Hospital Costs > In Colorado > Poudre Valley Hospital, 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 | 14 | 77 / 7 | $24.764,50 | 510 / 4 | $7.182,14 | 127 / 5 | $4.768,21 | 127 / 1 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 3 | $23.039,60 | 393 / 1 | $4.959,75 | 349 / 2 | $3.883,17 | 346 / 2 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 27 | 39 / 3 | $49.381,90 | 267 / 2 | $11.714,40 | 228 / 4 | $10.501,40 | 227 / 6 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 6 | $29.487,70 | 288 / 2 | $6.896,42 | 312 / 3 | $5.649,21 | 311 / 5 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 128 | 4 / 1 | $89.362,30 | 148 / 4 | $23.611,50 | 113 / 3 | $19.103,60 | 113 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 3 | $20.568,80 | 402 / 1 | $6.100,94 | 217 / 3 | $4.147,56 | 214 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 10 | $18.977,20 | 955 / 3 | $5.109,97 | 639 / 6 | $3.956,38 | 636 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 7 | $29.500,00 | 930 / 2 | $7.998,96 | 898 / 8 | $6.969,88 | 895 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 11 | $16.330,40 | 1136 / 5 | $4.297,56 | 745 / 15 | $2.627,50 | 741 / 7 |
| Cellulitis W/O Mcc | 49 | 140 / 5 | $25.105,00 | 1876 / 10 | $5.663,88 | 965 / 13 | $4.248,18 | 959 / 11 |
| Cervical Spinal Fusion W/O Cc/Mcc | 24 | 80 / 7 | $38.781,80 | 175 / 1 | $13.635,60 | 463 / 5 | $12.493,50 | 461 / 9 |
| Chest Pain | 34 | 117 / 5 | $17.484,80 | 731 / 3 | $4.222,18 | 659 / 7 | $3.085,76 | 655 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 6 | $20.688,50 | 1075 / 5 | $5.909,34 | 960 / 6 | $4.925,37 | 957 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 8 | $28.356,70 | 1363 / 8 | $9.617,44 | 942 / 25 | $6.193,88 | 937 / 7 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 8 | $18.575,90 | 1158 / 4 | $4.749,41 | 1191 / 4 | $3.938,41 | 1182 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 14 | $32.768,70 | 648 / 4 | $6.726,11 | 730 / 4 | $5.781,39 | 728 / 7 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 5 | $24.292,40 | 367 / 2 | $5.981,45 | 134 / 1 | $4.742,55 | 134 / 1 |
| Diabetes W Cc | 16 | 76 / 7 | $23.092,10 | 893 / 1 | $5.393,50 | 537 / 1 | $4.320,06 | 537 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 6 | $33.873,20 | 767 / 4 | $7.571,52 | 531 / 5 | $6.682,14 | 526 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 83 | 192 / 7 | $21.206,90 | 1519 / 7 | $5.397,69 | 1501 / 18 | $4.128,00 | 1490 / 20 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 8 | $16.930,80 | 381 / 3 | $4.730,54 | 317 / 5 | $3.512,23 | 318 / 4 |
| G.I. Hemorrhage W Cc | 69 | 149 / 4 | $29.651,50 | 1531 / 14 | $7.174,32 | 1131 / 21 | $5.504,10 | 1129 / 17 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 3 | $40.158,00 | 696 / 3 | $10.760,60 | 596 / 3 | $9.902,22 | 597 / 4 |
| G.I. Obstruction W Cc | 23 | 69 / 8 | $18.808,60 | 568 / 3 | $5.629,87 | 596 / 5 | $4.581,43 | 595 / 9 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 10 | $13.051,60 | 371 / 4 | $4.104,36 | 648 / 7 | $3.158,71 | 646 / 8 |
| Heart Failure & Shock W Cc | 58 | 220 / 7 | $25.641,40 | 1717 / 13 | $6.261,69 | 916 / 11 | $5.226,72 | 915 / 12 |
| Heart Failure & Shock W Mcc | 57 | 227 / 8 | $33.506,40 | 1312 / 6 | $9.433,42 | 1073 / 12 | $8.390,51 | 1070 / 12 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 4 | $18.326,50 | 1177 / 5 | $4.461,29 | 776 / 5 | $3.533,42 | 772 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 9 | $45.172,90 | 846 / 5 | $12.423,60 | 627 / 15 | $10.295,10 | 624 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 15 | $119.041,00 | 725 / 4 | $32.471,60 | 675 / 13 | $31.314,50 | 669 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 8 | $26.427,70 | 886 / 4 | $6.815,05 | 902 / 8 | $5.685,97 | 900 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 9 | $30.431,90 | 355 / 1 | $9.939,26 | 352 / 5 | $8.958,91 | 351 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 5 | $22.437,30 | 747 / 5 | $5.631,85 | 457 / 10 | $3.577,30 | 454 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 4 | $27.103,10 | 1046 / 5 | $7.069,50 | 892 / 10 | $6.216,79 | 890 / 11 |
| Kidney & Urinary Tract Infections W/O Mcc | 89 | 144 / 2 | $19.621,40 | 1531 / 9 | $5.026,92 | 956 / 11 | $3.929,11 | 949 / 12 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 5 | $46.957,40 | 405 / 3 | $11.967,30 | 379 / 9 | $8.977,82 | 379 / 4 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 16 | 31 / 3 | $47.829,50 | 296 / 3 | $9.376,69 | 235 / 1 | $8.165,88 | 235 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 2 | $30.499,50 | 662 / 7 | $7.433,10 | 498 / 8 | $6.637,71 | 496 / 8 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 4 | $46.189,80 | 368 / 6 | $11.065,60 | 414 / 6 | $10.157,30 | 414 / 7 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 113 | 6 / 2 | $47.697,70 | 298 / 2 | $15.042,30 | 320 / 11 | $11.666,70 | 317 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 6 | $64.020,00 | 300 / 1 | $18.165,40 | 226 / 3 | $16.995,20 | 225 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 783 | 42 / 1 | $53.054,20 | 1423 / 12 | $14.287,90 | 1230 / 14 | $11.450,20 | 1199 / 19 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 22 | 47 / 4 | $52.662,30 | 157 / 1 | $15.242,20 | 176 / 3 | $13.964,50 | 176 / 6 |
| Major Small & Large Bowel Procedures W Cc | 32 | 76 / 6 | $62.566,40 | 702 / 4 | $15.964,60 | 778 / 11 | $14.666,50 | 770 / 14 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 9 | $170.252,00 | 917 / 10 | $42.470,30 | 1101 / 14 | $41.081,30 | 1099 / 15 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 7 | $52.386,60 | 486 / 4 | $10.261,40 | 379 / 4 | $9.034,14 | 379 / 6 |
| Medical Back Problems W/O Mcc | 28 | 93 / 8 | $21.460,10 | 632 / 3 | $5.277,61 | 470 / 5 | $4.188,21 | 470 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 6 | $31.918,00 | 1040 / 6 | $7.873,60 | 1050 / 11 | $7.237,20 | 1047 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 65 | 101 / 4 | $18.538,80 | 1384 / 9 | $4.631,57 | 1099 / 9 | $3.721,92 | 1096 / 12 |
| Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 4 | $23.577,40 | 196 / 1 | $8.236,86 | 144 / 6 | $5.159,71 | 144 / 3 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 29 | 48 / 2 | $39.382,90 | 174 / 1 | $10.442,40 | 111 / 2 | $7.956,34 | 111 / 1 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 4 | $25.319,60 | 282 / 1 | $6.439,08 | 160 / 3 | $5.437,33 | 160 / 3 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 12 | $39.024,20 | 454 / 2 | $11.503,00 | 474 / 5 | $10.662,70 | 473 / 7 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 9 | $27.752,50 | 784 / 4 | $7.615,44 | 400 / 13 | $5.044,81 | 397 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 3 | $25.052,10 | 393 / 3 | $6.402,44 | 345 / 3 | $5.662,06 | 345 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 30 | 71 / 2 | $30.921,30 | 412 / 1 | $9.240,17 | 324 / 5 | $8.441,10 | 324 / 5 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 13 | 15 / 2 | $43.671,80 | 49 / 1 | $12.150,50 | 24 / 2 | $8.523,62 | 24 / 1 |
| Other Respiratory System Diagnoses W/O Mcc | 15 | 31 / 3 | $21.506,50 | 128 / 1 | $6.573,07 | 38 / 4 | $3.805,13 | 38 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 27 | 169 / 12 | $67.800,90 | 635 / 5 | $14.975,70 | 698 / 17 | $11.214,30 | 694 / 11 |
| Pneumothorax W Cc | 11 | 14 / 1 | $37.426,60 | 71 / 1 | $9.731,00 | 19 / 1 | $4.919,64 | 19 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 10 | $33.521,20 | 435 / 3 | $7.641,92 | 97 / 1 | $6.836,17 | 97 / 1 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 6 | $20.828,80 | 543 / 2 | $4.235,83 | 314 / 1 | $3.357,58 | 313 / 3 |
| Psychoses | 16 | 259 / 3 | $13.018,40 | 135 / 2 | $6.422,31 | 241 / 1 | $5.669,94 | 241 / 2 |
| Pulmonary Edema & Respiratory Failure | 70 | 133 / 7 | $36.053,80 | 1334 / 14 | $8.398,93 | 1370 / 15 | $7.523,96 | 1366 / 20 |
| Pulmonary Embolism W/O Mcc | 26 | 48 / 5 | $21.550,40 | 468 / 6 | $6.408,92 | 585 / 10 | $5.322,12 | 582 / 12 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 6 | $16.889,20 | 613 / 2 | $5.810,50 | 384 / 8 | $3.849,94 | 383 / 3 |
| Renal Failure W Cc | 37 | 184 / 11 | $23.272,60 | 1294 / 7 | $6.922,70 | 1076 / 16 | $5.259,92 | 1068 / 17 |
| Renal Failure W Mcc | 23 | 172 / 14 | $46.356,80 | 1488 / 10 | $13.456,60 | 1890 / 22 | $12.634,70 | 1886 / 24 |
| Renal Failure W/O Cc/Mcc | 17 | 39 / 3 | $15.468,50 | 388 / 1 | $4.079,82 | 266 / 1 | $3.069,00 | 265 / 2 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 17 | $37.323,90 | 667 / 4 | $11.216,80 | 424 / 4 | $10.311,50 | 422 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 9 | $71.720,10 | 1171 / 5 | $16.536,30 | 1335 / 14 | $15.974,20 | 1322 / 16 |
| Revision Of Hip Or Knee Replacement W Cc | 25 | 61 / 5 | $88.420,20 | 372 / 1 | $22.365,00 | 443 / 5 | $21.475,80 | 441 / 11 |
| Revision Of Hip Or Knee Replacement W Mcc | 13 | 11 / 2 | $147.427,00 | 22 / 1 | $37.519,00 | 27 / 2 | $36.476,70 | 27 / 2 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 54 | 18 / 1 | $70.842,10 | 265 / 3 | $21.029,90 | 188 / 6 | $14.641,30 | 188 / 2 |
| Seizures W/O Mcc | 17 | 91 / 7 | $18.776,90 | 483 / 1 | $5.003,94 | 403 / 2 | $3.914,41 | 401 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 202 | 314 / 5 | $45.531,30 | 1599 / 15 | $12.784,20 | 1475 / 19 | $10.982,10 | 1446 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 63 | 144 / 5 | $27.541,20 | 1465 / 13 | $7.335,03 | 811 / 17 | $5.486,21 | 809 / 12 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 3 | $20.015,80 | 163 / 1 | $4.723,08 | 79 / 1 | $3.603,67 | 79 / 1 |
| Signs & Symptoms W/O Mcc | 25 | 66 / 6 | $20.853,00 | 690 / 2 | $4.568,64 | 455 / 5 | $3.604,24 | 454 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 101 | 102 / 3 | $21.509,50 | 1303 / 11 | $6.237,76 | 1140 / 9 | $5.186,51 | 1136 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 65 | 140 / 7 | $34.256,00 | 1303 / 10 | $9.253,17 | 1101 / 14 | $7.990,03 | 1101 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 5 | $18.180,90 | 1042 / 7 | $5.530,61 | 620 / 18 | $3.336,86 | 617 / 7 |
| Spinal Fusion Except Cervical W/O Mcc | 195 | 30 / 2 | $73.851,70 | 430 / 1 | $26.151,60 | 583 / 5 | $22.367,70 | 580 / 6 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 12 | 36 / 3 | $39.038,80 | 97 / 1 | $9.585,33 | 98 / 1 | $8.500,08 | 98 / 3 |
| Syncope & Collapse | 27 | 142 / 8 | $19.136,40 | 772 / 1 | $4.783,59 | 722 / 6 | $3.771,81 | 719 / 8 |
| Transient Ischemia | 25 | 100 / 3 | $18.351,70 | 536 / 2 | $4.598,80 | 701 / 4 | $3.582,80 | 697 / 6 | Total 86 procedures | 3.676 | 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.