Hospital Costs > In Arizona > St Luke's Medical Center, 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 | 314 | 257 / 14 | $73.159,20 | 2076 / 42 | $15.182,90 | 1962 / 29 | $13.469,80 | 1920 / 33 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 49 | 28 / 2 | $47.392,20 | 242 / 4 | $11.696,00 | 311 / 5 | $10.537,50 | 310 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 35 | 481 / 37 | $71.043,80 | 2300 / 40 | $13.364,10 | 1857 / 27 | $11.910,60 | 1822 / 27 |
| Revision Of Hip Or Knee Replacement W Cc | 33 | 53 / 4 | $100.873,00 | 454 / 12 | $22.124,60 | 392 / 13 | $20.694,30 | 391 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 23 | $91.025,20 | 1060 / 24 | $16.905,10 | 1013 / 27 | $12.584,30 | 1006 / 24 |
| O.R. Procedures For Obesity W Cc | 24 | 10 / 1 | $57.780,70 | 65 / 1 | $13.705,70 | 61 / 2 | $11.710,00 | 61 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 30 | $32.814,60 | 2097 / 36 | $8.033,65 | 2297 / 32 | $6.881,65 | 2289 / 33 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 22 | $36.841,20 | 829 / 9 | $8.637,50 | 1317 / 23 | $7.585,50 | 1314 / 26 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 16 | 47 / 2 | $118.550,00 | 199 / 2 | $23.552,30 | 167 / 2 | $21.462,60 | 166 / 2 |
| Carotid Artery Stent Procedure W/O Cc/Mcc | 15 | 17 / 2 | $56.039,30 | 67 / 3 | $12.569,90 | 78 / 3 | $11.601,40 | 78 / 3 |
| Heart Failure & Shock W Cc | 15 | 263 / 33 | $40.030,80 | 2328 / 43 | $8.053,07 | 2233 / 30 | $7.084,53 | 2227 / 32 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 12 | $152.973,00 | 842 / 24 | $24.777,10 | 427 / 17 | $19.067,60 | 424 / 11 |
| Knee Procedures W/O Pdx Of Infection W Cc/Mcc | 13 | 5 / 1 | $74.906,20 | 20 / 1 | $13.806,80 | 18 / 1 | $12.787,80 | 18 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 15 | $114.853,00 | 711 / 18 | $22.554,20 | 613 / 12 | $21.530,20 | 613 / 13 |
| Diabetes W Cc | 13 | 79 / 12 | $30.756,50 | 1205 / 21 | $7.092,85 | 1363 / 19 | $6.559,92 | 1358 / 23 |
| Other Vascular Procedures W Cc | 12 | 90 / 11 | $112.189,00 | 928 / 22 | $19.235,20 | 694 / 17 | $16.424,40 | 691 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 39 | $26.841,40 | 1989 / 27 | $6.564,25 | 2307 / 31 | $5.553,58 | 2292 / 34 |
| Chest Pain | 11 | 140 / 18 | $29.164,40 | 1361 / 24 | $5.717,00 | 1356 / 20 | $4.451,55 | 1348 / 20 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 9 | $95.452,20 | 400 / 13 | $18.389,20 | 362 / 13 | $17.176,10 | 361 / 14 | Total 19 procedures | 666 | 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.