Hospital Costs > In Colorado > Rose 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 | 307 | 263 / 8 | $86.780,50 | 2316 / 39 | $16.338,70 | 1221 / 34 | $11.430,90 | 1191 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 154 | 362 / 11 | $77.890,20 | 2402 / 36 | $13.299,10 | 1729 / 24 | $11.550,90 | 1696 / 24 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 86 | 17 / 3 | $134.898,00 | 803 / 18 | $17.180,20 | 540 / 14 | $13.155,90 | 537 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 54 | 221 / 12 | $36.515,30 | 2392 / 28 | $5.947,54 | 1986 / 26 | $4.762,76 | 1972 / 27 |
| Spinal Fusion Except Cervical W/O Mcc | 52 | 142 / 12 | $154.816,00 | 1132 / 14 | $29.659,60 | 793 / 14 | $24.018,50 | 789 / 11 |
| Renal Failure W Cc | 45 | 176 / 8 | $43.798,40 | 2125 / 29 | $7.464,80 | 1739 / 24 | $6.239,51 | 1729 / 25 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 41 | 28 / 1 | $141.347,00 | 460 / 8 | $18.935,30 | 296 / 8 | $15.636,50 | 296 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 13 | $48.479,90 | 2230 / 32 | $8.083,84 | 1870 / 26 | $6.984,32 | 1862 / 28 |
| Heart Failure & Shock W Cc | 33 | 245 / 13 | $46.127,90 | 2483 / 32 | $7.424,82 | 1890 / 26 | $6.303,58 | 1885 / 27 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 17 | $40.277,90 | 2333 / 29 | $7.304,67 | 1963 / 25 | $6.094,76 | 1955 / 27 |
| Renal Failure W Mcc | 32 | 163 / 9 | $60.278,60 | 1762 / 19 | $10.924,20 | 1357 / 16 | $9.801,19 | 1357 / 19 |
| Heart Failure & Shock W Mcc | 32 | 252 / 16 | $70.792,90 | 2360 / 30 | $11.038,70 | 1818 / 26 | $9.766,81 | 1813 / 27 |
| Cellulitis W/O Mcc | 32 | 157 / 11 | $33.794,00 | 2263 / 25 | $6.524,00 | 1987 / 23 | $5.533,84 | 1979 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 4 | $45.143,50 | 1407 / 17 | $8.277,81 | 957 / 14 | $6.926,94 | 954 / 14 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 19 | $59.415,60 | 2091 / 29 | $10.376,90 | 1687 / 26 | $9.117,67 | 1687 / 26 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 30 | 47 / 1 | $69.411,00 | 355 / 5 | $13.049,40 | 155 / 4 | $8.349,30 | 155 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 11 | $34.980,40 | 2260 / 25 | $5.737,30 | 1912 / 22 | $4.696,20 | 1906 / 26 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 8 | $101.973,00 | 1227 / 22 | $16.796,60 | 365 / 16 | $13.085,40 | 362 / 3 |
| G.I. Hemorrhage W Cc | 27 | 191 / 16 | $45.836,00 | 2086 / 28 | $7.420,11 | 1722 / 25 | $6.406,04 | 1718 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 14 | $53.240,10 | 1796 / 19 | $7.812,81 | 1436 / 17 | $6.662,26 | 1433 / 20 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 9 | $242.383,00 | 1397 / 22 | $38.999,10 | 1027 / 17 | $35.809,10 | 1021 / 18 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 20 | $62.983,40 | 1970 / 33 | $9.597,00 | 1663 / 27 | $8.334,96 | 1658 / 29 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 25 | 37 / 3 | $34.400,80 | 661 / 8 | $6.029,40 | 515 / 11 | $4.625,32 | 513 / 11 |
| Medical Back Problems W/O Mcc | 24 | 97 / 10 | $36.214,00 | 1172 / 12 | $6.613,58 | 1068 / 18 | $5.448,62 | 1065 / 19 |
| Cervical Spinal Fusion W/O Cc/Mcc | 24 | 80 / 7 | $97.708,00 | 761 / 12 | $16.648,00 | 594 / 13 | $13.590,70 | 591 / 13 |
| Other Circulatory System Diagnoses W Mcc | 23 | 93 / 5 | $80.789,30 | 1148 / 16 | $15.949,00 | 1119 / 14 | $14.708,00 | 1111 / 17 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 17 | $38.962,30 | 2476 / 28 | $6.139,26 | 2019 / 28 | $5.045,87 | 2008 / 27 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 22 | 24 / 2 | $54.817,00 | 228 / 3 | $7.509,23 | 159 / 2 | $6.309,55 | 159 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 22 | 42 / 4 | $80.731,40 | 676 / 10 | $12.198,90 | 505 / 9 | $9.972,09 | 505 / 8 |
| Syncope & Collapse | 21 | 148 / 12 | $47.599,90 | 1817 / 18 | $5.951,05 | 1339 / 16 | $4.681,24 | 1332 / 15 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 14 | $53.311,00 | 2247 / 24 | $8.836,90 | 1874 / 19 | $7.612,86 | 1866 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 15 | $37.506,60 | 1854 / 21 | $6.357,75 | 1459 / 21 | $4.906,85 | 1454 / 21 |
| O.R. Procedures For Obesity W Cc | 20 | 14 / 1 | $79.713,00 | 100 / 1 | $14.161,50 | 60 / 1 | $11.667,00 | 60 / 1 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 19 | 47 / 5 | $89.987,20 | 502 / 8 | $14.570,10 | 325 / 10 | $11.503,30 | 323 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 18 | $100.749,00 | 1894 / 32 | $13.889,80 | 1438 / 26 | $12.515,50 | 1420 / 26 |
| Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 10 | $158.866,00 | 906 / 12 | $27.835,10 | 637 / 11 | $21.775,60 | 636 / 7 |
| G.I. Obstruction W Cc | 18 | 74 / 10 | $48.238,80 | 1579 / 19 | $6.949,61 | 1263 / 17 | $5.749,33 | 1259 / 19 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 13 | $81.842,20 | 1522 / 20 | $14.140,60 | 1068 / 18 | $11.938,50 | 1054 / 20 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 17 | 179 / 16 | $123.863,00 | 1338 / 24 | $14.786,00 | 803 / 16 | $11.666,40 | 798 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 12 | $51.459,30 | 1557 / 14 | $9.002,00 | 1191 / 15 | $7.571,29 | 1188 / 17 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 16 | 53 / 7 | $132.333,00 | 473 / 8 | $18.984,40 | 324 / 3 | $16.420,90 | 323 / 6 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 8 | $58.793,40 | 659 / 11 | $8.430,56 | 480 / 9 | $6.412,06 | 479 / 10 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 9 | $31.073,50 | 1130 / 15 | $5.138,80 | 1038 / 17 | $4.078,27 | 1035 / 17 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 13 | $52.505,10 | 2287 / 20 | $7.114,13 | 1814 / 16 | $6.144,33 | 1807 / 18 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 12 | $39.227,70 | 1042 / 17 | $7.398,27 | 739 / 16 | $5.649,60 | 736 / 18 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 5 | $78.406,50 | 1541 / 11 | $12.625,70 | 1252 / 10 | $11.232,10 | 1242 / 10 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 11 | $84.830,10 | 1477 / 16 | $14.383,40 | 1339 / 16 | $13.122,70 | 1329 / 16 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 14 | $54.780,10 | 1746 / 18 | $8.555,36 | 1364 / 17 | $7.191,43 | 1360 / 17 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 7 | $42.771,90 | 875 / 14 | $5.899,71 | 665 / 13 | $4.434,57 | 664 / 14 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 9 | $30.483,00 | 1040 / 14 | $5.622,00 | 853 / 15 | $4.396,57 | 850 / 16 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 11 | $82.640,40 | 1335 / 9 | $15.887,00 | 1154 / 10 | $14.849,10 | 1141 / 12 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 11 | $247.870,00 | 1162 / 16 | $49.514,60 | 256 / 16 | $26.984,20 | 254 / 3 |
| Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 4 | $54.932,40 | 427 / 8 | $7.758,57 | 240 / 5 | $5.711,64 | 240 / 6 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 13 | 35 / 2 | $53.761,70 | 167 / 3 | $10.642,50 | 57 / 2 | $7.711,08 | 57 / 1 |
| Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 4 | $61.398,80 | 315 / 2 | $12.116,30 | 169 / 4 | $9.840,15 | 169 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 9 | $28.200,50 | 1653 / 9 | $5.866,23 | 1497 / 11 | $4.414,00 | 1486 / 13 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 2 | $58.261,00 | 483 / 2 | $13.155,80 | 432 / 2 | $12.523,40 | 431 / 3 |
| Other Vascular Procedures W Mcc | 13 | 84 / 5 | $130.776,00 | 787 / 6 | $23.184,50 | 600 / 4 | $22.080,80 | 597 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 14 | $26.225,20 | 1511 / 17 | $5.703,69 | 1479 / 19 | $4.374,62 | 1471 / 18 |
| Female Reproductive System Reconstructive Procedures | 12 | 13 / 2 | $38.588,80 | 26 / 1 | $7.617,58 | 21 / 1 | $6.329,58 | 21 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 7 | $147.504,00 | 833 / 17 | $23.741,20 | 574 / 15 | $20.247,50 | 571 / 15 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 4 | $34.941,60 | 812 / 5 | $6.827,67 | 757 / 7 | $5.723,67 | 753 / 7 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 6 | $32.536,20 | 871 / 4 | $7.132,50 | 787 / 7 | $6.151,83 | 784 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 15 | $31.723,00 | 1802 / 22 | $4.783,33 | 1439 / 19 | $3.377,25 | 1433 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 12 | $52.520,30 | 1197 / 17 | $8.938,67 | 902 / 14 | $7.779,33 | 897 / 12 |
| Dysequilibrium | 11 | 54 / 4 | $38.394,80 | 495 / 4 | $5.201,18 | 360 / 4 | $3.937,64 | 360 / 4 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 3 | $169.189,00 | 512 / 4 | $25.368,20 | 346 / 2 | $23.635,50 | 345 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 7 | $38.958,40 | 651 / 8 | $7.529,73 | 556 / 11 | $6.659,00 | 556 / 11 |
| Interstitial Lung Disease W Mcc | 11 | 14 / 1 | $64.358,60 | 77 / 1 | $12.040,10 | 60 / 1 | $10.934,50 | 60 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 15 | $100.175,00 | 1505 / 17 | $15.005,50 | 1369 / 19 | $13.678,60 | 1363 / 19 |
| Chest Pain | 11 | 140 / 14 | $39.423,40 | 1586 / 15 | $5.056,55 | 1211 / 14 | $4.026,73 | 1204 / 14 |
| Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 11 | 21 / 1 | $59.987,20 | 116 / 1 | $8.830,82 | 81 / 1 | $7.403,64 | 81 / 1 |
| Transient Ischemia | 11 | 114 / 9 | $45.088,70 | 1522 / 13 | $5.692,82 | 1123 / 12 | $4.294,00 | 1117 / 11 | Total 73 procedures | 1.997 | 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.