Hospital Costs > In Iowa > St Anthony Regional Hospital & Nursing Home, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 13 | 176 / 22 | $11.843,90 | 447 / 4 | $5.797,15 | 164 / 20 | $3.508,46 | 164 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 24 | $17.838,50 | 556 / 7 | $6.693,09 | 324 / 7 | $5.587,64 | 323 / 7 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 14 | $10.639,50 | 314 / 3 | $4.078,31 | 231 / 3 | $3.056,77 | 231 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 22 | $13.332,00 | 550 / 8 | $4.227,30 | 271 / 7 | $3.200,10 | 271 / 7 |
| Heart Failure & Shock W Cc | 15 | 263 / 22 | $14.184,30 | 493 / 8 | $5.675,67 | 468 / 6 | $4.867,13 | 468 / 8 |
| Heart Failure & Shock W Mcc | 13 | 271 / 26 | $11.891,20 | 47 / 1 | $8.581,85 | 404 / 7 | $7.562,77 | 404 / 7 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 6 | $23.271,60 | 61 / 1 | $9.314,75 | 219 / 3 | $8.208,08 | 219 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 20 | $15.650,90 | 186 / 4 | $6.152,50 | 279 / 6 | $4.941,83 | 278 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 21 | $10.117,10 | 307 / 6 | $4.885,19 | 311 / 20 | $3.448,75 | 311 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 145 | 419 / 19 | $33.602,10 | 380 / 4 | $12.676,20 | 887 / 9 | $10.878,00 | 868 / 10 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 16 | $62.885,70 | 708 / 18 | $20.994,10 | 1359 / 20 | $20.002,10 | 1345 / 21 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 9 | $13.842,10 | 267 / 6 | $5.022,93 | 162 / 13 | $3.135,43 | 162 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 17 | $13.677,50 | 414 / 5 | $5.700,82 | 268 / 9 | $4.424,85 | 268 / 7 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 12 | $11.452,60 | 366 / 8 | $4.224,00 | 131 / 9 | $2.781,88 | 130 / 4 | Total 14 procedures | 345 | 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.