Hospital Costs > In Minnesota > Rice Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 64 | 218 / 11 | $30.013,20 | 473 / 12 | $9.587,23 | 489 / 12 | $7.927,36 | 489 / 12 |
Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 9 | $14.460,90 | 498 / 12 | $7.710,27 | 2191 / 38 | $6.603,40 | 2183 / 38 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 42 | $35.398,00 | 489 / 18 | $16.702,90 | 2223 / 36 | $14.785,20 | 2179 / 38 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 39 | 54 / 2 | $10.424,50 | 257 / 4 | $5.273,49 | 1450 / 14 | $4.305,28 | 1442 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 12 | $10.796,80 | 409 / 5 | $5.295,13 | 1666 / 21 | $4.269,92 | 1661 / 20 |
Heart Failure & Shock W Cc | 30 | 248 / 25 | $16.203,20 | 709 / 17 | $7.469,70 | 2046 / 29 | $6.612,57 | 2041 / 30 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 23 | $11.383,80 | 440 / 11 | $5.834,89 | 1851 / 25 | $4.753,54 | 1840 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 26 | $12.686,50 | 474 / 11 | $6.180,67 | 1695 / 35 | $4.335,81 | 1682 / 16 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 23 | $16.842,00 | 206 / 3 | $10.928,50 | 1958 / 27 | $9.948,00 | 1958 / 29 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 24 | 492 / 33 | $31.886,60 | 883 / 24 | $15.887,60 | 2472 / 41 | $14.920,00 | 2428 / 42 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 15 | $12.628,70 | 290 / 7 | $7.037,50 | 1769 / 26 | $6.021,67 | 1762 / 26 |
Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 21 | $16.560,30 | 443 / 11 | $8.972,48 | 2019 / 31 | $8.014,91 | 2011 / 34 |
G.I. Hemorrhage W Cc | 23 | 195 / 23 | $15.677,00 | 358 / 9 | $7.543,30 | 1849 / 24 | $6.750,87 | 1845 / 31 |
Major Small & Large Bowel Procedures W Cc | 22 | 86 / 16 | $34.308,70 | 101 / 1 | $19.274,40 | 1262 / 17 | $18.328,00 | 1248 / 22 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 22 | $28.136,80 | 168 / 5 | $14.982,20 | 1662 / 25 | $13.766,60 | 1643 / 27 |
Cellulitis W/O Mcc | 18 | 171 / 25 | $11.751,20 | 434 / 9 | $6.384,50 | 1739 / 22 | $5.031,61 | 1731 / 21 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 31 | $14.892,70 | 341 / 9 | $8.006,60 | 1937 / 28 | $7.112,73 | 1929 / 35 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 17 | $10.536,80 | 327 / 3 | $5.064,87 | 1306 / 13 | $4.097,93 | 1296 / 13 |
Pulmonary Edema & Respiratory Failure | 14 | 189 / 26 | $19.049,50 | 348 / 3 | $9.143,50 | 1732 / 20 | $8.617,64 | 1727 / 27 |
Heart Failure & Shock W Mcc | 14 | 270 / 32 | $11.971,60 | 49 / 1 | $11.230,10 | 2085 / 25 | $10.703,90 | 2076 / 32 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 9 | $9.066,64 | 155 / 1 | $5.449,00 | 1528 / 11 | $4.496,14 | 1517 / 18 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 16 | $18.355,00 | 202 / 7 | $10.484,20 | 1220 / 16 | $9.871,42 | 1215 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 24 | $14.583,00 | 130 / 2 | $8.069,50 | 1619 / 23 | $7.264,17 | 1615 / 25 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 11 | $23.614,20 | 32 / 2 | $12.408,00 | 710 / 10 | $11.291,00 | 707 / 13 |
G.I. Obstruction W Cc | 12 | 80 / 24 | $12.216,70 | 127 / 2 | $6.668,25 | 1265 / 17 | $5.754,92 | 1261 / 23 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 19 | $9.282,75 | 264 / 4 | $4.158,08 | 1365 / 7 | $3.247,92 | 1360 / 16 |
Diabetes W Cc | 11 | 81 / 12 | $15.627,90 | 372 / 5 | $6.207,45 | 1204 / 10 | $5.758,91 | 1199 / 16 |
Renal Failure W Cc | 11 | 210 / 27 | $17.217,70 | 694 / 20 | $7.268,09 | 1837 / 23 | $6.492,27 | 1827 / 27 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 13 | $58.806,50 | 63 / 1 | $38.458,50 | 988 / 11 | $37.351,30 | 986 / 14 | Total 29 procedures | 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.