Hospital Costs > In Oregon > Providence Portland 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 | 279 | 288 / 7 | $36.740,40 | 572 / 7 | $17.558,70 | 1537 / 24 | $12.157,80 | 1502 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 223 | 293 / 5 | $28.590,30 | 719 / 11 | $13.808,30 | 2012 / 19 | $12.411,20 | 1975 / 18 |
| Heart Failure & Shock W Mcc | 81 | 203 / 7 | $23.388,00 | 623 / 8 | $11.570,60 | 2080 / 18 | $10.677,30 | 2071 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 74 | 201 / 3 | $14.392,80 | 671 / 9 | $6.411,27 | 1851 / 22 | $4.556,04 | 1837 / 13 |
| Heart Failure & Shock W Cc | 69 | 209 / 6 | $18.330,80 | 966 / 12 | $8.119,91 | 1935 / 22 | $6.394,65 | 1930 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 68 | 57 / 1 | $23.332,90 | 244 / 2 | $12.348,20 | 1266 / 7 | $11.320,10 | 1256 / 8 |
| Pulmonary Edema & Respiratory Failure | 67 | 136 / 4 | $19.017,40 | 342 / 4 | $9.134,61 | 1591 / 10 | $8.100,51 | 1586 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 62 | 145 / 6 | $14.038,30 | 283 / 3 | $8.421,94 | 1720 / 17 | $6.615,47 | 1713 / 9 |
| G.I. Hemorrhage W Cc | 45 | 173 / 8 | $15.348,30 | 327 / 2 | $8.023,40 | 1555 / 18 | $6.060,31 | 1551 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 7 | $18.299,00 | 280 / 4 | $10.537,80 | 1757 / 13 | $9.259,52 | 1757 / 13 |
| Major Small & Large Bowel Procedures W Cc | 44 | 64 / 2 | $52.685,50 | 482 / 5 | $20.539,10 | 869 / 12 | $15.072,40 | 861 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 7 | $14.882,10 | 146 / 1 | $8.581,12 | 1200 / 17 | $6.146,86 | 1197 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 42 | 152 / 9 | $68.986,80 | 353 / 9 | $31.136,60 | 918 / 14 | $25.236,80 | 913 / 7 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 41 | 7 / 1 | $33.410,70 | 62 / 1 | $12.187,00 | 121 / 2 | $8.943,71 | 121 / 2 |
| Renal Failure W Cc | 41 | 180 / 5 | $17.365,60 | 715 / 7 | $7.741,41 | 1748 / 16 | $6.259,41 | 1738 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 41 | 85 / 2 | $17.546,20 | 280 / 2 | $8.429,17 | 1209 / 5 | $7.692,24 | 1206 / 9 |
| Cellulitis W/O Mcc | 40 | 149 / 7 | $15.060,60 | 868 / 12 | $6.856,38 | 1660 / 20 | $4.916,75 | 1653 / 9 |
| Renal Failure W Mcc | 39 | 156 / 6 | $24.686,50 | 442 / 6 | $11.746,30 | 1651 / 14 | $10.875,30 | 1649 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 38 | 53 / 3 | $17.619,90 | 200 / 2 | $8.120,21 | 1012 / 5 | $6.748,63 | 1010 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 38 | 158 / 7 | $41.897,60 | 86 / 2 | $15.893,30 | 991 / 10 | $12.449,90 | 984 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 38 | 130 / 6 | $20.943,20 | 113 / 1 | $12.548,30 | 1110 / 5 | $11.605,20 | 1104 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 37 | 87 / 5 | $85.480,60 | 307 / 2 | $40.006,00 | 1148 / 5 | $37.761,50 | 1140 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 4 | $12.801,70 | 300 / 2 | $6.602,59 | 1613 / 14 | $5.226,12 | 1608 / 12 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 6 | $15.900,00 | 382 / 4 | $8.853,42 | 1978 / 14 | $7.907,55 | 1970 / 16 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 6 | $35.986,80 | 453 / 4 | $14.113,60 | 1500 / 12 | $12.795,50 | 1482 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 12 | $12.305,30 | 551 / 2 | $6.565,87 | 1797 / 19 | $4.688,13 | 1786 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 5 | $16.765,40 | 350 / 5 | $8.509,03 | 1422 / 12 | $7.388,37 | 1418 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 7 | $12.547,10 | 618 / 3 | $5.775,17 | 1715 / 10 | $4.345,38 | 1710 / 8 |
| G.I. Hemorrhage W Mcc | 28 | 93 / 4 | $29.005,00 | 295 / 3 | $13.620,50 | 1261 / 8 | $12.643,80 | 1253 / 8 |
| Other Digestive System Diagnoses W Cc | 28 | 69 / 2 | $13.740,60 | 118 / 1 | $8.466,79 | 725 / 8 | $5.627,75 | 721 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 27 | 69 / 5 | $46.954,40 | 280 / 9 | $16.499,80 | 610 / 6 | $14.033,10 | 606 / 8 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 27 | 62 / 3 | $25.629,80 | 206 / 7 | $9.611,56 | 448 / 9 | $6.211,26 | 447 / 3 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 26 | 92 / 5 | $95.478,50 | 57 / 1 | $37.097,20 | 362 / 2 | $35.778,20 | 362 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 26 | 36 / 3 | $42.909,40 | 71 / 1 | $20.409,80 | 592 / 2 | $19.237,10 | 589 / 1 |
| Respiratory Infections & Inflammations W Mcc | 25 | 111 / 3 | $24.012,00 | 196 / 1 | $13.438,80 | 1200 / 4 | $12.562,70 | 1185 / 4 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 25 | 47 / 3 | $19.727,20 | 108 / 2 | $10.995,10 | 592 / 8 | $9.037,92 | 590 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 7 | $18.573,00 | 271 / 2 | $9.108,52 | 1347 / 8 | $8.113,96 | 1344 / 9 |
| Syncope & Collapse | 24 | 145 / 3 | $15.826,40 | 468 / 6 | $5.865,33 | 1302 / 9 | $4.600,00 | 1295 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 15 | $13.591,30 | 404 / 2 | $7.365,91 | 2019 / 10 | $6.207,74 | 2011 / 15 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 5 | $23.198,20 | 197 / 3 | $11.185,00 | 648 / 7 | $9.788,00 | 646 / 5 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 7 | $35.031,70 | 212 / 2 | $16.304,70 | 1258 / 4 | $15.410,70 | 1245 / 5 |
| Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 7 | $71.511,70 | 271 / 2 | $25.070,70 | 769 / 5 | $23.925,40 | 768 / 7 |
| G.I. Obstruction W Cc | 19 | 73 / 6 | $16.644,60 | 412 / 5 | $7.210,32 | 1290 / 13 | $5.824,95 | 1285 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 6 | $22.868,70 | 335 / 4 | $10.234,70 | 1039 / 7 | $8.281,50 | 1034 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 11 | $17.115,30 | 712 / 7 | $7.765,61 | 1715 / 17 | $5.905,17 | 1708 / 9 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 18 | 98 / 5 | $172.990,00 | 148 / 6 | $68.567,40 | 418 / 7 | $67.379,80 | 418 / 7 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 18 | 48 / 4 | $40.107,60 | 165 / 3 | $15.365,30 | 412 / 5 | $12.837,10 | 409 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 7 | $108.309,00 | 466 / 6 | $49.763,40 | 1113 / 9 | $41.529,40 | 1111 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 9 | $14.531,10 | 221 / 2 | $6.047,50 | 1273 / 7 | $5.106,28 | 1269 / 12 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 3 | $18.073,20 | 234 / 4 | $6.049,72 | 623 / 4 | $4.831,28 | 619 / 6 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 17 | 74 / 3 | $48.268,70 | 309 / 5 | $8.890,12 | 258 / 3 | $8.539,88 | 258 / 3 |
| Stomach, Esophageal & Duodenal Proc W Mcc | 17 | 24 / 2 | $149.648,00 | 124 / 2 | $60.758,80 | 213 / 2 | $53.227,60 | 213 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 7 | $47.426,70 | 309 / 9 | $17.904,50 | 670 / 10 | $14.476,50 | 667 / 8 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 7 | $36.051,20 | 236 / 4 | $12.975,40 | 514 / 4 | $10.071,20 | 514 / 5 |
| Chest Pain | 16 | 135 / 3 | $14.073,40 | 410 / 5 | $5.014,88 | 1130 / 3 | $3.802,25 | 1123 / 5 |
| Stomach, Esophageal & Duodenal Proc W Cc | 16 | 34 / 2 | $45.941,00 | 27 / 2 | $19.544,50 | 104 / 3 | $16.409,80 | 104 / 1 |
| Other Digestive System Diagnoses W Mcc | 16 | 46 / 4 | $33.209,60 | 213 / 2 | $12.183,80 | 446 / 2 | $11.284,40 | 445 / 3 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 16 | 60 / 5 | $86.316,00 | 61 / 1 | $38.996,40 | 342 / 5 | $27.345,50 | 342 / 1 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 16 | 52 / 1 | $15.362,60 | 107 / 1 | $7.250,88 | 461 / 2 | $5.753,00 | 461 / 2 |
| Cellulitis W Mcc | 16 | 42 / 2 | $23.134,60 | 190 / 1 | $10.876,90 | 667 / 3 | $9.752,62 | 665 / 4 |
| Respiratory Infections & Inflammations W Cc | 15 | 73 / 2 | $14.615,70 | 90 / 1 | $9.678,60 | 979 / 3 | $8.594,87 | 974 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 11 | $23.534,50 | 223 / 3 | $8.571,93 | 1112 / 10 | $6.737,87 | 1109 / 5 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 15 | 73 / 4 | $68.441,20 | 63 / 1 | $25.848,70 | 439 / 2 | $24.870,50 | 438 / 5 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 5 | $38.553,30 | 67 / 2 | $18.848,20 | 693 / 3 | $17.761,30 | 692 / 5 |
| Seizures W Mcc | 14 | 52 / 2 | $52.916,50 | 513 / 6 | $19.121,60 | 728 / 6 | $16.097,60 | 728 / 6 |
| Major Chest Procedures W Cc | 14 | 60 / 5 | $50.429,40 | 110 / 2 | $18.460,70 | 347 / 3 | $17.258,10 | 345 / 4 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 6 | $42.014,90 | 537 / 7 | $14.849,40 | 1020 / 7 | $13.704,20 | 1013 / 8 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 4 | $21.012,40 | 335 / 5 | $7.174,29 | 713 / 3 | $6.253,14 | 710 / 7 |
| Rectal Resection W Cc | 14 | 10 / 1 | $75.209,10 | 30 / 1 | $21.250,20 | 39 / 1 | $19.795,50 | 39 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 7 | $20.127,60 | 139 / 1 | $7.344,31 | 687 / 2 | $6.467,69 | 684 / 4 |
| Medical Back Problems W/O Mcc | 13 | 108 / 7 | $17.758,50 | 373 / 3 | $8.124,77 | 734 / 8 | $4.630,31 | 731 / 3 |
| Pulmonary Embolism W Mcc | 13 | 30 / 5 | $18.484,80 | 33 / 1 | $11.456,40 | 201 / 3 | $8.304,54 | 201 / 1 |
| Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 2 | $26.195,00 | 74 / 2 | $12.349,80 | 288 / 3 | $11.482,60 | 288 / 2 |
| Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc | 12 | 17 / 2 | $187.721,00 | 19 / 2 | $69.464,20 | 25 / 1 | $58.772,90 | 25 / 1 |
| Transient Ischemia | 12 | 113 / 6 | $11.718,70 | 119 / 1 | $5.638,42 | 1208 / 7 | $4.558,08 | 1202 / 7 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 10 | $12.664,80 | 553 / 4 | $5.541,08 | 1283 / 12 | $4.071,75 | 1273 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 7 | $49.020,20 | 302 / 5 | $22.533,80 | 848 / 7 | $20.143,20 | 840 / 7 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 12 | 15 / 1 | $20.435,90 | 20 / 1 | $11.978,40 | 27 / 1 | $8.826,83 | 27 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 6 | $58.385,70 | 189 / 5 | $19.185,60 | 380 / 4 | $17.931,80 | 380 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 5 | $31.772,20 | 121 / 1 | $12.066,40 | 678 / 2 | $10.930,40 | 675 / 4 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 4 | $11.085,20 | 116 / 1 | $5.363,00 | 583 / 3 | $4.165,50 | 583 / 2 |
| Diabetes W Cc | 12 | 80 / 8 | $14.874,20 | 332 / 4 | $6.608,50 | 935 / 9 | $4.987,00 | 931 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 7 | $50.585,10 | 131 / 2 | $23.150,70 | 682 / 5 | $21.858,00 | 679 / 4 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 6 | $57.827,50 | 176 / 5 | $22.026,00 | 329 / 7 | $16.460,40 | 328 / 4 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 8 | $16.599,50 | 219 / 4 | $7.540,00 | 928 / 9 | $6.220,00 | 925 / 8 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 4 | $48.281,80 | 29 / 1 | $25.009,30 | 357 / 1 | $23.600,70 | 357 / 1 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 4 | $20.842,50 | 201 / 4 | $7.265,36 | 383 / 1 | $6.767,91 | 383 / 1 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 5 | $37.440,40 | 183 / 5 | $16.016,80 | 417 / 5 | $14.599,90 | 417 / 5 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 4 | $30.374,50 | 213 / 4 | $10.953,70 | 400 / 3 | $9.825,00 | 400 / 3 | Total 89 procedures | 2.699 | 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.