Hospital Costs > In Colorado > Presbyterian St Lukes 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 | 143 | 421 / 18 | $89.517,30 | 2353 / 41 | $18.640,60 | 1972 / 39 | $13.509,00 | 1930 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 102 | 414 / 17 | $76.118,50 | 2379 / 35 | $16.867,60 | 2390 / 37 | $14.186,00 | 2347 / 35 |
| Revision Of Hip Or Knee Replacement W Cc | 52 | 36 / 1 | $159.189,00 | 625 / 11 | $30.277,90 | 472 / 12 | $21.991,80 | 470 / 12 |
| Spinal Fusion Except Cervical W/O Mcc | 37 | 157 / 14 | $197.661,00 | 1269 / 23 | $39.381,10 | 1178 / 25 | $30.049,30 | 1173 / 24 |
| Heart Failure & Shock W Cc | 31 | 247 / 14 | $42.294,90 | 2393 / 30 | $10.271,00 | 2529 / 34 | $8.537,87 | 2523 / 35 |
| Kidney Transplant | 28 | 73 / 2 | $216.574,00 | 112 / 2 | $35.333,60 | 7 / 3 | $16.604,70 | 7 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 13 | $122.334,00 | 2000 / 33 | $19.382,10 | 1855 / 31 | $15.558,50 | 1835 / 31 |
| Autologous Bone Marrow Transplant W Cc/Mcc | 27 | 10 / 1 | $324.020,00 | 52 / 1 | $59.616,30 | 45 / 1 | $54.388,40 | 45 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 20 | $74.224,50 | 2290 / 32 | $17.145,20 | 2316 / 33 | $12.354,50 | 2310 / 33 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 24 | 42 / 4 | $141.166,00 | 562 / 12 | $17.277,00 | 512 / 11 | $15.422,70 | 508 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 21 | $39.136,00 | 2008 / 28 | $10.567,00 | 2353 / 34 | $9.022,17 | 2343 / 35 |
| Heart Failure & Shock W Mcc | 23 | 261 / 19 | $59.737,00 | 2193 / 25 | $13.548,80 | 2285 / 30 | $11.730,40 | 2275 / 30 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 14 | $116.688,00 | 1303 / 21 | $17.068,60 | 1311 / 22 | $15.557,40 | 1304 / 27 |
| Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 7 | $151.313,00 | 881 / 9 | $26.551,20 | 658 / 9 | $22.067,30 | 657 / 9 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 23 | $58.069,20 | 1893 / 31 | $12.508,50 | 2032 / 34 | $10.438,00 | 2026 / 34 |
| Renal Failure W Cc | 21 | 200 / 17 | $42.746,70 | 2114 / 28 | $9.861,76 | 2253 / 29 | $8.526,57 | 2243 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 28 | $36.905,20 | 2401 / 29 | $8.377,25 | 2557 / 31 | $6.986,80 | 2542 / 32 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 9 | $60.570,70 | 885 / 12 | $14.022,40 | 928 / 15 | $12.514,10 | 924 / 16 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 18 | 71 / 7 | $86.922,80 | 746 / 13 | $11.511,10 | 734 / 13 | $9.966,61 | 733 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 10 | $41.971,10 | 1343 / 16 | $10.790,40 | 1503 / 21 | $9.425,39 | 1500 / 21 |
| Acute Leukemia W/O Major O.R. Procedure W Mcc | 18 | 18 / 2 | $482.869,00 | 61 / 2 | $85.721,20 | 59 / 2 | $78.237,10 | 59 / 2 |
| Renal Failure W Mcc | 18 | 177 / 17 | $58.993,40 | 1745 / 17 | $13.476,20 | 1720 / 23 | $11.271,70 | 1718 / 22 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 6 | $146.985,00 | 485 / 9 | $25.664,90 | 397 / 9 | $18.429,70 | 396 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 21 | $30.794,20 | 2250 / 25 | $9.224,25 | 2423 / 31 | $6.254,88 | 2412 / 30 |
| Lymphoma & Non-Acute Leukemia W Mcc | 15 | 21 / 1 | $238.660,00 | 122 / 1 | $43.946,30 | 119 / 1 | $38.583,60 | 119 / 1 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 15 | 62 / 5 | $82.464,10 | 381 / 6 | $19.514,10 | 256 / 6 | $9.578,67 | 256 / 4 |
| Revision Of Hip Or Knee Replacement W Mcc | 15 | 9 / 1 | $213.086,00 | 32 / 2 | $37.500,70 | 19 / 1 | $34.035,00 | 19 / 1 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 6 | $82.780,90 | 687 / 11 | $14.287,40 | 672 / 10 | $12.594,50 | 672 / 10 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 14 | 77 / 2 | $78.316,30 | 372 / 3 | $13.096,50 | 325 / 2 | $9.753,36 | 325 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 11 | $100.129,00 | 1520 / 17 | $19.155,90 | 1445 / 17 | $16.913,30 | 1431 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 20 | $36.696,10 | 2296 / 29 | $8.163,86 | 2407 / 29 | $6.831,00 | 2398 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 25 | $49.698,40 | 2550 / 31 | $9.697,43 | 2319 / 33 | $6.956,93 | 2311 / 32 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 5 | $138.170,00 | 812 / 15 | $24.881,60 | 736 / 16 | $22.844,90 | 733 / 16 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc | 13 | 11 / 1 | $215.144,00 | 44 / 1 | $37.787,40 | 28 / 1 | $35.239,30 | 28 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 16 | $42.704,80 | 1023 / 8 | $10.726,50 | 1405 / 18 | $8.254,54 | 1402 / 18 |
| G.I. Hemorrhage W Cc | 13 | 205 / 25 | $63.068,90 | 2334 / 33 | $10.342,40 | 2243 / 32 | $8.741,00 | 2239 / 33 |
| Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 13 | $133.629,00 | 840 / 18 | $19.235,10 | 619 / 16 | $13.816,70 | 616 / 14 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 13 | 30 / 1 | $143.335,00 | 136 / 1 | $23.050,90 | 103 / 1 | $21.298,20 | 103 / 1 |
| Cellulitis W/O Mcc | 13 | 176 / 21 | $34.372,20 | 2282 / 26 | $9.093,31 | 2394 / 27 | $7.119,62 | 2386 / 28 |
| Other Vascular Procedures W Cc | 12 | 90 / 9 | $109.446,00 | 911 / 11 | $21.365,80 | 778 / 11 | $17.063,40 | 773 / 11 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 7 | $142.344,00 | 633 / 11 | $22.023,80 | 629 / 10 | $20.517,00 | 625 / 11 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 12 | $69.798,90 | 1050 / 13 | $16.694,40 | 1085 / 16 | $14.356,90 | 1077 / 16 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 6 | $63.560,60 | 830 / 13 | $10.025,20 | 717 / 12 | $8.076,08 | 717 / 12 |
| Allogeneic Bone Marrow Transplant | 11 | 14 / 2 | $368.154,00 | 13 / 1 | $81.069,50 | 5 / 1 | $74.693,20 | 5 / 1 |
| Lymphoma & Non-Acute Leukemia W Cc | 11 | 25 / 1 | $126.929,00 | 135 / 1 | $18.148,30 | 121 / 1 | $15.568,20 | 121 / 1 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 3 | $96.700,40 | 516 / 4 | $15.411,00 | 419 / 3 | $11.594,00 | 418 / 3 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W/O Cc/Mcc | 11 | 5 / 1 | $116.749,00 | 11 / 1 | $20.377,10 | 5 / 1 | $13.270,50 | 5 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 20 | $28.721,80 | 1576 / 13 | $8.436,09 | 2042 / 22 | $7.456,27 | 2037 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 16 | $18.544,30 | 1310 / 11 | $7.029,00 | 1917 / 21 | $5.754,18 | 1911 / 22 |
| Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc | 11 | 9 / 1 | $90.003,70 | 26 / 1 | $16.687,80 | 20 / 1 | $14.795,50 | 20 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 8 | $53.529,10 | 792 / 6 | $10.025,30 | 877 / 9 | $8.577,91 | 874 / 9 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 11 | 35 / 5 | $557.613,00 | 120 / 5 | $88.947,50 | 109 / 5 | $76.710,50 | 109 / 5 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 9 | $31.916,50 | 1576 / 7 | $8.426,91 | 1839 / 12 | $7.223,00 | 1830 / 13 | Total 53 procedures | 1.140 | 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.