Hospital Costs > In Ohio > Springfield Regional 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 | 13 | 78 / 24 | $18.709,80 | 243 / 14 | $7.263,23 | 137 / 39 | $4.798,23 | 137 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 44 | 81 / 18 | $32.012,00 | 511 / 32 | $10.498,30 | 465 / 41 | $8.906,59 | 465 / 37 |
| Atherosclerosis W/O Mcc | 11 | 47 / 12 | $16.690,00 | 232 / 10 | $4.208,64 | / 7 | $3.114,82 | / |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 14 | $20.495,80 | 399 / 25 | $5.598,20 | 389 / 14 | $4.534,13 | 385 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 28 | $18.694,70 | 921 / 55 | $5.303,37 | 747 / 55 | $4.066,26 | 744 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 36 | $28.156,70 | 861 / 51 | $7.832,32 | 430 / 48 | $6.263,56 | 428 / 35 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 22 | $15.178,60 | 1011 / 59 | $3.940,98 | 872 / 52 | $2.727,44 | 868 / 60 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 14 | 36 / 6 | $87.928,50 | 27 / 1 | $30.830,40 | 52 / 1 | $29.831,60 | 52 / 3 |
| Cellulitis W Mcc | 15 | 43 / 15 | $33.781,10 | 459 / 34 | $8.870,27 | 82 / 25 | $6.909,07 | 82 / 10 |
| Cellulitis W/O Mcc | 53 | 136 / 31 | $14.477,50 | 790 / 56 | $5.560,92 | 842 / 57 | $4.156,38 | 836 / 56 |
| Chest Pain | 28 | 123 / 22 | $14.337,50 | 439 / 25 | $4.120,43 | 616 / 37 | $3.043,46 | 612 / 36 |
| Chronic Obstructive Pulmonary Disease W Cc | 88 | 91 / 9 | $19.427,80 | 946 / 61 | $6.099,42 | 739 / 58 | $4.752,27 | 737 / 48 |
| Chronic Obstructive Pulmonary Disease W Mcc | 112 | 90 / 10 | $22.237,30 | 921 / 55 | $7.571,94 | 498 / 60 | $5.780,10 | 497 / 35 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 55 | 65 / 9 | $16.059,90 | 914 / 61 | $4.865,69 | 860 / 56 | $3.618,58 | 855 / 60 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 15 | $33.842,90 | 73 / 6 | $12.529,20 | 258 / 10 | $11.334,10 | 253 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 62 | 126 / 14 | $28.400,80 | 442 / 27 | $7.195,19 | 423 / 37 | $5.334,63 | 421 / 25 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 30 | 46 / 4 | $91.937,40 | 80 / 3 | $28.286,10 | 13 / 6 | $20.413,90 | 13 / 4 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 16 | $18.336,70 | 171 / 12 | $6.109,50 | 221 / 12 | $5.049,25 | 221 / 16 |
| Diabetes W Cc | 21 | 71 / 20 | $19.233,90 | 637 / 43 | $5.414,95 | 430 / 26 | $4.193,38 | 430 / 36 |
| Diabetes W Mcc | 11 | 46 / 13 | $26.502,70 | 209 / 13 | $8.514,09 | 168 / 12 | $7.387,73 | 168 / 16 |
| Diabetes W/O Cc/Mcc | 15 | 23 / 3 | $11.752,50 | 70 / 5 | $4.295,47 | 61 / 6 | $2.816,80 | 61 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 11 | $29.712,30 | 90 / 6 | $11.784,30 | 25 / 7 | $8.899,55 | 25 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 16 | $30.383,60 | 643 / 44 | $8.766,70 | 86 / 46 | $5.652,43 | 86 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 83 | 192 / 27 | $16.168,30 | 891 / 57 | $5.411,94 | 893 / 79 | $3.686,25 | 888 / 50 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 18 | 45 / 10 | $74.319,30 | 74 / 5 | $25.559,80 | 61 / 2 | $24.212,10 | 61 / 4 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 21 | $29.527,70 | 429 / 17 | $6.596,08 | 355 / 10 | $5.364,69 | 355 / 20 |
| G.I. Hemorrhage W Cc | 66 | 152 / 26 | $21.381,60 | 887 / 54 | $6.577,67 | 626 / 57 | $5.026,91 | 625 / 43 |
| G.I. Hemorrhage W Mcc | 42 | 79 / 12 | $31.906,70 | 389 / 24 | $10.254,70 | 301 / 26 | $9.150,02 | 301 / 31 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 16 | $13.244,20 | 234 / 11 | $4.875,55 | 156 / 19 | $3.075,36 | 156 / 13 |
| G.I. Obstruction W Cc | 20 | 72 / 23 | $19.228,10 | 598 / 42 | $5.913,65 | 398 / 40 | $4.341,85 | 397 / 26 |
| Heart Failure & Shock W Cc | 73 | 205 / 43 | $19.285,80 | 1089 / 59 | $6.424,52 | 820 / 57 | $5.156,03 | 819 / 54 |
| Heart Failure & Shock W Mcc | 94 | 190 / 32 | $28.590,00 | 1001 / 57 | $9.138,99 | 672 / 46 | $7.890,00 | 672 / 53 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 29 | $16.143,60 | 973 / 57 | $4.584,94 | 855 / 46 | $3.603,94 | 851 / 52 |
| Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 19 | $37.359,70 | 512 / 34 | $11.700,10 | 549 / 40 | $10.148,60 | 547 / 34 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 13 | $50.798,40 | 178 / 13 | $16.770,30 | 117 / 10 | $15.268,90 | 117 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 44 | 80 / 11 | $85.163,60 | 300 / 23 | $30.472,70 | 155 / 25 | $26.324,00 | 155 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 37 | $24.191,80 | 744 / 40 | $6.624,27 | 702 / 40 | $5.436,15 | 701 / 48 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 32 | $25.397,70 | 215 / 13 | $9.617,05 | 179 / 15 | $8.431,40 | 178 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 32 | 70 / 13 | $17.786,60 | 417 / 21 | $5.043,06 | 358 / 35 | $3.441,78 | 355 / 22 |
| Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 28 | $22.237,40 | 721 / 49 | $6.891,85 | 323 / 45 | $5.452,74 | 322 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 92 | 141 / 16 | $16.297,30 | 1121 / 66 | $5.195,00 | 1009 / 65 | $3.967,72 | 1001 / 67 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 13 | $31.379,20 | 115 / 7 | $11.919,20 | 68 / 26 | $7.652,83 | 68 / 5 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 18 | $77.077,30 | 43 / 3 | $27.802,20 | 37 / 2 | $25.975,90 | 37 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 19 | $70.788,40 | 267 / 16 | $20.332,60 | 132 / 13 | $17.248,10 | 132 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 33 | 531 / 83 | $39.701,00 | 738 / 42 | $13.233,50 | 974 / 52 | $11.014,40 | 955 / 67 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 24 | $66.244,90 | 780 / 39 | $16.959,90 | 158 / 40 | $12.270,00 | 157 / 18 |
| Medical Back Problems W/O Mcc | 18 | 103 / 29 | $18.088,90 | 394 / 28 | $5.570,39 | 251 / 35 | $3.869,94 | 251 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 51 | 75 / 9 | $21.651,90 | 503 / 30 | $7.104,41 | 409 / 37 | $5.894,25 | 406 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 49 | 117 / 20 | $16.768,10 | 1173 / 62 | $4.852,80 | 948 / 64 | $3.615,80 | 945 / 58 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 13 | $24.087,90 | 204 / 7 | $6.128,64 | 130 / 5 | $5.067,09 | 130 / 6 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 16 | $19.607,30 | 179 / 20 | $6.184,00 | 156 / 15 | $4.949,92 | 155 / 11 |
| Other Circulatory System Diagnoses W Mcc | 27 | 89 / 21 | $32.175,90 | 272 / 20 | $11.034,70 | 202 / 24 | $9.584,85 | 202 / 22 |
| Other Circulatory System O.R. Procedures | 12 | 43 / 8 | $97.574,60 | 316 / 15 | $33.020,60 | 253 / 16 | $18.319,80 | 253 / 12 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 28 | $14.981,50 | 149 / 12 | $6.555,08 | 157 / 31 | $4.563,31 | 155 / 13 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 13 | $29.754,70 | 158 / 6 | $10.264,10 | 145 / 9 | $9.078,83 | 145 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 12 | $20.829,20 | 272 / 14 | $6.493,72 | 75 / 12 | $4.742,17 | 75 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 23 | $27.677,80 | 323 / 22 | $9.433,12 | 319 / 21 | $8.427,50 | 319 / 26 |
| Other Vascular Procedures W Cc | 26 | 76 / 17 | $61.207,90 | 387 / 18 | $15.234,20 | 281 / 9 | $13.824,80 | 280 / 15 |
| Other Vascular Procedures W Mcc | 23 | 74 / 16 | $55.850,90 | 123 / 6 | $18.867,80 | 48 / 6 | $16.353,90 | 48 / 4 |
| Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 9 | $42.220,70 | 211 / 7 | $10.117,30 | 193 / 4 | $9.101,38 | 192 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 46 | 54 / 6 | $69.192,20 | 158 / 11 | $19.843,60 | 189 / 17 | $17.091,20 | 188 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 129 | 68 / 3 | $49.303,90 | 213 / 11 | $12.575,40 | 336 / 17 | $10.244,90 | 336 / 18 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 14 | $49.933,40 | 153 / 10 | $12.786,80 | 20 / 18 | $8.028,92 | 20 / 2 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 21 | 74 / 9 | $39.060,40 | 41 / 2 | $12.438,00 | 41 / 8 | $9.351,19 | 40 / 2 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 17 | $16.738,10 | 258 / 19 | $6.223,41 | 372 / 27 | $5.053,00 | 370 / 26 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 19 | $42.977,10 | 116 / 7 | $15.364,70 | 217 / 10 | $14.147,20 | 216 / 14 |
| Permanent Cardiac Pacemaker Implant W Mcc | 18 | 34 / 7 | $64.318,40 | 106 / 5 | $20.938,10 | 88 / 7 | $19.367,50 | 88 / 7 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 17 | $36.835,40 | 513 / 25 | $9.644,79 | 29 / 21 | $6.303,79 | 29 / 2 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 14 | $16.051,20 | 344 / 16 | $4.602,85 | 258 / 13 | $3.253,23 | 257 / 12 |
| Pulmonary Edema & Respiratory Failure | 65 | 138 / 24 | $26.705,10 | 838 / 48 | $7.742,83 | 541 / 42 | $6.384,20 | 541 / 40 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 15 | $22.040,30 | 213 / 11 | $7.701,00 | 207 / 16 | $6.558,20 | 207 / 20 |
| Red Blood Cell Disorders W/O Mcc | 27 | 116 / 27 | $17.296,00 | 653 / 43 | $5.314,37 | 473 / 46 | $3.958,41 | 472 / 35 |
| Renal Failure W Cc | 81 | 140 / 25 | $20.832,70 | 1064 / 60 | $6.305,19 | 666 / 63 | $4.894,10 | 659 / 41 |
| Renal Failure W Mcc | 81 | 114 / 17 | $27.011,30 | 578 / 35 | $9.263,64 | 446 / 41 | $7.987,35 | 446 / 40 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 11 | $19.362,10 | 538 / 35 | $4.376,57 | 301 / 20 | $3.143,07 | 300 / 16 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 18 | $23.958,60 | 427 / 29 | $8.697,13 | 557 / 32 | $7.462,87 | 554 / 33 |
| Respiratory Infections & Inflammations W Mcc | 40 | 96 / 21 | $41.878,30 | 853 / 55 | $12.302,60 | 624 / 52 | $10.733,40 | 616 / 48 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 34 | $42.102,20 | 387 / 29 | $13.876,80 | 94 / 31 | $11.085,70 | 94 / 7 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 22 | $96.129,70 | 226 / 19 | $31.244,60 | 59 / 17 | $25.533,20 | 59 / 7 |
| Seizures W/O Mcc | 18 | 90 / 22 | $18.831,20 | 488 / 30 | $5.104,28 | 266 / 23 | $3.687,44 | 265 / 18 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 20 | $93.993,10 | 147 / 14 | $32.520,00 | 138 / 8 | $30.737,50 | 138 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 240 | 276 / 16 | $35.324,50 | 1073 / 56 | $11.507,40 | 744 / 58 | $9.843,57 | 743 / 53 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 80 | 127 / 7 | $23.031,30 | 1071 / 56 | $6.913,64 | 837 / 51 | $5.510,55 | 835 / 52 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 21 | $19.620,30 | 633 / 39 | $4.887,21 | 298 / 31 | $3.383,00 | 297 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 45 | $20.423,30 | 1168 / 71 | $6.289,27 | 1125 / 61 | $5.173,79 | 1121 / 72 |
| Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 26 | $24.443,10 | 665 / 46 | $8.900,35 | 485 / 53 | $7.301,32 | 485 / 41 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 23 | $16.369,70 | 867 / 51 | $4.882,50 | 589 / 45 | $3.305,67 | 587 / 32 |
| Syncope & Collapse | 49 | 120 / 19 | $21.923,90 | 1032 / 64 | $5.107,29 | 512 / 59 | $3.563,41 | 510 / 42 |
| Transient Ischemia | 47 | 78 / 12 | $19.588,40 | 635 / 31 | $4.717,77 | 467 / 34 | $3.340,81 | 466 / 34 | Total 89 procedures | 3.118 | 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.