Hospital Costs > In Idaho > St Alphonsus Regional 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 | 460 | 149 / 2 | $42.069,60 | 871 / 8 | $14.118,70 | 1035 / 6 | $11.124,40 | 1012 / 4 |
| Psychoses | 185 | 128 / 1 | $21.309,90 | 358 / 2 | $6.967,33 | 215 / 2 | $5.564,19 | 215 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 146 | 370 / 6 | $37.994,70 | 1212 / 7 | $12.551,10 | 1356 / 5 | $10.735,90 | 1329 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 107 | 87 / 2 | $54.961,80 | 156 / 1 | $25.316,10 | 378 / 2 | $21.124,90 | 377 / 2 |
| Heart Failure & Shock W Mcc | 69 | 215 / 3 | $29.614,90 | 1055 / 7 | $9.734,38 | 1127 / 4 | $8.461,33 | 1124 / 3 |
| Pulmonary Edema & Respiratory Failure | 56 | 147 / 4 | $20.261,30 | 419 / 3 | $8.302,75 | 931 / 6 | $6.846,61 | 931 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 53 | 129 / 3 | $21.885,00 | 591 / 5 | $6.923,26 | 1007 / 1 | $5.846,87 | 1004 / 4 |
| Renal Failure W Cc | 50 | 171 / 4 | $18.920,80 | 872 / 7 | $6.393,06 | 1097 / 2 | $5.284,16 | 1089 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 48 | 148 / 4 | $48.995,00 | 208 / 3 | $13.206,30 | 493 / 2 | $10.634,10 | 491 / 1 |
| G.I. Hemorrhage W Cc | 46 | 172 / 5 | $17.208,40 | 502 / 2 | $6.576,83 | 1301 / 2 | $5.695,72 | 1298 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 7 | $17.530,90 | 566 / 3 | $7.071,77 | 989 / 2 | $5.649,93 | 986 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 42 | 126 / 2 | $41.285,40 | 731 / 4 | $12.119,40 | 920 / 2 | $10.726,10 | 917 / 3 |
| Renal Failure W Mcc | 41 | 154 / 4 | $34.444,10 | 1024 / 6 | $12.360,00 | 964 / 8 | $8.849,93 | 964 / 2 |
| Medical Back Problems W/O Mcc | 40 | 81 / 1 | $20.909,20 | 593 / 5 | $5.883,50 | 429 / 2 | $4.131,83 | 429 / 1 |
| Heart Failure & Shock W Cc | 39 | 239 / 3 | $17.788,50 | 905 / 2 | $6.407,00 | 1390 / 1 | $5.632,64 | 1385 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 5 | $20.148,30 | 1409 / 7 | $6.261,90 | 2022 / 8 | $4.843,31 | 2008 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 3 | $37.626,10 | 521 / 4 | $12.704,40 | 431 / 6 | $9.969,03 | 430 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 36 | 68 / 2 | $32.841,50 | 93 / 2 | $14.463,00 | 269 / 5 | $11.450,40 | 268 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 7 | $22.705,10 | 553 / 2 | $8.956,46 | 1070 / 2 | $7.949,46 | 1070 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 33 | 155 / 2 | $26.594,20 | 359 / 3 | $7.770,58 | 591 / 4 | $5.574,91 | 589 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 6 | $17.330,50 | 829 / 3 | $6.869,09 | 1469 / 4 | $5.481,30 | 1463 / 2 |
| Syncope & Collapse | 32 | 137 / 1 | $13.597,80 | 300 / 1 | $5.020,22 | 823 / 1 | $3.873,84 | 819 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 32 | 40 / 3 | $28.013,40 | 307 / 5 | $9.211,81 | 329 / 3 | $7.796,66 | 328 / 3 |
| Revision Of Hip Or Knee Replacement W Cc | 31 | 55 / 1 | $65.436,30 | 182 / 2 | $20.741,50 | 156 / 1 | $17.508,20 | 156 / 2 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 30 | 39 / 2 | $60.089,30 | 192 / 3 | $18.937,70 | 60 / 2 | $13.144,80 | 60 / 1 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 3 | $57.065,10 | 571 / 4 | $16.962,30 | 1021 / 2 | $15.983,60 | 1010 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 5 | $14.442,50 | 889 / 5 | $5.061,56 | 879 / 3 | $3.561,37 | 876 / 2 |
| Cervical Spinal Fusion W Cc | 26 | 27 / 1 | $37.568,10 | 29 / 1 | $18.399,70 | 126 / 1 | $15.744,00 | 125 / 2 |
| Transient Ischemia | 26 | 99 / 2 | $15.136,70 | 307 / 3 | $5.025,96 | 479 / 3 | $3.353,88 | 478 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 3 | $134.796,00 | 701 / 5 | $45.489,00 | 630 / 7 | $31.228,00 | 628 / 2 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 25 | 41 / 1 | $31.827,00 | 274 / 1 | $7.080,08 | 184 / 1 | $6.089,56 | 184 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 4 | $115.674,00 | 697 / 6 | $37.651,60 | 1067 / 4 | $36.469,40 | 1060 / 5 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 24 | 65 / 2 | $20.614,20 | 101 / 1 | $7.230,83 | 306 / 1 | $5.640,92 | 305 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 3 | $24.418,00 | 623 / 5 | $7.799,25 | 748 / 2 | $6.723,25 | 745 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 23 | 42 / 1 | $60.047,20 | 257 / 3 | $20.229,20 | 464 / 1 | $18.937,00 | 461 / 1 |
| Pulmonary Embolism W/O Mcc | 23 | 51 / 3 | $14.491,70 | 133 / 2 | $7.091,30 | 212 / 4 | $4.623,43 | 212 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 22 | 76 / 2 | $30.638,90 | 465 / 4 | $7.159,41 | 425 / 2 | $5.545,41 | 424 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 3 | $55.785,20 | 92 / 1 | $20.101,10 | 357 / 1 | $19.023,30 | 357 / 1 |
| Cellulitis W/O Mcc | 22 | 167 / 4 | $15.970,00 | 992 / 4 | $6.086,86 | 1012 / 4 | $4.278,27 | 1006 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 6 | $77.020,10 | 1270 / 6 | $26.193,50 | 1226 / 7 | $15.236,50 | 1213 / 4 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 21 | 33 / 1 | $19.567,50 | 159 / 1 | $4.997,29 | 132 / 1 | $3.865,00 | 132 / 1 |
| Major Chest Procedures W Cc | 21 | 53 / 1 | $83.013,70 | 342 / 3 | $25.917,40 | 384 / 3 | $18.349,60 | 382 / 3 |
| G.I. Obstruction W Cc | 21 | 71 / 3 | $20.223,20 | 670 / 5 | $5.933,19 | 824 / 1 | $4.841,95 | 822 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 21 | 43 / 2 | $39.642,40 | 295 / 2 | $10.425,30 | 408 / 1 | $9.262,43 | 408 / 2 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 21 | 55 / 2 | $106.987,00 | 160 / 2 | $32.113,90 | 312 / 1 | $26.847,10 | 312 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 4 | $20.365,00 | 604 / 4 | $5.179,80 | 840 / 1 | $4.053,30 | 836 / 3 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 20 | 98 / 3 | $99.215,20 | 72 / 2 | $36.989,20 | 22 / 3 | $25.673,60 | 22 / 1 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 4 | $29.140,70 | 360 / 3 | $11.992,00 | 836 / 1 | $11.215,10 | 826 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 5 | $19.678,60 | 685 / 2 | $7.557,16 | 1156 / 1 | $6.405,32 | 1150 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 4 | $32.948,40 | 1094 / 7 | $13.710,20 | 1377 / 7 | $8.509,47 | 1374 / 6 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 19 | 79 / 1 | $79.121,40 | 92 / 2 | $32.062,30 | 28 / 2 | $21.777,40 | 28 / 2 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 3 | $35.740,90 | 539 / 2 | $12.769,70 | 926 / 5 | $10.951,40 | 920 / 3 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 3 | $11.263,60 | 150 / 3 | $4.433,94 | 374 / 1 | $3.530,89 | 373 / 2 |
| Signs & Symptoms W/O Mcc | 17 | 74 / 3 | $20.140,90 | 664 / 3 | $5.612,00 | 743 / 3 | $4.127,24 | 740 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 1 | $18.414,50 | 457 / 4 | $4.942,06 | 412 / 1 | $3.735,88 | 412 / 1 |
| Other Vascular Procedures W Cc | 17 | 85 / 3 | $52.620,00 | 243 / 3 | $16.200,70 | 552 / 2 | $15.263,20 | 549 / 2 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 2 | $81.597,60 | 146 / 2 | $30.389,10 | 14 / 4 | $16.580,80 | 14 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 4 | $12.934,30 | 319 / 1 | $5.861,62 | 655 / 1 | $4.682,06 | 653 / 1 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 3 | $50.577,50 | 755 / 5 | $18.514,10 | 847 / 5 | $12.387,50 | 842 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 6 | $12.278,70 | 545 / 2 | $5.198,38 | 1555 / 1 | $4.399,81 | 1544 / 3 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 3 | $24.495,90 | 603 / 5 | $7.056,67 | 317 / 6 | $3.847,13 | 317 / 2 |
| Diabetes W Cc | 15 | 77 / 3 | $13.612,10 | 246 / 1 | $5.572,40 | 666 / 1 | $4.489,53 | 664 / 1 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 15 | 66 / 1 | $353.320,00 | 137 / 1 | $116.839,00 | 236 / 1 | $114.752,00 | 235 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 6 | $12.704,60 | 290 / 1 | $5.319,47 | 681 / 1 | $3.990,40 | 678 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 5 | $20.932,90 | 241 / 1 | $8.740,67 | 414 / 2 | $6.454,67 | 412 / 1 |
| Seizures W Mcc | 15 | 51 / 1 | $37.227,00 | 308 / 1 | $11.001,70 | 463 / 1 | $10.107,40 | 463 / 1 |
| Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 14 | 9 / 1 | $32.605,00 | 19 / 1 | $7.945,57 | 20 / 1 | $6.795,50 | 20 / 1 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 2 | $90.705,30 | 83 / 2 | $32.871,80 | 255 / 1 | $31.801,40 | 255 / 2 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 5 | $18.931,20 | 344 / 4 | $7.244,64 | 733 / 5 | $5.646,86 | 729 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 2 | $48.169,10 | 239 / 3 | $14.124,20 | 300 / 3 | $11.315,40 | 299 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 13 | 103 / 2 | $153.660,00 | 94 / 1 | $51.359,80 | 216 / 1 | $50.158,20 | 216 / 1 |
| Major Chest Trauma W Cc | 13 | 23 / 1 | $18.523,10 | 19 / 1 | $6.923,15 | 26 / 1 | $4.789,77 | 26 / 1 |
| Medical Back Problems W Mcc | 13 | 26 / 1 | $26.523,00 | 50 / 1 | $10.671,70 | 11 / 1 | $7.211,62 | 11 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 5 | $12.403,40 | 647 / 3 | $4.010,08 | 1029 / 1 | $2.850,85 | 1024 / 1 |
| Chest Pain | 13 | 138 / 4 | $14.224,00 | 428 / 3 | $4.629,69 | 385 / 2 | $2.803,54 | 384 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 4 | $11.340,20 | 354 / 1 | $4.846,25 | 1201 / 1 | $3.906,33 | 1195 / 3 |
| Seizures W/O Mcc | 12 | 96 / 4 | $12.290,80 | 143 / 1 | $5.001,83 | 553 / 1 | $4.168,75 | 550 / 1 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 12 | 62 / 2 | $46.106,40 | 45 / 1 | $13.476,40 | 45 / 1 | $12.315,80 | 45 / 2 |
| Other Vascular Procedures W Mcc | 12 | 85 / 3 | $56.819,20 | 130 / 1 | $19.031,60 | 210 / 1 | $18.027,80 | 209 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 5 | $66.058,40 | 129 / 1 | $18.598,90 | 252 / 1 | $17.530,90 | 251 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 5 | $56.904,60 | 1269 / 7 | $13.508,20 | 1464 / 6 | $12.574,10 | 1452 / 6 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 2 | $13.573,70 | 288 / 2 | $4.418,91 | 312 / 1 | $3.167,55 | 311 / 1 |
| Complications Of Treatment W Mcc | 11 | 40 / 1 | $38.641,10 | 99 / 1 | $12.492,20 | 160 / 1 | $11.850,90 | 160 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 3 | $26.412,20 | 101 / 1 | $7.852,00 | 294 / 1 | $6.601,00 | 294 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 3 | $55.219,10 | 238 / 4 | $17.612,80 | 275 / 1 | $16.388,00 | 273 / 1 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 2 | $21.256,50 | 151 / 2 | $6.967,18 | 103 / 1 | $4.859,36 | 103 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 6 | $12.101,60 | 285 / 2 | $4.314,55 | 715 / 1 | $3.278,73 | 712 / 3 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 4 | $31.739,90 | 55 / 2 | $13.183,90 | 314 / 1 | $12.048,20 | 313 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 2 | $40.330,90 | 214 / 2 | $14.510,50 | 375 / 2 | $13.651,00 | 375 / 2 | Total 89 procedures | 2.872 | 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.