Hospital Costs > In North Dakota > St Alexius Medical Center Bismarck, 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 | 406 | 182 / 2 | $46.988,80 | 1137 / 6 | $14.377,50 | 1092 / 5 | $11.208,20 | 1068 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 268 | 250 / 3 | $27.502,90 | 667 / 3 | $11.475,30 | 1118 / 2 | $10.346,20 | 1102 / 2 |
| Heart Failure & Shock W Mcc | 123 | 161 / 3 | $18.976,40 | 374 / 3 | $9.245,53 | 889 / 2 | $8.148,46 | 889 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 121 | 74 / 1 | $64.481,40 | 269 / 2 | $24.454,40 | 547 / 2 | $22.100,90 | 544 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 91 | 1 / 1 | $53.682,90 | 167 / 2 | $19.423,80 | 258 / 1 | $17.290,50 | 256 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 83 | 113 / 2 | $45.527,30 | 139 / 2 | $14.324,40 | 451 / 6 | $10.522,90 | 450 / 1 |
| Respiratory Infections & Inflammations W Mcc | 77 | 59 / 1 | $28.305,80 | 337 / 4 | $11.353,10 | 521 / 1 | $10.526,90 | 515 / 1 |
| Pulmonary Edema & Respiratory Failure | 76 | 127 / 3 | $19.214,60 | 358 / 3 | $8.087,39 | 567 / 3 | $6.412,80 | 567 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 4 | $19.422,80 | 354 / 3 | $8.904,67 | 1032 / 2 | $7.907,48 | 1032 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 54 | 128 / 3 | $14.373,10 | 121 / 1 | $7.269,74 | 711 / 4 | $5.447,11 | 710 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 3 | $16.308,40 | 464 / 4 | $6.697,56 | 1087 / 2 | $5.746,65 | 1084 / 4 |
| G.I. Hemorrhage W Cc | 51 | 167 / 3 | $13.173,60 | 174 / 2 | $6.276,00 | 1104 / 1 | $5.469,16 | 1102 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 50 | 118 / 2 | $21.166,30 | 119 / 1 | $10.715,40 | 512 / 1 | $9.365,54 | 511 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 47 | 16 / 1 | $38.939,70 | 50 / 1 | $17.189,80 | 234 / 1 | $16.125,90 | 233 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 46 | 50 / 2 | $59.671,80 | 471 / 3 | $17.999,70 | 219 / 3 | $11.162,60 | 217 / 1 |
| Heart Failure & Shock W Cc | 44 | 234 / 6 | $11.529,60 | 236 / 2 | $6.340,95 | 853 / 3 | $5.176,80 | 852 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 43 | 26 / 1 | $63.220,30 | 228 / 5 | $16.997,90 | 200 / 2 | $14.331,30 | 200 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 42 | 101 / 4 | $39.946,30 | 636 / 5 | $12.250,50 | 1005 / 2 | $11.051,00 | 992 / 2 |
| G.I. Obstruction W Cc | 41 | 51 / 1 | $9.942,39 | 55 / 1 | $5.672,61 | 867 / 1 | $4.904,76 | 865 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 41 | 234 / 4 | $8.243,37 | 107 / 1 | $5.004,24 | 590 / 3 | $3.478,07 | 587 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 40 | 64 / 1 | $32.261,60 | 81 / 1 | $14.067,90 | 398 / 1 | $12.105,30 | 397 / 3 |
| Renal Failure W Cc | 37 | 184 / 6 | $13.352,20 | 325 / 5 | $5.982,68 | 1039 / 1 | $5.225,62 | 1031 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 36 | 88 / 3 | $62.741,30 | 125 / 2 | $31.550,10 | 365 / 1 | $28.448,80 | 365 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 2 | $20.948,30 | 175 / 3 | $10.396,30 | 687 / 2 | $9.403,00 | 686 / 2 |
| Major Small & Large Bowel Procedures W Cc | 30 | 78 / 3 | $27.961,70 | 37 / 1 | $15.158,50 | 597 / 1 | $13.978,30 | 591 / 2 |
| Renal Failure W Mcc | 29 | 166 / 6 | $21.872,70 | 313 / 4 | $9.554,38 | 368 / 2 | $7.859,62 | 368 / 1 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 27 | 62 / 1 | $11.980,90 | 19 / 1 | $7.107,19 | 185 / 1 | $5.162,07 | 185 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 5 | $22.052,80 | 156 / 2 | $8.028,85 | 468 / 6 | $5.392,04 | 466 / 1 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 25 | 41 / 1 | $14.324,10 | 3 / 1 | $11.452,00 | 198 / 1 | $10.205,60 | 197 / 1 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 2 | $21.215,90 | 86 / 1 | $11.662,40 | 473 / 5 | $9.579,72 | 474 / 1 |
| Other Circulatory System Diagnoses W Mcc | 23 | 93 / 2 | $34.952,90 | 344 / 3 | $12.795,70 | 775 / 3 | $11.944,70 | 771 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 2 | $17.754,30 | 209 / 3 | $6.577,00 | 424 / 1 | $5.340,17 | 423 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 23 | 77 / 5 | $66.358,10 | 131 / 2 | $19.378,00 | 337 / 1 | $18.216,30 | 335 / 1 |
| Permanent Cardiac Pacemaker Implant W Mcc | 23 | 29 / 1 | $72.009,30 | 152 / 2 | $22.654,10 | 239 / 1 | $21.406,90 | 239 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 3 | $19.279,00 | 105 / 2 | $9.316,82 | 342 / 1 | $8.529,05 | 342 / 2 |
| Cellulitis W/O Mcc | 22 | 167 / 6 | $10.658,80 | 321 / 1 | $5.357,82 | 1287 / 2 | $4.517,82 | 1281 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 21 | 15 / 1 | $33.085,00 | 36 / 2 | $14.919,10 | 131 / 1 | $13.774,30 | 131 / 1 |
| Spinal Fusion Except Cervical W Mcc | 20 | 5 / 1 | $76.128,20 | 4 / 1 | $38.612,60 | 15 / 1 | $34.946,70 | 15 / 1 |
| Pulmonary Embolism W Mcc | 20 | 23 / 1 | $17.526,20 | 26 / 1 | $9.127,85 | 218 / 1 | $8.406,80 | 218 / 4 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 20 | 78 / 2 | $48.645,10 | 14 / 1 | $24.526,80 | 78 / 1 | $23.423,80 | 78 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 5 | $12.640,90 | 59 / 1 | $7.563,74 | 741 / 2 | $6.717,11 | 738 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 4 | $13.122,30 | 137 / 1 | $5.113,63 | 411 / 3 | $3.523,63 | 408 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 5 | $7.588,44 | 111 / 1 | $4.488,83 | 575 / 2 | $3.363,39 | 573 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 6 | $12.416,60 | 261 / 4 | $5.369,61 | 236 / 3 | $3.524,44 | 236 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 6 | $11.773,20 | 485 / 4 | $5.030,56 | 820 / 2 | $3.836,11 | 815 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 7 | $12.408,90 | 293 / 1 | $6.067,50 | 808 / 1 | $4.916,06 | 805 / 1 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 1 | $19.816,70 | 40 / 1 | $10.213,20 | 171 / 1 | $9.214,33 | 171 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 6 | $41.148,50 | 356 / 4 | $13.904,80 | 612 / 1 | $12.728,30 | 604 / 1 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 17 | 23 / 1 | $87.311,50 | 10 / 1 | $40.285,10 | 24 / 1 | $38.880,20 | 24 / 1 |
| Major Cardiovasc Procedures W Mcc | 17 | 51 / 2 | $107.404,00 | 147 / 2 | $33.897,90 | 291 / 1 | $32.645,90 | 291 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 3 | $12.890,10 | 146 / 1 | $6.787,94 | 494 / 1 | $5.698,88 | 493 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 4 | $9.123,12 | 245 / 4 | $3.681,29 | 585 / 2 | $2.506,53 | 581 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 16 | 39 / 3 | $32.370,20 | 62 / 1 | $13.725,10 | 148 / 2 | $10.181,30 | 148 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 5 | $67.646,10 | 109 / 2 | $29.741,10 | 397 / 1 | $28.498,60 | 395 / 1 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 16 | 47 / 2 | $73.246,10 | 104 / 2 | $21.057,20 | 132 / 1 | $19.757,80 | 132 / 2 |
| Cervical Spinal Fusion W Cc | 16 | 37 / 1 | $48.569,80 | 78 / 1 | $23.512,60 | 100 / 1 | $15.419,40 | 99 / 1 |
| Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 2 | $26.781,60 | 81 / 3 | $10.505,80 | 142 / 1 | $9.468,13 | 142 / 1 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 1 | $16.110,10 | 227 / 3 | $6.169,33 | 389 / 1 | $5.086,00 | 387 / 1 |
| Other Resp System O.R. Procedures W Mcc | 15 | 48 / 1 | $60.840,10 | 110 / 3 | $22.846,00 | 261 / 2 | $21.607,90 | 260 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 3 | $13.075,40 | 73 / 1 | $7.293,57 | 438 / 1 | $6.498,79 | 437 / 1 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 4 | $10.439,40 | 37 / 1 | $5.996,50 | 302 / 1 | $4.809,29 | 302 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 14 | 81 / 2 | $40.104,20 | 43 / 1 | $13.985,90 | 142 / 2 | $10.414,70 | 140 / 1 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 4 | $12.509,40 | 73 / 2 | $6.552,50 | 87 / 3 | $4.361,93 | 86 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 6 | $97.275,10 | 558 / 6 | $22.237,40 | 576 / 4 | $21.061,80 | 576 / 5 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 3 | $44.213,40 | 126 / 3 | $17.748,80 | 124 / 6 | $13.505,10 | 124 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 2 | $111.374,00 | 504 / 3 | $21.269,40 | 360 / 1 | $20.208,70 | 359 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 14 | 104 / 2 | $91.839,50 | 47 / 2 | $38.390,30 | 95 / 4 | $28.200,20 | 95 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 3 | $41.816,30 | 186 / 3 | $13.935,50 | 152 / 2 | $10.815,30 | 149 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 5 | $15.802,50 | 66 / 2 | $7.013,00 | 210 / 3 | $4.997,54 | 210 / 1 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 13 | 75 / 4 | $68.585,50 | 64 / 4 | $22.707,00 | 293 / 1 | $21.557,10 | 292 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 5 | $9.791,50 | 244 / 2 | $4.754,08 | 360 / 2 | $3.170,00 | 358 / 1 |
| Major Chest Procedures W Cc | 12 | 62 / 3 | $51.049,20 | 120 / 4 | $15.843,20 | 222 / 1 | $14.831,70 | 221 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 3 | $18.522,00 | 16 / 1 | $10.150,90 | 376 / 1 | $8.968,50 | 376 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 6 | $14.295,90 | 266 / 2 | $7.412,50 | 353 / 2 | $5.614,58 | 352 / 1 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 4 | $21.021,10 | 302 / 3 | $8.261,92 | 342 / 1 | $7.060,50 | 339 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc | 11 | 12 / 2 | $41.880,60 | 3 / 1 | $18.626,90 | 12 / 1 | $17.337,60 | 12 / 2 |
| Pneumothorax W Cc | 11 | 14 / 1 | $11.163,30 | 1 / 1 | $6.132,73 | 26 / 1 | $5.093,55 | 26 / 1 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 5 | $8.717,36 | 58 / 1 | $5.144,00 | 453 / 2 | $3.931,00 | 452 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 2 | $37.555,30 | 115 / 1 | $13.064,00 | 282 / 1 | $11.814,50 | 281 / 1 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 2 | $33.453,00 | 155 / 1 | $10.563,00 | 210 / 1 | $9.586,91 | 210 / 1 | Total 80 procedures | 2.925 | 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.