Hospital Costs > In Ohio > Southern Ohio Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 38 | 53 / 5 | $26.012,20 | 571 / 35 | $7.411,21 | 910 / 44 | $6.398,63 | 908 / 53 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 22 | $41.901,80 | 897 / 56 | $12.635,90 | 1262 / 65 | $11.289,50 | 1252 / 71 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 12 | $17.875,00 | 225 / 11 | $5.306,07 | 556 / 21 | $4.496,36 | 552 / 30 |
| Atherosclerosis W/O Mcc | 11 | 47 / 12 | $12.906,70 | 115 / 5 | $4.244,27 | / 9 | $3.099,45 | / |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 23 | $19.200,80 | 981 / 57 | $5.650,89 | 1152 / 67 | $4.446,64 | 1148 / 73 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 46 | 77 / 17 | $28.661,90 | 893 / 55 | $8.708,07 | 1030 / 62 | $7.198,24 | 1027 / 64 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 37 | 113 / 25 | $13.846,90 | 846 / 47 | $4.086,95 | 737 / 60 | $2.621,14 | 733 / 48 |
| Cellulitis W/O Mcc | 60 | 129 / 26 | $14.717,60 | 824 / 61 | $5.994,60 | 1429 / 81 | $4.652,70 | 1422 / 86 |
| Chest Pain | 67 | 84 / 4 | $13.657,70 | 367 / 20 | $4.278,61 | 726 / 43 | $3.169,93 | 721 / 46 |
| Chronic Obstructive Pulmonary Disease W Cc | 111 | 68 / 3 | $20.000,40 | 1002 / 64 | $6.797,73 | 1484 / 83 | $5.494,50 | 1478 / 85 |
| Chronic Obstructive Pulmonary Disease W Mcc | 104 | 98 / 13 | $24.772,90 | 1109 / 65 | $8.855,21 | 1785 / 90 | $7.405,83 | 1777 / 93 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 78 | 42 / 2 | $14.898,70 | 770 / 52 | $5.319,88 | 1104 / 77 | $3.828,73 | 1095 / 77 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 23 | $43.288,80 | 217 / 16 | $14.653,60 | 552 / 27 | $13.313,20 | 546 / 31 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 82 | 106 / 8 | $30.715,80 | 551 / 30 | $7.860,09 | 971 / 50 | $6.269,41 | 968 / 53 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 12 | $188.130,00 | 473 / 22 | $46.938,30 | 569 / 28 | $38.003,20 | 569 / 29 |
| Diabetes W Cc | 21 | 71 / 20 | $18.576,80 | 592 / 40 | $6.019,33 | 952 / 47 | $5.023,33 | 948 / 55 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 21 | 49 / 5 | $17.426,80 | 131 / 8 | $6.323,00 | 200 / 9 | $5.344,19 | 200 / 13 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 11 | $25.597,10 | 54 / 4 | $12.898,50 | 296 / 13 | $12.136,00 | 296 / 15 |
| Disorders Of Pancreas Except Malignancy W Cc | 21 | 40 / 8 | $17.180,00 | 187 / 7 | $7.344,29 | 254 / 29 | $4.616,57 | 253 / 16 |
| Disorders Of The Biliary Tract W Mcc | 14 | 25 / 4 | $34.153,60 | 69 / 1 | $11.439,00 | 90 / 3 | $10.021,90 | 90 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 20 | $25.321,50 | 448 / 34 | $8.928,26 | 492 / 49 | $6.609,11 | 489 / 37 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 75 | 200 / 31 | $14.866,50 | 734 / 48 | $5.325,49 | 1407 / 75 | $4.051,89 | 1396 / 83 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 7 | $65.100,80 | 152 / 3 | $19.992,10 | 258 / 6 | $18.331,80 | 256 / 6 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 22 | 41 / 8 | $93.044,90 | 176 / 10 | $35.156,50 | 456 / 21 | $32.161,20 | 456 / 24 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 22 | $36.506,80 | 580 / 23 | $10.132,50 | 179 / 35 | $4.913,55 | 179 / 10 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 14 | $17.050,20 | 264 / 18 | $5.448,50 | 389 / 19 | $4.151,50 | 389 / 23 |
| G.I. Hemorrhage W Cc | 75 | 143 / 19 | $21.089,50 | 845 / 50 | $7.266,73 | 1433 / 80 | $5.863,00 | 1430 / 83 |
| G.I. Hemorrhage W Mcc | 33 | 88 / 18 | $30.929,70 | 352 / 22 | $12.407,00 | 1005 / 57 | $11.276,50 | 997 / 62 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 14 | $15.310,20 | 350 / 23 | $4.938,77 | 453 / 21 | $3.666,31 | 449 / 26 |
| G.I. Obstruction W Cc | 36 | 56 / 10 | $19.999,10 | 656 / 43 | $6.371,11 | 964 / 50 | $5.048,25 | 961 / 58 |
| G.I. Obstruction W Mcc | 12 | 30 / 9 | $28.230,70 | 111 / 5 | $11.683,10 | 288 / 14 | $10.113,40 | 288 / 14 |
| G.I. Obstruction W/O Cc/Mcc | 29 | 42 / 6 | $17.018,30 | 663 / 37 | $4.753,24 | 448 / 33 | $2.894,28 | 447 / 28 |
| Heart Failure & Shock W Cc | 98 | 180 / 28 | $19.269,90 | 1087 / 58 | $7.100,34 | 1739 / 87 | $6.044,07 | 1734 / 92 |
| Heart Failure & Shock W Mcc | 102 | 182 / 26 | $26.082,30 | 830 / 49 | $10.653,40 | 1700 / 87 | $9.470,74 | 1695 / 90 |
| Heart Failure & Shock W/O Cc/Mcc | 43 | 67 / 7 | $12.913,10 | 588 / 36 | $4.813,28 | 992 / 58 | $3.726,00 | 984 / 59 |
| Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 18 | $45.987,90 | 877 / 54 | $13.655,50 | 1451 / 71 | $12.562,90 | 1433 / 77 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 27 | $105.150,00 | 551 / 36 | $39.341,90 | 1074 / 55 | $36.562,00 | 1067 / 57 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 30 | $24.094,10 | 733 / 37 | $7.920,79 | 1177 / 66 | $6.098,35 | 1174 / 66 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 30 | $28.206,00 | 292 / 18 | $12.233,30 | 1006 / 46 | $11.079,50 | 1001 / 53 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 23 | $19.969,60 | 568 / 28 | $5.423,52 | 908 / 46 | $4.139,24 | 904 / 54 |
| Kidney & Urinary Tract Infections W Mcc | 38 | 106 / 21 | $21.386,10 | 665 / 45 | $8.105,34 | 1314 / 73 | $7.045,29 | 1310 / 78 |
| Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 27 | $13.759,70 | 763 / 46 | $5.518,03 | 1550 / 81 | $4.395,70 | 1539 / 89 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 14 | $44.393,00 | 351 / 15 | $13.538,80 | 451 / 30 | $9.335,73 | 450 / 23 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 16 | $101.916,00 | 125 / 10 | $35.526,10 | 343 / 14 | $34.179,40 | 343 / 19 |
| Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 15 | $91.815,30 | 509 / 25 | $24.733,20 | 750 / 31 | $23.508,30 | 749 / 37 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 12 | $81.481,60 | 494 / 19 | $32.386,90 | 570 / 30 | $20.222,50 | 567 / 24 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 95 | 469 / 51 | $65.974,40 | 1892 / 110 | $15.670,10 | 1981 / 102 | $13.542,60 | 1939 / 111 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 15 | $78.901,20 | 329 / 22 | $20.086,00 | 292 / 20 | $15.605,20 | 292 / 19 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 21 | $57.989,20 | 590 / 35 | $17.804,10 | 1062 / 45 | $16.258,50 | 1049 / 57 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 15 | $49.350,10 | 456 / 13 | $11.437,70 | 504 / 14 | $9.966,64 | 504 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 27 | $26.408,00 | 787 / 48 | $7.976,04 | 697 / 53 | $6.380,91 | 694 / 51 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 69 | 97 / 10 | $12.259,90 | 580 / 33 | $5.024,48 | 1391 / 73 | $3.964,67 | 1386 / 78 |
| Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 8 | $15.520,00 | 44 / 1 | $6.922,62 | 279 / 8 | $6.000,25 | 279 / 10 |
| Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 12 | $30.263,60 | 115 / 5 | $12.682,50 | 292 / 14 | $11.615,20 | 292 / 15 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 33 | $37.644,50 | 423 / 30 | $13.426,10 | 782 / 48 | $11.978,30 | 778 / 53 |
| Other Digestive System Diagnoses W Cc | 23 | 74 / 18 | $18.861,70 | 341 / 25 | $6.880,78 | 820 / 37 | $5.839,17 | 816 / 47 |
| Other Resp System O.R. Procedures W Mcc | 14 | 49 / 11 | $68.842,10 | 145 / 9 | $29.373,70 | 288 / 23 | $22.178,80 | 287 / 18 |
| Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 6 | $15.442,20 | 65 / 3 | $6.180,42 | 59 / 5 | $4.008,75 | 59 / 1 |
| Other Vascular Procedures W Cc | 18 | 84 / 23 | $61.934,80 | 397 / 19 | $18.253,90 | 773 / 31 | $17.029,60 | 768 / 36 |
| Other Vascular Procedures W Mcc | 17 | 80 / 21 | $67.315,00 | 227 / 15 | $21.850,90 | 492 / 24 | $20.642,70 | 490 / 29 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 29 | 71 / 14 | $76.888,90 | 240 / 19 | $22.405,10 | 641 / 31 | $21.174,70 | 637 / 35 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 57 | 139 / 22 | $56.614,60 | 373 / 30 | $14.212,90 | 1084 / 36 | $13.086,40 | 1077 / 55 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 20 | $13.154,90 | 112 / 7 | $6.776,86 | 769 / 32 | $6.079,50 | 766 / 45 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 10 | $10.213,60 | 51 / 4 | $4.681,82 | 152 / 8 | $3.520,27 | 152 / 11 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 14 | $45.555,60 | 230 / 14 | $14.802,70 | 468 / 21 | $13.384,90 | 467 / 23 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 22 | 50 / 9 | $23.177,90 | 177 / 8 | $9.892,45 | 546 / 23 | $8.736,77 | 544 / 28 |
| Pulmonary Edema & Respiratory Failure | 93 | 110 / 9 | $25.764,10 | 779 / 44 | $8.712,71 | 1411 / 69 | $7.613,98 | 1407 / 76 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 21 | $27.621,60 | 749 / 38 | $9.248,36 | 549 / 48 | $5.273,50 | 547 / 32 |
| Red Blood Cell Disorders W Mcc | 17 | 54 / 13 | $26.230,80 | 350 / 27 | $8.842,53 | 634 / 35 | $7.933,00 | 630 / 44 |
| Red Blood Cell Disorders W/O Mcc | 34 | 109 / 21 | $19.458,50 | 854 / 57 | $6.098,74 | 1290 / 68 | $4.978,79 | 1282 / 74 |
| Renal Failure W Cc | 74 | 147 / 31 | $18.823,10 | 864 / 46 | $7.072,77 | 1446 / 82 | $5.673,07 | 1437 / 82 |
| Renal Failure W Mcc | 66 | 129 / 24 | $34.688,30 | 1034 / 60 | $11.107,20 | 1306 / 75 | $9.675,24 | 1306 / 79 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 12 | $12.964,30 | 267 / 13 | $4.511,31 | 327 / 23 | $3.188,54 | 326 / 19 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 30 | $19.806,10 | 250 / 21 | $9.752,73 | 994 / 50 | $8.647,64 | 989 / 53 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 38 | $32.080,90 | 470 / 30 | $13.979,80 | 1266 / 64 | $12.793,00 | 1251 / 71 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 69 | 62 / 7 | $47.411,10 | 548 / 38 | $16.667,50 | 1202 / 59 | $15.075,80 | 1189 / 64 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 19 | $56.951,10 | 46 / 4 | $35.758,00 | 572 / 29 | $34.053,20 | 571 / 33 |
| Seizures W/O Mcc | 21 | 87 / 19 | $14.953,60 | 258 / 17 | $5.519,38 | 512 / 30 | $4.075,05 | 509 / 29 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 17 | $91.233,40 | 134 / 11 | $41.080,70 | 588 / 31 | $38.444,30 | 587 / 35 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 193 | 323 / 26 | $34.064,30 | 1005 / 54 | $13.131,70 | 1822 / 89 | $11.798,90 | 1787 / 94 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 49 | 158 / 24 | $20.971,10 | 881 / 48 | $7.604,59 | 1597 / 68 | $6.422,27 | 1590 / 78 |
| Signs & Symptoms W/O Mcc | 29 | 62 / 9 | $14.714,00 | 310 / 21 | $4.907,45 | 545 / 32 | $3.751,76 | 544 / 35 |
| Simple Pneumonia & Pleurisy W Cc | 110 | 93 / 5 | $20.039,90 | 1137 / 67 | $7.020,00 | 1487 / 87 | $5.499,71 | 1481 / 87 |
| Simple Pneumonia & Pleurisy W Mcc | 82 | 123 / 13 | $28.220,00 | 921 / 60 | $10.556,40 | 1711 / 91 | $9.183,44 | 1711 / 95 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 7 | $15.864,60 | 817 / 48 | $5.055,92 | 904 / 51 | $3.596,57 | 899 / 48 |
| Syncope & Collapse | 55 | 114 / 15 | $16.688,70 | 546 / 37 | $5.503,29 | 763 / 66 | $3.813,20 | 760 / 56 |
| Transient Ischemia | 41 | 84 / 16 | $17.613,10 | 461 / 24 | $5.557,24 | 655 / 54 | $3.535,66 | 651 / 44 | Total 87 procedures | 3.310 | 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.