Hospital Costs > In Nebraska > Regional West 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 | 144 | 420 / 12 | $55.777,00 | 1537 / 16 | $17.314,90 | 2047 / 20 | $13.773,60 | 2005 / 19 |
| Pulmonary Edema & Respiratory Failure | 86 | 117 / 3 | $27.578,50 | 890 / 3 | $9.299,79 | 1443 / 13 | $7.713,20 | 1438 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 75 | 441 / 11 | $40.652,00 | 1347 / 6 | $14.917,80 | 2177 / 15 | $13.089,40 | 2139 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 74 | 131 / 2 | $28.063,50 | 912 / 2 | $10.533,90 | 1824 / 11 | $9.480,13 | 1824 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 56 | 146 / 4 | $24.077,00 | 1056 / 3 | $8.518,34 | 1825 / 11 | $7.492,48 | 1817 / 14 |
| Heart Failure & Shock W Mcc | 54 | 230 / 5 | $26.925,20 | 891 / 5 | $10.834,70 | 1906 / 13 | $10.062,60 | 1900 / 13 |
| G.I. Hemorrhage W Cc | 46 | 172 / 6 | $21.359,50 | 882 / 8 | $7.238,54 | 1708 / 11 | $6.375,24 | 1704 / 14 |
| Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 6 | $88.030,40 | 612 / 10 | $28.994,50 | 1083 / 11 | $27.813,70 | 1078 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 43 | 232 / 10 | $20.689,90 | 1474 / 9 | $5.868,14 | 1524 / 14 | $4.151,56 | 1512 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 7 | $41.934,40 | 722 / 9 | $14.929,10 | 1472 / 13 | $12.637,90 | 1454 / 11 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 32 | 99 / 5 | $77.013,40 | 1268 / 11 | $21.844,80 | 1584 / 12 | $18.717,00 | 1570 / 13 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 30 | 35 / 1 | $66.273,10 | 329 / 4 | $24.687,90 | 764 / 7 | $23.478,30 | 761 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 8 | $14.485,50 | 894 / 5 | $5.057,60 | 1570 / 10 | $4.147,47 | 1565 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 8 | $15.541,50 | 574 / 4 | $6.432,23 | 954 / 16 | $4.249,90 | 951 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 14 | $19.168,80 | 1050 / 3 | $7.041,39 | 2041 / 13 | $6.241,39 | 2033 / 15 |
| Cellulitis W/O Mcc | 25 | 164 / 11 | $22.324,60 | 1674 / 15 | $6.234,36 | 1704 / 12 | $4.987,08 | 1697 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 3 | $32.817,40 | 542 / 4 | $13.863,10 | 1222 / 7 | $11.101,70 | 1213 / 6 |
| G.I. Obstruction W Cc | 24 | 68 / 5 | $17.464,60 | 466 / 3 | $6.399,42 | 1083 / 10 | $5.266,42 | 1080 / 9 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 23 | 43 / 1 | $49.930,10 | 271 / 4 | $13.582,40 | 385 / 3 | $12.398,80 | 382 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 5 | $29.801,80 | 333 / 2 | $12.516,80 | 1079 / 10 | $11.479,60 | 1074 / 11 |
| Hip & Femur Procedures Except Major Joint W Mcc | 23 | 39 / 1 | $56.024,40 | 255 / 4 | $22.053,40 | 729 / 7 | $20.951,50 | 726 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 12 | $19.993,90 | 781 / 3 | $7.696,48 | 1785 / 12 | $6.772,30 | 1777 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 4 | $21.609,10 | 283 / 2 | $8.593,55 | 890 / 5 | $7.738,64 | 885 / 7 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 6 | $132.389,00 | 676 / 4 | $45.758,80 | 1121 / 7 | $42.135,50 | 1119 / 8 |
| Cervical Spinal Fusion W Cc | 21 | 32 / 2 | $71.927,20 | 177 / 4 | $21.318,90 | 277 / 2 | $19.630,00 | 276 / 3 |
| Renal Failure W Cc | 21 | 200 / 11 | $22.847,90 | 1262 / 12 | $7.898,86 | 1445 / 15 | $5.671,33 | 1436 / 10 |
| Heart Failure & Shock W Cc | 21 | 257 / 18 | $18.676,30 | 1011 / 5 | $7.611,62 | 1666 / 16 | $5.947,52 | 1661 / 13 |
| Nonspecific Cerebrovascular Disorders W Mcc | 19 | 32 / 1 | $32.746,50 | 133 / 1 | $11.933,20 | 273 / 1 | $11.188,30 | 273 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 4 | $21.291,80 | 658 / 4 | $8.117,37 | 1343 / 8 | $7.135,89 | 1339 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 11 | $28.346,80 | 1034 / 7 | $7.759,11 | 1432 / 10 | $6.649,78 | 1429 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 18 | 78 / 6 | $52.069,40 | 370 / 8 | $16.116,90 | 648 / 8 | $14.683,80 | 644 / 8 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 8 | $52.181,20 | 474 / 7 | $18.479,80 | 1183 / 8 | $17.360,20 | 1169 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 9 | $21.907,60 | 706 / 8 | $5.472,94 | 987 / 8 | $4.317,94 | 983 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 9 | $18.574,40 | 1083 / 11 | $7.021,69 | 1140 / 16 | $3.826,44 | 1134 / 11 |
| Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 6 | $60.187,90 | 465 / 6 | $16.165,60 | 702 / 5 | $15.021,10 | 699 / 7 |
| Renal Failure W Mcc | 15 | 180 / 11 | $29.099,90 | 708 / 3 | $11.680,10 | 1643 / 10 | $10.840,10 | 1641 / 13 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 7 | $54.933,70 | 1108 / 10 | $15.689,50 | 1462 / 10 | $14.583,30 | 1452 / 11 |
| Chest Pain | 15 | 136 / 6 | $21.430,90 | 1013 / 7 | $4.431,53 | 766 / 7 | $3.225,60 | 761 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 15 | $20.178,30 | 1595 / 13 | $5.973,67 | 1260 / 14 | $4.134,27 | 1251 / 10 |
| G.I. Obstruction W Mcc | 14 | 28 / 3 | $30.759,90 | 141 / 2 | $11.680,50 | 356 / 4 | $10.950,80 | 356 / 4 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 7 | $40.435,80 | 806 / 4 | $14.341,20 | 1393 / 8 | $13.519,50 | 1378 / 8 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 6 | $16.845,30 | 265 / 2 | $6.988,85 | 757 / 6 | $6.028,85 | 754 / 6 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 6 | $24.779,90 | 112 / 1 | $13.583,80 | 851 / 5 | $12.440,50 | 846 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 8 | $33.800,30 | 1125 / 5 | $10.072,20 | 1472 / 6 | $9.230,92 | 1469 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 14 | $15.582,00 | 1070 / 12 | $4.744,08 | 764 / 15 | $2.640,17 | 760 / 10 |
| Transient Ischemia | 12 | 113 / 9 | $20.732,40 | 714 / 4 | $5.029,00 | 926 / 6 | $3.907,00 | 921 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 7 | $23.214,20 | 436 / 3 | $7.578,75 | 962 / 6 | $6.554,08 | 960 / 8 |
| Medical Back Problems W/O Mcc | 11 | 110 / 8 | $19.853,80 | 506 / 7 | $6.124,73 | 913 / 7 | $5.006,18 | 910 / 8 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 4 | $16.460,90 | 184 / 2 | $5.667,64 | 426 / 4 | $4.063,82 | 423 / 4 |
| Cellulitis W Mcc | 11 | 47 / 4 | $29.387,80 | 365 / 1 | $10.539,90 | 663 / 3 | $9.726,09 | 661 / 3 | Total 50 procedures | 1.416 | 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.