Hospital Costs > In Idaho > Saint Alphonsus Medical Center - Nampa, 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 | 181 | 335 / 5 | $26.233,70 | 599 / 2 | $11.168,30 | 894 / 1 | $10.044,40 | 892 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 100 | 464 / 9 | $32.019,40 | 313 / 3 | $13.393,60 | 1169 / 3 | $11.321,70 | 1141 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 5 | $20.639,90 | 839 / 5 | $6.922,58 | 996 / 1 | $5.656,05 | 993 / 2 |
| Pulmonary Edema & Respiratory Failure | 37 | 166 / 6 | $18.552,70 | 321 / 1 | $7.905,70 | 920 / 2 | $6.833,62 | 920 / 1 |
| Heart Failure & Shock W Cc | 35 | 243 / 5 | $17.292,60 | 846 / 1 | $6.538,20 | 1398 / 4 | $5.639,46 | 1393 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 6 | $14.801,70 | 726 / 1 | $5.164,52 | 1441 / 2 | $4.078,74 | 1430 / 1 |
| Heart Failure & Shock W Mcc | 21 | 263 / 9 | $19.282,80 | 387 / 1 | $9.311,57 | 666 / 2 | $7.886,86 | 666 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 7 | $64.006,90 | 537 / 6 | $12.822,30 | 645 / 1 | $11.079,40 | 641 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 3 | $16.567,40 | 698 / 5 | $5.436,00 | 1111 / 2 | $4.410,40 | 1107 / 2 |
| G.I. Hemorrhage W Cc | 20 | 198 / 8 | $13.555,70 | 194 / 1 | $6.406,75 | 941 / 1 | $5.317,15 | 939 / 1 |
| Cellulitis W/O Mcc | 19 | 170 / 5 | $13.582,90 | 676 / 1 | $5.835,11 | 1354 / 3 | $4.580,42 | 1348 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 7 | $36.297,50 | 465 / 2 | $11.924,60 | 973 / 1 | $10.973,10 | 960 / 3 |
| Renal Failure W Cc | 17 | 204 / 8 | $14.440,10 | 414 / 3 | $6.295,76 | 1189 / 1 | $5.373,41 | 1181 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 8 | $17.990,40 | 349 / 1 | $7.127,76 | 645 / 5 | $5.376,00 | 644 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 3 | $26.929,00 | 334 / 1 | $10.069,40 | 534 / 1 | $9.071,76 | 533 / 1 |
| Renal Failure W Mcc | 16 | 179 / 8 | $20.948,60 | 267 / 1 | $9.433,75 | 864 / 1 | $8.677,75 | 864 / 1 |
| Chest Pain | 15 | 136 / 3 | $13.416,50 | 349 / 2 | $4.380,40 | 851 / 1 | $3.332,93 | 846 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 5 | $72.473,60 | 192 / 1 | $30.064,20 | 444 / 1 | $29.018,90 | 440 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 8 | $11.405,90 | 477 / 2 | $4.810,73 | 803 / 1 | $3.519,13 | 800 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 7 | $20.641,10 | 123 / 2 | $8.123,64 | 120 / 1 | $6.910,93 | 120 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 2 | $84.706,80 | 109 / 1 | $30.623,50 | 1 / 1 | $24.007,80 | 1 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 6 | $11.070,80 | 464 / 1 | $4.105,50 | 1258 / 3 | $3.097,50 | 1253 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 8 | $19.978,00 | 337 / 2 | $7.683,82 | 603 / 1 | $6.528,91 | 600 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 6 | $88.259,20 | 364 / 5 | $25.700,80 | 202 / 6 | $17.171,70 | 201 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 7 | $25.936,40 | 327 / 2 | $6.708,73 | 526 / 1 | $5.493,18 | 524 / 1 | Total 25 procedures | 744 | 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.