Hospital Costs > In Indiana > Reid Hospital & Health Care Services, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 343 | 178 / 5 | $26.611,00 | 625 / 15 | $12.900,70 | 1683 / 62 | $11.406,10 | 1651 / 58 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 227 | 337 / 18 | $37.032,50 | 592 / 9 | $14.807,30 | 1759 / 58 | $12.711,70 | 1719 / 66 |
| Heart Failure & Shock W Mcc | 179 | 105 / 5 | $19.753,20 | 418 / 7 | $10.028,40 | 1571 / 56 | $9.208,35 | 1566 / 58 |
| Simple Pneumonia & Pleurisy W Mcc | 141 | 64 / 6 | $20.925,40 | 443 / 11 | $9.627,31 | 1531 / 50 | $8.755,67 | 1531 / 54 |
| Chronic Obstructive Pulmonary Disease W Mcc | 124 | 78 / 9 | $15.177,30 | 324 / 5 | $7.942,18 | 1394 / 51 | $6.693,96 | 1388 / 55 |
| Heart Failure & Shock W Cc | 108 | 170 / 15 | $14.459,40 | 521 / 10 | $6.640,68 | 1484 / 56 | $5.751,51 | 1479 / 57 |
| Simple Pneumonia & Pleurisy W Cc | 106 | 97 / 6 | $16.245,30 | 713 / 17 | $6.439,68 | 1452 / 42 | $5.462,92 | 1446 / 52 |
| Pulmonary Edema & Respiratory Failure | 101 | 102 / 12 | $16.820,40 | 226 / 5 | $8.204,69 | 1171 / 47 | $7.191,87 | 1169 / 49 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 82 | 100 / 10 | $16.937,60 | 276 / 8 | $7.230,22 | 1133 / 45 | $6.045,66 | 1130 / 47 |
| Kidney & Urinary Tract Infections W/O Mcc | 76 | 157 / 14 | $13.504,50 | 711 / 15 | $5.146,16 | 1236 / 46 | $4.115,20 | 1227 / 50 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 74 | 201 / 18 | $15.117,00 | 770 / 17 | $5.662,66 | 907 / 56 | $3.700,54 | 902 / 32 |
| Renal Failure W Cc | 73 | 148 / 20 | $16.399,70 | 602 / 19 | $6.408,25 | 1391 / 43 | $5.604,82 | 1382 / 51 |
| G.I. Hemorrhage W Cc | 72 | 146 / 14 | $17.662,40 | 540 / 10 | $6.675,40 | 1364 / 40 | $5.774,88 | 1361 / 44 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 72 | 135 / 11 | $18.248,80 | 615 / 12 | $7.097,29 | 1325 / 45 | $6.017,24 | 1320 / 51 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 69 | 97 / 9 | $12.416,30 | 598 / 12 | $4.748,65 | 1029 / 42 | $3.671,07 | 1026 / 38 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 67 | 129 / 12 | $45.706,10 | 143 / 3 | $15.168,20 | 827 / 36 | $11.757,40 | 822 / 31 |
| Renal Failure W Mcc | 66 | 129 / 17 | $22.659,00 | 350 / 7 | $10.317,50 | 1280 / 40 | $9.621,26 | 1280 / 45 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 64 | 61 / 4 | $20.589,10 | 161 / 5 | $11.325,30 | 1083 / 31 | $10.583,20 | 1078 / 39 |
| Spinal Fusion Except Cervical W/O Mcc | 60 | 134 / 10 | $71.448,20 | 395 / 11 | $27.545,00 | 1005 / 24 | $26.473,60 | 1000 / 35 |
| Hip & Femur Procedures Except Major Joint W Cc | 55 | 88 / 9 | $37.431,20 | 515 / 12 | $13.048,50 | 1325 / 46 | $12.072,90 | 1307 / 48 |
| Cellulitis W/O Mcc | 54 | 135 / 16 | $15.164,00 | 879 / 26 | $5.611,44 | 1277 / 42 | $4.506,50 | 1271 / 50 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 54 | 72 / 8 | $20.288,60 | 426 / 10 | $8.330,46 | 1189 / 34 | $7.628,54 | 1186 / 37 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 52 | 79 / 11 | $31.142,70 | 143 / 5 | $15.165,60 | 1078 / 35 | $14.473,00 | 1068 / 41 |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 24 | $13.946,90 | 407 / 8 | $6.193,75 | 1263 / 44 | $5.238,41 | 1258 / 51 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 49 | 75 / 8 | $73.585,00 | 206 / 7 | $37.079,00 | 1059 / 28 | $36.269,70 | 1052 / 33 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 47 | 141 / 18 | $25.911,00 | 325 / 7 | $7.507,36 | 819 / 35 | $5.948,40 | 817 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 46 | 115 / 14 | $12.889,80 | 307 / 7 | $5.230,26 | 1088 / 32 | $4.384,87 | 1084 / 41 |
| Kidney & Urinary Tract Infections W Mcc | 43 | 101 / 15 | $15.927,10 | 304 / 7 | $7.476,05 | 1164 / 39 | $6.682,70 | 1160 / 44 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 43 | 125 / 13 | $21.563,30 | 129 / 4 | $11.502,20 | 906 / 31 | $10.655,20 | 904 / 35 |
| Respiratory Infections & Inflammations W Mcc | 41 | 95 / 14 | $26.918,10 | 289 / 8 | $13.252,20 | 1202 / 41 | $12.565,40 | 1187 / 43 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 40 | 51 / 4 | $19.839,10 | 277 / 6 | $6.996,95 | 844 / 24 | $6.235,45 | 842 / 30 |
| Extracranial Procedures W/O Cc/Mcc | 40 | 58 / 5 | $21.879,70 | 199 / 6 | $7.256,15 | 478 / 23 | $5.681,17 | 477 / 20 |
| Red Blood Cell Disorders W Mcc | 38 | 33 / 2 | $17.819,00 | 111 / 3 | $8.289,08 | 519 / 16 | $7.552,24 | 517 / 21 |
| Transient Ischemia | 38 | 87 / 12 | $16.115,10 | 360 / 11 | $4.533,16 | 689 / 20 | $3.572,63 | 685 / 28 |
| Syncope & Collapse | 38 | 131 / 17 | $13.506,90 | 294 / 5 | $4.807,82 | 908 / 25 | $3.945,29 | 903 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 36 | 87 / 16 | $19.179,90 | 292 / 9 | $8.189,89 | 1126 / 33 | $7.429,86 | 1123 / 42 |
| G.I. Obstruction W Cc | 35 | 57 / 8 | $15.191,30 | 302 / 6 | $5.884,86 | 763 / 29 | $4.772,06 | 761 / 28 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 33 | 67 / 8 | $57.824,20 | 63 / 3 | $21.979,30 | 510 / 23 | $19.737,40 | 506 / 24 |
| Red Blood Cell Disorders W/O Mcc | 30 | 113 / 17 | $11.230,00 | 172 / 3 | $5.307,53 | 939 / 27 | $4.458,80 | 933 / 30 |
| G.I. Obstruction W/O Cc/Mcc | 29 | 42 / 4 | $12.599,90 | 329 / 10 | $4.029,21 | 416 / 16 | $2.860,66 | 415 / 17 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 29 | 59 / 6 | $106.665,00 | 296 / 11 | $27.795,60 | 484 / 17 | $26.823,90 | 483 / 17 |
| G.I. Hemorrhage W Mcc | 28 | 93 / 14 | $23.063,90 | 127 / 2 | $11.280,40 | 738 / 26 | $10.367,60 | 737 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 11 | $20.965,40 | 243 / 5 | $7.881,61 | 788 / 18 | $7.358,39 | 783 / 25 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 10 | $11.812,70 | 402 / 9 | $4.658,07 | 927 / 24 | $3.617,79 | 922 / 35 |
| Hip & Femur Procedures Except Major Joint W Mcc | 27 | 35 / 3 | $45.035,00 | 93 / 3 | $20.226,90 | 601 / 21 | $19.319,40 | 598 / 21 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 22 | $9.886,22 | 231 / 4 | $4.599,70 | 885 / 24 | $3.644,07 | 878 / 39 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 19 | $10.628,00 | 335 / 4 | $4.465,54 | 985 / 31 | $3.718,77 | 977 / 39 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 16 | $49.012,20 | 392 / 8 | $19.078,70 | 764 / 37 | $14.602,30 | 756 / 30 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 9 | $21.298,40 | 313 / 7 | $9.223,00 | 960 / 33 | $8.511,25 | 955 / 34 |
| Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 15 | $53.456,10 | 76 / 3 | $22.455,40 | 535 / 19 | $20.656,50 | 535 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 18 | $13.691,80 | 164 / 4 | $4.865,35 | 616 / 18 | $3.759,00 | 612 / 28 |
| Cellulitis W Mcc | 22 | 36 / 5 | $23.772,00 | 204 / 8 | $9.669,36 | 541 / 21 | $8.944,82 | 539 / 23 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 21 | 72 / 10 | $34.605,30 | 79 / 1 | $14.170,00 | 581 / 19 | $13.534,80 | 575 / 24 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 20 | 44 / 7 | $31.829,10 | 163 / 1 | $10.863,70 | 487 / 12 | $9.824,20 | 487 / 18 |
| Revision Of Hip Or Knee Replacement W Cc | 20 | 66 / 6 | $58.864,40 | 135 / 2 | $23.982,30 | 396 / 11 | $20.747,90 | 395 / 10 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 10 | $20.176,30 | 115 / 4 | $9.327,05 | 519 / 16 | $8.595,65 | 517 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 31 | $9.253,70 | 259 / 6 | $3.672,30 | 844 / 25 | $2.702,40 | 840 / 31 |
| Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 11 | $45.056,30 | 137 / 7 | $17.894,50 | 602 / 22 | $16.808,80 | 601 / 22 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 19 | 57 / 7 | $132.716,00 | 286 / 8 | $36.733,10 | 548 / 15 | $35.514,20 | 548 / 17 |
| Atherosclerosis W/O Mcc | 19 | 39 / 4 | $11.119,20 | 65 / 1 | $4.015,42 | / 7 | $3.120,05 | / |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 17 | $94.642,60 | 339 / 14 | $38.661,80 | 842 / 31 | $34.341,80 | 840 / 29 |
| Permanent Cardiac Pacemaker Implant W Mcc | 18 | 34 / 6 | $53.736,60 | 47 / 3 | $24.771,70 | 368 / 15 | $23.807,90 | 368 / 18 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 18 | 20 / 5 | $11.992,00 | 69 / 2 | $4.122,11 | 155 / 2 | $3.177,22 | 155 / 5 |
| Diabetes W Cc | 18 | 74 / 17 | $13.651,00 | 248 / 4 | $5.472,17 | 941 / 21 | $4.998,83 | 937 / 33 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 13 | $14.850,40 | 146 / 3 | $6.552,33 | 795 / 20 | $5.806,78 | 792 / 31 |
| Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 9 | $36.301,80 | 618 / 17 | $10.162,40 | 394 / 17 | $5.625,06 | 394 / 14 |
| Other Vascular Procedures W Cc | 18 | 84 / 18 | $40.036,60 | 92 / 4 | $16.874,60 | 497 / 21 | $14.946,90 | 494 / 18 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 10 | $16.272,00 | 153 / 1 | $7.377,29 | 556 / 13 | $6.804,24 | 554 / 21 |
| Diabetes W Mcc | 17 | 40 / 7 | $21.474,10 | 103 / 3 | $9.178,18 | 363 / 15 | $8.456,29 | 363 / 16 |
| Disorders Of Pancreas Except Malignancy W Mcc | 17 | 29 / 3 | $25.096,70 | 33 / 1 | $11.902,10 | 109 / 6 | $10.270,50 | 109 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 19 | $22.756,60 | 180 / 5 | $10.703,20 | 656 / 24 | $9.863,94 | 654 / 26 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 8 | $22.055,60 | 53 / 1 | $12.584,20 | 363 / 13 | $11.898,00 | 362 / 15 |
| Psychoses | 16 | 259 / 16 | $25.509,80 | 416 / 14 | $6.928,19 | 339 / 9 | $6.211,19 | 339 / 13 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 10 | $36.136,10 | 100 / 4 | $14.316,50 | 446 / 14 | $13.107,40 | 445 / 18 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 12 | $14.866,20 | 320 / 6 | $4.584,31 | 668 / 13 | $3.980,19 | 665 / 21 |
| G.I. Obstruction W Mcc | 16 | 26 / 6 | $30.003,10 | 128 / 5 | $10.752,40 | 297 / 14 | $10.209,90 | 297 / 15 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 11 | $19.200,20 | 278 / 8 | $5.783,81 | 371 / 8 | $4.947,69 | 370 / 13 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 10 | $11.671,90 | 82 / 1 | $5.892,20 | 337 / 11 | $4.409,20 | 333 / 10 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 11 | $9.908,47 | 96 / 2 | $4.218,07 | 358 / 12 | $3.486,87 | 357 / 16 |
| Chest Pain | 15 | 136 / 22 | $13.726,40 | 375 / 14 | $4.207,53 | 495 / 25 | $2.916,40 | 492 / 19 |
| Pulmonary Embolism W Mcc | 15 | 28 / 6 | $21.427,80 | 58 / 2 | $10.234,90 | 309 / 15 | $8.964,47 | 309 / 17 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 17 | $15.077,20 | 153 / 3 | $6.415,86 | 642 / 22 | $5.463,57 | 638 / 24 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 9 | $42.726,00 | 81 / 4 | $12.105,60 | 368 / 10 | $11.058,50 | 367 / 15 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 5 | $46.015,00 | 96 / 5 | $20.009,50 | 298 / 11 | $15.658,10 | 298 / 9 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 8 | $19.542,30 | 19 / 1 | $12.257,10 | 264 / 11 | $11.734,60 | 264 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 14 | $46.332,50 | 94 / 3 | $22.516,80 | 664 / 20 | $21.586,40 | 661 / 21 |
| Seizures W Mcc | 13 | 53 / 10 | $22.277,20 | 72 / 2 | $10.037,90 | 329 / 9 | $9.099,00 | 329 / 11 |
| Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 5 | $143.422,00 | 95 / 3 | $51.733,50 | 322 / 7 | $50.792,60 | 322 / 8 |
| Seizures W/O Mcc | 13 | 95 / 16 | $11.923,20 | 131 / 4 | $5.032,85 | 565 / 14 | $4.193,15 | 562 / 21 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 17 | $37.491,20 | 137 / 5 | $16.049,80 | 467 / 20 | $12.536,60 | 464 / 18 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 12 | 106 / 13 | $137.015,00 | 238 / 7 | $39.406,70 | 412 / 11 | $38.287,00 | 412 / 12 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 12 | $13.281,20 | 237 / 4 | $4.615,75 | 468 / 12 | $3.701,58 | 464 / 18 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 10 | $25.787,10 | 480 / 15 | $5.690,17 | 251 / 16 | $3.694,33 | 250 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 17 | $20.220,80 | 257 / 9 | $6.565,17 | 398 / 15 | $5.850,50 | 398 / 17 |
| Major Chest Procedures W Cc | 12 | 62 / 7 | $57.261,10 | 177 / 3 | $24.064,30 | 242 / 11 | $15.085,60 | 240 / 6 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 11 | $13.966,80 | 88 / 2 | $7.675,00 | 90 / 22 | $4.157,50 | 90 / 4 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 12 | 17 / 2 | $22.074,90 | 7 / 1 | $14.733,00 | 35 / 3 | $14.021,70 | 35 / 3 |
| Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 3 | $36.868,80 | 55 / 1 | $11.956,40 | 120 / 2 | $10.942,60 | 120 / 3 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 13 | $26.573,50 | 78 / 2 | $11.302,50 | 318 / 13 | $10.327,30 | 317 / 16 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 13 | $17.769,30 | 21 / 1 | $10.951,90 | 341 / 11 | $10.369,50 | 340 / 16 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 21 | $18.706,80 | 37 / 1 | $12.478,40 | 766 / 24 | $11.918,70 | 762 / 30 |
| Disorders Of The Biliary Tract W Mcc | 11 | 28 / 4 | $26.415,70 | 31 / 1 | $10.637,10 | 81 / 2 | $9.744,73 | 81 / 2 |
| Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 9 | $32.924,80 | 136 / 6 | $14.948,70 | 204 / 12 | $10.273,20 | 204 / 11 | Total 103 procedures | 4.084 | 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.