Hospital Costs > In Iowa > St Luke's Hospital Cedar Rapids, 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 | 353 | 170 / 1 | $36.755,60 | 1136 / 23 | $11.250,70 | 621 / 18 | $9.691,70 | 620 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 286 | 281 / 9 | $52.101,60 | 1382 / 31 | $13.141,10 | 939 / 18 | $10.952,00 | 920 / 13 |
Psychoses | 196 | 120 / 5 | $15.237,60 | 187 / 9 | $6.702,56 | 198 / 9 | $5.509,20 | 198 / 8 |
Pulmonary Edema & Respiratory Failure | 151 | 56 / 2 | $34.501,20 | 1270 / 21 | $8.082,49 | 892 / 19 | $6.801,51 | 892 / 17 |
Heart Failure & Shock W Mcc | 137 | 147 / 4 | $35.667,60 | 1432 / 23 | $9.585,29 | 1021 / 20 | $8.321,54 | 1019 / 16 |
Respiratory Infections & Inflammations W Mcc | 98 | 40 / 1 | $37.291,50 | 665 / 17 | $11.711,30 | 368 / 12 | $10.186,90 | 367 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 88 | 119 / 4 | $22.678,20 | 1038 / 20 | $6.858,44 | 975 / 18 | $5.640,98 | 972 / 18 |
Simple Pneumonia & Pleurisy W Mcc | 86 | 119 / 6 | $31.868,30 | 1158 / 25 | $9.180,30 | 991 / 19 | $7.866,21 | 991 / 18 |
G.I. Hemorrhage W Cc | 80 | 138 / 5 | $21.082,80 | 844 / 20 | $6.443,75 | 1089 / 21 | $5.457,59 | 1087 / 21 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 65 | 131 / 4 | $53.164,10 | 290 / 8 | $12.463,50 | 521 / 11 | $10.698,30 | 519 / 11 |
Heart Failure & Shock W Cc | 63 | 215 / 10 | $18.041,90 | 936 / 19 | $6.699,87 | 810 / 24 | $5.147,29 | 809 / 16 |
Cellulitis W/O Mcc | 61 | 128 / 6 | $15.420,70 | 911 / 21 | $5.566,64 | 1320 / 18 | $4.551,66 | 1314 / 25 |
Renal Failure W Mcc | 58 | 137 / 3 | $29.578,10 | 738 / 14 | $9.167,79 | 513 / 11 | $8.081,40 | 513 / 7 |
Renal Failure W Cc | 53 | 168 / 9 | $14.389,80 | 409 / 6 | $6.350,11 | 846 / 18 | $5.038,70 | 839 / 17 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 10 | $17.043,40 | 1006 / 20 | $5.280,31 | 855 / 23 | $3.666,60 | 850 / 18 |
G.I. Hemorrhage W Mcc | 46 | 75 / 3 | $38.787,60 | 652 / 15 | $11.636,70 | 587 / 17 | $9.883,98 | 588 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 10 | $25.345,50 | 1152 / 21 | $7.417,80 | 999 / 18 | $6.238,66 | 994 / 19 |
Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 9 | $40.030,50 | 637 / 15 | $11.522,30 | 633 / 11 | $10.313,10 | 630 / 13 |
Extracranial Procedures W/O Cc/Mcc | 43 | 55 / 3 | $27.465,30 | 358 / 9 | $7.189,60 | 287 / 10 | $5.174,16 | 287 / 6 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 41 | 90 / 5 | $72.356,20 | 1181 / 18 | $15.336,70 | 949 / 11 | $13.911,70 | 940 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 8 | $23.400,70 | 1335 / 22 | $6.217,76 | 1105 / 18 | $5.061,43 | 1101 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 36 | 29 / 3 | $77.398,50 | 468 / 17 | $19.226,30 | 218 / 9 | $16.930,60 | 217 / 6 |
Spinal Fusion Except Cervical W/O Mcc | 36 | 158 / 10 | $132.201,00 | 1014 / 15 | $25.851,50 | 846 / 12 | $24.565,10 | 842 / 14 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 35 | 53 / 3 | $96.389,00 | 233 / 3 | $22.540,50 | 178 / 4 | $19.846,50 | 177 / 5 |
Major Small & Large Bowel Procedures W Cc | 35 | 73 / 5 | $51.965,90 | 464 / 12 | $15.071,90 | 386 / 9 | $13.181,50 | 383 / 8 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 5 | $87.238,20 | 326 / 8 | $28.472,30 | 255 / 3 | $27.398,50 | 255 / 4 |
Major Cardiovasc Procedures W/O Mcc | 35 | 66 / 4 | $100.555,00 | 585 / 8 | $20.934,70 | 397 / 6 | $19.336,40 | 397 / 6 |
Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 17 | $16.989,90 | 796 / 19 | $6.411,76 | 1026 / 20 | $5.098,71 | 1023 / 21 |
Major Small & Large Bowel Procedures W Mcc | 33 | 52 / 3 | $88.885,00 | 288 / 8 | $27.511,10 | 203 / 4 | $26.414,80 | 202 / 6 |
G.I. Obstruction W Cc | 32 | 60 / 7 | $16.038,90 | 363 / 13 | $5.836,56 | 919 / 16 | $4.974,62 | 916 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 7 | $26.491,80 | 756 / 18 | $7.662,59 | 759 / 15 | $6.741,72 | 756 / 15 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 31 | 157 / 10 | $28.223,10 | 436 / 10 | $7.037,26 | 674 / 13 | $5.696,61 | 672 / 12 |
Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 5 | $16.564,00 | 341 / 7 | $6.857,39 | 611 / 11 | $5.837,13 | 610 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 11 | $14.768,90 | 926 / 19 | $4.683,60 | 1213 / 17 | $3.821,90 | 1209 / 17 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 29 | 60 / 2 | $25.106,90 | 196 / 5 | $7.016,90 | 290 / 7 | $5.555,62 | 289 / 6 |
G.I. Obstruction W/O Cc/Mcc | 29 | 42 / 3 | $12.053,60 | 283 / 7 | $4.415,76 | 539 / 9 | $3.010,48 | 538 / 9 |
Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 5 | $16.010,80 | 956 / 15 | $4.602,31 | 981 / 14 | $3.712,10 | 973 / 15 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 11 | $15.675,10 | 590 / 14 | $5.304,03 | 1127 / 15 | $4.421,69 | 1123 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 14 | $17.941,10 | 342 / 9 | $6.390,83 | 596 / 10 | $5.329,17 | 595 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 7 | $36.241,10 | 556 / 12 | $11.427,00 | 605 / 12 | $9.637,97 | 604 / 11 |
Coronary Bypass W/O Cardiac Cath W Mcc | 28 | 31 / 2 | $140.960,00 | 99 / 2 | $32.944,00 | 68 / 1 | $32.050,50 | 68 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 28 | 63 / 3 | $27.024,10 | 607 / 10 | $6.493,93 | 558 / 10 | $5.576,36 | 557 / 11 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 26 | 70 / 6 | $69.313,30 | 579 / 11 | $15.284,90 | 247 / 10 | $11.343,70 | 245 / 5 |
Respiratory Infections & Inflammations W Cc | 26 | 62 / 5 | $22.749,10 | 380 / 9 | $8.419,65 | 574 / 11 | $7.495,54 | 571 / 11 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 11 | $50.122,80 | 1144 / 19 | $12.386,10 | 835 / 20 | $9.811,12 | 834 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 7 | $16.620,50 | 229 / 3 | $7.380,60 | 245 / 11 | $5.608,36 | 243 / 5 |
Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 15 | $13.730,10 | 759 / 21 | $5.078,96 | 1132 / 23 | $4.042,76 | 1124 / 23 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 24 | 100 / 7 | $9.448,25 | 114 / 3 | $4.540,50 | 297 / 9 | $3.780,50 | 297 / 10 |
Cellulitis W Mcc | 22 | 36 / 2 | $30.104,40 | 385 / 6 | $8.560,82 | 182 / 6 | $7.356,32 | 181 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 22 | 78 / 7 | $75.952,50 | 230 / 8 | $18.576,90 | 254 / 2 | $17.551,90 | 253 / 7 |
Syncope & Collapse | 22 | 147 / 9 | $14.487,60 | 355 / 7 | $5.015,36 | 988 / 13 | $4.045,27 | 982 / 14 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 22 | 42 / 4 | $39.320,80 | 284 / 6 | $10.160,00 | 272 / 5 | $8.456,00 | 272 / 6 |
Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 5 | $49.357,10 | 147 / 4 | $17.051,80 | 183 / 4 | $15.776,30 | 182 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 20 | 98 / 5 | $123.035,00 | 176 / 1 | $30.075,20 | 65 / 1 | $27.335,30 | 65 / 1 |
Major Male Pelvic Procedures W/O Cc/Mcc | 20 | 53 / 3 | $27.270,40 | 56 / 4 | $8.396,70 | 115 / 4 | $6.153,90 | 115 / 6 |
Transient Ischemia | 20 | 105 / 7 | $13.318,70 | 198 / 2 | $4.788,30 | 665 / 11 | $3.546,10 | 661 / 11 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 19 | 21 / 2 | $56.902,70 | 149 / 2 | $17.876,30 | 14 / 4 | $11.574,70 | 14 / 1 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 8 | $16.635,40 | 980 / 15 | $5.003,53 | 886 / 13 | $3.644,47 | 879 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 8 | $23.822,80 | 383 / 8 | $7.550,11 | 627 / 10 | $6.946,89 | 622 / 10 |
Pulmonary Embolism W Mcc | 18 | 25 / 4 | $22.042,90 | 68 / 2 | $9.133,89 | 158 / 6 | $8.039,00 | 158 / 6 |
Other Vascular Procedures W/O Cc/Mcc | 17 | 39 / 3 | $49.083,30 | 284 / 2 | $10.957,50 | 176 / 2 | $8.987,35 | 175 / 2 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 8 | $30.552,50 | 400 / 8 | $10.369,50 | 97 / 8 | $7.542,06 | 97 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 17 | 99 / 3 | $160.122,00 | 116 / 1 | $45.065,80 | 86 / 1 | $44.226,40 | 86 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 4 | $28.091,60 | 308 / 4 | $8.022,12 | 165 / 1 | $7.096,71 | 164 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 11 | $12.459,60 | 455 / 12 | $4.834,00 | 963 / 18 | $3.644,53 | 958 / 17 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 5 | $11.848,60 | 164 / 2 | $4.551,12 | 343 / 5 | $3.453,00 | 342 / 7 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 6 | $9.514,44 | 99 / 1 | $4.428,44 | 277 / 7 | $3.094,88 | 276 / 5 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 10 | $18.236,10 | 737 / 11 | $5.380,31 | 971 / 10 | $4.485,94 | 965 / 11 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 16 | 39 / 5 | $40.063,40 | 139 / 6 | $11.989,80 | 228 / 5 | $10.774,50 | 228 / 7 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 4 | $129.440,00 | 442 / 4 | $30.157,10 | 292 / 2 | $29.087,60 | 292 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 14 | $12.839,90 | 693 / 19 | $3.998,25 | 1163 / 18 | $2.979,44 | 1158 / 20 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 4 | $25.294,40 | 465 / 9 | $5.187,62 | 301 / 9 | $3.775,69 | 298 / 9 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 8 | $13.592,00 | 111 / 1 | $6.309,47 | 302 / 6 | $4.864,33 | 299 / 4 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 4 | $129.641,00 | 384 / 1 | $33.955,60 | 83 / 1 | $29.472,70 | 83 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 12 | $16.083,40 | 313 / 10 | $5.079,57 | 672 / 12 | $3.823,86 | 668 / 13 |
Depressive Neuroses | 14 | 36 / 2 | $15.929,40 | 102 / 3 | $5.142,07 | 90 / 2 | $4.259,93 | 90 / 2 |
Major Chest Procedures W Mcc | 14 | 35 / 3 | $130.645,00 | 175 / 4 | $34.767,20 | 99 / 3 | $28.610,10 | 99 / 2 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 8 | $82.995,10 | 350 / 11 | $16.165,60 | 244 / 7 | $14.921,10 | 244 / 8 |
Diabetes W Cc | 13 | 79 / 9 | $15.550,90 | 369 / 5 | $5.424,62 | 683 / 6 | $4.513,38 | 681 / 7 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 3 | $96.651,80 | 327 / 4 | $23.794,20 | 167 / 2 | $20.162,00 | 167 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 5 | $30.059,30 | 141 / 3 | $10.620,40 | 56 / 2 | $9.355,08 | 56 / 2 |
Major Chest Procedures W Cc | 12 | 62 / 4 | $69.448,90 | 264 / 3 | $16.262,30 | 113 / 2 | $13.525,10 | 113 / 2 |
Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 4 | $20.568,80 | 139 / 3 | $6.331,92 | 178 / 3 | $5.328,92 | 178 / 3 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 13 | $14.329,00 | 126 / 3 | $6.431,58 | 653 / 10 | $5.465,50 | 650 / 15 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 7 | $30.630,40 | 56 / 2 | $11.349,40 | 194 / 4 | $10.177,10 | 193 / 8 |
G.I. Obstruction W Mcc | 12 | 30 / 7 | $29.606,10 | 122 / 5 | $9.976,67 | 165 / 6 | $8.960,17 | 165 / 6 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 6 | $31.455,30 | 222 / 5 | $9.781,83 | 309 / 6 | $8.512,58 | 308 / 5 |
Major Cardiovasc Procedures W Mcc | 11 | 57 / 7 | $112.648,00 | 176 / 3 | $30.577,60 | 30 / 2 | $25.740,50 | 30 / 1 |
Peripheral Vascular Disorders W Mcc | 11 | 38 / 4 | $14.756,70 | 23 / 1 | $8.269,91 | 135 / 1 | $7.229,36 | 135 / 1 |
Other Circulatory System Diagnoses W Cc | 11 | 55 / 5 | $24.841,80 | 304 / 3 | $6.033,55 | 116 / 2 | $4.776,82 | 115 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 3 | $38.750,70 | 289 / 3 | $7.722,09 | 263 / 3 | $6.453,73 | 263 / 3 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 7 | $29.244,00 | 108 / 5 | $10.267,20 | 97 / 5 | $8.906,55 | 97 / 4 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 6 | $60.390,50 | 78 / 3 | $21.343,60 | 174 / 3 | $20.458,20 | 174 / 3 | Total 93 procedures | 3.595 | 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.