Hospital Costs > In Hawaii > Pali Momi Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 2 | $38.292,10 | 995 / 6 | $8.690,68 | 1201 / 1 | $7.678,20 | 1199 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 49 | 76 / 1 | $52.289,60 | 1187 / 8 | $14.456,30 | 1463 / 5 | $12.571,50 | 1451 / 4 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 2 | $32.825,10 | 630 / 4 | $7.128,43 | 673 / 2 | $5.069,29 | 669 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 5 | $31.486,50 | 1684 / 6 | $9.199,53 | 1449 / 4 | $4.889,27 | 1444 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 2 | $36.779,80 | 1215 / 4 | $9.624,19 | 1557 / 1 | $8.932,38 | 1554 / 2 |
| Cellulitis W/O Mcc | 21 | 168 / 7 | $22.511,40 | 1687 / 8 | $6.999,05 | 2095 / 2 | $5.792,19 | 2087 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 2 | $32.236,00 | 1817 / 4 | $8.444,38 | 1650 / 1 | $5.765,62 | 1643 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 1 | $41.637,50 | 1973 / 8 | $9.894,47 | 2091 / 3 | $8.249,04 | 2083 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 2 | $28.046,00 | 1650 / 4 | $6.315,60 | 1721 / 1 | $5.010,48 | 1710 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 2 | $34.940,60 | 759 / 6 | $9.324,74 | 1256 / 2 | $7.279,42 | 1253 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 5 | $26.997,60 | 2005 / 9 | $6.266,80 | 2287 / 1 | $5.481,20 | 2272 / 3 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 1 | $160.991,00 | 518 / 2 | $58.716,00 | 557 / 3 | $35.087,80 | 557 / 1 |
| G.I. Hemorrhage W Cc | 65 | 153 / 2 | $26.155,50 | 1303 / 6 | $8.534,06 | 1824 / 2 | $6.705,42 | 1820 / 3 |
| G.I. Hemorrhage W Mcc | 32 | 89 / 2 | $45.330,30 | 874 / 4 | $15.070,70 | 1283 / 2 | $12.808,90 | 1273 / 3 |
| G.I. Obstruction W Cc | 29 | 63 / 2 | $22.499,30 | 827 / 2 | $7.786,90 | 1353 / 2 | $6.049,17 | 1348 / 2 |
| G.I. Obstruction W Mcc | 13 | 29 / 2 | $38.459,50 | 228 / 1 | $13.497,40 | 441 / 1 | $12.478,30 | 441 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 2 | $18.593,00 | 756 / 4 | $5.308,78 | 1062 / 1 | $4.169,22 | 1059 / 1 |
| Heart Failure & Shock W Cc | 47 | 231 / 2 | $34.882,10 | 2171 / 10 | $9.691,32 | 2039 / 5 | $6.595,79 | 2034 / 2 |
| Heart Failure & Shock W Mcc | 49 | 235 / 2 | $39.297,20 | 1623 / 7 | $11.605,60 | 2125 / 2 | $10.879,70 | 2115 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 3 | $43.195,70 | 769 / 4 | $15.811,90 | 1567 / 3 | $13.126,90 | 1548 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 3 | $136.387,00 | 892 / 4 | $44.891,70 | 1330 / 4 | $42.835,50 | 1320 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 47 | 135 / 2 | $39.997,60 | 1515 / 9 | $9.531,60 | 1597 / 3 | $7.195,13 | 1594 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 2 | $54.426,00 | 1033 / 6 | $14.731,20 | 1327 / 5 | $13.247,20 | 1321 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 42 | 60 / 1 | $28.880,50 | 1062 / 7 | $7.395,95 | 1173 / 4 | $4.757,86 | 1169 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 2 | $45.253,30 | 1610 / 3 | $11.396,50 | 1801 / 1 | $9.701,12 | 1797 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 4 | $24.510,80 | 1951 / 8 | $6.473,04 | 2204 / 2 | $5.458,00 | 2193 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 2 | $36.577,60 | 257 / 2 | $10.244,90 | 374 / 1 | $7.118,75 | 373 / 1 |
| Major Cardiovasc Procedures W Mcc | 11 | 57 / 2 | $168.264,00 | 422 / 2 | $46.161,50 | 559 / 1 | $45.280,10 | 558 / 1 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 15 | 58 / 2 | $37.092,10 | 160 / 2 | $12.059,70 | 176 / 1 | $6.751,00 | 176 / 1 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 2 | $75.994,90 | 951 / 4 | $19.520,60 | 1266 / 2 | $18.398,40 | 1252 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 2 | $133.072,00 | 684 / 2 | $42.024,10 | 954 / 2 | $36.595,50 | 952 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 2 | $32.789,70 | 1085 / 6 | $8.934,42 | 1271 / 2 | $7.979,47 | 1268 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 3 | $18.420,60 | 1367 / 5 | $6.086,39 | 1971 / 2 | $4.816,75 | 1963 / 2 |
| Other Vascular Procedures W Mcc | 20 | 77 / 3 | $103.096,00 | 620 / 3 | $26.624,60 | 804 / 2 | $25.781,40 | 801 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 32 | 68 / 1 | $96.679,30 | 456 / 1 | $24.660,20 | 753 / 1 | $22.779,90 | 748 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 44 | 152 / 2 | $76.083,80 | 800 / 3 | $16.547,30 | 1123 / 1 | $13.355,60 | 1116 / 2 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 4 | $54.005,20 | 1831 / 4 | $9.702,73 | 1802 / 1 | $8.937,64 | 1797 / 2 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 1 | $50.743,30 | 846 / 1 | $11.078,10 | 946 / 1 | $10.371,40 | 942 / 1 |
| Renal Failure W Cc | 17 | 204 / 5 | $30.672,00 | 1725 / 7 | $10.442,50 | 845 / 6 | $5.038,29 | 838 / 1 |
| Renal Failure W Mcc | 21 | 174 / 3 | $46.149,00 | 1481 / 6 | $13.708,70 | 1928 / 3 | $13.021,50 | 1924 / 4 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 3 | $62.957,60 | 1282 / 4 | $11.825,90 | 1347 / 2 | $11.102,80 | 1342 / 2 |
| Respiratory Infections & Inflammations W Mcc | 31 | 105 / 2 | $63.908,90 | 1337 / 6 | $17.237,50 | 1672 / 3 | $16.419,90 | 1656 / 5 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 12 | 17 / 1 | $54.657,90 | 121 / 1 | $8.924,17 | 124 / 1 | $8.417,50 | 124 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 3 | $114.567,00 | 1637 / 6 | $25.238,70 | 1798 / 4 | $24.002,40 | 1784 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 160 | 356 / 4 | $58.245,80 | 2041 / 11 | $17.497,80 | 2373 / 5 | $14.078,90 | 2331 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 42 | 165 / 4 | $31.197,40 | 1686 / 8 | $8.579,17 | 2102 / 1 | $7.630,60 | 2094 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 2 | $35.892,40 | 2212 / 10 | $8.545,93 | 2450 / 3 | $7.462,98 | 2441 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 2 | $48.135,00 | 1851 / 10 | $11.517,50 | 2091 / 2 | $10.583,30 | 2087 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 2 | $28.215,10 | 1565 / 4 | $5.994,29 | 1617 / 1 | $4.780,57 | 1609 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 35 | 159 / 2 | $59.778,50 | 216 / 1 | $33.386,90 | 838 / 1 | $24.514,10 | 834 / 1 |
| Syncope & Collapse | 20 | 149 / 3 | $20.122,40 | 870 / 3 | $6.161,85 | 1480 / 1 | $5.073,85 | 1473 / 1 | Total 51 procedures | 1.492 | 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.