Hospital Costs > In Colorado > North Suburban 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 | 65 | 451 / 25 | $90.167,60 | 2548 / 37 | $13.988,30 | 1649 / 30 | $11.321,30 | 1617 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 17 | $45.593,60 | 2598 / 32 | $6.019,00 | 2128 / 27 | $5.059,73 | 2114 / 28 |
Pulmonary Edema & Respiratory Failure | 33 | 170 / 17 | $62.486,80 | 1965 / 32 | $9.460,24 | 1463 / 26 | $7.761,58 | 1458 / 26 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 33 | 531 / 39 | $101.568,00 | 2498 / 44 | $14.749,50 | 1827 / 19 | $12.968,30 | 1786 / 30 |
Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 10 | $54.159,00 | 2269 / 25 | $8.656,81 | 1768 / 18 | $7.356,81 | 1760 / 21 |
Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 19 | $71.156,60 | 2249 / 31 | $10.161,00 | 1775 / 23 | $9.319,43 | 1775 / 29 |
Renal Failure W Cc | 29 | 192 / 15 | $46.092,80 | 2183 / 30 | $7.630,21 | 1484 / 25 | $5.727,90 | 1475 / 23 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 13 | $47.701,70 | 2619 / 32 | $5.967,39 | 2112 / 26 | $5.230,07 | 2101 / 28 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 20 | $56.178,70 | 2658 / 34 | $7.653,17 | 1828 / 30 | $5.888,61 | 1820 / 24 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 14 | $160.509,00 | 1451 / 28 | $15.587,60 | 854 / 19 | $11.883,20 | 848 / 16 |
G.I. Hemorrhage W Cc | 22 | 196 / 18 | $57.792,90 | 2279 / 32 | $7.441,95 | 1611 / 26 | $6.176,32 | 1607 / 25 |
Chest Pain | 21 | 130 / 9 | $54.183,30 | 1695 / 17 | $5.429,10 | 1355 / 16 | $4.447,76 | 1347 / 16 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 7 | $36.414,20 | 1876 / 13 | $5.994,32 | 1473 / 13 | $4.369,89 | 1462 / 12 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 13 | $71.773,40 | 1513 / 17 | $8.112,32 | 1028 / 14 | $6.409,79 | 1025 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 16 | $44.665,50 | 2441 / 31 | $5.809,63 | 1940 / 27 | $4.743,53 | 1932 / 27 |
Cellulitis W/O Mcc | 18 | 171 / 17 | $46.857,60 | 2523 / 28 | $6.574,39 | 2132 / 24 | $5.902,39 | 2124 / 26 |
Heart Failure & Shock W Mcc | 18 | 266 / 20 | $76.087,70 | 2421 / 32 | $10.627,50 | 1814 / 24 | $9.758,17 | 1809 / 26 |
Spinal Fusion Except Cervical W/O Mcc | 17 | 177 / 25 | $235.956,00 | 1328 / 29 | $32.586,70 | 797 / 22 | $24.050,80 | 793 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 11 | $46.577,10 | 2194 / 19 | $7.143,12 | 1914 / 17 | $6.431,59 | 1907 / 19 |
Medical Back Problems W/O Mcc | 17 | 104 / 14 | $49.007,60 | 1395 / 21 | $6.649,18 | 1101 / 19 | $5.583,76 | 1097 / 20 |
Renal Failure W Mcc | 15 | 180 / 19 | $59.014,00 | 1746 / 18 | $10.575,50 | 1312 / 14 | $9.685,87 | 1312 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 26 | $50.016,40 | 2261 / 33 | $7.549,13 | 1594 / 21 | $6.416,33 | 1587 / 24 |
Syncope & Collapse | 15 | 154 / 15 | $51.630,60 | 1846 / 20 | $5.872,00 | 1390 / 15 | $4.820,27 | 1383 / 16 |
Heart Failure & Shock W Cc | 14 | 264 / 25 | $40.084,40 | 2330 / 28 | $7.550,21 | 2151 / 29 | $6.855,36 | 2145 / 33 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 11 | $132.806,00 | 1725 / 20 | $23.848,90 | 509 / 20 | $12.473,60 | 502 / 2 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 15 | $98.451,80 | 1640 / 24 | $13.480,60 | 977 / 15 | $11.627,50 | 967 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 14 | $63.861,20 | 1623 / 23 | $8.215,77 | 1035 / 13 | $7.194,23 | 1032 / 15 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 5 | $200.454,00 | 747 / 3 | $33.263,30 | 512 / 2 | $32.762,00 | 511 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 18 | $189.862,00 | 1224 / 20 | $30.132,00 | 485 / 5 | $29.364,00 | 481 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 24 | $94.629,50 | 1844 / 29 | $13.376,30 | 1347 / 21 | $12.171,90 | 1329 / 24 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 15 | $88.417,60 | 722 / 8 | $15.114,30 | 662 / 9 | $14.340,50 | 659 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 13 | $51.985,70 | 1190 / 16 | $8.736,82 | 947 / 12 | $7.968,82 | 942 / 15 |
Signs & Symptoms W/O Mcc | 11 | 80 / 12 | $43.797,30 | 1267 / 19 | $6.225,91 | 823 / 17 | $4.340,73 | 820 / 15 | Total 33 procedures | 692 | 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.