Hospital Costs > In Idaho > St Luke's Magic Valley Rmc, 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 | 347 | 174 / 2 | $27.861,90 | 690 / 3 | $11.711,40 | 1231 / 3 | $10.523,20 | 1210 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 206 | 358 / 6 | $41.915,00 | 865 / 7 | $14.172,60 | 958 / 7 | $10.979,60 | 939 / 3 |
| Pulmonary Edema & Respiratory Failure | 117 | 86 / 2 | $20.096,80 | 407 / 2 | $7.865,92 | 988 / 1 | $6.929,83 | 987 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 91 | 116 / 2 | $16.151,00 | 451 / 2 | $7.113,74 | 1180 / 3 | $5.849,60 | 1175 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 66 | 139 / 2 | $18.083,10 | 271 / 1 | $9.117,95 | 1186 / 3 | $8.117,65 | 1186 / 3 |
| G.I. Hemorrhage W Cc | 63 | 155 / 2 | $22.509,90 | 985 / 5 | $7.197,67 | 1011 / 4 | $5.376,70 | 1009 / 2 |
| Heart Failure & Shock W Mcc | 57 | 227 / 4 | $23.446,40 | 625 / 2 | $9.666,70 | 1404 / 3 | $8.869,81 | 1400 / 4 |
| Renal Failure W Cc | 55 | 166 / 3 | $17.770,30 | 758 / 5 | $6.463,76 | 1403 / 3 | $5.621,11 | 1394 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 45 | 230 / 4 | $16.245,40 | 907 / 2 | $5.188,84 | 1640 / 3 | $4.269,67 | 1627 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 44 | 150 / 7 | $104.478,00 | 781 / 8 | $33.340,00 | 1180 / 9 | $30.158,20 | 1175 / 10 |
| Renal Failure W Mcc | 43 | 152 / 2 | $26.037,50 | 524 / 3 | $10.226,50 | 1082 / 2 | $9.091,93 | 1082 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 40 | 156 / 6 | $55.329,40 | 351 / 5 | $13.473,60 | 969 / 3 | $12.352,60 | 962 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 5 | $13.641,90 | 408 / 2 | $6.431,06 | 1610 / 1 | $5.619,69 | 1603 / 3 |
| Cellulitis W/O Mcc | 36 | 153 / 3 | $13.897,30 | 712 / 2 | $5.654,31 | 1547 / 1 | $4.774,78 | 1540 / 4 |
| Kidney & Urinary Tract Infections W Mcc | 36 | 108 / 1 | $17.997,40 | 428 / 2 | $7.302,19 | 1031 / 1 | $6.453,03 | 1028 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 35 | 147 / 5 | $18.280,80 | 372 / 2 | $6.953,69 | 1001 / 3 | $5.843,54 | 998 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 4 | $10.507,70 | 370 / 1 | $5.655,71 | 1239 / 7 | $3.837,00 | 1235 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 34 | 97 / 2 | $49.536,70 | 601 / 3 | $15.863,70 | 1217 / 2 | $15.171,10 | 1204 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 2 | $79.799,10 | 251 / 3 | $36.159,50 | 988 / 3 | $35.339,10 | 982 / 4 |
| Heart Failure & Shock W Cc | 33 | 245 / 6 | $17.853,40 | 912 / 3 | $6.464,36 | 1462 / 2 | $5.722,36 | 1457 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 4 | $14.119,10 | 812 / 3 | $5.440,03 | 1373 / 3 | $4.222,42 | 1364 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 4 | $31.835,90 | 603 / 5 | $7.364,30 | 858 / 2 | $6.030,73 | 855 / 4 |
| Respiratory Infections & Inflammations W Mcc | 29 | 107 / 3 | $26.566,40 | 280 / 1 | $12.222,10 | 875 / 2 | $11.334,20 | 865 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 2 | $22.417,20 | 555 / 4 | $7.847,41 | 945 / 2 | $6.884,90 | 942 / 4 |
| Transient Ischemia | 26 | 99 / 2 | $12.632,80 | 154 / 1 | $4.946,88 | 874 / 2 | $3.835,04 | 870 / 3 |
| G.I. Obstruction W Cc | 26 | 66 / 2 | $17.374,20 | 457 / 2 | $5.990,27 | 988 / 2 | $5.100,96 | 985 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 6 | $41.361,00 | 699 / 7 | $12.629,30 | 1186 / 4 | $11.590,50 | 1172 / 6 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 24 | 48 / 5 | $17.211,60 | 55 / 1 | $8.816,96 | 295 / 2 | $7.653,21 | 294 / 2 |
| Other Digestive System Diagnoses W Cc | 23 | 74 / 3 | $17.629,90 | 269 / 1 | $7.125,30 | 493 / 4 | $5.180,70 | 490 / 1 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 2 | $32.230,90 | 401 / 1 | $10.881,00 | 635 / 1 | $10.029,90 | 636 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 22 | 34 / 1 | $36.636,60 | 197 / 2 | $12.538,50 | 466 / 3 | $9.389,50 | 464 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 4 | $71.042,00 | 133 / 1 | $33.176,30 | 517 / 1 | $29.769,70 | 515 / 1 |
| Pulmonary Embolism W Mcc | 21 | 22 / 1 | $28.816,70 | 147 / 3 | $10.869,30 | 425 / 2 | $9.996,19 | 425 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 3 | $12.114,70 | 424 / 2 | $4.974,84 | 1245 / 2 | $3.958,89 | 1239 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 3 | $51.556,20 | 140 / 1 | $20.831,60 | 528 / 3 | $19.616,90 | 525 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 4 | $14.954,50 | 511 / 2 | $5.450,11 | 1187 / 3 | $4.490,37 | 1183 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 6 | $16.489,80 | 434 / 1 | $8.095,94 | 1067 / 3 | $6.304,56 | 1062 / 2 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 5 | $11.699,30 | 65 / 1 | $6.428,00 | 693 / 1 | $5.547,89 | 690 / 4 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 3 | $39.788,50 | 403 / 3 | $10.166,70 | 493 / 1 | $9.222,72 | 491 / 1 |
| Seizures W/O Mcc | 17 | 91 / 2 | $16.895,30 | 366 / 3 | $5.233,82 | 711 / 2 | $4.514,71 | 708 / 4 |
| Syncope & Collapse | 17 | 152 / 4 | $13.769,00 | 309 / 2 | $5.098,06 | 1147 / 2 | $4.303,47 | 1140 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 5 | $27.942,60 | 851 / 6 | $8.529,69 | 1254 / 4 | $7.765,00 | 1251 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 4 | $23.255,20 | 354 / 3 | $7.664,44 | 555 / 1 | $6.743,25 | 550 / 3 |
| Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 1 | $37.952,10 | 148 / 1 | $11.082,80 | 308 / 1 | $10.023,40 | 307 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 4 | $80.451,20 | 281 / 3 | $23.344,20 | 721 / 3 | $22.280,20 | 717 / 6 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 7 | $48.183,00 | 361 / 1 | $15.572,70 | 804 / 1 | $14.750,90 | 796 / 4 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 3 | $10.577,50 | 147 / 1 | $4.813,00 | 339 / 1 | $3.920,00 | 339 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 4 | $12.665,10 | 339 / 3 | $4.448,27 | 815 / 2 | $3.475,53 | 812 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 5 | $14.763,70 | 239 / 2 | $6.396,47 | 419 / 5 | $3.533,47 | 416 / 1 |
| Medical Back Problems W/O Mcc | 14 | 107 / 5 | $15.810,30 | 264 / 2 | $5.791,29 | 870 / 1 | $4.904,93 | 867 / 4 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 2 | $19.626,60 | 291 / 2 | $6.171,29 | 372 / 1 | $4.951,00 | 371 / 2 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 4 | $10.592,90 | 111 / 1 | $4.675,57 | 476 / 1 | $3.623,93 | 475 / 1 |
| Cellulitis W Mcc | 13 | 45 / 1 | $17.258,00 | 75 / 1 | $8.984,85 | 323 / 1 | $7.954,08 | 322 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 4 | $67.226,80 | 222 / 5 | $23.561,90 | 696 / 5 | $22.630,70 | 695 / 5 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 5 | $48.955,90 | 315 / 6 | $13.360,70 | 413 / 3 | $12.244,40 | 410 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 4 | $14.292,00 | 762 / 1 | $4.742,92 | 1333 / 1 | $4.132,08 | 1322 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 5 | $32.794,90 | 541 / 3 | $11.086,10 | 1020 / 4 | $10.367,90 | 1017 / 4 |
| Other Vascular Procedures W Cc | 12 | 90 / 5 | $43.757,10 | 129 / 1 | $15.251,50 | 368 / 1 | $14.240,00 | 366 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 4 | $23.125,30 | 226 / 2 | $8.373,58 | 220 / 3 | $5.012,67 | 220 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 3 | $50.879,70 | 183 / 3 | $18.255,50 | 409 / 2 | $17.365,70 | 406 / 2 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 4 | $10.748,00 | 131 / 1 | $4.581,18 | 445 / 2 | $3.699,09 | 444 / 4 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 4 | $42.172,00 | 328 / 3 | $13.137,40 | 345 / 4 | $8.810,82 | 345 / 1 | Total 62 procedures | 2.214 | 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.