Hospital Costs > In Colorado > St Anthony North Health Campus, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 160 | 356 / 10 | $48.190,70 | 1715 / 18 | $12.839,00 | 1605 / 20 | $11.242,60 | 1573 / 22 |
Pulmonary Edema & Respiratory Failure | 54 | 149 / 9 | $36.828,60 | 1378 / 17 | $9.132,91 | 1506 / 22 | $7.849,98 | 1501 / 27 |
Heart Failure & Shock W Mcc | 44 | 240 / 11 | $38.859,20 | 1601 / 11 | $10.591,90 | 1499 / 22 | $9.046,57 | 1495 / 23 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 42 | 522 / 34 | $69.919,40 | 1989 / 25 | $15.243,70 | 1829 / 29 | $12.971,00 | 1788 / 31 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 16 | $37.466,70 | 1472 / 16 | $10.263,90 | 1414 / 25 | $8.517,89 | 1414 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 16 | $28.052,40 | 1508 / 16 | $8.373,93 | 1580 / 29 | $6.399,83 | 1573 / 23 |
G.I. Hemorrhage W Cc | 28 | 190 / 15 | $34.664,70 | 1769 / 20 | $7.519,89 | 1663 / 27 | $6.283,75 | 1659 / 27 |
Renal Failure W Mcc | 27 | 168 / 13 | $47.547,00 | 1515 / 12 | $10.878,00 | 1286 / 15 | $9.628,81 | 1286 / 16 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 26 | 170 / 13 | $93.511,70 | 1089 / 14 | $18.154,40 | 725 / 24 | $11.315,60 | 721 / 12 |
Cellulitis W/O Mcc | 23 | 166 / 16 | $26.607,40 | 1970 / 15 | $6.871,09 | 1656 / 25 | $4.912,17 | 1649 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 25 | $31.367,40 | 2225 / 23 | $5.875,04 | 1802 / 25 | $4.481,04 | 1789 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 8 | $33.104,40 | 1102 / 7 | $8.334,45 | 1058 / 15 | $7.246,91 | 1055 / 17 |
Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 14 | $32.896,20 | 1642 / 14 | $7.950,95 | 1382 / 13 | $6.681,14 | 1376 / 13 |
Renal Failure W Cc | 20 | 201 / 18 | $25.320,10 | 1449 / 8 | $9.025,95 | 1492 / 27 | $5.743,60 | 1483 / 24 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 10 | $36.062,60 | 546 / 3 | $10.265,40 | 456 / 10 | $8.974,61 | 455 / 9 |
Pulmonary Embolism W Mcc | 18 | 25 / 5 | $45.534,60 | 381 / 5 | $10.908,20 | 244 / 7 | $8.556,39 | 244 / 3 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 12 | $56.203,00 | 1197 / 14 | $12.673,60 | 710 / 14 | $10.945,20 | 702 / 13 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 7 | $20.947,10 | 861 / 9 | $5.124,71 | 870 / 16 | $3.572,24 | 867 / 14 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 11 | $50.788,20 | 762 / 7 | $12.498,10 | 573 / 9 | $11.021,80 | 571 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 18 | $21.739,90 | 1701 / 13 | $5.443,19 | 1190 / 20 | $3.802,81 | 1187 / 13 |
G.I. Obstruction W Cc | 15 | 77 / 13 | $23.739,90 | 907 / 4 | $6.785,20 | 1194 / 16 | $5.532,00 | 1191 / 17 |
Heart Failure & Shock W Cc | 14 | 264 / 25 | $30.685,10 | 1989 / 19 | $7.082,43 | 1765 / 22 | $6.078,29 | 1760 / 26 |
Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 25 | $25.524,50 | 1656 / 16 | $6.994,07 | 1978 / 21 | $6.128,21 | 1970 / 28 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 7 | $139.690,00 | 776 / 10 | $22.175,40 | 563 / 6 | $20.401,90 | 559 / 6 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 22 | $78.756,00 | 1687 / 23 | $14.128,40 | 1457 / 27 | $12.577,80 | 1439 / 28 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 12 | $95.295,90 | 1462 / 13 | $17.685,40 | 1246 / 15 | $15.350,30 | 1233 / 14 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 17 | $99.868,90 | 490 / 2 | $33.052,90 | 55 / 14 | $24.589,50 | 55 / 1 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 12 | $115.851,00 | 522 / 4 | $31.785,80 | 515 / 7 | $29.750,60 | 513 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 18 | $31.465,70 | 1227 / 6 | $7.805,27 | 1271 / 16 | $6.273,27 | 1268 / 18 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 17 | $85.162,30 | 1057 / 15 | $18.248,10 | 1088 / 23 | $16.451,20 | 1075 / 22 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 7 | $29.230,20 | 737 / 8 | $5.252,45 | 456 / 10 | $3.751,45 | 455 / 9 | Total 31 procedures | 799 | 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.