Hospital Costs > In Minnesota > Sanford Bemidji Medical Center, 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 | 222 | 342 / 22 | $35.643,20 | 501 / 19 | $12.958,10 | 1377 / 2 | $11.761,50 | 1344 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 95 | 421 / 20 | $23.959,50 | 478 / 13 | $11.201,00 | 1220 / 3 | $10.507,00 | 1200 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 55 | 141 / 12 | $59.740,70 | 449 / 7 | $12.664,60 | 806 / 1 | $11.676,20 | 801 / 4 |
Heart Failure & Shock W Cc | 51 | 227 / 19 | $16.185,40 | 705 / 15 | $6.401,57 | 1356 / 8 | $5.606,59 | 1352 / 8 |
Heart Failure & Shock W Mcc | 46 | 238 / 21 | $22.050,80 | 534 / 11 | $9.780,59 | 1116 / 13 | $8.443,04 | 1113 / 5 |
G.I. Hemorrhage W Cc | 44 | 174 / 16 | $16.342,30 | 425 / 11 | $6.383,34 | 1209 / 7 | $5.586,98 | 1207 / 10 |
Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 15 | $17.393,60 | 839 / 25 | $6.299,00 | 1364 / 7 | $5.377,10 | 1359 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 42 | 101 / 12 | $35.471,50 | 430 / 14 | $13.360,80 | 1423 / 17 | $12.468,60 | 1405 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 11 | $12.705,10 | 638 / 13 | $4.774,85 | 1234 / 7 | $3.834,37 | 1230 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 18 | $15.541,00 | 398 / 11 | $6.857,23 | 1247 / 6 | $5.922,83 | 1242 / 13 |
Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 15 | $18.736,80 | 624 / 16 | $7.359,64 | 1279 / 4 | $6.554,31 | 1273 / 11 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 21 | $21.944,00 | 506 / 10 | $8.939,64 | 1198 / 7 | $8.133,42 | 1198 / 10 |
Renal Failure W Cc | 32 | 189 / 19 | $14.352,10 | 407 / 10 | $6.208,53 | 1261 / 8 | $5.455,53 | 1253 / 8 |
Chest Pain | 31 | 120 / 8 | $12.735,10 | 286 / 5 | $4.294,32 | 711 / 4 | $3.151,87 | 706 / 4 |
Acute Myocardial Infarction, Discharged Alive W Cc | 30 | 61 / 7 | $21.326,50 | 347 / 9 | $6.738,77 | 636 / 3 | $5.731,83 | 635 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 12 | $15.844,90 | 597 / 18 | $6.041,97 | 1128 / 5 | $5.079,76 | 1124 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 24 | $14.020,20 | 622 / 17 | $5.023,59 | 1377 / 8 | $4.026,07 | 1366 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 16 | $15.954,50 | 618 / 18 | $5.287,57 | 1082 / 6 | $4.381,29 | 1078 / 7 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 19 | $26.516,40 | 824 / 20 | $8.029,48 | 909 / 5 | $6.818,33 | 909 / 4 |
Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 24 | $11.074,40 | 400 / 8 | $5.097,41 | 989 / 7 | $3.953,70 | 981 / 6 |
Cellulitis W/O Mcc | 23 | 166 / 22 | $13.982,60 | 726 / 13 | $5.589,13 | 1447 / 5 | $4.669,48 | 1440 / 12 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 12 | $9.458,48 | 292 / 5 | $4.265,09 | 1013 / 11 | $2.839,65 | 1008 / 6 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 13 | $30.142,20 | 521 / 11 | $6.944,36 | 737 / 2 | $5.792,36 | 735 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 20 | $17.348,40 | 310 / 6 | $6.851,68 | 944 / 5 | $5.750,59 | 941 / 5 |
Transient Ischemia | 20 | 105 / 10 | $16.762,60 | 398 / 4 | $4.870,90 | 811 / 2 | $3.723,70 | 807 / 3 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 4 | $13.463,30 | 601 / 11 | $4.866,70 | 986 / 4 | $3.719,00 | 977 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 14 | $31.291,90 | 490 / 10 | $10.635,10 | 779 / 5 | $9.667,10 | 778 / 5 |
Major Small & Large Bowel Procedures W Cc | 19 | 89 / 17 | $47.211,90 | 342 / 9 | $16.401,60 | 913 / 6 | $15.303,10 | 905 / 12 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 6 | $23.047,10 | 394 / 8 | $5.108,89 | 484 / 3 | $4.236,00 | 481 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 13 | $11.427,00 | 81 / 1 | $5.427,61 | 688 / 8 | $3.845,72 | 684 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 13 | $78.163,00 | 256 / 6 | $20.755,90 | 511 / 2 | $19.746,20 | 507 / 5 |
G.I. Obstruction W Cc | 17 | 75 / 21 | $14.511,30 | 256 / 7 | $5.792,65 | 943 / 5 | $5.011,47 | 940 / 9 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 11 | $13.856,10 | 601 / 17 | $4.801,00 | 1058 / 4 | $3.733,71 | 1052 / 6 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 15 | $11.335,10 | 391 / 7 | $4.589,18 | 1179 / 4 | $3.951,06 | 1169 / 7 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 15 | $11.836,40 | 205 / 4 | $5.352,44 | 998 / 3 | $4.518,44 | 992 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 16 | $23.992,40 | 180 / 5 | $10.406,80 | 591 / 1 | $9.576,81 | 590 / 1 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 4 | $10.239,20 | 128 / 2 | $4.266,20 | 348 / 2 | $3.216,60 | 347 / 3 |
Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 10 | $14.971,10 | 53 / 1 | $6.742,47 | 529 / 1 | $5.855,00 | 528 / 5 |
Renal Failure W Mcc | 14 | 181 / 19 | $14.143,80 | 48 / 2 | $9.206,36 | 969 / 1 | $8.861,21 | 969 / 3 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 14 | $12.126,10 | 289 / 8 | $4.266,29 | 637 / 4 | $3.146,29 | 636 / 7 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 11 | $31.697,30 | 53 / 2 | $13.417,80 | 407 / 1 | $12.208,60 | 404 / 4 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 15 | $16.271,90 | 137 / 5 | $8.571,85 | 597 / 3 | $7.555,23 | 594 / 4 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 11 | $75.935,70 | 169 / 5 | $30.795,30 | 518 / 2 | $29.771,40 | 516 / 6 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 10 | $14.673,60 | 274 / 6 | $4.631,83 | 494 / 2 | $3.927,83 | 494 / 5 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 21 | $24.082,50 | 200 / 4 | $11.855,20 | 862 / 3 | $11.302,50 | 852 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 23 | $29.472,20 | 929 / 19 | $8.490,27 | 1236 / 12 | $7.719,36 | 1233 / 14 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 13 | $40.393,50 | 58 / 3 | $17.955,80 | 370 / 3 | $17.077,30 | 367 / 4 |
G.I. Hemorrhage W Mcc | 11 | 110 / 19 | $22.224,90 | 113 / 3 | $10.708,00 | 645 / 1 | $10.053,50 | 646 / 3 |
Diabetes W Cc | 11 | 81 / 12 | $16.654,70 | 459 / 9 | $5.968,64 | 66 / 6 | $3.519,09 | 66 / 1 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 11 | 52 / 5 | $47.687,80 | 34 / 4 | $20.671,30 | 130 / 1 | $19.682,20 | 130 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 6 | $27.960,20 | 148 / 3 | $9.908,64 | 359 / 1 | $8.701,36 | 358 / 1 |
Signs & Symptoms W/O Mcc | 11 | 80 / 14 | $18.870,00 | 595 / 13 | $4.672,18 | 359 / 4 | $3.464,91 | 358 / 3 | Total 52 procedures | 1.487 | 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.