Hospital Costs > In Arkansas > St Edward Mercy 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 | 402 | 185 / 3 | $27.303,30 | 139 / 6 | $11.397,00 | 213 / 6 | $9.758,74 | 213 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 375 | 153 / 3 | $43.833,40 | 1520 / 25 | $10.900,40 | 749 / 26 | $9.848,85 | 748 / 25 |
Heart Failure & Shock W Cc | 94 | 184 / 9 | $17.918,90 | 919 / 24 | $5.585,62 | 299 / 14 | $4.686,40 | 299 / 11 |
Simple Pneumonia & Pleurisy W Cc | 91 | 112 / 6 | $23.362,10 | 1488 / 30 | $5.456,53 | 347 / 12 | $4.507,26 | 345 / 13 |
Renal Failure W Cc | 90 | 131 / 7 | $16.071,40 | 572 / 11 | $5.446,44 | 318 / 10 | $4.556,84 | 316 / 10 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 89 | 99 / 8 | $23.693,10 | 228 / 9 | $6.083,78 | 243 / 6 | $5.051,56 | 243 / 13 |
G.I. Hemorrhage W Cc | 89 | 129 / 8 | $20.427,90 | 782 / 15 | $5.626,00 | 342 / 6 | $4.755,89 | 342 / 8 |
Heart Failure & Shock W Mcc | 85 | 199 / 10 | $26.650,90 | 871 / 19 | $7.936,56 | 176 / 8 | $7.193,81 | 176 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 83 | 122 / 8 | $30.173,40 | 1043 / 23 | $7.861,48 | 232 / 11 | $6.894,75 | 232 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 80 | 63 / 1 | $26.405,10 | 111 / 3 | $10.382,20 | 152 / 5 | $9.356,97 | 151 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 76 | 199 / 12 | $17.287,40 | 1036 / 21 | $4.420,25 | 385 / 12 | $3.316,43 | 383 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 7 | $23.649,30 | 1131 / 19 | $6.020,73 | 369 / 9 | $5.060,08 | 368 / 9 |
Renal Failure W Mcc | 69 | 126 / 9 | $29.753,10 | 749 / 13 | $8.911,68 | 341 / 14 | $7.809,46 | 341 / 12 |
Pulmonary Edema & Respiratory Failure | 67 | 136 / 10 | $27.874,00 | 904 / 22 | $6.772,25 | 270 / 7 | $6.042,69 | 270 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 67 | 94 / 5 | $16.378,40 | 677 / 17 | $4.607,64 | 421 / 8 | $3.749,34 | 421 / 10 |
Chronic Obstructive Pulmonary Disease W Mcc | 66 | 136 / 8 | $23.597,70 | 1029 / 30 | $6.442,62 | 129 / 8 | $5.239,64 | 129 / 6 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 61 | 70 / 4 | $48.707,20 | 581 / 10 | $12.862,30 | 185 / 10 | $11.498,60 | 184 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 60 | 136 / 12 | $39.975,30 | 66 / 2 | $10.987,80 | 75 / 3 | $9.250,60 | 75 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 57 | 109 / 9 | $12.000,50 | 549 / 18 | $4.153,42 | 496 / 12 | $3.305,70 | 494 / 17 |
Cellulitis W/O Mcc | 52 | 137 / 8 | $17.127,60 | 1142 / 20 | $4.871,37 | 444 / 14 | $3.829,19 | 441 / 18 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 47 | 77 / 3 | $100.803,00 | 500 / 9 | $30.873,60 | 335 / 13 | $28.210,00 | 335 / 11 |
Chronic Obstructive Pulmonary Disease W Cc | 47 | 132 / 7 | $17.439,60 | 746 / 20 | $5.163,98 | 199 / 5 | $4.176,57 | 199 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 16 | $12.123,50 | 528 / 15 | $4.435,64 | 486 / 11 | $3.611,13 | 486 / 15 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 41 | 84 / 4 | $38.970,30 | 768 / 14 | $10.272,00 | 648 / 14 | $9.315,98 | 647 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 12 | $24.134,40 | 738 / 20 | $5.916,60 | 69 / 9 | $4.474,62 | 69 / 4 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 40 | 80 / 6 | $17.043,40 | 1021 / 24 | $4.273,12 | 320 / 13 | $3.156,45 | 320 / 12 |
Transient Ischemia | 40 | 85 / 6 | $18.222,40 | 523 / 13 | $4.142,85 | 320 / 6 | $3.174,05 | 320 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 6 | $31.197,70 | 384 / 9 | $9.514,79 | 69 / 10 | $7.977,79 | 69 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 37 | 86 / 7 | $25.822,30 | 711 / 14 | $6.861,59 | 335 / 11 | $6.111,76 | 334 / 13 |
Major Small & Large Bowel Procedures W Cc | 37 | 71 / 7 | $40.846,90 | 209 / 6 | $13.824,60 | 36 / 7 | $11.265,50 | 36 / 3 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 36 | 65 / 5 | $37.433,80 | 581 / 8 | $9.520,11 | 349 / 8 | $8.561,44 | 349 / 8 |
Heart Failure & Shock W/O Cc/Mcc | 35 | 75 / 6 | $12.958,50 | 594 / 21 | $4.038,29 | 435 / 14 | $3.243,77 | 433 / 14 |
Poisoning & Toxic Effects Of Drugs W Mcc | 32 | 40 / 2 | $30.173,20 | 355 / 10 | $7.559,53 | 121 / 4 | $6.915,53 | 121 / 7 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 12 | $13.358,80 | 771 / 23 | $3.451,26 | 601 / 14 | $2.520,16 | 597 / 17 |
G.I. Hemorrhage W Mcc | 31 | 90 / 7 | $35.853,20 | 545 / 7 | $9.352,84 | 37 / 3 | $8.110,55 | 37 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 30 | 35 / 1 | $47.499,40 | 102 / 3 | $17.088,20 | 47 / 4 | $15.162,10 | 47 / 2 |
Coronary Bypass W Cardiac Cath W/O Mcc | 30 | 46 / 5 | $88.491,70 | 69 / 3 | $24.870,20 | 60 / 3 | $22.327,00 | 60 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 29 | 27 / 5 | $22.294,40 | 55 / 3 | $8.823,41 | 41 / 4 | $7.335,59 | 41 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 28 | 63 / 3 | $22.574,10 | 400 / 7 | $5.905,54 | 246 / 6 | $5.042,68 | 246 / 9 |
Chest Pain | 28 | 123 / 8 | $13.418,20 | 350 / 7 | $3.720,29 | 380 / 7 | $2.793,29 | 379 / 13 |
Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 6 | $59.691,60 | 66 / 2 | $23.600,60 | 27 / 2 | $22.645,00 | 27 / 2 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 13 | $38.732,10 | 734 / 12 | $10.390,40 | 129 / 7 | $9.496,36 | 129 / 6 |
Red Blood Cell Disorders W/O Mcc | 25 | 118 / 11 | $18.638,90 | 768 / 18 | $4.762,84 | 338 / 13 | $3.800,56 | 337 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 9 | $15.201,40 | 266 / 7 | $4.423,36 | 367 / 10 | $3.451,84 | 364 / 14 |
Syncope & Collapse | 25 | 144 / 12 | $15.054,60 | 398 / 12 | $4.406,48 | 265 / 13 | $3.291,28 | 263 / 9 |
Medical Back Problems W/O Mcc | 24 | 97 / 8 | $13.706,50 | 158 / 7 | $4.803,50 | 218 / 5 | $3.799,50 | 218 / 5 |
Diabetes W Cc | 24 | 68 / 6 | $18.993,00 | 620 / 13 | $4.824,50 | 144 / 7 | $3.707,42 | 144 / 5 |
Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 13 | $25.715,60 | 961 / 17 | $6.324,33 | 367 / 10 | $5.519,00 | 366 / 10 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 24 | 68 / 2 | $133.179,00 | 402 / 7 | $36.257,90 | 390 / 8 | $34.972,60 | 389 / 8 |
Other Circulatory System Diagnoses W Mcc | 23 | 93 / 8 | $31.845,60 | 262 / 8 | $10.523,90 | 197 / 6 | $9.579,22 | 197 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 9 | $29.945,10 | 957 / 17 | $7.314,61 | 601 / 16 | $6.192,57 | 598 / 14 |
Nonspecific Cerebrovascular Disorders W Cc | 23 | 33 / 2 | $21.111,70 | 145 / 6 | $5.491,22 | 104 / 2 | $4.860,96 | 104 / 5 |
Atherosclerosis W/O Mcc | 22 | 36 / 2 | $11.415,50 | 73 / 2 | $3.701,27 | / 5 | $2.985,64 | / |
Hip & Femur Procedures Except Major Joint W Mcc | 22 | 40 / 4 | $43.801,40 | 78 / 3 | $16.872,70 | 173 / 8 | $15.720,60 | 173 / 9 |
G.I. Obstruction W Cc | 21 | 71 / 11 | $21.239,10 | 738 / 11 | $4.983,67 | 282 / 5 | $4.176,05 | 281 / 7 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 16 | $15.862,00 | 816 / 21 | $4.378,65 | 313 / 16 | $3.062,95 | 311 / 14 |
Nonspecific Cerebrovascular Disorders W Mcc | 20 | 31 / 2 | $22.901,20 | 49 / 2 | $8.291,55 | 17 / 1 | $7.569,95 | 17 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 20 | 27 / 3 | $19.089,40 | 26 / 1 | $6.728,80 | 91 / 2 | $5.584,80 | 91 / 6 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 4 | $49.287,10 | 308 / 8 | $12.586,60 | 303 / 8 | $11.554,50 | 298 / 11 |
Other Resp System O.R. Procedures W Mcc | 19 | 44 / 4 | $71.430,10 | 158 / 5 | $20.603,10 | 139 / 5 | $19.774,40 | 139 / 5 |
Peripheral Vascular Disorders W Cc | 19 | 65 / 4 | $13.072,60 | 111 / 2 | $5.498,84 | 135 / 5 | $4.487,26 | 135 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 4 | $31.919,10 | 124 / 3 | $8.906,68 | 111 / 2 | $7.894,47 | 111 / 6 |
Disorders Of Pancreas Except Malignancy W Cc | 18 | 43 / 4 | $22.991,10 | 407 / 6 | $5.460,56 | 127 / 5 | $4.262,28 | 127 / 3 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 18 | 29 / 6 | $19.487,50 | 18 / 3 | $8.003,61 | 70 / 2 | $6.924,50 | 70 / 5 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 12 | $13.694,90 | 41 / 3 | $6.089,33 | 51 / 8 | $4.456,83 | 51 / 2 |
Other Vascular Procedures W Cc | 17 | 85 / 12 | $49.090,50 | 189 / 5 | $13.315,80 | 79 / 3 | $12.606,20 | 79 / 6 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 7 | $16.082,80 | 598 / 12 | $3.787,12 | 180 / 6 | $2.504,00 | 180 / 7 |
Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 9 | $29.481,10 | 56 / 3 | $11.701,50 | 126 / 2 | $10.560,80 | 126 / 5 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 8 | $20.751,70 | 426 / 11 | $5.654,06 | 237 / 8 | $4.674,94 | 237 / 6 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 8 | $72.924,80 | 88 / 4 | $19.984,50 | 16 / 4 | $16.799,40 | 16 / 2 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 6 | $13.915,80 | 272 / 7 | $4.145,24 | 155 / 3 | $3.074,18 | 155 / 4 |
Seizures W/O Mcc | 16 | 92 / 8 | $16.607,10 | 349 / 8 | $4.448,94 | 267 / 2 | $3.688,94 | 266 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 16 | 24 / 3 | $46.439,90 | 72 / 5 | $14.116,80 | 89 / 5 | $12.986,70 | 89 / 7 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 9 | $30.598,30 | 38 / 1 | $11.618,60 | 96 / 4 | $10.416,60 | 96 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 12 | $57.988,90 | 66 / 2 | $16.307,80 | 26 / 2 | $15.097,80 | 26 / 2 |
Diabetes W Mcc | 16 | 41 / 5 | $36.475,80 | 407 / 7 | $8.813,62 | 290 / 6 | $8.055,75 | 290 / 8 |
Other Digestive System Diagnoses W Mcc | 15 | 47 / 4 | $37.030,90 | 276 / 5 | $9.411,00 | 10 / 2 | $7.726,73 | 10 / 1 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 9 | $9.394,27 | 94 / 4 | $3.746,07 | 280 / 3 | $3.097,53 | 279 / 10 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 5 | $20.188,20 | 308 / 6 | $4.445,93 | 130 / 6 | $3.402,73 | 130 / 5 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 6 | $8.657,87 | 53 / 3 | $3.781,87 | 247 / 6 | $3.220,80 | 246 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 7 | $19.847,30 | 290 / 7 | $6.647,60 | 75 / 6 | $5.476,40 | 75 / 4 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 4 | $24.060,70 | 50 / 2 | $9.539,40 | 19 / 6 | $6.687,53 | 19 / 1 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 8 | $27.678,60 | 35 / 2 | $11.291,40 | 60 / 1 | $10.340,60 | 60 / 5 |
Headaches W/O Mcc | 14 | 29 / 2 | $12.848,60 | 28 / 1 | $4.015,57 | 28 / 1 | $2.891,00 | 28 / 1 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 7 | $22.639,60 | 322 / 6 | $5.525,62 | 66 / 2 | $4.693,62 | 66 / 2 |
Pulmonary Embolism W Mcc | 13 | 30 / 3 | $38.200,00 | 295 / 6 | $8.821,46 | 30 / 4 | $6.976,15 | 30 / 1 |
Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 4 | $41.973,20 | 34 / 2 | $17.079,60 | 57 / 1 | $16.247,60 | 57 / 3 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 13 | $64.773,20 | 273 / 7 | $20.348,00 | 117 / 2 | $19.136,90 | 116 / 6 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 6 | $218.803,00 | 182 / 5 | $81.825,60 | 109 / 5 | $53.392,10 | 109 / 4 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 14 | $32.143,90 | 758 / 15 | $7.418,67 | 228 / 7 | $6.821,33 | 226 / 12 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 5 | $48.600,20 | 31 / 1 | $18.893,70 | 2 / 1 | $15.833,70 | 2 / 1 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 7 | $151.045,00 | 564 / 10 | $36.541,80 | 646 / 11 | $35.736,30 | 645 / 11 |
Other Circulatory System Diagnoses W Cc | 12 | 54 / 7 | $17.147,80 | 126 / 4 | $5.263,17 | 113 / 1 | $4.759,17 | 112 / 6 |
Signs & Symptoms W/O Mcc | 12 | 79 / 10 | $15.162,60 | 341 / 8 | $4.310,25 | 134 / 9 | $3.072,25 | 134 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 6 | $18.083,10 | 55 / 2 | $6.222,45 | 18 / 2 | $4.863,91 | 18 / 1 |
Other Kidney & Urinary Tract Procedures W Mcc | 11 | 27 / 2 | $37.591,40 | 7 / 1 | $15.924,60 | 5 / 1 | $14.825,00 | 5 / 1 |
Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 8 | $111.681,00 | 28 / 2 | $39.651,10 | 12 / 5 | $31.510,80 | 12 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 3 | $46.546,00 | 95 / 2 | $13.608,30 | 74 / 2 | $12.729,70 | 74 / 3 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 6 | $35.753,00 | 93 / 7 | $10.319,40 | 28 / 3 | $9.222,73 | 28 / 2 | Total 99 procedures | 3.874 | 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.