Hospital Costs > In Ohio > St John Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 176 | 340 / 31 | $30.636,20 | 814 / 42 | $11.481,00 | 833 / 57 | $9.966,43 | 832 / 59 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 120 | 444 / 44 | $42.080,60 | 872 / 47 | $14.091,90 | 692 / 73 | $10.612,40 | 682 / 46 |
Heart Failure & Shock W Mcc | 109 | 175 / 21 | $21.264,70 | 494 / 31 | $9.200,10 | 608 / 49 | $7.825,65 | 608 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 92 | 183 / 23 | $14.949,90 | 749 / 49 | $4.820,95 | 414 / 46 | $3.335,71 | 412 / 25 |
Chronic Obstructive Pulmonary Disease W Mcc | 90 | 112 / 18 | $23.397,90 | 1011 / 59 | $7.710,28 | 908 / 67 | $6.158,23 | 903 / 60 |
Renal Failure W Mcc | 81 | 114 / 17 | $26.663,10 | 557 / 31 | $9.599,01 | 672 / 47 | $8.324,23 | 672 / 55 |
Cellulitis W/O Mcc | 76 | 113 / 17 | $14.206,10 | 753 / 52 | $5.463,25 | 653 / 48 | $4.014,70 | 650 / 41 |
Renal Failure W Cc | 76 | 145 / 29 | $17.297,90 | 706 / 39 | $6.098,89 | 404 / 44 | $4.655,71 | 401 / 28 |
Chronic Obstructive Pulmonary Disease W Cc | 74 | 105 / 18 | $15.325,70 | 547 / 42 | $5.911,11 | 507 / 49 | $4.552,68 | 505 / 34 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 73 | 88 / 10 | $17.097,80 | 757 / 48 | $5.273,73 | 137 / 51 | $3.378,88 | 137 / 11 |
Kidney & Urinary Tract Infections W/O Mcc | 72 | 161 / 26 | $15.001,20 | 933 / 55 | $4.989,29 | 580 / 50 | $3.679,46 | 578 / 38 |
Simple Pneumonia & Pleurisy W Mcc | 71 | 134 / 19 | $22.347,60 | 530 / 37 | $9.137,68 | 801 / 63 | $7.657,97 | 801 / 62 |
Kidney & Urinary Tract Infections W Mcc | 66 | 78 / 6 | $18.506,20 | 471 / 31 | $6.929,30 | 458 / 48 | $5.656,68 | 457 / 37 |
Heart Failure & Shock W Cc | 66 | 212 / 46 | $19.804,80 | 1159 / 61 | $6.443,55 | 846 / 59 | $5.171,68 | 845 / 57 |
G.I. Hemorrhage W Cc | 65 | 153 / 27 | $15.964,30 | 384 / 20 | $6.343,65 | 509 / 47 | $4.918,62 | 508 / 35 |
Simple Pneumonia & Pleurisy W Cc | 63 | 140 / 21 | $16.609,60 | 748 / 46 | $6.316,52 | 573 / 64 | $4.711,29 | 570 / 36 |
Syncope & Collapse | 59 | 110 / 13 | $15.624,30 | 450 / 29 | $4.575,81 | 352 / 31 | $3.391,93 | 350 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 57 | 66 / 12 | $20.607,60 | 366 / 25 | $7.776,74 | 215 / 46 | $5.892,39 | 215 / 15 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 55 | 70 / 12 | $32.973,20 | 549 / 36 | $10.641,10 | 299 / 45 | $8.530,95 | 299 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 50 | 132 / 21 | $26.119,20 | 866 / 45 | $6.592,42 | 185 / 38 | $4.802,42 | 185 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 15 | $33.626,00 | 472 / 27 | $10.580,20 | 431 / 33 | $9.174,62 | 430 / 32 |
Respiratory Infections & Inflammations W Mcc | 47 | 89 / 16 | $29.821,70 | 381 / 24 | $11.647,60 | 222 / 38 | $9.834,19 | 222 / 19 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 20 | $12.810,80 | 691 / 38 | $3.655,76 | 291 / 29 | $2.252,61 | 289 / 18 |
Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 17 | $38.762,50 | 572 / 37 | $12.142,80 | 876 / 45 | $10.750,10 | 863 / 58 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 19 | $14.187,60 | 689 / 49 | $4.683,13 | 364 / 41 | $3.201,03 | 363 / 28 |
G.I. Obstruction W Cc | 37 | 55 / 9 | $15.422,70 | 318 / 21 | $5.630,81 | 170 / 26 | $4.004,70 | 169 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 37 | 59 / 6 | $18.894,50 | 167 / 11 | $7.393,00 | 318 / 24 | $6.273,73 | 316 / 24 |
Transient Ischemia | 34 | 91 / 21 | $20.548,30 | 699 / 39 | $4.435,29 | 205 / 22 | $3.025,88 | 205 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 36 | $55.271,70 | 349 / 25 | $15.742,70 | 199 / 49 | $9.809,55 | 199 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 37 | $20.756,30 | 857 / 47 | $6.818,84 | 518 / 46 | $5.227,26 | 516 / 32 |
Medical Back Problems W/O Mcc | 29 | 92 / 20 | $17.802,50 | 380 / 27 | $5.301,72 | 376 / 25 | $4.077,55 | 376 / 27 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 15 | $20.433,30 | 610 / 32 | $4.802,83 | 423 / 22 | $3.536,38 | 420 / 27 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 20 | $73.919,90 | 208 / 13 | $26.062,40 | 21 / 4 | $22.680,50 | 21 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 13 | $13.069,00 | 515 / 30 | $4.485,72 | 398 / 25 | $3.139,76 | 396 / 22 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 27 | 161 / 34 | $27.865,60 | 418 / 26 | $6.839,56 | 545 / 26 | $5.517,70 | 543 / 31 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 20 | $13.643,00 | 685 / 42 | $4.196,07 | 141 / 20 | $2.868,67 | 139 / 12 |
Other Digestive System Diagnoses W Cc | 27 | 70 / 14 | $17.423,60 | 259 / 16 | $6.169,56 | 235 / 20 | $4.741,67 | 232 / 19 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 26 | 47 / 8 | $18.242,80 | 220 / 13 | $7.190,62 | 64 / 18 | $5.441,92 | 64 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 40 | $14.058,90 | 842 / 46 | $4.567,73 | 405 / 47 | $3.245,42 | 405 / 23 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 35 | $40.031,90 | 332 / 22 | $13.766,30 | 330 / 29 | $11.956,40 | 326 / 21 |
Chest Pain | 23 | 128 / 27 | $14.567,60 | 458 / 26 | $3.844,65 | 701 / 17 | $3.135,83 | 696 / 43 |
Major Small & Large Bowel Procedures W Cc | 23 | 85 / 19 | $42.616,10 | 253 / 14 | $15.023,10 | 123 / 26 | $12.032,50 | 123 / 11 |
Diabetes W Cc | 22 | 70 / 19 | $14.001,20 | 270 / 18 | $5.467,45 | 86 / 29 | $3.573,36 | 86 / 10 |
Peripheral Vascular Disorders W Cc | 22 | 62 / 12 | $16.818,70 | 264 / 21 | $6.001,64 | 137 / 20 | $4.492,27 | 137 / 11 |
G.I. Hemorrhage W Mcc | 22 | 99 / 29 | $23.256,50 | 137 / 8 | $10.662,70 | 355 / 35 | $9.288,05 | 355 / 34 |
Hypertension W/O Mcc | 21 | 44 / 5 | $16.947,60 | 300 / 17 | $4.042,48 | 161 / 9 | $2.813,52 | 160 / 8 |
Spinal Fusion Except Cervical W/O Mcc | 21 | 173 / 32 | $69.681,40 | 366 / 19 | $24.148,50 | 640 / 22 | $22.732,30 | 636 / 41 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 20 | 42 / 8 | $16.671,70 | 248 / 15 | $4.903,30 | 165 / 10 | $3.521,45 | 165 / 12 |
Seizures W/O Mcc | 20 | 88 / 20 | $16.951,30 | 368 / 23 | $5.057,05 | 90 / 22 | $3.272,85 | 90 / 6 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 11 | $13.812,20 | 287 / 10 | $4.326,15 | 85 / 6 | $3.125,80 | 85 / 7 |
Dysequilibrium | 20 | 45 / 6 | $16.879,80 | 173 / 12 | $4.116,35 | 47 / 9 | $2.398,85 | 47 / 7 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 34 | $12.483,50 | 242 / 10 | $5.028,00 | 482 / 29 | $3.966,55 | 481 / 36 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 22 | $26.939,70 | 560 / 38 | $8.846,47 | 298 / 35 | $6.976,42 | 296 / 18 |
Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 5 | $15.767,60 | 315 / 17 | $4.499,16 | 171 / 13 | $3.177,79 | 172 / 11 |
Other Vascular Procedures W Cc | 19 | 83 / 22 | $59.017,40 | 346 / 14 | $17.170,00 | 373 / 24 | $14.251,50 | 371 / 17 |
Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 19 | $25.279,60 | 531 / 32 | $6.470,61 | 148 / 25 | $4.831,39 | 148 / 10 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 7 | $32.930,40 | 142 / 9 | $10.421,80 | 374 / 13 | $8.952,67 | 374 / 20 |
Major Cardiovasc Procedures W Mcc | 18 | 50 / 12 | $82.778,90 | 66 / 6 | $31.306,60 | 74 / 7 | $27.219,30 | 74 / 8 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 17 | 23 / 3 | $53.968,60 | 128 / 6 | $15.708,00 | 106 / 6 | $13.225,10 | 106 / 10 |
Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 14 | $64.071,40 | 403 / 27 | $16.131,20 | 324 / 16 | $14.720,50 | 323 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 32 | $25.264,30 | 720 / 44 | $7.047,41 | 308 / 36 | $5.722,71 | 305 / 19 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 17 | 39 / 9 | $26.691,20 | 90 / 5 | $11.364,00 | 148 / 13 | $10.214,40 | 148 / 13 |
Cellulitis W Mcc | 16 | 42 / 14 | $18.248,20 | 93 / 6 | $9.268,06 | 293 / 30 | $7.814,19 | 292 / 32 |
Signs & Symptoms W/O Mcc | 16 | 75 / 19 | $15.716,80 | 384 / 26 | $4.415,88 | 284 / 18 | $3.358,75 | 283 / 19 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 32 | $29.089,90 | 195 / 16 | $10.868,80 | 256 / 20 | $9.833,94 | 256 / 28 |
Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 13 | $19.973,60 | 234 / 17 | $5.967,19 | 45 / 10 | $4.248,94 | 45 / 5 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 15 | $53.419,50 | 393 / 16 | $14.344,80 | 281 / 19 | $11.476,20 | 278 / 14 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 11 | $29.124,70 | 120 / 5 | $10.430,00 | 23 / 7 | $6.833,33 | 23 / 1 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 16 | $12.665,40 | 340 / 24 | $3.888,40 | 227 / 14 | $2.581,33 | 227 / 14 |
Seizures W Mcc | 15 | 51 / 16 | $22.426,20 | 74 / 3 | $8.114,20 | 29 / 2 | $7.024,40 | 29 / 2 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 13 | $48.633,50 | 136 / 8 | $17.856,10 | 245 / 17 | $16.196,70 | 243 / 18 |
Tendonitis, Myositis & Bursitis W/O Mcc | 14 | 28 / 4 | $17.760,10 | 107 / 6 | $5.574,71 | 33 / 8 | $3.556,86 | 33 / 5 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 24 | $104.087,00 | 417 / 25 | $39.911,70 | 3 / 49 | $19.599,40 | 3 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 26 | $68.210,20 | 149 / 10 | $19.596,20 | 373 / 14 | $18.493,80 | 371 / 20 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 17 | $16.015,50 | 236 / 17 | $5.648,58 | 207 / 17 | $4.125,58 | 204 / 14 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 19 | $26.455,90 | 261 / 13 | $8.825,83 | 26 / 14 | $6.265,50 | 26 / 1 |
Complications Of Treatment W Mcc | 12 | 39 / 5 | $23.322,30 | 21 / 1 | $11.052,50 | 10 / 2 | $8.517,33 | 10 / 1 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 13 | $74.703,00 | 173 / 15 | $21.160,10 | 127 / 8 | $19.771,30 | 127 / 10 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 18 | $23.697,20 | 255 / 17 | $8.041,83 | 332 / 24 | $6.911,42 | 330 / 28 |
Other Vascular Procedures W Mcc | 12 | 85 / 26 | $54.270,30 | 109 / 5 | $19.612,20 | 267 / 10 | $18.421,70 | 266 / 15 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 22 | $41.212,50 | 173 / 12 | $12.910,10 | 304 / 13 | $11.557,00 | 299 / 21 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 13 | $23.152,20 | 74 / 3 | $10.520,30 | 160 / 10 | $9.169,00 | 160 / 10 |
Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 9 | $13.333,00 | 86 / 4 | $4.629,92 | 68 / 3 | $3.625,50 | 68 / 4 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 17 | $14.669,50 | 95 / 3 | $6.595,73 | 57 / 13 | $4.617,73 | 57 / 5 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 6 | $29.885,70 | 22 / 1 | $11.985,30 | 68 / 2 | $10.620,80 | 67 / 4 |
Major Chest Procedures W Mcc | 11 | 38 / 9 | $74.974,50 | 38 / 5 | $25.621,30 | 12 / 2 | $23.435,60 | 12 / 2 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 18 | $21.852,60 | 363 / 20 | $6.095,64 | 30 / 16 | $3.756,73 | 30 / 4 |
Disorders Of The Biliary Tract W Cc | 11 | 43 / 8 | $26.621,00 | 158 / 8 | $6.879,82 | 106 / 5 | $5.545,18 | 106 / 7 | Total 88 procedures | 3.030 | 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.