Hospital Costs > In Nevada > Saint Mary's Regional Medical Center, 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 | 438 | 111 / 2 | $36.521,90 | 1124 / 2 | $12.117,40 | 1577 / 3 | $11.163,40 | 1545 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 186 | 378 / 5 | $59.977,70 | 1693 / 5 | $14.356,90 | 1601 / 4 | $12.331,50 | 1564 / 10 |
| Heart Failure & Shock W Mcc | 128 | 156 / 2 | $32.847,60 | 1274 / 1 | $9.948,27 | 1555 / 3 | $9.175,14 | 1550 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 120 | 155 / 2 | $16.769,90 | 971 / 1 | $5.389,68 | 1637 / 7 | $4.268,73 | 1624 / 8 |
| Chest Pain | 111 | 45 / 1 | $14.793,70 | 479 / 1 | $4.450,36 | 813 / 3 | $3.270,99 | 808 / 4 |
| Pulmonary Edema & Respiratory Failure | 106 | 97 / 2 | $22.802,20 | 585 / 1 | $8.282,42 | 1290 / 7 | $7.396,84 | 1287 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 78 | 127 / 5 | $25.466,70 | 737 / 1 | $9.321,28 | 1433 / 4 | $8.568,21 | 1433 / 8 |
| Spinal Fusion Except Cervical W/O Mcc | 76 | 118 / 3 | $137.645,00 | 1042 / 7 | $27.682,80 | 941 / 7 | $25.643,10 | 936 / 12 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 63 | 61 / 2 | $111.943,00 | 639 / 3 | $31.056,50 | 556 / 1 | $29.967,00 | 551 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 63 | 29 / 1 | $44.319,90 | 529 / 4 | $7.456,40 | 445 / 1 | $6.206,90 | 444 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 62 | 99 / 2 | $14.671,50 | 485 / 1 | $5.620,26 | 1252 / 6 | $4.573,40 | 1247 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 3 | $19.488,90 | 739 / 1 | $7.397,24 | 1478 / 6 | $6.224,97 | 1472 / 8 |
| Renal Failure W Mcc | 58 | 137 / 4 | $29.198,60 | 712 / 1 | $9.954,14 | 1154 / 3 | $9.268,34 | 1154 / 6 |
| Permanent Cardiac Pacemaker Implant W Cc | 52 | 25 / 1 | $76.619,20 | 582 / 1 | $18.286,60 | 525 / 4 | $16.079,90 | 524 / 4 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 50 | 18 / 1 | $17.187,60 | 142 / 1 | $6.158,00 | 296 / 2 | $5.013,16 | 296 / 3 |
| Medical Back Problems W/O Mcc | 48 | 73 / 3 | $24.757,50 | 821 / 2 | $6.251,85 | 999 / 7 | $5.239,69 | 996 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 47 | 149 / 8 | $82.761,90 | 913 / 4 | $14.273,50 | 850 / 8 | $11.844,10 | 844 / 7 |
| Renal Failure W Cc | 47 | 174 / 8 | $19.170,50 | 894 / 1 | $6.542,26 | 1514 / 4 | $5.772,21 | 1505 / 10 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 46 | 142 / 3 | $28.954,30 | 464 / 1 | $7.893,80 | 879 / 10 | $6.079,57 | 876 / 5 |
| Heart Failure & Shock W Cc | 45 | 233 / 11 | $18.502,40 | 989 / 1 | $6.604,69 | 1550 / 6 | $5.825,31 | 1545 / 8 |
| G.I. Hemorrhage W Cc | 45 | 173 / 7 | $21.914,40 | 937 / 1 | $6.897,60 | 1543 / 5 | $6.041,42 | 1539 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 44 | 79 / 5 | $24.287,60 | 610 / 1 | $8.219,75 | 1140 / 3 | $7.452,48 | 1137 / 6 |
| G.I. Hemorrhage W Mcc | 43 | 78 / 4 | $29.860,60 | 324 / 1 | $11.381,30 | 786 / 2 | $10.509,20 | 783 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 7 | $36.013,70 | 1390 / 3 | $7.288,02 | 1270 / 6 | $6.269,76 | 1267 / 9 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 40 | 55 / 1 | $77.380,20 | 311 / 1 | $13.110,40 | 324 / 2 | $12.112,80 | 320 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 39 | 86 / 4 | $36.251,30 | 670 / 1 | $11.335,90 | 920 / 3 | $10.068,90 | 919 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 13 | $15.264,40 | 976 / 1 | $5.376,41 | 1365 / 7 | $4.215,64 | 1356 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 37 | 59 / 3 | $23.882,80 | 387 / 1 | $8.004,68 | 734 / 3 | $7.215,70 | 729 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 10 | $23.133,40 | 987 / 1 | $7.913,05 | 1536 / 8 | $6.884,41 | 1529 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 5 | $21.072,10 | 640 / 1 | $7.606,43 | 1193 / 5 | $6.745,17 | 1189 / 6 |
| Syncope & Collapse | 34 | 135 / 6 | $18.917,10 | 756 / 1 | $5.159,12 | 1093 / 4 | $4.225,94 | 1086 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 7 | $15.710,10 | 1049 / 2 | $4.857,44 | 1567 / 5 | $4.145,91 | 1562 / 9 |
| Cellulitis W/O Mcc | 34 | 155 / 11 | $19.816,40 | 1461 / 1 | $5.900,03 | 1669 / 6 | $4.924,50 | 1662 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 7 | $49.099,00 | 943 / 2 | $11.507,80 | 862 / 3 | $10.478,20 | 860 / 5 |
| Transient Ischemia | 33 | 92 / 4 | $21.092,10 | 743 / 3 | $4.981,15 | 1033 / 2 | $4.106,48 | 1028 / 6 |
| Nonspecific Cerebrovascular Disorders W Mcc | 32 | 19 / 1 | $25.110,20 | 66 / 1 | $10.501,00 | 161 / 1 | $9.676,53 | 161 / 1 |
| Thyroid, Parathyroid & Thyroglossal Procedures W/O Cc/Mcc | 31 | 7 / 1 | $35.498,70 | 27 / 1 | $5.892,16 | 9 / 1 | $4.612,19 | 9 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 14 | $22.761,60 | 1424 / 1 | $6.725,93 | 1602 / 4 | $5.607,23 | 1595 / 9 |
| Respiratory Infections & Inflammations W Mcc | 30 | 106 / 4 | $41.820,90 | 852 / 2 | $13.133,30 | 1141 / 3 | $12.238,10 | 1127 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 7 | $62.257,80 | 1409 / 4 | $13.496,70 | 1436 / 10 | $12.505,80 | 1418 / 13 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 28 | 41 / 2 | $100.340,00 | 420 / 3 | $18.528,30 | 342 / 2 | $16.835,70 | 341 / 3 |
| Atherosclerosis W/O Mcc | 27 | 31 / 1 | $15.117,70 | 172 / 1 | $4.407,26 | / 1 | $3.421,19 | / |
| Cervical Spinal Fusion W/O Cc/Mcc | 26 | 78 / 5 | $87.263,30 | 717 / 5 | $15.001,90 | 626 / 4 | $13.886,80 | 623 / 9 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 26 | 46 / 4 | $33.314,00 | 433 / 1 | $9.138,81 | 499 / 1 | $8.533,27 | 497 / 4 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 6 | $151.853,00 | 535 / 1 | $40.261,70 | 439 / 5 | $35.656,50 | 438 / 3 |
| Other Circulatory System Diagnoses W Mcc | 25 | 91 / 6 | $29.460,20 | 205 / 1 | $12.262,00 | 735 / 2 | $11.778,20 | 733 / 5 |
| Permanent Cardiac Pacemaker Implant W Mcc | 25 | 27 / 1 | $80.874,20 | 211 / 1 | $23.179,60 | 285 / 1 | $22.360,40 | 285 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 24 | 45 / 1 | $84.063,20 | 432 / 2 | $12.276,10 | 372 / 2 | $11.116,10 | 371 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 24 | 38 / 2 | $89.216,40 | 617 / 3 | $21.184,70 | 676 / 3 | $20.179,30 | 673 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 9 | $11.897,30 | 573 / 1 | $4.147,52 | 1024 / 6 | $2.848,61 | 1019 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 8 | $18.493,10 | 332 / 2 | $7.455,35 | 862 / 5 | $6.723,52 | 859 / 7 |
| G.I. Obstruction W Cc | 22 | 70 / 4 | $15.193,80 | 303 / 1 | $6.304,00 | 976 / 6 | $5.079,09 | 973 / 6 |
| Hypertension W/O Mcc | 22 | 43 / 2 | $16.286,30 | 267 / 1 | $4.496,64 | 424 / 1 | $3.504,64 | 422 / 2 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 21 | 36 / 2 | $64.420,20 | 457 / 1 | $14.229,40 | 440 / 1 | $13.085,00 | 439 / 3 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 21 | 56 / 3 | $51.122,30 | 270 / 2 | $10.322,00 | 110 / 1 | $7.947,10 | 110 / 1 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 21 | 45 / 4 | $85.394,70 | 483 / 4 | $15.313,60 | 374 / 5 | $12.203,40 | 371 / 5 |
| Cellulitis W Mcc | 21 | 37 / 3 | $25.309,70 | 252 / 1 | $9.722,00 | 524 / 1 | $8.859,52 | 522 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 20 | 45 / 3 | $75.029,70 | 443 / 2 | $20.251,40 | 488 / 1 | $19.166,60 | 485 / 2 |
| Red Blood Cell Disorders W/O Mcc | 20 | 123 / 11 | $16.027,50 | 540 / 1 | $5.825,95 | 1076 / 5 | $4.624,65 | 1069 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 15 | $59.764,00 | 900 / 1 | $15.013,70 | 1077 / 4 | $14.471,20 | 1067 / 12 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 5 | $66.085,60 | 775 / 2 | $15.798,40 | 746 / 1 | $14.535,00 | 738 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 5 | $115.157,00 | 630 / 3 | $22.586,50 | 675 / 5 | $21.631,50 | 671 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 4 | $90.148,10 | 713 / 3 | $14.758,90 | 583 / 4 | $13.553,10 | 579 / 5 |
| Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 6 | $127.076,00 | 778 / 3 | $23.155,50 | 573 / 3 | $21.014,10 | 573 / 6 |
| Peripheral Vascular Disorders W Mcc | 18 | 31 / 2 | $35.079,80 | 293 / 2 | $9.204,94 | 284 / 4 | $8.333,83 | 284 / 4 |
| Other Vascular Procedures W Cc | 17 | 85 / 4 | $100.692,00 | 846 / 3 | $19.094,10 | 858 / 7 | $18.100,10 | 853 / 8 |
| Transurethral Prostatectomy W/O Cc/Mcc | 17 | 12 / 1 | $27.524,10 | 48 / 1 | $5.283,29 | 39 / 1 | $3.824,94 | 39 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 16 | $18.988,20 | 899 / 1 | $6.490,18 | 1596 / 7 | $5.671,35 | 1589 / 9 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 5 | $56.306,00 | 818 / 4 | $7.294,88 | 633 / 2 | $6.227,59 | 631 / 3 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 7 | $18.949,50 | 346 / 1 | $6.683,12 | 860 / 3 | $5.973,47 | 856 / 7 |
| Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 1 | $26.193,20 | 243 / 1 | $7.653,25 | 112 / 2 | $4.906,06 | 112 / 1 |
| Other Respiratory System Diagnoses W/O Mcc | 16 | 30 / 1 | $16.360,00 | 74 / 1 | $5.593,38 | 116 / 1 | $4.457,38 | 116 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 7 | $149.783,00 | 808 / 3 | $35.698,10 | 672 / 6 | $31.870,20 | 670 / 5 |
| Cranial & Peripheral Nerve Disorders W Mcc | 16 | 20 / 1 | $18.910,20 | 19 / 1 | $8.770,25 | 40 / 1 | $7.581,56 | 40 / 1 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 15 | 31 / 1 | $49.935,50 | 215 / 1 | $6.849,00 | 127 / 1 | $5.726,87 | 127 / 3 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 15 | 12 / 2 | $45.845,40 | 96 / 2 | $10.326,70 | 48 / 1 | $9.680,40 | 48 / 2 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 9 | $17.809,90 | 527 / 2 | $4.947,93 | 745 / 5 | $4.139,40 | 742 / 8 |
| Respiratory Neoplasms W Mcc | 15 | 37 / 3 | $38.516,90 | 244 / 1 | $11.330,70 | 355 / 1 | $10.684,30 | 354 / 3 |
| Dysequilibrium | 15 | 50 / 2 | $19.216,10 | 227 / 1 | $4.499,60 | 311 / 2 | $3.612,13 | 311 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 3 | $62.736,50 | 515 / 3 | $15.281,90 | 555 / 3 | $14.502,40 | 554 / 4 |
| Diabetes W Mcc | 14 | 43 / 4 | $19.943,90 | 83 / 1 | $8.783,57 | 328 / 1 | $8.264,71 | 328 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 5 | $40.804,20 | 166 / 1 | $13.880,60 | 488 / 3 | $12.838,30 | 482 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 5 | $25.213,40 | 526 / 1 | $7.261,43 | 934 / 2 | $6.488,86 | 932 / 5 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 7 | $46.399,60 | 512 / 2 | $11.484,70 | 378 / 6 | $8.740,86 | 376 / 1 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 6 | $27.385,60 | 385 / 1 | $8.471,31 | 583 / 2 | $7.725,46 | 580 / 3 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 13 | 60 / 1 | $86.819,50 | 349 / 2 | $8.758,15 | 235 / 3 | $7.547,08 | 235 / 3 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 4 | $54.484,40 | 509 / 1 | $13.812,10 | 517 / 6 | $12.036,80 | 516 / 5 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 13 | 37 / 1 | $105.379,00 | 60 / 1 | $35.531,80 | 131 / 1 | $34.419,20 | 131 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 12 | 106 / 6 | $188.503,00 | 393 / 2 | $35.891,00 | 343 / 2 | $34.883,00 | 343 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 12 | $17.632,60 | 1119 / 2 | $4.835,92 | 1328 / 4 | $4.129,25 | 1317 / 8 |
| Transurethral Procedures W/O Cc/Mcc | 12 | 6 / 1 | $20.162,20 | 2 / 1 | $5.872,00 | 5 / 1 | $4.765,33 | 5 / 1 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 12 | 79 / 3 | $36.524,10 | 229 / 1 | $7.563,25 | 163 / 1 | $7.259,25 | 163 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 4 | $56.677,60 | 543 / 2 | $10.856,40 | 466 / 2 | $9.651,08 | 466 / 4 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 8 | $17.484,40 | 696 / 3 | $6.739,73 | 459 / 11 | $2.914,27 | 458 / 5 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 2 | $21.531,40 | 203 / 1 | $6.221,64 | 147 / 2 | $4.613,00 | 147 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 6 | $18.175,40 | 237 / 1 | $6.499,82 | 361 / 2 | $4.916,73 | 360 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 3 | $19.256,90 | 485 / 1 | $5.073,36 | 559 / 2 | $4.087,18 | 559 / 2 |
| Medical Back Problems W Mcc | 11 | 28 / 3 | $24.476,10 | 36 / 1 | $9.951,00 | 124 / 1 | $9.177,18 | 124 / 2 |
| Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 1 | $22.386,60 | 187 / 1 | $5.252,36 | 62 / 1 | $3.600,36 | 62 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 6 | $275.022,00 | 364 / 2 | $55.906,90 | 303 / 2 | $55.575,50 | 303 / 4 |
| Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 4 | $223.897,00 | 280 / 3 | $49.805,80 | 300 / 3 | $48.927,20 | 300 / 4 |
| Diabetes W Cc | 11 | 81 / 11 | $22.284,50 | 835 / 1 | $5.807,55 | 803 / 5 | $4.710,82 | 799 / 6 | Total 102 procedures | 3.666 | 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.