / 11 | $19.571,30 | 812 / 2 | $6.028,13 | 789 / 17 | $3.838,70 | 785 / 9 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 23 | 101 / 2 | $17.907,70 | 436 / 1 | $5.388,70 | 299 / 7 | $3.782,17 | 299 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 3 | $34.207,50 | 885 / 8 | $7.206,78 | 766 / 6 | $6.052,00 | 764 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 22 | 43 / 3 | $71.517,80 | 395 / 3 | $18.877,30 | 210 / 5 | $16.860,50 | 209 / 6 |
| Respiratory Infections & Inflammations W Cc | 22 | 66 / 3 | $29.440,00 | 665 / 2 | $8.879,36 | 829 / 8 | $8.059,00 | 824 / 8 |
| Cervical Spinal Fusion W/O Cc/Mcc | 21 | 83 / 10 | $72.635,50 | 607 / 6 | $14.604,00 | 584 / 7 | $13.458,10 | 581 / 12 |
| Pulmonary Embolism W Mcc | 21 | 22 / 4 | $32.124,90 | 201 / 1 | $9.528,81 | 255 / 4 | $8.613,00 | 255 / 4 |
| Major Cardiovasc Procedures W/O Mcc | 21 | 80 / 8 | $124.266,00 | 762 / 4 | $28.178,10 | 718 / 12 | $22.957,10 | 717 / 10 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 7 | $106.219,00 | 444 / 2 | $30.423,40 | 479 / 6 | $29.451,20 | 477 / 6 |
| Diabetes W Cc | 21 | 71 / 5 | $24.369,00 | 967 / 2 | $5.762,48 | 782 / 7 | $4.670,67 | 779 / 7 |
| Other Vascular Procedures W Cc | 20 | 82 / 5 | $86.577,50 | 711 / 5 | $20.132,20 | 626 / 9 | $15.700,20 | 623 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 2 | $74.471,80 | 621 / 4 | $14.313,80 | 566 / 5 | $13.408,20 | 560 / 5 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 7 | $44.402,60 | 614 / 5 | $11.953,80 | 608 / 8 | $11.169,80 | 606 / 11 |
| Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 1 | $80.515,80 | 534 / 3 | $19.322,20 | 511 / 8 | $18.370,60 | 508 / 8 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 4 | $13.972,10 | 351 / 1 | $5.959,95 | 903 / 10 | $4.412,74 | 898 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 8 | $18.809,60 | 501 / 4 | $5.864,11 | 748 / 13 | $3.930,26 | 744 / 10 |
| Nonspecific Cerebrovascular Disorders W Mcc | 18 | 33 / 2 | $30.433,20 | 119 / 1 | $10.302,30 | 148 / 3 | $9.497,00 | 148 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 18 | 78 / 10 | $57.395,70 | 447 / 7 | $15.389,30 | 360 / 12 | $11.920,50 | 357 / 11 |
| Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 3 | $77.975,70 | 599 / 2 | $16.878,60 | 495 / 6 | $15.868,70 | 494 / 8 |
| Transient Ischemia | 18 | 107 / 7 | $18.246,10 | 526 / 1 | $4.952,89 | 828 / 6 | $3.745,78 | 824 / 9 |
| Disorders Of Pancreas Except Malignancy W Cc | 18 | 43 / 4 | $25.537,80 | 495 / 4 | $6.328,61 | 509 / 3 | $5.322,39 | 507 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 5 | $46.283,10 | 397 / 2 | $10.302,10 | 462 / 2 | $9.375,94 | 460 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 5 | $28.043,10 | 588 / 5 | $7.915,44 | 733 / 10 | $7.463,44 | 731 / 12 |
| G.I. Hemorrhage W Mcc | 16 | 105 / 10 | $47.807,60 | 943 / 6 | $11.476,40 | 864 / 8 | $10.722,40 | 860 / 9 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 8 | $29.519,30 | 335 / 1 | $9.386,25 | 554 / 6 | $8.782,25 | 552 / 10 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 16 | 60 / 2 | $38.396,20 | 189 / 1 | $12.726,70 | 108 / 2 | $9.962,31 | 108 / 1 |
| Hypertension W/O Mcc | 16 | 49 / 2 | $18.187,10 | 345 / 1 | $4.489,75 | 328 / 2 | $3.243,50 | 326 / 1 |
| Peritoneal Adhesiolysis W Cc | 16 | 23 / 1 | $57.283,70 | 129 / 1 | $15.846,40 | 107 / 3 | $13.151,40 | 107 / 2 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 9 | $23.721,70 | 601 / 1 | $6.631,19 | 771 / 10 | $5.727,19 | 767 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 4 | $24.909,10 | 389 / 2 | $6.426,93 | 315 / 4 | $5.539,47 | 315 / 4 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 9 | $13.042,10 | 370 / 3 | $4.390,33 | 703 / 10 | $3.263,93 | 701 / 11 |
| Cellulitis W Mcc | 15 | 43 / 1 | $51.264,10 | 740 / 7 | $10.144,10 | 654 / 6 | $9.659,87 | 652 / 6 |
| Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 7 | $117.768,00 | 536 / 6 | $21.875,20 | 397 / 3 | $20.748,80 | 396 / 9 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 3 | $24.842,20 | 127 / 1 | $8.024,00 | 238 / 3 | $7.331,43 | 238 / 4 |
| Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 4 | $25.497,90 | 233 / 2 | $6.260,93 | 173 / 3 | $5.312,36 | 173 / 5 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 5 | $27.653,40 | 719 / 7 | $4.573,54 | 424 / 5 | $3.640,62 | 423 / 6 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 13 | 85 / 6 | $102.931,00 | 203 / 2 | $27.212,10 | 180 / 2 | $26.279,10 | 180 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 5 | $43.640,50 | 472 / 4 | $10.500,50 | 568 / 5 | $9.572,46 | 566 / 11 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 13 | 105 / 6 | $188.091,00 | 391 / 5 | $34.898,20 | 310 / 3 | $33.967,70 | 310 / 4 |
| Major Chest Procedures W Cc | 13 | 61 / 5 | $89.973,40 | 366 / 4 | $18.399,70 | 355 / 4 | $17.383,10 | 353 / 4 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 13 | 75 / 5 | $161.520,00 | 493 / 6 | $31.730,50 | 355 / 5 | $22.670,80 | 354 / 5 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 6 | $91.513,90 | 557 / 9 | $22.219,50 | 341 / 11 | $11.711,70 | 339 / 7 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 3 | $22.423,30 | 222 / 1 | $8.391,83 | 528 / 2 | $7.586,50 | 526 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 15 | $18.560,80 | 1081 / 8 | $4.976,58 | 1315 / 12 | $4.069,92 | 1307 / 15 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 3 | $39.222,00 | 295 / 2 | $9.179,25 | 300 / 4 | $6.652,33 | 300 / 3 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 3 | $48.719,40 | 366 / 3 | $12.013,90 | 434 / 3 | $11.611,20 | 432 / 3 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 9 | $12.631,90 | 184 / 2 | $4.789,75 | 479 / 6 | $3.880,42 | 479 / 10 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 12 | 15 / 3 | $26.397,10 | 36 / 1 | $10.044,80 | 39 / 2 | $9.343,50 | 39 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 5 | $70.166,30 | 238 / 3 | $20.264,20 | 156 / 8 | $13.807,80 | 155 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 4 | $51.975,50 | 338 / 4 | $10.010,80 | 311 / 2 | $8.802,75 | 311 / 6 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 4 | $23.576,10 | 532 / 3 | $6.197,17 | 383 / 5 | $4.519,83 | 379 / 2 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 8 | $31.873,80 | 275 / 2 | $7.419,45 | 255 / 6 | $6.546,73 | 255 / 9 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 5 | $82.345,00 | 353 / 3 | $16.056,10 | 185 / 6 | $10.748,90 | 183 / 3 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 4 | $34.465,80 | 278 / 2 | $8.376,73 | 193 / 2 | $7.605,82 | 193 / 2 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 6 | $20.355,90 | 203 / 1 | $6.350,09 | 256 / 4 | $5.363,91 | 255 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 3 | $43.252,00 | 345 / 1 | $11.688,90 | 328 / 1 | $11.470,70 | 327 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 12 | $15.581,00 | 908 / 3 | $4.803,82 | 1251 / 9 | $4.030,00 | 1241 / 12 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 9 | $84.851,80 | 358 / 4 | $22.999,50 | 266 / 7 | $15.486,60 | 265 / 4 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 3 | $26.180,30 | 385 / 1 | $6.101,00 | 159 / 2 | $4.466,09 | 159 / 1 | Total 99 procedures | 2.973 | 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.