Hospital Costs > In Idaho > Portneuf Medical Center, 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 | 308 | 262 / 3 | $46.954,50 | 1131 / 10 | $17.450,70 | 2237 / 12 | $14.896,40 | 2193 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 252 | 264 / 3 | $32.891,30 | 934 / 4 | $15.040,70 | 2319 / 10 | $13.732,90 | 2278 / 10 |
Pulmonary Edema & Respiratory Failure | 127 | 76 / 1 | $23.744,80 | 652 / 4 | $9.771,84 | 1710 / 8 | $8.518,08 | 1705 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 70 | 137 / 4 | $20.814,60 | 864 / 6 | $8.493,54 | 2047 / 9 | $7.470,29 | 2039 / 9 |
G.I. Hemorrhage W Cc | 44 | 174 / 6 | $20.377,40 | 779 / 3 | $8.209,59 | 1855 / 8 | $6.777,59 | 1851 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 42 | 154 / 5 | $85.719,40 | 977 / 8 | $17.148,10 | 1331 / 8 | $15.897,20 | 1324 / 8 |
Heart Failure & Shock W Mcc | 38 | 246 / 5 | $25.914,00 | 811 / 4 | $11.945,80 | 2148 / 8 | $11.000,60 | 2138 / 9 |
Spinal Fusion Except Cervical W/O Mcc | 37 | 157 / 8 | $61.861,20 | 241 / 2 | $32.057,40 | 1157 / 8 | $29.547,00 | 1152 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 6 | $31.998,40 | 1171 / 6 | $12.058,10 | 2128 / 8 | $10.811,90 | 2123 / 8 |
Poisoning & Toxic Effects Of Drugs W Mcc | 34 | 38 / 2 | $23.543,80 | 186 / 3 | $11.378,90 | 767 / 7 | $10.441,20 | 765 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 3 | $114.770,00 | 682 / 5 | $46.983,00 | 1316 / 7 | $42.334,70 | 1306 / 8 |
Renal Failure W Mcc | 26 | 169 / 6 | $27.503,00 | 609 / 5 | $12.182,40 | 1751 / 7 | $11.440,20 | 1748 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 6 | $15.731,60 | 1051 / 7 | $5.573,84 | 1843 / 6 | $4.549,92 | 1837 / 7 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 5 | $51.873,70 | 674 / 4 | $18.795,70 | 1518 / 5 | $17.799,90 | 1504 / 7 |
Renal Failure W Cc | 23 | 198 / 6 | $13.888,30 | 372 / 2 | $7.818,61 | 1825 / 8 | $6.469,48 | 1815 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 8 | $16.459,10 | 935 / 3 | $5.978,87 | 1790 / 7 | $4.461,04 | 1777 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 7 | $20.104,30 | 485 / 4 | $8.796,86 | 1525 / 7 | $6.960,38 | 1522 / 7 |
Heart Failure & Shock W Cc | 19 | 259 / 8 | $19.911,20 | 1176 / 4 | $7.979,00 | 2109 / 8 | $6.759,11 | 2103 / 8 |
Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 6 | $42.850,20 | 245 / 6 | $17.613,10 | 764 / 8 | $16.349,10 | 761 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 6 | $29.655,30 | 329 / 2 | $13.703,50 | 1268 / 4 | $12.710,50 | 1262 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 3 | $110.400,00 | 592 / 6 | $26.751,50 | 875 / 7 | $25.721,90 | 870 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 4 | $62.284,10 | 284 / 4 | $27.951,80 | 848 / 5 | $26.664,60 | 844 / 5 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 8 | $38.208,30 | 551 / 5 | $15.543,60 | 1739 / 9 | $14.298,60 | 1720 / 9 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 18 | 51 / 3 | $71.494,30 | 270 / 4 | $23.254,80 | 400 / 5 | $18.571,10 | 399 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 5 | $15.624,40 | 585 / 3 | $6.286,22 | 1578 / 8 | $5.153,00 | 1573 / 8 |
Pulmonary Embolism W Mcc | 18 | 25 / 2 | $27.817,80 | 131 / 2 | $11.947,30 | 482 / 4 | $10.810,30 | 481 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 5 | $28.131,40 | 863 / 5 | $10.392,80 | 1525 / 5 | $9.619,53 | 1522 / 7 |
G.I. Hemorrhage W Mcc | 17 | 104 / 4 | $37.365,90 | 601 / 3 | $13.963,80 | 1300 / 6 | $12.901,90 | 1290 / 6 |
Chest Pain | 17 | 134 / 1 | $16.010,40 | 586 / 4 | $4.794,53 | 1153 / 3 | $3.843,59 | 1146 / 4 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 1 | $143.395,00 | 480 / 2 | $49.210,90 | 910 / 2 | $47.682,30 | 909 / 2 |
G.I. Obstruction W Cc | 16 | 76 / 4 | $16.164,40 | 372 / 1 | $7.045,25 | 1344 / 5 | $6.022,50 | 1339 / 6 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 3 | $24.441,60 | 181 / 3 | $8.608,50 | 608 / 3 | $7.312,00 | 607 / 4 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 6 | $56.041,90 | 556 / 3 | $20.231,60 | 1315 / 7 | $18.998,40 | 1301 / 7 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 4 | $46.197,60 | 269 / 5 | $17.903,10 | 671 / 7 | $15.145,90 | 667 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 6 | $20.156,90 | 346 / 3 | $9.622,27 | 1476 / 6 | $8.564,00 | 1473 / 6 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 4 | $14.017,00 | 871 / 4 | $4.658,40 | 1172 / 5 | $2.991,33 | 1167 / 2 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 6 | $41.597,10 | 845 / 6 | $16.135,40 | 1601 / 6 | $15.323,00 | 1585 / 7 |
Other Vascular Procedures W Cc | 14 | 88 / 4 | $51.604,90 | 226 / 2 | $19.762,10 | 915 / 5 | $18.973,30 | 910 / 5 |
Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 3 | $70.731,90 | 223 / 3 | $26.779,90 | 583 / 4 | $25.758,50 | 581 / 4 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 6 | $38.354,60 | 893 / 6 | $8.611,14 | 1261 / 6 | $7.296,86 | 1258 / 6 |
Other Vascular Procedures W Mcc | 13 | 84 / 2 | $59.089,80 | 149 / 2 | $24.917,10 | 719 / 3 | $23.987,20 | 716 / 3 |
Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 1 | $17.395,80 | 79 / 1 | $7.691,69 | 341 / 3 | $6.567,54 | 341 / 2 |
Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 2 | $27.244,10 | 89 / 1 | $13.050,50 | 305 / 2 | $11.957,60 | 305 / 2 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 5 | $35.767,40 | 360 / 2 | $15.017,30 | 1052 / 4 | $13.955,20 | 1045 / 5 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 3 | $26.016,90 | 510 / 5 | $7.969,83 | 630 / 4 | $5.761,33 | 627 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 2 | $48.545,50 | 106 / 2 | $20.984,70 | 255 / 2 | $16.579,50 | 255 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 11 | 107 / 4 | $134.459,00 | 231 / 4 | $42.642,40 | 462 / 4 | $41.882,10 | 462 / 4 |
Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 5 | $95.580,00 | 539 / 6 | $27.510,80 | 864 / 7 | $26.467,30 | 863 / 7 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 6 | $96.971,80 | 354 / 3 | $40.687,10 | 1059 / 5 | $39.129,00 | 1057 / 6 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 4 | $31.017,50 | 771 / 3 | $8.382,09 | 1140 / 3 | $7.283,00 | 1138 / 3 |
Syncope & Collapse | 11 | 158 / 6 | $14.604,90 | 360 / 3 | $5.783,27 | 1412 / 5 | $4.886,91 | 1405 / 5 |
Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 8 | $14.520,40 | 864 / 4 | $6.124,27 | 2065 / 7 | $5.125,73 | 2054 / 7 | Total 52 procedures | 1.681 | 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.