Hospital Costs > In Colorado > Saint Joseph Hospital Denver, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 25 | 93 / 3 | $163.166,00 | 329 / 3 | $41.021,70 | 37 / 6 | $26.568,60 | 37 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 14 | 102 / 7 | $310.800,00 | 392 / 7 | $64.878,70 | 310 / 8 | $55.952,40 | 310 / 6 |
| Cellulitis W/O Mcc | 14 | 175 / 20 | $32.170,50 | 2200 / 22 | $8.411,93 | 897 / 26 | $4.196,14 | 891 / 10 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 7 | $142.958,00 | 451 / 4 | $34.750,20 | 114 / 7 | $18.985,80 | 113 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 29 | $28.407,10 | 2087 / 17 | $8.173,47 | 49 / 30 | $2.820,11 | 49 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 5 | $33.683,90 | 520 / 3 | $9.742,94 | 215 / 8 | $5.004,44 | 215 / 3 |
| G.I. Hemorrhage W Cc | 16 | 202 / 23 | $45.598,20 | 2078 / 27 | $9.807,56 | 1064 / 31 | $5.426,88 | 1062 / 15 |
| Heart Failure & Shock W Cc | 11 | 267 / 28 | $34.753,50 | 2165 / 24 | $10.701,10 | 567 / 35 | $4.956,27 | 567 / 10 |
| Heart Failure & Shock W Mcc | 16 | 268 / 21 | $43.585,10 | 1805 / 16 | $13.344,80 | 882 / 29 | $8.141,88 | 882 / 10 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 5 | $206.751,00 | 524 / 8 | $45.597,70 | 310 / 7 | $33.126,00 | 310 / 6 |
| Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 4 | $147.420,00 | 864 / 7 | $24.943,40 | 623 / 7 | $21.678,20 | 623 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 143 | 421 / 18 | $87.039,20 | 2319 / 40 | $18.240,80 | 605 / 38 | $10.472,50 | 598 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 16 | $35.830,00 | 1189 / 11 | $9.141,91 | 889 / 18 | $6.762,55 | 886 / 13 |
| Other Vascular Procedures W Cc | 11 | 91 / 10 | $104.255,00 | 872 / 8 | $21.135,10 | 582 / 10 | $15.435,80 | 579 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 20 | $111.147,00 | 1262 / 19 | $14.724,10 | 897 / 15 | $12.080,40 | 890 / 18 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 25 | $37.131,70 | 1392 / 18 | $12.089,00 | 298 / 33 | $6.087,42 | 298 / 4 |
| Renal Failure W Cc | 20 | 201 / 18 | $37.136,90 | 1961 / 20 | $9.622,85 | 744 / 28 | $4.955,95 | 737 / 11 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 18 | $90.678,50 | 1596 / 22 | $19.338,20 | 549 / 24 | $10.569,10 | 542 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 78 | 438 / 23 | $51.657,40 | 1844 / 23 | $15.878,90 | 657 / 35 | $9.737,49 | 656 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 23 | $32.144,70 | 1742 / 19 | $10.484,80 | 326 / 33 | $5.023,24 | 325 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 25 | $40.535,20 | 1573 / 18 | $12.627,50 | 635 / 31 | $7.478,93 | 635 / 10 | Total 21 procedures | 520 | 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.