Hospital Costs > In Arizona > Oro Valley Hospital, 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 | 409 | 179 / 8 | $72.675,00 | 2061 / 40 | $11.768,60 | 206 / 1 | $9.743,54 | 206 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 62 | 213 / 22 | $27.290,30 | 2020 / 30 | $4.105,60 | 28 / 1 | $2.757,61 | 28 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 56 | 147 / 14 | $34.050,40 | 2147 / 39 | $5.246,29 | 162 / 1 | $4.252,57 | 162 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 15 | $23.458,20 | 1882 / 20 | $4.148,90 | 83 / 1 | $3.093,00 | 83 / 1 |
| Heart Failure & Shock W Cc | 50 | 228 / 14 | $28.973,50 | 1905 / 22 | $5.230,88 | 207 / 1 | $4.555,04 | 207 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 14 | $40.230,30 | 1927 / 32 | $6.662,36 | 179 / 1 | $5.374,02 | 179 / 2 |
| Renal Failure W Cc | 39 | 182 / 16 | $31.259,50 | 1762 / 26 | $5.022,90 | 53 / 1 | $4.060,44 | 53 / 1 |
| Cellulitis W/O Mcc | 38 | 151 / 22 | $25.748,50 | 1917 / 34 | $4.528,95 | 124 / 1 | $3.445,16 | 124 / 1 |
| Heart Failure & Shock W Mcc | 34 | 250 / 25 | $37.954,50 | 1553 / 17 | $7.850,06 | 110 / 1 | $6.994,53 | 110 / 1 |
| G.I. Hemorrhage W Cc | 32 | 186 / 25 | $35.921,20 | 1817 / 26 | $5.387,53 | 161 / 1 | $4.487,53 | 161 / 1 |
| Pulmonary Embolism W/O Mcc | 29 | 45 / 6 | $28.645,00 | 789 / 12 | $5.332,14 | 81 / 1 | $4.249,66 | 81 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 14 | $30.465,30 | 1739 / 19 | $5.035,69 | 137 / 1 | $4.073,48 | 137 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 23 | $42.987,20 | 1679 / 22 | $7.616,48 | 108 / 1 | $6.613,45 | 108 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 11 | $25.474,00 | 1477 / 23 | $3.732,41 | 138 / 1 | $2.792,56 | 137 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 27 | 489 / 40 | $56.860,80 | 2009 / 23 | $9.803,52 | 241 / 1 | $9.042,63 | 241 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 18 | $81.983,50 | 1732 / 34 | $10.719,50 | 283 / 1 | $9.693,15 | 282 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 26 | $101.048,00 | 1177 / 28 | $11.698,30 | 217 / 1 | $9.879,32 | 217 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 17 | $23.736,50 | 1332 / 15 | $4.193,12 | 179 / 1 | $3.443,79 | 179 / 2 |
| Signs & Symptoms W/O Mcc | 24 | 67 / 5 | $30.319,60 | 1035 / 16 | $3.615,38 | 17 / 1 | $2.658,04 | 17 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 6 | $19.559,00 | 797 / 12 | $3.875,92 | 22 / 5 | $2.037,46 | 22 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 25 | $26.739,40 | 1977 / 32 | $3.680,87 | 41 / 1 | $2.683,30 | 41 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 9 | $24.434,10 | 1530 / 16 | $3.751,52 | 46 / 1 | $2.649,29 | 46 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 4 | $107.056,00 | 438 / 15 | $15.953,70 | 74 / 4 | $13.259,90 | 74 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 26 | $40.929,20 | 1540 / 27 | $5.457,95 | 61 / 1 | $4.442,37 | 61 / 2 |
| Respiratory Infections & Inflammations W Cc | 19 | 69 / 10 | $36.703,30 | 893 / 7 | $7.332,16 | 91 / 1 | $6.436,16 | 91 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 15 | $30.329,00 | 1113 / 16 | $4.036,00 | 44 / 1 | $2.828,89 | 44 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 8 | $72.835,10 | 677 / 19 | $8.901,28 | 87 / 1 | $7.759,94 | 87 / 3 |
| G.I. Obstruction W Cc | 18 | 74 / 17 | $23.466,90 | 893 / 7 | $4.685,33 | 67 / 1 | $3.680,89 | 67 / 1 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 16 | $54.715,80 | 1949 / 32 | $7.316,59 | 1711 / 26 | $6.392,29 | 1702 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 20 | $38.954,50 | 1293 / 17 | $6.513,12 | 39 / 1 | $5.368,65 | 39 / 1 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 15 | $47.004,40 | 1224 / 27 | $5.063,50 | 27 / 1 | $4.081,50 | 27 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 33 | $32.242,90 | 1745 / 21 | $5.654,19 | 90 / 1 | $4.610,19 | 90 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 22 | $50.395,90 | 1211 / 28 | $5.853,62 | 152 / 1 | $4.873,62 | 152 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 6 | $55.716,80 | 664 / 10 | $8.649,12 | 82 / 1 | $7.589,12 | 82 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 25 | $20.385,10 | 1412 / 24 | $2.975,20 | 223 / 1 | $2.175,20 | 222 / 2 |
| Renal Failure W Mcc | 15 | 180 / 27 | $52.389,50 | 1632 / 29 | $8.379,60 | 40 / 1 | $6.903,27 | 40 / 1 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 21 | $114.860,00 | 1322 / 28 | $13.698,90 | 269 / 1 | $12.747,90 | 267 / 3 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 13 | $116.964,00 | 531 / 17 | $18.353,10 | 121 / 1 | $17.242,90 | 121 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 18 | $182.147,00 | 983 / 22 | $29.892,20 | 439 / 5 | $28.985,50 | 437 / 11 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 8 | $48.414,20 | 891 / 16 | $4.966,33 | 302 / 7 | $3.336,75 | 301 / 7 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 10 | $28.746,80 | 676 / 10 | $4.677,67 | 87 / 1 | $3.771,00 | 87 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 15 | $42.268,70 | 860 / 23 | $6.307,50 | 204 / 1 | $5.902,17 | 204 / 4 |
| Transient Ischemia | 11 | 114 / 20 | $32.761,20 | 1270 / 22 | $3.752,27 | 50 / 1 | $2.658,45 | 50 / 1 |
| Syncope & Collapse | 11 | 158 / 23 | $33.487,00 | 1542 / 29 | $3.898,27 | 116 / 1 | $3.016,82 | 116 / 1 |
| Diabetes W Cc | 11 | 81 / 14 | $27.783,10 | 1104 / 13 | $4.313,64 | 42 / 1 | $3.432,18 | 42 / 1 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 8 | $20.127,50 | 553 / 5 | $3.690,00 | 23 / 1 | $2.593,27 | 23 / 1 | Total 46 procedures | 1.483 | 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.