Hospital Costs > In Minnesota > St Luke's Hospital Duluth, 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 | 528 | 113 / 5 | $45.747,60 | 1070 / 37 | $14.085,00 | 1674 / 7 | $12.489,00 | 1637 / 16 |
| Psychoses | 202 | 116 / 7 | $13.859,50 | 160 / 2 | $6.862,74 | 285 / 4 | $5.890,50 | 285 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 189 | 327 / 13 | $33.929,00 | 995 / 26 | $12.120,00 | 1445 / 12 | $10.931,10 | 1417 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 80 | 127 / 10 | $19.084,00 | 699 / 24 | $7.161,59 | 1458 / 13 | $6.190,49 | 1452 / 20 |
| Simple Pneumonia & Pleurisy W Mcc | 74 | 131 / 7 | $24.535,70 | 672 / 15 | $9.775,78 | 1362 / 14 | $8.416,62 | 1362 / 15 |
| Pulmonary Edema & Respiratory Failure | 71 | 132 / 10 | $25.268,60 | 748 / 18 | $8.205,62 | 1207 / 6 | $7.238,04 | 1205 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 63 | 80 / 7 | $36.121,00 | 458 / 16 | $12.673,90 | 1092 / 8 | $11.285,00 | 1078 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 56 | 140 / 11 | $64.719,00 | 559 / 10 | $13.292,30 | 896 / 2 | $12.078,40 | 889 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 17 | $20.023,30 | 1391 / 39 | $5.414,84 | 1746 / 15 | $4.394,09 | 1733 / 19 |
| Heart Failure & Shock W Mcc | 53 | 231 / 18 | $24.275,80 | 682 / 19 | $9.663,13 | 1466 / 9 | $8.979,32 | 1462 / 13 |
| Cellulitis W/O Mcc | 50 | 139 / 11 | $15.005,20 | 857 / 17 | $5.822,46 | 1508 / 8 | $4.736,40 | 1501 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 47 | 135 / 13 | $17.125,20 | 295 / 5 | $7.322,79 | 1248 / 15 | $6.229,38 | 1245 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 10 | $15.734,70 | 1053 / 21 | $4.972,10 | 1554 / 11 | $4.129,14 | 1549 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 15 | $18.572,20 | 976 / 35 | $6.689,12 | 1675 / 11 | $5.694,79 | 1668 / 16 |
| Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 13 | $25.434,40 | 1159 / 34 | $7.831,59 | 1546 / 12 | $6.906,28 | 1539 / 17 |
| G.I. Hemorrhage W Cc | 38 | 180 / 18 | $19.297,20 | 690 / 22 | $6.842,47 | 1323 / 12 | $5.722,76 | 1320 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 14 | $13.406,10 | 359 / 8 | $5.501,24 | 1237 / 8 | $4.549,76 | 1232 / 11 |
| Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 19 | $12.761,70 | 613 / 15 | $5.489,06 | 1479 / 13 | $4.333,50 | 1470 / 13 |
| Renal Failure W Cc | 33 | 188 / 18 | $17.343,40 | 712 / 21 | $6.463,36 | 1208 / 11 | $5.392,64 | 1200 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 15 | $22.079,80 | 464 / 10 | $8.130,03 | 1044 / 5 | $7.217,12 | 1041 / 8 |
| Respiratory Infections & Inflammations W Mcc | 32 | 104 / 13 | $38.522,00 | 722 / 16 | $13.818,70 | 1049 / 17 | $11.835,70 | 1035 / 13 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 31 | 38 / 8 | $59.389,90 | 202 / 12 | $16.952,90 | 308 / 3 | $15.876,00 | 308 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 30 | 35 / 4 | $58.077,30 | 222 / 9 | $20.506,60 | 369 / 9 | $18.179,20 | 367 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 10 | $46.732,50 | 1056 / 21 | $12.463,00 | 1310 / 16 | $11.547,40 | 1300 / 17 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 13 | $43.473,00 | 262 / 8 | $16.167,90 | 876 / 4 | $15.096,90 | 868 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 13 | $22.530,90 | 140 / 4 | $11.066,30 | 632 / 3 | $9.702,55 | 631 / 2 |
| Depressive Neuroses | 28 | 22 / 2 | $8.440,14 | 38 / 1 | $4.731,46 | 11 / 1 | $2.964,79 | 11 / 1 |
| Medical Back Problems W/O Mcc | 28 | 93 / 12 | $17.740,30 | 372 / 10 | $5.895,25 | 784 / 7 | $4.718,46 | 781 / 9 |
| Revision Of Hip Or Knee Replacement W Cc | 28 | 58 / 10 | $74.630,10 | 252 / 13 | $21.699,20 | 395 / 4 | $20.747,40 | 394 / 11 |
| Heart Failure & Shock W Cc | 26 | 252 / 28 | $15.811,70 | 666 / 13 | $6.603,73 | 1503 / 11 | $5.774,08 | 1498 / 12 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 12 | $99.763,80 | 486 / 4 | $36.705,00 | 908 / 7 | $34.093,70 | 902 / 8 |
| Spinal Fusion Except Cervical W/O Mcc | 26 | 168 / 15 | $83.500,00 | 567 / 19 | $25.446,00 | 821 / 2 | $24.294,10 | 817 / 10 |
| Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 4 | $18.690,20 | 183 / 4 | $7.090,95 | 284 / 6 | $5.225,95 | 284 / 3 |
| G.I. Obstruction W Cc | 20 | 72 / 19 | $21.512,30 | 759 / 19 | $5.989,30 | 957 / 9 | $5.035,05 | 954 / 10 |
| Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 9 | $55.989,60 | 295 / 9 | $17.732,60 | 448 / 7 | $15.542,70 | 447 / 3 |
| G.I. Hemorrhage W Mcc | 20 | 101 / 16 | $43.408,40 | 822 / 15 | $12.929,80 | 1004 / 13 | $11.276,50 | 997 / 10 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 14 | $30.301,00 | 532 / 12 | $7.690,80 | 838 / 8 | $5.985,40 | 836 / 6 |
| Neuroses Except Depressive | 20 | 8 / 2 | $10.757,40 | 20 / 2 | $4.886,80 | 12 / 1 | $3.916,75 | 12 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 7 | $49.272,40 | 324 / 19 | $14.370,80 | 548 / 6 | $13.204,80 | 545 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 15 | $24.996,10 | 705 / 11 | $7.512,74 | 852 / 1 | $6.697,37 | 849 / 5 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 18 | 48 / 8 | $35.658,60 | 119 / 5 | $12.267,80 | 294 / 3 | $11.219,10 | 292 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 8 | $16.605,20 | 168 / 4 | $7.731,11 | 705 / 3 | $7.351,06 | 703 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 15 | $9.920,94 | 343 / 7 | $4.049,24 | 1255 / 4 | $3.095,00 | 1250 / 11 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 16 | 39 / 8 | $34.896,40 | 82 / 3 | $12.958,30 | 355 / 3 | $11.861,20 | 353 / 3 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 15 | $18.953,20 | 801 / 15 | $5.580,44 | 1042 / 6 | $4.564,81 | 1035 / 8 |
| Renal Failure W Mcc | 16 | 179 / 18 | $31.948,20 | 881 / 18 | $10.660,30 | 1345 / 11 | $9.764,94 | 1345 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 18 | $15.557,80 | 568 / 16 | $6.313,31 | 1251 / 9 | $5.224,75 | 1246 / 8 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 8 | $13.688,90 | 148 / 3 | $6.043,31 | 289 / 12 | $3.863,38 | 289 / 3 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 10 | $34.798,50 | 548 / 10 | $7.075,47 | 594 / 3 | $6.095,40 | 592 / 7 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 14 | $26.344,90 | 730 / 16 | $6.620,60 | 716 / 4 | $5.606,27 | 712 / 6 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 10 | $50.047,70 | 160 / 6 | $18.889,20 | 472 / 4 | $17.947,50 | 469 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 13 | $64.981,40 | 1034 / 8 | $15.886,40 | 1181 / 3 | $15.008,60 | 1168 / 8 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 14 | 26 / 4 | $20.211,30 | 52 / 4 | $7.483,71 | 106 / 4 | $6.496,57 | 106 / 3 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 13 | 75 / 9 | $95.119,90 | 221 / 9 | $24.085,50 | 363 / 3 | $22.819,20 | 362 / 5 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 9 | $139.522,00 | 450 / 6 | $43.002,70 | 384 / 3 | $34.842,10 | 383 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 11 | $107.102,00 | 457 / 12 | $34.129,80 | 753 / 5 | $32.958,50 | 751 / 10 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 13 | 30 / 3 | $56.318,70 | 31 / 1 | $18.050,70 | 49 / 1 | $17.152,10 | 49 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 9 | $10.795,80 | 109 / 2 | $5.029,92 | 483 / 4 | $3.887,23 | 483 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 10 | $39.844,20 | 257 / 11 | $10.844,50 | 518 / 2 | $9.690,00 | 516 / 6 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 13 | $13.356,00 | 266 / 5 | $4.871,92 | 314 / 3 | $3.831,00 | 314 / 5 |
| Pulmonary Embolism W Mcc | 12 | 31 / 6 | $34.828,00 | 242 / 7 | $12.222,20 | 409 / 5 | $9.837,50 | 409 / 6 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 15 | $11.919,00 | 73 / 2 | $6.653,75 | 723 / 5 | $5.613,67 | 720 / 10 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 11 | $25.844,60 | 505 / 9 | $6.340,17 | 525 / 1 | $5.363,25 | 523 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 8 | $73.332,50 | 613 / 9 | $14.478,30 | 565 / 2 | $13.341,10 | 562 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 7 | $138.661,00 | 499 / 4 | $37.287,50 | 687 / 3 | $36.623,20 | 686 / 4 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 12 | 106 / 12 | $114.145,00 | 141 / 5 | $35.242,80 | 317 / 5 | $34.267,20 | 317 / 8 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 8 | $138.342,00 | 312 / 8 | $36.937,60 | 370 / 6 | $28.014,80 | 370 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 6 | $58.691,90 | 161 / 9 | $17.229,30 | 334 / 5 | $16.444,00 | 333 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 17 | $19.000,30 | 506 / 7 | $7.250,18 | 893 / 4 | $6.218,36 | 891 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 17 | $11.949,70 | 276 / 6 | $4.386,00 | 698 / 6 | $3.255,00 | 696 / 8 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 9 | $17.544,40 | 83 / 2 | $6.702,27 | 253 / 4 | $5.778,27 | 253 / 5 |
| Seizures W/O Mcc | 11 | 97 / 14 | $16.522,50 | 344 / 7 | $6.098,09 | 152 / 12 | $3.450,36 | 151 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 12 | $45.780,90 | 248 / 6 | $13.635,70 | 453 / 1 | $12.594,40 | 447 / 2 |
| Other Vascular Procedures W Cc | 11 | 91 / 12 | $67.244,70 | 476 / 8 | $17.503,70 | 720 / 4 | $16.567,00 | 716 / 9 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 12 | $80.640,80 | 384 / 6 | $22.570,60 | 607 / 4 | $21.445,20 | 607 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 6 | $30.648,40 | 26 / 2 | $14.803,10 | 129 / 1 | $13.764,20 | 129 / 1 |
| Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 6 | $53.103,80 | 214 / 5 | $14.229,20 | 257 / 3 | $13.362,30 | 257 / 4 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 11 | $37.570,00 | 525 / 9 | $11.277,90 | 610 / 7 | $9.174,73 | 608 / 6 | Total 78 procedures | 2.774 | 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.