Hospital Costs > In Louisiana > St Francis Medical Center Monroe, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 6 | $39.440,70 | 1023 / 15 | $6.641,38 | 617 / 6 | $5.686,71 | 616 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 6 | $54.720,30 | 1231 / 21 | $11.200,00 | 930 / 20 | $10.081,30 | 929 / 21 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 6 | $40.417,90 | 170 / 2 | $11.399,30 | 63 / 4 | $9.111,83 | 63 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 8 | $24.945,90 | 585 / 14 | $5.559,17 | 473 / 10 | $4.724,50 | 469 / 14 |
| Bronchitis & Asthma W/O Cc/Mcc | 16 | 29 / 3 | $18.529,40 | 189 / 5 | $4.864,31 | 176 / 5 | $3.437,19 | 176 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 50 | 111 / 5 | $21.738,10 | 1185 / 23 | $5.407,02 | 884 / 23 | $4.185,46 | 881 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 43 | 80 / 4 | $32.354,70 | 1062 / 24 | $7.962,79 | 722 / 24 | $6.694,37 | 719 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 6 | $15.308,30 | 1026 / 23 | $4.077,87 | 1097 / 20 | $2.909,28 | 1092 / 21 |
| Cellulitis W/O Mcc | 49 | 140 / 13 | $22.073,00 | 1665 / 47 | $5.809,80 | 1015 / 41 | $4.281,61 | 1009 / 25 |
| Cervical Spinal Fusion W/O Cc/Mcc | 37 | 67 / 4 | $35.620,60 | 133 / 1 | $12.790,30 | 205 / 5 | $11.112,10 | 205 / 9 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 14 | 77 / 4 | $11.880,90 | 21 / 1 | $6.885,43 | 121 / 3 | $6.885,43 | 121 / 4 |
| Chest Pain | 47 | 104 / 5 | $19.668,00 | 899 / 17 | $4.491,64 | 789 / 19 | $3.249,45 | 784 / 17 |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 9 | $23.626,50 | 1356 / 27 | $6.026,53 | 1059 / 27 | $5.020,41 | 1055 / 28 |
| Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 10 | $27.562,10 | 1314 / 30 | $7.056,73 | 850 / 21 | $6.100,47 | 845 / 23 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 19 | $18.059,00 | 1115 / 33 | $4.919,29 | 963 / 27 | $3.703,10 | 954 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 21 | 72 / 5 | $60.771,00 | 476 / 11 | $13.103,50 | 377 / 14 | $12.012,50 | 372 / 16 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 71 | 117 / 6 | $38.446,60 | 895 / 24 | $7.128,27 | 699 / 22 | $5.730,08 | 697 / 22 |
| Complications Of Treatment W Mcc | 11 | 40 / 4 | $31.221,30 | 60 / 2 | $10.934,00 | 9 / 1 | $8.516,27 | 9 / 2 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 20 | 68 / 9 | $89.949,00 | 194 / 6 | $22.006,80 | 100 / 8 | $18.763,70 | 100 / 8 |
| Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 7 | $20.964,40 | 269 / 5 | $6.267,69 | 365 / 4 | $5.509,69 | 365 / 6 |
| Diabetes W Cc | 40 | 52 / 3 | $20.374,50 | 718 / 17 | $5.403,40 | 692 / 14 | $4.521,60 | 690 / 15 |
| Diabetes W Mcc | 22 | 35 / 4 | $31.961,80 | 315 / 8 | $8.929,41 | 388 / 8 | $8.599,23 | 388 / 12 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 5 | $24.118,90 | 447 / 5 | $5.914,29 | 423 / 3 | $5.063,47 | 422 / 7 |
| Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 4 | $57.154,50 | 245 / 4 | $12.794,60 | 202 / 4 | $11.805,50 | 202 / 5 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 5 | $29.762,70 | 208 / 3 | $6.596,73 | 116 / 3 | $5.616,36 | 116 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 52 | 44 / 2 | $30.522,20 | 653 / 10 | $7.807,81 | 359 / 13 | $6.367,46 | 357 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 112 | 163 / 4 | $20.396,00 | 1438 / 37 | $5.075,60 | 1445 / 29 | $4.082,87 | 1434 / 38 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 7 | $116.025,00 | 325 / 9 | $30.274,40 | 340 / 10 | $29.535,40 | 340 / 13 |
| Extracranial Procedures W/O Cc/Mcc | 21 | 77 / 12 | $32.810,30 | 498 / 12 | $7.436,67 | 258 / 16 | $5.110,57 | 258 / 8 |
| Fever | 11 | 35 / 3 | $20.694,80 | 118 / 1 | $6.957,64 | 25 / 3 | $3.744,45 | 25 / 1 |
| G.I. Hemorrhage W Cc | 89 | 129 / 6 | $24.425,50 | 1157 / 22 | $6.345,84 | 992 / 22 | $5.355,73 | 990 / 24 |
| G.I. Hemorrhage W Mcc | 43 | 78 / 5 | $43.057,70 | 808 / 17 | $11.730,70 | 935 / 23 | $10.970,20 | 929 / 25 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 12 | $17.408,30 | 447 / 7 | $4.761,08 | 443 / 11 | $3.643,54 | 439 / 13 |
| G.I. Obstruction W Cc | 23 | 69 / 10 | $18.091,40 | 519 / 7 | $5.688,70 | 783 / 14 | $4.795,48 | 781 / 18 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 7 | $13.915,30 | 443 / 9 | $4.261,23 | 710 / 12 | $3.273,59 | 707 / 15 |
| Heart Failure & Shock W Cc | 93 | 185 / 13 | $23.456,20 | 1535 / 47 | $6.535,87 | 1025 / 39 | $5.308,46 | 1023 / 29 |
| Heart Failure & Shock W Mcc | 130 | 154 / 6 | $36.485,80 | 1478 / 37 | $8.980,74 | 1033 / 32 | $8.337,48 | 1031 / 35 |
| Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 10 | $19.156,60 | 1236 / 34 | $4.650,53 | 916 / 25 | $3.656,65 | 909 / 22 |
| Hip & Femur Procedures Except Major Joint W Cc | 78 | 65 / 1 | $36.983,50 | 495 / 5 | $11.170,00 | 538 / 13 | $10.133,70 | 536 / 16 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 8 | $63.335,60 | 341 / 6 | $17.030,30 | 236 / 7 | $16.129,10 | 234 / 7 |
| Hypertension W/O Mcc | 11 | 54 / 10 | $19.329,00 | 392 / 11 | $4.366,82 | 386 / 8 | $3.377,73 | 384 / 10 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 44 | 80 / 4 | $107.737,00 | 584 / 15 | $29.783,20 | 408 / 14 | $28.721,70 | 407 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 95 | 87 / 5 | $32.048,50 | 1247 / 26 | $6.786,82 | 789 / 24 | $5.534,51 | 787 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 51 | 117 / 6 | $40.854,20 | 720 / 13 | $10.113,00 | 480 / 9 | $9.302,22 | 479 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 9 | $23.850,50 | 827 / 20 | $5.028,85 | 834 / 14 | $4.041,59 | 830 / 19 |
| Kidney & Urinary Tract Infections W Mcc | 53 | 91 / 6 | $29.875,50 | 1166 / 26 | $6.890,51 | 839 / 22 | $6.146,36 | 838 / 23 |
| Kidney & Urinary Tract Infections W/O Mcc | 111 | 122 / 7 | $18.710,70 | 1427 / 38 | $5.117,50 | 1502 / 32 | $4.354,54 | 1491 / 39 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 8 | $37.131,50 | 209 / 4 | $9.740,75 | 368 / 3 | $8.938,08 | 368 / 13 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 10 | $59.180,40 | 123 / 2 | $18.583,00 | 167 / 5 | $17.460,90 | 167 / 9 |
| Major Chest Procedures W Cc | 15 | 59 / 3 | $46.064,50 | 81 / 2 | $14.520,80 | 122 / 2 | $13.631,20 | 122 / 5 |
| Major Chest Procedures W/O Cc/Mcc | 13 | 46 / 1 | $35.923,30 | 49 / 1 | $10.477,20 | 48 / 2 | $9.266,15 | 48 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 8 | $32.761,30 | 716 / 13 | $7.241,13 | 511 / 11 | $6.675,80 | 509 / 12 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 7 | $24.546,80 | 121 / 5 | $7.326,75 | 103 / 5 | $6.292,75 | 103 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 4 | $52.755,80 | 151 / 3 | $17.610,20 | 174 / 3 | $16.536,40 | 174 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 236 | 328 / 5 | $33.779,40 | 388 / 6 | $12.630,80 | 822 / 25 | $10.792,40 | 808 / 31 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 13 | $59.051,50 | 610 / 12 | $15.402,10 | 289 / 14 | $12.837,30 | 287 / 15 |
| Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 5 | $98.812,70 | 367 / 6 | $26.749,00 | 172 / 4 | $26.075,70 | 172 / 8 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 6 | $39.088,80 | 281 / 5 | $10.754,80 | 105 / 8 | $7.597,47 | 105 / 7 |
| Medical Back Problems W/O Mcc | 22 | 99 / 6 | $20.280,90 | 555 / 12 | $5.682,64 | 561 / 11 | $4.326,91 | 559 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 49 | 77 / 6 | $26.099,90 | 771 / 16 | $6.848,88 | 568 / 12 | $6.134,75 | 565 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 81 | 85 / 3 | $19.505,20 | 1505 / 41 | $4.796,05 | 1448 / 29 | $4.016,79 | 1443 / 37 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 4 | $22.994,50 | 258 / 3 | $6.145,07 | 183 / 4 | $5.054,93 | 182 / 7 |
| Other Circulatory System Diagnoses W Mcc | 49 | 67 / 3 | $48.568,80 | 709 / 15 | $12.151,60 | 391 / 20 | $10.334,70 | 390 / 14 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 8 | $24.145,70 | 629 / 14 | $6.166,27 | 569 / 11 | $5.340,09 | 566 / 13 |
| Other Digestive System Diagnoses W Mcc | 20 | 42 / 4 | $59.011,50 | 544 / 11 | $10.907,00 | 225 / 8 | $9.649,40 | 225 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 26 | 77 / 4 | $21.407,30 | 289 / 5 | $6.321,15 | 195 / 4 | $5.181,65 | 195 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 7 | $32.553,30 | 462 / 8 | $9.216,39 | 329 / 5 | $8.465,43 | 329 / 8 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 3 | $44.724,50 | 115 / 3 | $11.263,90 | 92 / 1 | $10.490,10 | 92 / 4 |
| Other Vascular Procedures W Cc | 26 | 76 / 9 | $54.018,40 | 268 / 5 | $14.515,20 | 215 / 5 | $13.446,80 | 215 / 8 |
| Other Vascular Procedures W Mcc | 30 | 67 / 8 | $86.845,60 | 462 / 11 | $20.317,00 | 324 / 12 | $18.970,30 | 322 / 11 |
| Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 7 | $53.452,40 | 320 / 10 | $10.953,00 | 202 / 8 | $9.144,86 | 201 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 38 | 62 / 3 | $110.870,00 | 595 / 10 | $21.487,70 | 594 / 13 | $20.738,60 | 590 / 16 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 62 | 134 / 7 | $82.094,90 | 904 / 20 | $14.065,50 | 821 / 22 | $11.732,70 | 816 / 27 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 5 | $22.278,40 | 506 / 11 | $5.927,23 | 367 / 7 | $5.050,14 | 365 / 10 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 5 | $35.271,70 | 296 / 7 | $8.267,85 | 164 / 6 | $7.430,92 | 164 / 6 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 5 | $74.074,20 | 171 / 3 | $19.753,30 | 63 / 2 | $18.985,30 | 63 / 2 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 8 | $41.392,20 | 170 / 1 | $14.100,10 | 64 / 9 | $10.385,70 | 64 / 3 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 6 | $33.513,20 | 793 / 11 | $6.152,17 | 544 / 9 | $4.014,92 | 543 / 9 |
| Pulmonary Edema & Respiratory Failure | 76 | 127 / 6 | $34.795,30 | 1285 / 21 | $7.436,33 | 926 / 12 | $6.841,59 | 926 / 19 |
| Pulmonary Embolism W Mcc | 12 | 31 / 3 | $39.412,90 | 313 / 4 | $9.074,83 | 227 / 2 | $8.472,17 | 227 / 4 |
| Pulmonary Embolism W/O Mcc | 24 | 50 / 4 | $27.639,80 | 751 / 11 | $6.704,00 | 477 / 13 | $5.156,50 | 475 / 11 |
| Red Blood Cell Disorders W Mcc | 45 | 26 / 3 | $38.385,80 | 654 / 14 | $8.741,60 | 647 / 16 | $8.020,49 | 643 / 16 |
| Red Blood Cell Disorders W/O Mcc | 52 | 91 / 11 | $25.029,40 | 1258 / 39 | $5.319,23 | 974 / 19 | $4.490,62 | 968 / 26 |
| Renal Failure W Cc | 166 | 60 / 3 | $23.081,80 | 1279 / 25 | $6.269,25 | 1166 / 23 | $5.341,67 | 1158 / 25 |
| Renal Failure W Mcc | 111 | 85 / 5 | $34.703,20 | 1036 / 23 | $9.197,31 | 674 / 19 | $8.330,28 | 674 / 21 |
| Renal Failure W/O Cc/Mcc | 18 | 38 / 7 | $13.684,00 | 296 / 10 | $4.310,17 | 403 / 12 | $3.325,72 | 402 / 15 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 9 | $25.040,90 | 473 / 11 | $8.217,78 | 577 / 14 | $7.509,61 | 574 / 17 |
| Respiratory Infections & Inflammations W Mcc | 37 | 99 / 7 | $42.589,10 | 868 / 16 | $11.655,90 | 666 / 19 | $10.850,30 | 658 / 17 |
| Respiratory Neoplasms W Mcc | 19 | 33 / 2 | $38.329,80 | 239 / 6 | $9.998,32 | 138 / 2 | $9.105,68 | 138 / 5 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 10 | $52.804,20 | 703 / 18 | $13.561,50 | 339 / 18 | $11.990,20 | 335 / 16 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 5 | $111.426,00 | 323 / 10 | $32.301,20 | 104 / 15 | $26.559,50 | 104 / 9 |
| Seizures W/O Mcc | 11 | 97 / 16 | $22.833,50 | 686 / 15 | $5.081,55 | 525 / 10 | $4.095,36 | 522 / 13 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 8 | $105.017,00 | 216 / 5 | $30.496,50 | 96 / 5 | $29.927,30 | 96 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 268 | 250 / 6 | $38.795,90 | 1261 / 31 | $10.932,10 | 834 / 27 | $9.966,54 | 833 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 111 | 96 / 4 | $26.059,30 | 1341 / 29 | $6.721,70 | 1192 / 22 | $5.869,14 | 1187 / 30 |
| Signs & Symptoms W Mcc | 14 | 27 / 4 | $23.264,80 | 87 / 1 | $6.953,29 | 69 / 2 | $6.352,14 | 69 / 3 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 13 | $15.357,50 | 362 / 6 | $4.665,54 | 735 / 9 | $4.111,69 | 732 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 80 | 123 / 9 | $25.288,90 | 1643 / 34 | $6.326,88 | 1136 / 31 | $5.183,55 | 1132 / 27 |
| Simple Pneumonia & Pleurisy W Mcc | 63 | 142 / 10 | $32.041,40 | 1173 / 16 | $8.462,03 | 825 / 16 | $7.680,57 | 825 / 24 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 20 | $18.700,90 | 1094 / 24 | $4.785,73 | 1165 / 21 | $3.857,73 | 1159 / 30 |
| Spinal Fusion Except Cervical W/O Mcc | 40 | 154 / 11 | $73.902,10 | 433 / 4 | $23.866,10 | 30 / 11 | $17.546,20 | 30 / 3 |
| Syncope & Collapse | 46 | 123 / 4 | $22.083,10 | 1047 / 20 | $5.009,22 | 768 / 20 | $3.817,96 | 765 / 15 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 8 | $194.848,00 | 136 / 4 | $54.667,20 | 119 / 6 | $53.965,60 | 119 / 6 |
| Transient Ischemia | 30 | 95 / 7 | $24.843,60 | 949 / 22 | $4.768,33 | 880 / 17 | $3.842,47 | 876 / 18 | Total 104 procedures | 4.232 | 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.