Hospital Costs > In Indiana > St Joseph Hospital & Health Center Inc, 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 | 122 | 442 / 33 | $52.839,40 | 1411 / 37 | $12.775,80 | 1144 / 17 | $11.288,70 | 1117 / 44 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 62 | 454 / 48 | $49.854,00 | 1781 / 59 | $11.562,70 | 1355 / 39 | $10.734,70 | 1328 / 46 |
Heart Failure & Shock W Cc | 50 | 228 / 32 | $24.459,90 | 1625 / 58 | $6.065,90 | 927 / 27 | $5.233,70 | 926 / 34 |
G.I. Hemorrhage W Cc | 47 | 171 / 25 | $22.732,70 | 1004 / 26 | $6.136,36 | 784 / 16 | $5.165,11 | 782 / 23 |
Heart Failure & Shock W Mcc | 47 | 237 / 36 | $34.839,70 | 1384 / 55 | $8.979,40 | 1039 / 27 | $8.345,77 | 1037 / 42 |
Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 26 | $17.857,50 | 1332 / 49 | $4.898,77 | 974 / 31 | $3.945,57 | 967 / 37 |
Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 17 | $109.722,00 | 830 / 21 | $24.951,40 | 788 / 14 | $23.974,40 | 784 / 24 |
Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 33 | $32.248,90 | 1183 / 44 | $8.686,36 | 903 / 28 | $7.761,55 | 903 / 37 |
Pulmonary Edema & Respiratory Failure | 43 | 160 / 35 | $36.777,10 | 1375 / 56 | $7.758,74 | 1179 / 36 | $7.202,91 | 1177 / 50 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 35 | $32.244,30 | 1610 / 62 | $7.098,00 | 1001 / 19 | $6.240,58 | 996 / 36 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 23 | $15.920,50 | 1076 / 40 | $4.488,46 | 838 / 27 | $3.539,76 | 835 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 31 | $17.766,80 | 1096 / 32 | $4.736,03 | 1005 / 22 | $3.765,35 | 997 / 40 |
Transient Ischemia | 33 | 92 / 16 | $17.707,80 | 465 / 16 | $4.470,45 | 491 / 16 | $3.367,52 | 489 / 20 |
Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 18 | $46.514,80 | 909 / 28 | $11.397,00 | 724 / 18 | $10.467,40 | 718 / 25 |
Psychoses | 31 | 245 / 15 | $9.007,13 | 40 / 2 | $6.329,84 | 57 / 4 | $4.861,23 | 57 / 2 |
Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 35 | $24.870,00 | 1617 / 56 | $6.292,42 | 778 / 37 | $4.885,77 | 775 / 26 |
Cellulitis W/O Mcc | 31 | 158 / 30 | $20.903,50 | 1567 / 54 | $5.294,26 | 1093 / 24 | $4.345,48 | 1087 / 43 |
Renal Failure W Cc | 31 | 190 / 37 | $25.128,50 | 1433 / 50 | $5.950,81 | 935 / 24 | $5.118,58 | 927 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 30 | $27.822,40 | 986 / 40 | $6.547,23 | 780 / 23 | $5.525,90 | 778 / 36 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 30 | 94 / 6 | $9.279,93 | 106 / 3 | $4.417,17 | 140 / 5 | $3.359,97 | 140 / 7 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 34 | $25.472,70 | 1476 / 57 | $5.782,21 | 770 / 22 | $4.775,07 | 768 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 23 | $33.619,00 | 1113 / 42 | $8.070,44 | 988 / 31 | $7.114,15 | 985 / 36 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 17 | $18.677,10 | 487 / 16 | $4.763,29 | 474 / 14 | $3.599,42 | 471 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 28 | $19.295,70 | 986 / 37 | $4.887,67 | 825 / 15 | $4.131,14 | 822 / 29 |
Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 12 | $54.180,10 | 391 / 10 | $13.091,00 | 347 / 6 | $11.878,50 | 346 / 10 |
G.I. Obstruction W Cc | 19 | 73 / 18 | $18.978,40 | 581 / 19 | $5.637,11 | 789 / 23 | $4.799,95 | 787 / 30 |
Renal Failure W Mcc | 19 | 176 / 33 | $38.896,40 | 1237 / 43 | $9.427,79 | 924 / 25 | $8.767,58 | 924 / 30 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 28 | $39.854,80 | 324 / 13 | $13.250,60 | 440 / 6 | $12.289,00 | 435 / 10 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 14 | $127.102,00 | 367 / 13 | $37.214,10 | 193 / 11 | $31.588,60 | 193 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 41 | $24.827,90 | 1236 / 42 | $6.955,44 | 516 / 39 | $5.225,22 | 514 / 14 |
Other Vascular Procedures W/O Cc/Mcc | 18 | 38 / 7 | $33.342,60 | 92 / 3 | $10.046,50 | 155 / 4 | $8.895,06 | 154 / 6 |
Syncope & Collapse | 18 | 151 / 30 | $15.902,20 | 472 / 14 | $4.636,72 | 845 / 15 | $3.891,11 | 841 / 30 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 33 | $14.358,10 | 907 / 36 | $3.703,28 | 556 / 27 | $2.485,61 | 552 / 20 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 26 | $18.708,80 | 777 / 18 | $5.319,67 | 1046 / 28 | $4.573,67 | 1039 / 34 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 33 | $28.882,10 | 459 / 13 | $6.530,47 | 612 / 11 | $5.597,24 | 610 / 30 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 35 | $36.684,50 | 1406 / 48 | $7.625,69 | 1089 / 44 | $6.549,44 | 1085 / 42 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 30 | $52.454,10 | 1124 / 43 | $11.807,40 | 714 / 23 | $10.951,00 | 706 / 27 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 32 | $17.835,20 | 1096 / 46 | $4.581,62 | 821 / 22 | $3.593,69 | 817 / 38 |
Diabetes W Cc | 15 | 77 / 20 | $20.528,30 | 733 / 26 | $5.507,60 | 504 / 23 | $4.288,20 | 504 / 16 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 17 | $22.160,40 | 502 / 14 | $5.924,23 | 435 / 8 | $5.074,69 | 434 / 16 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 13 | 34 / 1 | $121.850,00 | 38 / 1 | $35.345,50 | 45 / 1 | $34.407,40 | 45 / 1 |
Depressive Neuroses | 12 | 38 / 5 | $9.949,33 | 50 / 1 | $4.369,92 | 21 / 2 | $3.129,33 | 21 / 1 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 20 | $31.311,80 | 727 / 28 | $8.170,00 | 596 / 17 | $7.552,83 | 593 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 30 | $31.694,50 | 397 / 14 | $9.681,17 | 390 / 6 | $9.062,75 | 389 / 10 |
G.I. Hemorrhage W Mcc | 12 | 109 / 23 | $41.603,30 | 754 / 28 | $10.098,30 | 312 / 7 | $9.175,92 | 312 / 12 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 16 | $134.836,00 | 476 / 25 | $37.177,30 | 398 / 26 | $30.640,90 | 398 / 16 |
Chest Pain | 12 | 139 / 25 | $12.800,80 | 296 / 9 | $4.241,58 | 252 / 26 | $2.620,42 | 251 / 8 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 22 | $27.467,30 | 359 / 12 | $6.413,00 | 421 / 12 | $5.528,27 | 420 / 17 |
Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 21 | $76.288,20 | 330 / 10 | $19.264,50 | 258 / 4 | $18.264,90 | 258 / 7 |
Other Vascular Procedures W Cc | 11 | 91 / 24 | $51.312,50 | 223 / 8 | $14.539,10 | 229 / 5 | $13.528,30 | 229 / 9 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 33 | $15.028,10 | 857 / 32 | $4.360,91 | 829 / 26 | $3.582,09 | 825 / 34 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 31 | $23.981,50 | 645 / 19 | $6.732,64 | 526 / 10 | $6.060,00 | 523 / 17 | Total 52 procedures | 1.394 | 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.