Hospital Costs > In Iowa > Spencer Municipal Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 3 | $5.547,82 | 5 / 1 | $4.267,45 | 48 / 2 | $3.488,36 | 48 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 16 | $9.179,09 | 250 / 10 | $3.291,00 | 231 / 7 | $2.180,00 | 229 / 8 |
| Cellulitis W/O Mcc | 16 | 173 / 21 | $12.522,10 | 530 / 6 | $5.229,19 | 568 / 15 | $3.946,44 | 565 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 21 | $14.815,70 | 302 / 3 | $6.947,25 | 764 / 13 | $6.020,31 | 759 / 15 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 12 | $10.625,40 | 311 / 2 | $4.223,07 | 414 / 6 | $3.244,73 | 413 / 6 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 7 | $11.233,20 | 47 / 1 | $5.782,27 | 237 / 2 | $5.106,18 | 237 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 17 | $10.502,30 | 248 / 3 | $4.420,74 | 862 / 11 | $3.669,16 | 857 / 19 |
| G.I. Hemorrhage W Cc | 18 | 200 / 24 | $14.703,20 | 278 / 6 | $5.910,94 | 990 / 10 | $5.353,00 | 988 / 19 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 5 | $12.407,30 | 190 / 3 | $4.134,55 | 132 / 2 | $3.025,09 | 132 / 1 |
| Heart Failure & Shock W Cc | 15 | 263 / 22 | $13.955,80 | 465 / 7 | $5.887,13 | 696 / 13 | $5.060,60 | 695 / 12 |
| Heart Failure & Shock W Mcc | 15 | 269 / 24 | $15.690,50 | 173 / 2 | $8.728,07 | 600 / 10 | $7.817,13 | 600 / 10 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 11 | $11.861,20 | 448 / 6 | $3.957,27 | 262 / 5 | $3.053,40 | 260 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 13 | $39.219,90 | 596 / 13 | $11.790,20 | 881 / 14 | $10.760,90 | 868 / 16 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 4 | $32.309,00 | 244 / 6 | $9.684,00 | 311 / 4 | $8.524,24 | 310 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 19 | $16.292,30 | 226 / 5 | $6.411,31 | 673 / 11 | $5.406,50 | 672 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 15 | $9.812,60 | 275 / 4 | $4.557,48 | 441 / 11 | $3.574,08 | 441 / 12 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 4 | $23.070,20 | 35 / 1 | $8.952,50 | 146 / 6 | $7.511,36 | 146 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 194 | 370 / 16 | $43.044,90 | 927 / 22 | $12.823,80 | 1233 / 12 | $11.454,20 | 1202 / 19 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 16 | $40.769,70 | 202 / 4 | $15.193,00 | 681 / 10 | $14.276,30 | 675 / 14 |
| Medical Back Problems W/O Mcc | 14 | 107 / 14 | $13.212,30 | 139 / 3 | $5.002,36 | 247 / 6 | $3.860,79 | 247 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 16 | $9.231,78 | 239 / 4 | $4.137,43 | 389 / 7 | $3.228,35 | 389 / 10 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 24 | $17.056,50 | 235 / 3 | $7.234,64 | 759 / 6 | $6.659,18 | 759 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 26 | $16.909,80 | 132 / 2 | $10.841,10 | 947 / 9 | $10.117,60 | 942 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 22 | $14.806,40 | 337 / 7 | $6.276,79 | 826 / 10 | $5.495,95 | 824 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 11 | $14.781,90 | 530 / 7 | $5.801,09 | 684 / 15 | $4.805,39 | 681 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 19 | $18.925,80 | 325 / 3 | $8.587,21 | 835 / 13 | $7.696,38 | 835 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 7 | $12.324,70 | 439 / 11 | $4.180,48 | 365 / 7 | $3.104,74 | 363 / 10 | Total 27 procedures | 676 | 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.