Hospital Costs > In Indiana > St Joseph Hospital Fort Wayne, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 11 | 64 / 2 | $17.063,90 | 39 / 2 | $8.619,27 | 43 / 2 | $7.541,55 | 43 / 2 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 16 | $21.763,20 | 531 / 20 | $5.620,36 | 572 / 20 | $4.780,36 | 571 / 21 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 34 | $31.397,70 | 1681 / 55 | $6.260,00 | 1532 / 50 | $5.058,87 | 1527 / 49 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 33 | $69.147,70 | 1776 / 52 | $13.410,50 | 1793 / 51 | $11.191,70 | 1790 / 51 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 29 | $20.521,90 | 1425 / 49 | $4.857,00 | 1656 / 50 | $3.910,23 | 1650 / 52 |
Cellulitis W/O Mcc | 19 | 170 / 36 | $24.190,20 | 1829 / 62 | $6.422,84 | 1958 / 64 | $5.470,26 | 1950 / 68 |
Chest Pain | 11 | 140 / 26 | $24.500,50 | 1184 / 41 | $5.102,73 | 1334 / 38 | $4.398,00 | 1327 / 39 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 38 | $30.140,90 | 1724 / 65 | $7.089,76 | 1818 / 63 | $6.150,48 | 1811 / 63 |
Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 49 | $36.195,80 | 1805 / 67 | $8.456,72 | 1766 / 65 | $7.353,39 | 1758 / 66 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 31 | $22.737,90 | 1440 / 58 | $5.777,89 | 1650 / 56 | $4.782,89 | 1639 / 59 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 36 | $34.857,10 | 752 / 33 | $9.999,86 | 35 / 48 | $4.470,14 | 35 / 2 |
Depressive Neuroses | 12 | 38 / 5 | $18.155,20 | 114 / 6 | $5.472,25 | 99 / 5 | $4.475,83 | 99 / 6 |
Diabetes W Cc | 11 | 81 / 23 | $26.345,90 | 1053 / 37 | $6.438,82 | 1051 / 37 | $5.276,36 | 1047 / 36 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 31 | $27.393,90 | 2029 / 68 | $5.936,00 | 2142 / 65 | $5.099,68 | 2128 / 68 |
G.I. Hemorrhage W Cc | 13 | 205 / 41 | $32.667,20 | 1693 / 51 | $7.279,85 | 1652 / 52 | $6.263,62 | 1648 / 53 |
Heart Failure & Shock W Cc | 40 | 238 / 37 | $32.636,20 | 2084 / 73 | $7.698,98 | 2022 / 69 | $6.566,33 | 2017 / 69 |
Heart Failure & Shock W Mcc | 15 | 269 / 52 | $57.309,30 | 2154 / 70 | $10.508,20 | 1782 / 65 | $9.665,53 | 1777 / 65 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 28 | $20.094,70 | 1291 / 53 | $5.545,50 | 1638 / 52 | $4.814,88 | 1625 / 55 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 47 | $21.016,20 | 1673 / 62 | $6.058,20 | 2028 / 65 | $5.058,10 | 2017 / 67 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 25 | $28.205,20 | 870 / 27 | $8.075,05 | 874 / 31 | $6.737,21 | 871 / 30 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 37 | $24.992,70 | 1885 / 65 | $5.750,22 | 1710 / 64 | $4.335,94 | 1705 / 58 |
Other Vascular Procedures W Cc | 11 | 91 / 24 | $111.261,00 | 922 / 32 | $20.651,60 | 484 / 33 | $14.850,50 | 481 / 16 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 16 | $114.156,00 | 624 / 25 | $21.968,60 | 613 / 22 | $20.959,40 | 609 / 27 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 46 | 150 / 17 | $73.363,00 | 747 / 24 | $13.628,10 | 880 / 24 | $11.985,50 | 874 / 32 |
Psychoses | 107 | 186 / 10 | $21.063,60 | 353 / 12 | $7.727,18 | 368 / 15 | $6.404,62 | 368 / 15 |
Pulmonary Edema & Respiratory Failure | 21 | 182 / 44 | $56.608,70 | 1871 / 63 | $9.486,48 | 1809 / 60 | $8.957,43 | 1804 / 61 |
Renal Failure W Cc | 19 | 202 / 43 | $23.439,80 | 1305 / 45 | $7.198,95 | 1855 / 58 | $6.562,32 | 1845 / 61 |
Renal Failure W Mcc | 11 | 184 / 37 | $56.598,50 | 1703 / 55 | $12.359,30 | 1744 / 51 | $11.426,50 | 1741 / 53 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 16 | $164.474,00 | 622 / 29 | $33.008,30 | 480 / 17 | $32.039,90 | 479 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 35 | 481 / 56 | $67.254,00 | 2250 / 70 | $12.910,10 | 1568 / 63 | $11.148,20 | 1536 / 55 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 43 | $29.290,30 | 1572 / 55 | $7.050,50 | 1531 / 41 | $6.306,81 | 1525 / 56 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 44 | $26.470,80 | 1739 / 61 | $7.432,33 | 1855 / 67 | $5.935,11 | 1847 / 66 | Total 32 procedures | 693 | 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.