Hospital Costs > In Nevada > Southern Hills Hospital And 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 | 130 | 434 / 9 | $82.801,70 | 2257 / 9 | $15.378,80 | 1355 / 13 | $11.709,00 | 1323 / 6 |
Simple Pneumonia & Pleurisy W Mcc | 77 | 128 / 6 | $76.342,50 | 2314 / 11 | $10.272,00 | 1540 / 9 | $8.773,00 | 1540 / 11 |
Spinal Fusion Except Cervical W/O Mcc | 63 | 131 / 6 | $144.285,00 | 1084 / 8 | $27.877,80 | 575 / 9 | $22.315,30 | 572 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 8 | $41.095,10 | 2493 / 10 | $5.449,76 | 1888 / 9 | $4.594,34 | 1874 / 14 |
Pulmonary Edema & Respiratory Failure | 53 | 150 / 8 | $70.731,30 | 2060 / 10 | $9.072,96 | 1305 / 11 | $7.419,51 | 1301 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 51 | 465 / 17 | $128.354,00 | 2768 / 15 | $15.469,90 | 1897 / 16 | $12.039,50 | 1862 / 11 |
Cervical Spinal Fusion W/O Cc/Mcc | 42 | 62 / 2 | $84.067,50 | 687 / 4 | $17.307,60 | 323 / 8 | $11.723,50 | 322 / 3 |
Renal Failure W Cc | 42 | 179 / 10 | $42.290,60 | 2105 / 9 | $6.782,38 | 1481 / 7 | $5.720,98 | 1472 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 11 | $33.128,00 | 2320 / 9 | $5.547,60 | 1864 / 9 | $4.769,69 | 1853 / 12 |
Heart Failure & Shock W Mcc | 42 | 242 / 9 | $81.499,20 | 2466 / 10 | $10.851,60 | 1884 / 10 | $9.980,55 | 1879 / 12 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 11 | $75.210,70 | 2480 / 18 | $8.598,97 | 1898 / 11 | $7.683,61 | 1890 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 11 | $31.898,10 | 2193 / 9 | $5.259,17 | 1773 / 9 | $4.426,07 | 1768 / 11 |
Red Blood Cell Disorders W/O Mcc | 26 | 117 / 8 | $31.325,70 | 1555 / 6 | $5.899,23 | 1310 / 6 | $5.015,54 | 1301 / 8 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 11 | $62.972,70 | 1427 / 7 | $7.631,04 | 1004 / 8 | $6.344,12 | 1001 / 9 |
Syncope & Collapse | 25 | 144 / 10 | $37.202,30 | 1635 / 6 | $5.348,68 | 1145 / 7 | $4.297,96 | 1138 / 8 |
Medical Back Problems W/O Mcc | 23 | 98 / 8 | $28.193,90 | 950 / 4 | $5.899,43 | 888 / 3 | $4.953,35 | 885 / 7 |
Renal Failure W Mcc | 23 | 172 / 14 | $92.072,40 | 2078 / 11 | $13.237,40 | 1352 / 15 | $9.788,39 | 1352 / 8 |
Cellulitis W/O Mcc | 22 | 167 / 16 | $34.501,70 | 2287 / 8 | $6.747,41 | 1614 / 14 | $4.863,00 | 1607 / 9 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 22 | 25 / 1 | $197.750,00 | 80 / 2 | $43.957,50 | 9 / 2 | $29.117,50 | 9 / 1 |
Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 17 | $42.619,20 | 2401 / 8 | $6.792,57 | 1572 / 5 | $5.583,43 | 1565 / 8 |
G.I. Obstruction W Cc | 17 | 75 / 6 | $55.202,80 | 1646 / 11 | $7.240,00 | 1470 / 10 | $6.598,12 | 1465 / 13 |
G.I. Hemorrhage W Cc | 17 | 201 / 15 | $43.878,10 | 2046 / 9 | $7.374,76 | 1121 / 7 | $5.493,24 | 1119 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 17 | 179 / 14 | $110.431,00 | 1255 / 7 | $15.102,90 | 504 / 12 | $10.653,40 | 502 / 3 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 3 | $98.315,90 | 750 / 6 | $14.552,70 | 604 / 5 | $13.707,50 | 598 / 7 |
Heart Failure & Shock W Cc | 16 | 262 / 18 | $36.374,00 | 2225 / 9 | $7.004,00 | 1775 / 9 | $6.092,00 | 1770 / 10 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 5 | $110.443,00 | 781 / 5 | $13.998,80 | 438 / 3 | $12.406,80 | 435 / 2 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 16 | 53 / 2 | $138.911,00 | 457 / 2 | $17.535,00 | 321 / 2 | $16.085,20 | 321 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 14 | $47.052,60 | 2028 / 13 | $5.823,25 | 1463 / 8 | $4.915,25 | 1458 / 10 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 11 | $34.029,70 | 1711 / 6 | $5.174,53 | 1379 / 3 | $4.167,60 | 1371 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 12 | $72.695,50 | 1678 / 13 | $8.979,27 | 1287 / 14 | $8.049,13 | 1284 / 14 |
Chest Pain | 14 | 137 / 11 | $28.784,60 | 1349 / 5 | $4.614,43 | 1164 / 7 | $3.880,71 | 1157 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 14 | $86.333,00 | 1780 / 8 | $13.294,10 | 1372 / 9 | $12.263,30 | 1354 / 9 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 12 | $409.590,00 | 1068 / 13 | $48.536,20 | 907 / 12 | $47.538,10 | 906 / 13 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 11 | $104.658,00 | 1295 / 10 | $15.613,80 | 1117 / 10 | $14.685,80 | 1109 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 14 | $59.332,50 | 1863 / 9 | $7.627,46 | 1311 / 8 | $6.365,77 | 1308 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 14 | $78.395,30 | 1832 / 11 | $8.532,77 | 1289 / 5 | $7.882,92 | 1286 / 8 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 7 | $69.220,50 | 1022 / 6 | $9.254,75 | 658 / 6 | $8.120,17 | 654 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 17 | $178.292,00 | 1819 / 18 | $46.993,90 | 501 / 18 | $12.440,00 | 494 / 3 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 7 | $44.470,90 | 533 / 5 | $8.656,75 | 270 / 5 | $5.471,83 | 270 / 1 |
Pulmonary Embolism W Mcc | 12 | 31 / 5 | $66.335,60 | 510 / 4 | $10.620,30 | 436 / 2 | $10.119,00 | 436 / 3 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 5 | $64.172,90 | 378 / 2 | $13.281,90 | 135 / 2 | $9.666,55 | 135 / 1 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 9 | $274.805,00 | 1206 / 6 | $42.505,20 | 538 / 9 | $30.008,30 | 536 / 1 |
Cervical Spinal Fusion W Cc | 11 | 42 / 5 | $120.188,00 | 320 / 5 | $23.175,30 | 74 / 5 | $15.043,50 | 74 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 10 | $283.289,00 | 1487 / 8 | $36.846,40 | 570 / 3 | $30.114,70 | 565 / 3 | Total 44 procedures | 1.184 | 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.