Hospital Costs > In Indiana > St Catherine Hospital Inc, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 239 | 92 / 3 | $18.693,00 | 294 / 10 | $6.969,91 | 334 / 10 | $6.184,32 | 334 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 92 | 424 / 42 | $34.195,10 | 1011 / 25 | $12.115,60 | 1704 / 49 | $11.456,50 | 1671 / 59 |
Heart Failure & Shock W Mcc | 63 | 221 / 31 | $24.447,10 | 695 / 21 | $10.019,10 | 1486 / 55 | $9.013,87 | 1482 / 56 |
Heart Failure & Shock W Cc | 60 | 218 / 26 | $17.438,00 | 866 / 23 | $6.796,13 | 1407 / 60 | $5.653,62 | 1402 / 54 |
Renal Failure W Cc | 58 | 163 / 25 | $18.757,10 | 854 / 25 | $6.738,00 | 1549 / 50 | $5.840,90 | 1540 / 55 |
Chronic Obstructive Pulmonary Disease W Cc | 58 | 121 / 19 | $16.176,00 | 621 / 18 | $6.564,41 | 1449 / 56 | $5.440,81 | 1444 / 56 |
Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 30 | $22.800,80 | 957 / 30 | $8.115,33 | 1387 / 58 | $6.683,47 | 1381 / 54 |
Cellulitis W/O Mcc | 43 | 146 / 22 | $14.199,20 | 751 / 19 | $5.951,09 | 1692 / 55 | $4.969,51 | 1685 / 63 |
G.I. Hemorrhage W Cc | 42 | 176 / 27 | $24.833,30 | 1186 / 35 | $6.985,95 | 1529 / 48 | $6.012,24 | 1525 / 48 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 42 | 522 / 53 | $43.708,00 | 963 / 19 | $13.182,80 | 663 / 31 | $10.562,60 | 654 / 21 |
Renal Failure W Mcc | 38 | 157 / 25 | $24.382,60 | 429 / 10 | $9.914,37 | 1093 / 30 | $9.120,26 | 1093 / 36 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 28 | $19.396,50 | 1313 / 38 | $5.595,32 | 1722 / 53 | $4.362,22 | 1709 / 62 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 17 | $17.674,50 | 827 / 26 | $5.669,75 | 1322 / 44 | $4.689,67 | 1317 / 47 |
Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 33 | $19.743,30 | 1108 / 30 | $7.148,15 | 1103 / 61 | $5.156,85 | 1099 / 41 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 27 | $26.320,40 | 881 / 33 | $7.130,71 | 1287 / 40 | $6.312,82 | 1284 / 48 |
Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 37 | $16.586,50 | 1157 / 37 | $5.385,24 | 1634 / 53 | $4.477,12 | 1623 / 59 |
Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 40 | $23.816,40 | 621 / 17 | $9.764,45 | 1402 / 51 | $8.500,76 | 1402 / 51 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 24 | $32.230,20 | 623 / 25 | $7.514,66 | 1041 / 36 | $6.459,66 | 1038 / 45 |
Diabetes W Cc | 29 | 63 / 10 | $15.718,60 | 377 / 11 | $5.937,48 | 894 / 29 | $4.885,66 | 890 / 30 |
Red Blood Cell Disorders W/O Mcc | 28 | 115 / 18 | $16.418,20 | 572 / 13 | $5.752,21 | 1248 / 39 | $4.889,36 | 1240 / 42 |
Respiratory Infections & Inflammations W Mcc | 26 | 110 / 23 | $31.655,80 | 441 / 12 | $12.500,50 | 1055 / 34 | $11.863,80 | 1041 / 37 |
G.I. Hemorrhage W Mcc | 26 | 95 / 15 | $31.263,40 | 366 / 10 | $11.264,20 | 755 / 24 | $10.426,00 | 753 / 30 |
Syncope & Collapse | 25 | 144 / 24 | $20.082,80 | 862 / 31 | $5.450,64 | 643 / 39 | $3.692,12 | 640 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 32 | $13.032,20 | 683 / 17 | $4.944,76 | 1472 / 48 | $4.040,44 | 1467 / 54 |
Other Vascular Procedures W Cc | 25 | 77 / 14 | $60.542,90 | 373 / 12 | $16.538,00 | 627 / 17 | $15.717,50 | 624 / 25 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 12 | $25.791,20 | 130 / 4 | $11.851,30 | 585 / 16 | $11.081,90 | 583 / 21 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 28 | $16.189,10 | 929 / 37 | $5.219,14 | 1364 / 48 | $4.187,52 | 1353 / 54 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 23 | $16.782,40 | 239 / 5 | $7.356,05 | 796 / 24 | $6.575,86 | 793 / 28 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 16 | $23.461,10 | 204 / 7 | $10.252,00 | 530 / 20 | $9.223,15 | 528 / 20 |
Peripheral Vascular Disorders W Cc | 20 | 64 / 11 | $16.859,80 | 266 / 7 | $6.645,85 | 667 / 24 | $5.755,45 | 664 / 25 |
Other Vascular Procedures W Mcc | 19 | 78 / 12 | $75.788,70 | 329 / 8 | $22.959,60 | 604 / 20 | $22.147,10 | 601 / 21 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 31 | $20.295,70 | 351 / 12 | $8.260,00 | 1239 / 35 | $7.723,11 | 1236 / 44 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 33 | $10.143,30 | 363 / 9 | $4.304,00 | 1291 / 46 | $3.155,56 | 1286 / 49 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 23 | $71.166,20 | 180 / 3 | $30.561,80 | 512 / 10 | $29.585,80 | 508 / 12 |
Transient Ischemia | 17 | 108 / 24 | $25.133,50 | 964 / 41 | $5.108,41 | 1077 / 35 | $4.197,35 | 1072 / 40 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 18 | $21.181,00 | 255 / 7 | $8.147,06 | 807 / 21 | $7.437,41 | 802 / 27 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 12 | $13.537,80 | 273 / 11 | $5.013,50 | 506 / 14 | $4.489,50 | 505 / 18 |
Cellulitis W Mcc | 16 | 42 / 10 | $29.372,50 | 363 / 13 | $9.594,94 | 468 / 18 | $8.610,94 | 466 / 19 |
Seizures W Mcc | 15 | 51 / 9 | $35.265,90 | 267 / 10 | $11.947,00 | 564 / 14 | $11.480,90 | 564 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 44 | $30.422,00 | 1654 / 59 | $7.296,40 | 1638 / 55 | $6.485,73 | 1631 / 61 |
Hypertension W/O Mcc | 15 | 50 / 8 | $14.007,00 | 178 / 5 | $4.763,20 | 401 / 12 | $3.443,07 | 399 / 10 |
Seizures W/O Mcc | 14 | 94 / 15 | $17.958,50 | 424 / 13 | $5.339,00 | 650 / 21 | $4.395,00 | 647 / 23 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 50 | $36.195,60 | 1344 / 54 | $9.104,08 | 1299 / 59 | $7.413,69 | 1296 / 53 |
Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 19 | $82.860,10 | 409 / 13 | $22.582,30 | 493 / 20 | $20.280,20 | 493 / 18 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 10 | $18.157,90 | 173 / 5 | $6.228,46 | 436 / 15 | $5.583,54 | 436 / 18 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 32 | $37.062,10 | 255 / 9 | $14.867,50 | 1055 / 33 | $14.366,20 | 1045 / 40 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 22 | $13.288,10 | 536 / 11 | $5.009,67 | 681 / 37 | $3.399,83 | 678 / 22 |
Medical Back Problems W/O Mcc | 12 | 109 / 24 | $16.188,10 | 285 / 9 | $5.773,67 | 892 / 21 | $4.965,67 | 889 / 32 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 38 | $17.034,80 | 367 / 8 | $7.698,75 | 1366 / 45 | $7.194,75 | 1362 / 49 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 28 | $38.297,30 | 740 / 20 | $11.528,30 | 1113 / 35 | $10.725,70 | 1108 / 41 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 11 | 185 / 34 | $49.467,90 | 216 / 7 | $13.362,80 | 929 / 22 | $12.161,40 | 922 / 35 |
Other Circulatory System O.R. Procedures | 11 | 44 / 8 | $40.221,90 | 55 / 1 | $17.421,60 | 177 / 7 | $16.602,70 | 177 / 9 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 20 | $16.291,20 | 206 / 9 | $6.770,82 | 747 / 29 | $5.677,00 | 743 / 29 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 18 | $61.154,20 | 484 / 21 | $15.510,30 | 665 / 23 | $14.631,70 | 658 / 25 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 27 | $61.084,00 | 663 / 24 | $16.891,60 | 992 / 30 | $15.795,00 | 981 / 40 |
Atherosclerosis W/O Mcc | 11 | 47 / 8 | $19.129,50 | 292 / 10 | $4.550,91 | / 11 | $3.672,36 | / |
Chest Pain | 11 | 140 / 26 | $12.715,20 | 284 / 8 | $4.526,82 | 1050 / 32 | $3.648,27 | 1043 / 33 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 15 | $12.434,90 | 191 / 10 | $4.896,91 | 428 / 22 | $3.648,91 | 427 / 20 | Total 58 procedures | 1.696 | 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.