Hospital Costs > In Mississippi > Rush Foundation Hospital, 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 | 212 | 352 / 9 | $46.374,50 | 1108 / 15 | $12.788,70 | 729 / 17 | $10.668,30 | 719 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 76 | 157 / 10 | $14.880,00 | 912 / 29 | $5.070,24 | 1180 / 34 | $4.074,24 | 1172 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 74 | 201 / 12 | $14.635,60 | 704 / 22 | $4.904,70 | 1330 / 25 | $3.990,97 | 1319 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 63 | 140 / 12 | $24.516,70 | 1586 / 37 | $6.064,75 | 1243 / 20 | $5.256,27 | 1239 / 30 |
| Renal Failure W Cc | 57 | 164 / 14 | $16.496,00 | 614 / 11 | $6.084,02 | 986 / 20 | $5.172,11 | 978 / 22 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 54 | 134 / 8 | $28.284,80 | 438 / 9 | $6.756,46 | 672 / 10 | $5.695,24 | 670 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 54 | 66 / 4 | $18.940,50 | 1181 / 26 | $4.781,65 | 1145 / 25 | $3.880,24 | 1136 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 13 | $13.424,20 | 750 / 24 | $4.640,55 | 1210 / 24 | $3.818,57 | 1206 / 31 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 13 | $22.344,70 | 628 / 12 | $6.656,53 | 758 / 18 | $5.501,00 | 756 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 43 | 59 / 6 | $16.663,10 | 344 / 6 | $4.906,56 | 770 / 13 | $3.956,98 | 766 / 17 |
| G.I. Hemorrhage W Cc | 42 | 176 / 15 | $20.855,70 | 819 / 15 | $6.196,24 | 881 / 17 | $5.251,48 | 879 / 20 |
| Heart Failure & Shock W Cc | 41 | 237 / 22 | $21.409,30 | 1344 / 34 | $6.621,68 | 910 / 39 | $5.222,78 | 909 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 41 | 475 / 28 | $26.820,30 | 639 / 17 | $10.558,90 | 756 / 13 | $9.863,49 | 755 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 39 | 157 / 10 | $57.199,90 | 387 / 7 | $12.078,30 | 355 / 9 | $10.288,50 | 355 / 9 |
| Pulmonary Edema & Respiratory Failure | 39 | 164 / 11 | $25.710,60 | 776 / 16 | $7.335,87 | 954 / 12 | $6.869,41 | 954 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 8 | $15.261,60 | 1023 / 18 | $3.973,39 | 1114 / 19 | $2.920,55 | 1109 / 17 |
| Other Vascular Procedures W Cc | 37 | 65 / 2 | $34.342,10 | 52 / 1 | $14.699,80 | 84 / 6 | $12.629,00 | 84 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 15 | $20.604,20 | 1064 / 26 | $5.887,86 | 902 / 24 | $4.876,78 | 899 / 24 |
| Cellulitis W/O Mcc | 37 | 152 / 12 | $14.079,60 | 741 / 22 | $5.335,84 | 1091 / 24 | $4.344,05 | 1085 / 27 |
| Red Blood Cell Disorders W/O Mcc | 37 | 106 / 15 | $21.430,00 | 1020 / 23 | $5.218,27 | 821 / 20 | $4.318,11 | 816 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 9 | $16.372,20 | 674 / 9 | $5.150,81 | 1048 / 15 | $4.343,69 | 1044 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 35 | 96 / 11 | $43.714,00 | 433 / 8 | $13.729,30 | 224 / 14 | $11.646,20 | 222 / 9 |
| Signs & Symptoms W/O Mcc | 35 | 56 / 2 | $15.234,70 | 348 / 7 | $4.746,37 | 479 / 11 | $3.629,43 | 478 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 9 | $17.611,30 | 973 / 24 | $4.663,41 | 972 / 21 | $3.654,35 | 967 / 26 |
| Seizures W/O Mcc | 32 | 76 / 6 | $14.227,40 | 221 / 2 | $4.897,62 | 516 / 9 | $4.081,81 | 513 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 16 | $27.529,80 | 873 / 25 | $8.334,59 | 611 / 14 | $7.449,59 | 611 / 16 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 11 | $44.346,40 | 281 / 8 | $14.503,40 | 379 / 13 | $13.136,40 | 376 / 12 |
| Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 12 | $12.130,20 | 486 / 14 | $4.547,21 | 1075 / 20 | $3.814,64 | 1067 / 25 |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 19 | $23.944,10 | 1047 / 27 | $7.057,64 | 940 / 20 | $6.192,54 | 935 / 21 |
| Transient Ischemia | 28 | 97 / 8 | $17.726,70 | 469 / 8 | $4.669,57 | 835 / 11 | $3.759,86 | 831 / 18 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 28 | 28 / 4 | $30.437,50 | 195 / 9 | $9.562,79 | 293 / 10 | $8.443,93 | 292 / 12 |
| Syncope & Collapse | 27 | 142 / 12 | $18.489,40 | 724 / 14 | $4.817,15 | 834 / 17 | $3.879,67 | 830 / 19 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 26 | 38 / 4 | $25.951,10 | 69 / 1 | $9.627,69 | 204 / 8 | $8.089,50 | 204 / 7 |
| Diabetes W Cc | 26 | 66 / 11 | $16.541,20 | 449 / 13 | $5.355,04 | 660 / 14 | $4.483,96 | 658 / 16 |
| G.I. Hemorrhage W/O Cc/Mcc | 25 | 43 / 2 | $15.364,00 | 355 / 8 | $4.664,60 | 466 / 12 | $3.699,48 | 462 / 12 |
| Renal Failure W/O Cc/Mcc | 24 | 32 / 2 | $12.055,30 | 217 / 8 | $4.277,67 | 416 / 13 | $3.346,96 | 415 / 13 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 5 | $88.116,00 | 164 / 4 | $26.923,80 | 86 / 2 | $26.208,40 | 86 / 2 |
| Chest Pain | 23 | 128 / 13 | $16.071,00 | 591 / 8 | $4.166,65 | 762 / 17 | $3.220,57 | 757 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 13 | $27.854,30 | 280 / 3 | $9.685,27 | 288 / 3 | $8.754,36 | 287 / 5 |
| Extracranial Procedures W/O Cc/Mcc | 22 | 76 / 9 | $20.973,30 | 166 / 2 | $6.654,91 | 264 / 9 | $5.118,45 | 264 / 8 |
| G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 5 | $11.290,10 | 227 / 3 | $4.194,76 | 716 / 13 | $3.278,95 | 713 / 14 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 16 | $14.026,50 | 194 / 6 | $6.693,43 | 426 / 13 | $5.599,33 | 425 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 20 | $25.217,90 | 1275 / 24 | $6.550,11 | 1149 / 22 | $5.808,78 | 1144 / 23 |
| Cervical Spinal Fusion W/O Cc/Mcc | 18 | 86 / 9 | $25.799,20 | 33 / 1 | $12.837,90 | 303 / 4 | $11.634,40 | 302 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 10 | $26.584,80 | 596 / 9 | $6.674,56 | 390 / 14 | $5.296,89 | 389 / 9 |
| Renal Failure W Mcc | 17 | 178 / 20 | $22.660,20 | 351 / 11 | $8.867,18 | 671 / 8 | $8.323,65 | 671 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 11 | $19.253,40 | 371 / 10 | $6.900,41 | 278 / 13 | $5.656,88 | 275 / 5 |
| Respiratory Signs & Symptoms | 16 | 30 / 1 | $17.656,20 | 86 / 1 | $4.581,62 | 99 / 2 | $3.637,62 | 99 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 8 | $51.531,00 | 63 / 2 | $19.032,40 | 65 / 7 | $16.538,30 | 65 / 2 |
| Respiratory Infections & Inflammations W Mcc | 16 | 120 / 15 | $31.987,40 | 462 / 8 | $10.549,20 | 31 / 2 | $8.906,56 | 31 / 2 |
| Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 4 | $29.098,30 | 54 / 3 | $9.968,60 | 161 / 7 | $8.923,27 | 160 / 9 |
| Diabetes W/O Cc/Mcc | 15 | 23 / 2 | $9.864,33 | 41 / 4 | $3.993,00 | 129 / 5 | $3.353,00 | 129 / 5 |
| Heart Failure & Shock W Mcc | 15 | 269 / 34 | $32.459,10 | 1244 / 27 | $8.923,13 | 788 / 23 | $8.035,67 | 788 / 20 |
| Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 14 | 15 / 2 | $14.102,80 | 24 / 2 | $5.114,93 | 73 / 1 | $4.685,21 | 73 / 3 |
| Other Vascular Procedures W Mcc | 14 | 83 / 9 | $45.184,90 | 64 / 1 | $18.048,20 | 155 / 4 | $17.529,40 | 155 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 15 | $22.039,90 | 461 / 7 | $7.373,31 | 606 / 7 | $6.536,38 | 603 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 16 | $39.172,20 | 777 / 10 | $9.928,92 | 573 / 6 | $9.159,69 | 572 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 9 | $22.154,90 | 361 / 7 | $7.101,08 | 455 / 8 | $6.544,77 | 454 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 11 | $32.975,90 | 69 / 2 | $14.038,50 | 20 / 12 | $9.672,15 | 20 / 1 |
| Seizures W Mcc | 12 | 54 / 9 | $36.113,70 | 283 / 4 | $8.815,75 | 109 / 3 | $7.813,08 | 109 / 1 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 11 | $13.282,40 | 116 / 6 | $5.842,25 | 284 / 6 | $4.834,25 | 283 / 9 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 16 | $35.979,30 | 367 / 10 | $10.662,60 | 193 / 7 | $9.566,58 | 193 / 5 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 14 | $74.734,10 | 159 / 3 | $27.010,10 | 161 / 4 | $26.018,10 | 161 / 4 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 17 | $22.983,30 | 387 / 3 | $7.527,36 | 255 / 2 | $6.867,00 | 253 / 7 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 14 | $37.651,60 | 611 / 10 | $10.287,50 | 448 / 9 | $9.516,55 | 449 / 9 |
| Hypertension W/O Mcc | 11 | 54 / 9 | $16.886,80 | 297 / 5 | $4.268,73 | 267 / 9 | $3.064,36 | 265 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 19 | $42.410,30 | 735 / 13 | $11.400,60 | 471 / 13 | $10.027,50 | 470 / 11 | Total 67 procedures | 2.066 | 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.