Hospital Costs > In North Dakota > Sanford Medical Center Bismarck, 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 | 188 | 376 / 5 | $30.876,80 | 256 / 1 | $13.849,80 | 1288 / 3 | $11.561,40 | 1256 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 131 | 385 / 4 | $22.399,50 | 379 / 1 | $12.166,90 | 1373 / 4 | $10.773,30 | 1346 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 2 | $11.994,50 | 394 / 3 | $5.308,42 | 1320 / 4 | $3.985,72 | 1309 / 4 |
| Heart Failure & Shock W Cc | 67 | 211 / 3 | $11.424,50 | 229 / 1 | $7.113,70 | 1148 / 6 | $5.403,70 | 1145 / 2 |
| Heart Failure & Shock W Mcc | 65 | 219 / 4 | $15.715,20 | 176 / 1 | $10.101,30 | 1145 / 5 | $8.493,60 | 1142 / 2 |
| Renal Failure W Cc | 61 | 160 / 4 | $11.842,40 | 195 / 1 | $6.636,28 | 1318 / 4 | $5.524,87 | 1310 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 61 | 144 / 3 | $17.960,50 | 263 / 2 | $9.805,39 | 1174 / 5 | $8.099,84 | 1174 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 57 | 139 / 6 | $45.886,10 | 148 / 3 | $13.311,80 | 748 / 3 | $11.393,10 | 744 / 3 |
| Pulmonary Edema & Respiratory Failure | 53 | 150 / 4 | $17.234,20 | 241 / 2 | $8.334,11 | 1131 / 4 | $7.144,49 | 1129 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 3 | $12.619,00 | 316 / 2 | $6.640,28 | 1321 / 4 | $5.322,70 | 1316 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 49 | 133 / 4 | $16.720,80 | 256 / 4 | $7.251,88 | 916 / 3 | $5.712,49 | 913 / 3 |
| G.I. Hemorrhage W Cc | 47 | 171 / 5 | $14.058,60 | 229 / 3 | $6.804,70 | 1241 / 3 | $5.634,79 | 1239 / 5 |
| Renal Failure W Mcc | 43 | 152 / 2 | $18.640,10 | 175 / 1 | $10.391,60 | 858 / 5 | $8.667,16 | 858 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 42 | 165 / 4 | $14.177,40 | 289 / 1 | $7.373,93 | 1085 / 4 | $5.742,64 | 1082 / 3 |
| Cellulitis W/O Mcc | 37 | 152 / 3 | $11.909,40 | 460 / 3 | $6.144,78 | 1479 / 6 | $4.698,27 | 1472 / 6 |
| Extracranial Procedures W/O Cc/Mcc | 37 | 61 / 2 | $15.610,50 | 61 / 1 | $6.904,32 | 503 / 2 | $5.769,84 | 502 / 4 |
| Respiratory Infections & Inflammations W Mcc | 37 | 99 / 4 | $24.331,20 | 209 / 3 | $12.539,20 | 733 / 5 | $10.991,30 | 725 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 36 | 87 / 3 | $12.910,60 | 72 / 2 | $8.103,67 | 856 / 4 | $6.905,50 | 853 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 6 | $34.404,10 | 392 / 3 | $12.562,60 | 1026 / 4 | $11.092,00 | 1013 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 4 | $12.835,20 | 172 / 1 | $7.846,03 | 1384 / 4 | $6.682,97 | 1378 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 3 | $11.093,10 | 156 / 2 | $6.555,20 | 1184 / 4 | $5.137,10 | 1180 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 29 | 159 / 3 | $19.151,50 | 88 / 1 | $7.351,86 | 769 / 4 | $5.857,41 | 767 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 28 | 73 / 2 | $69.995,00 | 257 / 2 | $21.610,70 | 514 / 2 | $20.483,30 | 514 / 3 |
| G.I. Obstruction W Cc | 28 | 64 / 4 | $10.755,10 | 76 / 2 | $6.116,00 | 912 / 4 | $4.968,82 | 910 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 5 | $10.548,50 | 346 / 2 | $5.526,25 | 760 / 6 | $3.799,25 | 755 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 6 | $25.687,10 | 224 / 4 | $11.536,00 | 459 / 2 | $9.244,46 | 458 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 4 | $9.182,27 | 232 / 2 | $5.033,00 | 907 / 4 | $3.580,42 | 904 / 3 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 26 | 50 / 2 | $73.717,30 | 32 / 1 | $29.510,70 | 361 / 3 | $27.834,20 | 361 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 4 | $8.308,62 | 45 / 1 | $5.494,35 | 919 / 4 | $4.212,96 | 916 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 4 | $76.343,10 | 224 / 3 | $37.943,90 | 1035 / 5 | $35.935,00 | 1029 / 5 |
| Syncope & Collapse | 24 | 145 / 2 | $10.629,50 | 129 / 1 | $5.070,83 | 1028 / 3 | $4.093,46 | 1021 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 4 | $48.242,90 | 26 / 1 | $20.417,40 | 440 / 3 | $19.165,20 | 436 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 2 | $17.915,10 | 140 / 1 | $8.275,83 | 432 / 1 | $6.494,83 | 430 / 1 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 6 | $33.308,30 | 88 / 2 | $16.481,00 | 616 / 4 | $14.034,60 | 610 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 3 | $15.873,70 | 54 / 1 | $9.376,36 | 249 / 2 | $8.193,55 | 249 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 21 | 48 / 4 | $47.967,10 | 115 / 4 | $16.976,00 | 280 / 1 | $15.456,50 | 280 / 4 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 4 | $60.346,80 | 71 / 1 | $31.272,70 | 496 / 2 | $29.583,20 | 494 / 2 |
| Nonspecific Cerebrovascular Disorders W Mcc | 20 | 31 / 1 | $19.926,80 | 24 / 1 | $10.719,30 | 172 / 2 | $9.859,30 | 172 / 2 |
| G.I. Hemorrhage W Mcc | 20 | 101 / 4 | $22.931,90 | 124 / 2 | $11.573,10 | 784 / 3 | $10.507,70 | 781 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 4 | $14.249,20 | 122 / 1 | $7.586,60 | 856 / 4 | $6.713,40 | 853 / 3 |
| Major Chest Procedures W Cc | 20 | 54 / 1 | $31.718,60 | 17 / 1 | $16.435,60 | 235 / 3 | $14.962,50 | 234 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 4 | $56.835,90 | 206 / 3 | $22.229,20 | 589 / 3 | $20.512,90 | 586 / 3 |
| Other Vascular Procedures W Cc | 19 | 83 / 4 | $36.122,70 | 62 / 1 | $16.639,10 | 315 / 2 | $14.012,10 | 313 / 1 |
| Diabetes W Cc | 19 | 73 / 1 | $9.489,21 | 69 / 1 | $5.639,32 | 701 / 1 | $4.530,84 | 699 / 1 |
| Chest Pain | 19 | 132 / 2 | $7.634,84 | 60 / 1 | $4.259,32 | 758 / 3 | $3.218,32 | 753 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 5 | $38.136,20 | 283 / 3 | $14.754,20 | 846 / 4 | $13.490,50 | 838 / 4 |
| Medical Back Problems W/O Mcc | 18 | 103 / 4 | $13.941,90 | 169 / 3 | $5.947,61 | 696 / 3 | $4.558,00 | 693 / 3 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 3 | $19.925,60 | 255 / 2 | $8.936,88 | 665 / 3 | $7.693,29 | 661 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 3 | $14.471,70 | 211 / 4 | $7.435,76 | 752 / 3 | $6.032,06 | 751 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 5 | $14.979,00 | 249 / 5 | $5.466,50 | 538 / 6 | $3.671,56 | 534 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 2 | $10.471,90 | 33 / 1 | $6.752,25 | 326 / 1 | $5.598,31 | 326 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 2 | $34.846,40 | 84 / 1 | $15.510,60 | 633 / 3 | $14.128,60 | 626 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 5 | $20.535,50 | 160 / 2 | $11.299,60 | 912 / 4 | $10.039,30 | 911 / 3 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 15 | 73 / 3 | $59.805,80 | 38 / 2 | $23.319,20 | 319 / 3 | $22.080,00 | 318 / 3 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 3 | $13.961,20 | 116 / 4 | $6.769,93 | 512 / 5 | $5.212,80 | 510 / 2 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 2 | $71.416,90 | 66 / 3 | $32.303,00 | 188 / 3 | $26.997,10 | 188 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 2 | $20.995,60 | 31 / 1 | $10.962,10 | 320 / 4 | $8.692,60 | 320 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 5 | $6.475,71 | 57 / 1 | $4.009,64 | 937 / 4 | $2.773,29 | 932 / 3 |
| Headaches W/O Mcc | 14 | 29 / 1 | $12.006,60 | 21 / 1 | $4.768,43 | 144 / 1 | $4.207,43 | 144 / 1 |
| Transient Ischemia | 14 | 111 / 3 | $13.037,60 | 180 / 2 | $5.114,14 | 486 / 4 | $3.360,79 | 485 / 1 |
| Cellulitis W Mcc | 14 | 44 / 1 | $23.905,60 | 208 / 1 | $10.122,10 | 496 / 2 | $8.737,79 | 494 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 2 | $32.016,90 | 16 / 1 | $15.831,10 | 208 / 1 | $14.520,60 | 207 / 2 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 4 | $11.485,90 | 54 / 1 | $6.546,64 | 597 / 2 | $5.390,14 | 594 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 3 | $9.120,77 | 160 / 1 | $5.350,85 | 562 / 3 | $3.374,92 | 561 / 1 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 2 | $97.567,60 | 237 / 2 | $35.567,80 | 545 / 2 | $33.441,20 | 544 / 2 |
| Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 2 | $12.619,50 | 25 / 1 | $6.517,15 | 169 / 1 | $5.291,85 | 169 / 1 |
| Kidney Transplant | 13 | 88 / 2 | $195.217,00 | 86 / 2 | $24.006,80 | 33 / 1 | $19.132,30 | 33 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 13 | 105 / 3 | $74.114,10 | 19 / 1 | $32.551,80 | 217 / 2 | $31.284,80 | 217 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 5 | $13.441,10 | 85 / 2 | $7.349,38 | 408 / 4 | $5.323,38 | 407 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 4 | $8.026,23 | 113 / 1 | $4.971,85 | 729 / 4 | $3.494,69 | 725 / 2 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 3 | $81.481,50 | 91 / 1 | $36.689,50 | 367 / 1 | $34.333,50 | 366 / 1 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 2 | $162.676,00 | 76 / 1 | $80.622,80 | 276 / 2 | $64.225,20 | 276 / 1 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 2 | $19.272,10 | 139 / 2 | $8.369,83 | 502 / 2 | $7.503,17 | 500 / 2 |
| Seizures W/O Mcc | 12 | 96 / 2 | $11.849,80 | 127 / 1 | $5.251,50 | 613 / 1 | $4.291,33 | 610 / 2 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 2 | $47.784,20 | 48 / 2 | $25.601,30 | 242 / 3 | $21.227,80 | 241 / 2 |
| Pulmonary Embolism W Mcc | 12 | 31 / 2 | $19.348,20 | 43 / 2 | $10.448,20 | 11 / 4 | $6.637,25 | 11 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 3 | $9.515,58 | 188 / 2 | $4.948,58 | 983 / 2 | $3.663,00 | 978 / 2 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 3 | $13.664,50 | 132 / 2 | $6.724,92 | 464 / 3 | $5.231,83 | 462 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 5 | $40.909,80 | 88 / 2 | $16.609,20 | 422 / 2 | $15.334,50 | 421 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 5 | $45.823,80 | 102 / 2 | $19.197,50 | 432 / 2 | $17.551,30 | 429 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 3 | $31.267,90 | 114 / 4 | $10.871,60 | 477 / 3 | $9.451,17 | 475 / 3 |
| Rectal Resection W/O Cc/Mcc | 12 | 7 / 1 | $12.276,60 | 2 / 1 | $10.577,50 | 6 / 1 | $7.913,17 | 6 / 1 |
| Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 3 | $94.459,30 | 15 / 1 | $42.525,20 | 163 / 1 | $40.483,30 | 163 / 1 |
| Extracranial Procedures W Cc | 11 | 35 / 4 | $16.560,50 | 17 / 1 | $10.774,50 | 110 / 2 | $8.286,36 | 110 / 1 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 2 | $7.104,09 | 32 / 1 | $4.450,09 | 434 / 1 | $3.416,45 | 433 / 1 | Total 85 procedures | 2.325 | 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.