Hospital Costs > In Colorado > San Luis Valley Health, 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 | 58 | 458 / 26 | $23.131,30 | 426 / 1 | $12.962,70 | 1766 / 21 | $11.648,50 | 1731 / 26 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 35 | 529 / 37 | $51.031,00 | 1336 / 11 | $14.932,60 | 2005 / 22 | $13.623,60 | 1963 / 35 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 25 | $17.344,80 | 542 / 2 | $7.672,26 | 1734 / 23 | $6.653,63 | 1727 / 26 |
| G.I. Hemorrhage W Cc | 17 | 201 / 22 | $22.507,10 | 984 / 6 | $7.209,53 | 998 / 22 | $5.361,76 | 996 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 25 | $17.520,90 | 851 / 6 | $7.044,71 | 1894 / 23 | $5.983,00 | 1886 / 26 |
| Heart Failure & Shock W Cc | 13 | 265 / 26 | $14.455,00 | 520 / 3 | $7.294,23 | 1923 / 25 | $6.369,15 | 1918 / 28 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 27 | $23.881,80 | 659 / 5 | $8.570,00 | 1409 / 18 | $7.608,08 | 1405 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 22 | $12.050,20 | 556 / 3 | $5.354,00 | 1841 / 16 | $4.548,67 | 1835 / 24 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 24 | $37.124,30 | 504 / 3 | $13.647,70 | 1265 / 24 | $11.835,50 | 1248 / 22 | Total 9 procedures | 191 | 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.