Hospital Costs > In Arizona > Sierra Vista Regional Health 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 | 128 | 388 / 21 | $38.313,50 | 1227 / 4 | $15.399,90 | 2403 / 35 | $14.254,20 | 2360 / 37 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 60 | 504 / 34 | $71.543,30 | 2031 / 38 | $18.221,30 | 2370 / 40 | $15.919,20 | 2325 / 41 |
Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 16 | $21.353,20 | 1288 / 9 | $8.301,14 | 2321 / 36 | $6.957,34 | 2312 / 35 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 22 | $22.576,20 | 1024 / 6 | $10.083,30 | 1949 / 37 | $7.151,16 | 1941 / 30 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 28 | $18.027,60 | 1134 / 3 | $6.359,77 | 1976 / 29 | $4.727,69 | 1962 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 19 | $14.326,00 | 835 / 7 | $6.248,24 | 2008 / 23 | $5.014,97 | 1997 / 25 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 11 | $19.324,50 | 940 / 3 | $7.606,06 | 1897 / 28 | $6.367,20 | 1890 / 27 |
Heart Failure & Shock W Cc | 35 | 243 / 22 | $18.391,60 | 976 / 3 | $8.068,63 | 2218 / 31 | $7.038,91 | 2212 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 11 | $18.765,00 | 928 / 5 | $6.391,55 | 1688 / 25 | $5.430,33 | 1683 / 29 |
Renal Failure W Cc | 32 | 189 / 20 | $17.771,50 | 759 / 4 | $7.872,09 | 1906 / 28 | $6.667,09 | 1896 / 28 |
Acute Myocardial Infarction, Discharged Alive W Cc | 31 | 60 / 4 | $26.109,10 | 577 / 3 | $9.182,87 | 1148 / 19 | $7.345,03 | 1146 / 20 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 5 | $14.169,30 | 684 / 1 | $5.773,74 | 1597 / 18 | $4.646,52 | 1586 / 18 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 16 | $12.440,70 | 651 / 1 | $4.466,00 | 1444 / 18 | $3.396,76 | 1438 / 24 |
Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 19 | $24.678,10 | 1102 / 5 | $9.533,79 | 2069 / 31 | $8.156,69 | 2061 / 33 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 21 | $14.824,40 | 940 / 4 | $5.709,55 | 1876 / 23 | $4.601,97 | 1870 / 24 |
Cellulitis W/O Mcc | 28 | 161 / 28 | $15.991,00 | 994 / 6 | $6.856,07 | 2029 / 27 | $5.634,36 | 2021 / 28 |
G.I. Hemorrhage W Cc | 26 | 192 / 28 | $21.449,30 | 895 / 2 | $8.068,81 | 1990 / 24 | $7.229,42 | 1986 / 30 |
Renal Failure W Mcc | 24 | 171 / 21 | $24.309,20 | 424 / 2 | $12.369,40 | 1729 / 25 | $11.363,00 | 1727 / 26 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 22 | $55.858,80 | 1236 / 18 | $15.907,40 | 1757 / 32 | $14.468,80 | 1738 / 31 |
Heart Failure & Shock W Mcc | 23 | 261 / 30 | $28.710,60 | 1009 / 5 | $12.234,30 | 2166 / 33 | $11.085,80 | 2156 / 34 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 11 | $34.507,20 | 601 / 2 | $15.483,90 | 1458 / 25 | $12.500,90 | 1446 / 24 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 13 | $18.659,50 | 770 / 2 | $6.187,68 | 1497 / 17 | $5.472,05 | 1488 / 24 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 9 | $13.382,50 | 644 / 2 | $5.465,62 | 1592 / 16 | $4.693,05 | 1579 / 17 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 16 | $16.117,40 | 842 / 6 | $6.107,75 | 1410 / 18 | $4.225,75 | 1402 / 15 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 27 | $30.435,90 | 1061 / 7 | $11.788,50 | 2093 / 32 | $10.592,80 | 2089 / 35 |
G.I. Obstruction W Cc | 19 | 73 / 16 | $19.464,10 | 613 / 2 | $7.922,00 | 1171 / 26 | $5.477,58 | 1168 / 24 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 4 | $43.323,20 | 468 / 3 | $13.111,00 | 777 / 14 | $11.708,30 | 774 / 14 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 20 | $25.238,10 | 295 / 1 | $8.735,44 | 1321 / 24 | $7.616,33 | 1318 / 27 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 17 | 179 / 29 | $65.066,70 | 567 / 4 | $18.009,50 | 1381 / 30 | $16.754,40 | 1373 / 36 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 5 | $19.671,20 | 286 / 1 | $6.090,81 | 713 / 11 | $5.344,81 | 709 / 13 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 14 | $20.981,20 | 438 / 4 | $8.458,81 | 997 / 26 | $6.542,31 | 994 / 26 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 22 | $23.207,80 | 610 / 7 | $9.116,06 | 1297 / 23 | $8.076,56 | 1294 / 24 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 5 | $14.924,10 | 83 / 1 | $7.500,93 | 400 / 4 | $6.955,79 | 400 / 6 |
Transient Ischemia | 14 | 111 / 18 | $12.856,20 | 170 / 1 | $5.620,71 | 1199 / 20 | $4.532,14 | 1193 / 21 |
Syncope & Collapse | 14 | 155 / 21 | $15.355,40 | 424 / 1 | $5.836,86 | 1364 / 22 | $4.754,00 | 1357 / 24 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 13 | $100.832,00 | 499 / 9 | $30.269,80 | 951 / 26 | $28.912,90 | 946 / 25 |
Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 21 | $20.491,60 | 601 / 3 | $9.161,23 | 1540 / 23 | $7.779,69 | 1536 / 24 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 13 | $12.651,60 | 338 / 1 | $4.919,31 | 924 / 15 | $3.745,77 | 921 / 18 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 24 | $22.786,30 | 509 / 1 | $9.797,25 | 1483 / 23 | $8.603,92 | 1480 / 25 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 17 | $50.834,80 | 644 / 2 | $20.363,80 | 1612 / 29 | $19.079,10 | 1598 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 20 | $28.415,20 | 298 / 1 | $13.915,10 | 1283 / 23 | $12.844,40 | 1277 / 23 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 10 | $18.247,30 | 120 / 1 | $10.003,60 | 836 / 8 | $9.285,09 | 832 / 9 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 11 | $13.044,90 | 200 / 1 | $5.745,45 | 677 / 13 | $4.483,64 | 676 / 12 | Total 43 procedures | 1.131 | 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.