Hospital Costs > In Indiana > Schneck 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 | 80 | 436 / 45 | $24.199,90 | 491 / 12 | $10.916,70 | 326 / 20 | $9.226,28 | 326 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 77 | 487 / 46 | $41.539,30 | 850 / 14 | $12.509,00 | 401 / 11 | $10.167,70 | 400 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 29 | $14.312,10 | 267 / 4 | $6.921,27 | 75 / 14 | $5.080,33 | 75 / 2 |
| G.I. Hemorrhage W Cc | 36 | 182 / 29 | $18.419,60 | 600 / 12 | $6.036,44 | 564 / 11 | $4.966,61 | 563 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 34 | $13.938,50 | 438 / 5 | $5.789,73 | 297 / 11 | $4.464,67 | 295 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 32 | $13.928,90 | 613 / 9 | $4.632,48 | 507 / 9 | $3.407,97 | 505 / 11 |
| Pulmonary Edema & Respiratory Failure | 29 | 174 / 40 | $19.690,80 | 388 / 15 | $7.615,34 | 99 / 25 | $5.677,69 | 99 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 35 | $12.909,20 | 316 / 6 | $6.024,89 | 61 / 37 | $3.877,79 | 61 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 43 | $19.372,80 | 352 / 8 | $8.570,08 | 256 / 21 | $6.951,73 | 256 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 25 | $36.456,30 | 241 / 8 | $13.068,00 | 156 / 5 | $11.425,60 | 156 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 38 | $18.490,40 | 633 / 13 | $6.918,36 | 96 / 38 | $4.634,00 | 96 / 1 |
| Heart Failure & Shock W Cc | 22 | 256 / 47 | $12.457,60 | 309 / 3 | $5.822,86 | 494 / 13 | $4.891,95 | 494 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 28 | $38.230,10 | 552 / 15 | $10.890,20 | 430 / 6 | $9.968,29 | 429 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 49 | $11.055,30 | 395 / 3 | $4.915,50 | 158 / 33 | $3.244,61 | 158 / 3 |
| Heart Failure & Shock W Mcc | 17 | 267 / 50 | $16.394,90 | 217 / 4 | $8.202,47 | 225 / 3 | $7.278,24 | 225 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 27 | $25.322,00 | 727 / 21 | $9.262,12 | 921 / 39 | $6.827,06 | 918 / 31 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 19 | $28.731,90 | 350 / 13 | $10.118,00 | 526 / 18 | $9.211,88 | 524 / 19 |
| G.I. Obstruction W Cc | 15 | 77 / 22 | $11.929,70 | 116 / 1 | $5.207,20 | 326 / 4 | $4.240,80 | 325 / 12 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 15 | 62 / 5 | $40.773,50 | 187 / 2 | $9.276,67 | 122 / 2 | $8.077,73 | 122 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 37 | $21.588,10 | 575 / 19 | $6.263,43 | 510 / 8 | $5.228,00 | 509 / 18 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 36 | $14.868,00 | 234 / 3 | $7.444,50 | 104 / 37 | $5.033,00 | 104 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 29 | $33.429,50 | 459 / 17 | $11.106,60 | 761 / 27 | $10.073,60 | 760 / 31 |
| Cellulitis W/O Mcc | 13 | 176 / 41 | $13.027,10 | 592 / 13 | $5.586,69 | 49 / 41 | $3.264,23 | 49 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 43 | $15.682,20 | 1042 / 37 | $5.730,33 | 211 / 63 | $3.020,00 | 211 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 36 | $22.130,70 | 468 / 17 | $6.945,00 | 235 / 4 | $5.937,00 | 235 / 7 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $18.283,00 | 242 / 6 | $5.344,91 | 228 / 2 | $4.574,00 | 228 / 6 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 5 | $16.061,30 | 3 / 1 | $9.581,91 | 52 / 1 | $9.363,73 | 52 / 3 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 24 | $35.916,30 | 548 / 21 | $12.437,20 | 88 / 36 | $8.429,27 | 88 / 3 | Total 28 procedures | 690 | 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.