Hospital Costs > In Washington > Peachealth St John 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 | 175 | 341 / 25 | $34.517,20 | 1027 / 10 | $13.111,70 | 1948 / 21 | $12.189,40 | 1912 / 28 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 152 | 412 / 27 | $35.163,40 | 472 / 5 | $15.115,70 | 1931 / 16 | $13.364,40 | 1889 / 35 |
| Psychoses | 120 | 175 / 2 | $30.609,80 | 481 / 13 | $7.813,32 | 406 / 9 | $6.849,05 | 406 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 85 | 120 / 4 | $31.052,30 | 1105 / 16 | $10.750,80 | 1877 / 22 | $9.633,39 | 1877 / 31 |
| Heart Failure & Shock W Mcc | 63 | 221 / 24 | $32.300,10 | 1233 / 16 | $10.643,90 | 1786 / 22 | $9.672,30 | 1781 / 23 |
| Renal Failure W Mcc | 63 | 132 / 11 | $31.203,30 | 827 / 14 | $11.126,20 | 1447 / 24 | $10.091,00 | 1447 / 27 |
| Pulmonary Edema & Respiratory Failure | 54 | 149 / 22 | $29.513,90 | 1014 / 16 | $10.171,80 | 1541 / 34 | $7.933,09 | 1536 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 21 | $22.049,30 | 1632 / 22 | $6.139,75 | 2008 / 30 | $4.808,27 | 1994 / 32 |
| Respiratory Infections & Inflammations W Mcc | 47 | 89 / 8 | $35.051,30 | 593 / 13 | $13.572,60 | 1254 / 23 | $12.725,60 | 1239 / 25 |
| G.I. Hemorrhage W Cc | 43 | 175 / 22 | $19.040,50 | 666 / 5 | $7.466,98 | 1731 / 22 | $6.427,35 | 1727 / 27 |
| Renal Failure W Cc | 40 | 181 / 21 | $18.801,00 | 860 / 8 | $7.431,50 | 1687 / 25 | $6.091,80 | 1678 / 24 |
| Hip & Femur Procedures Except Major Joint W Cc | 40 | 103 / 14 | $41.904,80 | 721 / 7 | $13.654,20 | 1452 / 17 | $12.567,80 | 1434 / 21 |
| Heart Failure & Shock W Cc | 36 | 242 / 28 | $22.059,70 | 1404 / 14 | $8.645,31 | 2056 / 40 | $6.632,19 | 2051 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 32 | $22.580,20 | 1027 / 9 | $7.872,66 | 1821 / 20 | $6.838,60 | 1813 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 23 | $21.063,40 | 1254 / 19 | $7.390,47 | 2153 / 25 | $6.486,47 | 2145 / 35 |
| Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 15 | $21.665,70 | 872 / 10 | $8.733,50 | 1791 / 25 | $7.419,70 | 1783 / 23 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 13 | $24.115,40 | 870 / 16 | $8.744,83 | 1570 / 25 | $7.938,43 | 1566 / 33 |
| Cellulitis W/O Mcc | 29 | 160 / 22 | $19.565,00 | 1438 / 20 | $6.554,03 | 1947 / 23 | $5.453,76 | 1939 / 33 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 11 | $27.466,10 | 349 / 2 | $10.797,80 | 908 / 7 | $10.026,40 | 907 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 27 | 74 / 11 | $23.544,70 | 209 / 2 | $10.715,30 | 659 / 9 | $9.909,33 | 657 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 25 | $23.934,20 | 719 / 10 | $7.972,92 | 1508 / 27 | $6.903,38 | 1505 / 35 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 17 | $51.957,00 | 676 / 6 | $15.967,60 | 1193 / 8 | $15.048,60 | 1180 / 14 |
| Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 20 | $16.675,20 | 1177 / 9 | $6.047,44 | 2041 / 27 | $5.082,32 | 2030 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 19 | $19.837,80 | 332 / 4 | $10.544,00 | 1178 / 35 | $7.548,13 | 1175 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 22 | $16.066,20 | 630 / 4 | $6.426,23 | 1401 / 29 | $4.811,95 | 1396 / 17 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 17 | $91.315,50 | 389 / 6 | $38.305,90 | 1100 / 20 | $37.011,40 | 1093 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 23 | $42.928,00 | 779 / 20 | $14.030,30 | 1315 / 34 | $13.111,40 | 1309 / 36 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 11 | $25.218,10 | 527 / 11 | $7.331,67 | 953 / 10 | $6.528,62 | 951 / 19 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 19 | $18.152,30 | 824 / 10 | $7.029,10 | 1705 / 17 | $5.883,50 | 1698 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 18 | $13.358,30 | 770 / 8 | $5.553,32 | 1493 / 35 | $3.526,26 | 1487 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 12 | $24.095,70 | 397 / 6 | $8.815,05 | 936 / 13 | $7.922,42 | 931 / 17 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 19 | 105 / 10 | $17.316,10 | 425 / 5 | $5.522,53 | 496 / 8 | $4.444,63 | 495 / 10 |
| Organic Disturbances & Mental Retardation | 17 | 42 / 1 | $82.849,10 | 557 / 5 | $15.404,20 | 538 / 5 | $12.012,10 | 538 / 5 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 12 | $116.669,00 | 532 / 9 | $34.870,70 | 796 / 8 | $33.521,10 | 794 / 13 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 11 | $42.837,00 | 608 / 20 | $15.162,40 | 813 / 27 | $11.213,80 | 810 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 25 | $16.607,70 | 1150 / 11 | $5.613,38 | 1920 / 24 | $4.705,38 | 1913 / 31 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 18 | $14.000,80 | 724 / 4 | $5.315,50 | 1567 / 19 | $4.633,50 | 1554 / 26 |
| Syncope & Collapse | 16 | 153 / 18 | $19.140,60 | 773 / 9 | $7.587,69 | 1096 / 34 | $4.229,62 | 1089 / 13 |
| G.I. Hemorrhage W Mcc | 16 | 105 / 22 | $27.584,10 | 247 / 3 | $11.957,90 | 1036 / 13 | $11.429,90 | 1028 / 18 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 11 | $52.114,20 | 202 / 3 | $20.213,90 | 574 / 7 | $19.083,20 | 571 / 8 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 16 | $33.850,30 | 311 / 2 | $12.931,60 | 821 / 3 | $12.202,00 | 816 / 6 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 16 | $60.807,10 | 657 / 13 | $17.947,10 | 1152 / 11 | $17.061,70 | 1139 / 24 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 6 | $38.161,10 | 201 / 3 | $10.902,80 | 390 / 5 | $9.780,50 | 390 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 22 | $26.866,00 | 808 / 13 | $8.303,21 | 1063 / 20 | $7.260,93 | 1060 / 20 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 21 | $25.510,10 | 305 / 5 | $7.990,00 | 1185 / 15 | $6.961,43 | 1182 / 22 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 11 | $25.902,30 | 511 / 9 | $10.005,90 | 1117 / 14 | $9.141,93 | 1112 / 18 |
| G.I. Obstruction W Cc | 14 | 78 / 20 | $18.964,40 | 580 / 9 | $7.797,36 | 935 / 30 | $5.000,50 | 932 / 8 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 9 | $23.459,60 | 419 / 8 | $6.828,92 | 660 / 4 | $5.893,54 | 657 / 13 |
| Cellulitis W Mcc | 13 | 45 / 9 | $35.552,80 | 497 / 12 | $10.286,40 | 649 / 7 | $9.634,08 | 647 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 10 | $13.571,00 | 614 / 2 | $5.722,69 | 1542 / 9 | $4.531,31 | 1531 / 14 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 18 | $81.409,60 | 396 / 5 | $23.752,50 | 699 / 5 | $22.643,20 | 698 / 11 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 18 | $18.933,80 | 345 / 5 | $7.349,50 | 990 / 17 | $6.437,50 | 986 / 23 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 9 | $19.303,10 | 490 / 4 | $5.204,25 | 588 / 9 | $4.198,92 | 587 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 11 | 185 / 27 | $58.180,00 | 414 / 5 | $14.388,70 | 1116 / 6 | $13.300,70 | 1109 / 24 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 6 | $20.187,80 | 226 / 2 | $6.790,45 | 517 / 3 | $6.135,91 | 517 / 7 |
| Chest Pain | 11 | 140 / 21 | $12.995,40 | 311 / 2 | $4.969,91 | 1197 / 13 | $3.980,82 | 1190 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 20 | $20.597,20 | 622 / 9 | $5.996,55 | 1304 / 20 | $5.225,64 | 1300 / 32 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 9 | $16.190,70 | 337 / 4 | $5.690,55 | 692 / 12 | $4.593,82 | 691 / 15 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 11 | $40.434,50 | 146 / 3 | $13.425,20 | 338 / 3 | $11.696,90 | 336 / 5 | Total 59 procedures | 1.809 | 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.