Hospital Costs > In Delaware > St Francis Hospital Wilmington, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Heart Failure & Shock W Cc | 66 | 212 / 5 | $26.387,80 | 1771 / 6 | $7.515,30 | 1940 / 4 | $6.398,39 | 1935 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 49 | 467 / 6 | $40.248,70 | 1331 / 5 | $13.791,50 | 1759 / 4 | $11.632,90 | 1724 / 4 |
Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 4 | $25.663,00 | 1674 / 6 | $7.674,27 | 1982 / 4 | $6.137,40 | 1974 / 4 |
Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 4 | $20.309,70 | 1607 / 6 | $6.090,59 | 2077 / 4 | $5.139,48 | 2066 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 5 | $23.983,40 | 1800 / 6 | $6.219,34 | 1815 / 4 | $4.514,79 | 1802 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 4 | $21.955,80 | 1199 / 5 | $7.300,00 | 1590 / 4 | $5.664,81 | 1583 / 4 |
Renal Failure W Cc | 35 | 186 / 6 | $28.837,50 | 1651 / 6 | $7.759,03 | 1661 / 4 | $6.050,23 | 1652 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 34 | 162 / 4 | $80.732,40 | 882 / 5 | $15.445,00 | 1076 / 3 | $13.047,10 | 1069 / 3 |
Heart Failure & Shock W Mcc | 31 | 253 / 6 | $30.906,10 | 1143 / 5 | $10.508,40 | 1742 / 4 | $9.574,10 | 1737 / 4 |
G.I. Hemorrhage W Cc | 28 | 190 / 6 | $28.152,10 | 1451 / 5 | $7.686,32 | 1817 / 4 | $6.694,75 | 1813 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 6 | $55.379,80 | 1518 / 6 | $15.609,10 | 1918 / 4 | $13.315,50 | 1876 / 4 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 4 | $20.213,60 | 1282 / 6 | $5.620,20 | 1614 / 4 | $4.681,68 | 1603 / 6 |
Cellulitis W/O Mcc | 25 | 164 / 5 | $19.048,30 | 1373 / 5 | $6.416,80 | 1899 / 4 | $5.345,84 | 1891 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 6 | $25.112,00 | 1135 / 6 | $8.554,43 | 1783 / 4 | $7.399,87 | 1775 / 4 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 3 | $44.971,00 | 1074 / 5 | $9.114,17 | 878 / 4 | $6.079,04 | 875 / 2 |
Transient Ischemia | 22 | 103 / 6 | $20.949,40 | 731 / 5 | $5.775,68 | 1253 / 5 | $4.669,05 | 1247 / 6 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 6 | $45.714,00 | 502 / 5 | $17.787,10 | 904 / 3 | $13.751,10 | 896 / 2 |
Syncope & Collapse | 22 | 147 / 5 | $23.413,40 | 1132 / 6 | $6.076,59 | 1240 / 5 | $4.464,59 | 1233 / 4 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 4 | $23.952,10 | 1186 / 6 | $6.314,55 | 1434 / 4 | $5.291,10 | 1425 / 4 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 5 | $31.661,80 | 1241 / 6 | $9.112,55 | 1568 / 5 | $7.917,20 | 1564 / 5 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 6 | $29.678,10 | 1014 / 6 | $11.103,60 | 1550 / 4 | $8.792,85 | 1550 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 6 | $38.354,40 | 1982 / 6 | $9.534,70 | 2222 / 6 | $8.124,85 | 2213 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 5 | $28.692,80 | 1064 / 6 | $8.538,58 | 1381 / 4 | $6.534,37 | 1378 / 4 |
Diabetes W Cc | 18 | 74 / 4 | $17.947,40 | 555 / 4 | $6.269,17 | 1088 / 4 | $5.374,11 | 1084 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 5 | $21.937,70 | 709 / 5 | $5.940,94 | 1088 / 4 | $4.540,82 | 1084 / 4 |
Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 3 | $40.858,60 | 1053 / 5 | $8.553,18 | 1119 / 3 | $7.174,35 | 1117 / 4 |
Renal Failure W Mcc | 16 | 179 / 6 | $32.397,30 | 913 / 5 | $11.248,70 | 1466 / 4 | $10.178,00 | 1465 / 4 |
G.I. Hemorrhage W Mcc | 15 | 106 / 6 | $35.346,30 | 520 / 4 | $12.623,50 | 1111 / 3 | $11.769,30 | 1103 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 6 | $22.597,20 | 1257 / 6 | $6.300,47 | 1552 / 4 | $5.103,60 | 1547 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 6 | $15.431,50 | 1043 / 5 | $4.573,33 | 1443 / 4 | $3.394,80 | 1437 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 5 | $24.206,40 | 602 / 5 | $9.337,14 | 1022 / 4 | $7.186,50 | 1019 / 3 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 5 | $45.994,50 | 878 / 4 | $13.916,00 | 1518 / 4 | $12.862,10 | 1500 / 4 |
Chest Pain | 12 | 139 / 5 | $23.493,30 | 1143 / 5 | $4.994,83 | 1157 / 4 | $3.853,33 | 1150 / 4 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 4 | $19.594,90 | 546 / 4 | $5.167,55 | 579 / 3 | $3.825,09 | 578 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 6 | $55.066,50 | 1237 / 6 | $15.024,80 | 1555 / 6 | $13.544,70 | 1542 / 6 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 6 | $21.072,20 | 590 / 6 | $5.627,82 | 735 / 4 | $4.524,82 | 731 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 5 | $36.280,60 | 1207 / 6 | $9.419,82 | 1345 / 5 | $8.352,73 | 1342 / 6 | Total 37 procedures | 888 | 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.