Hospital Costs > In Utah > St Marks Hospital, 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 | 316 | 255 / 4 | $53.327,60 | 1437 / 25 | $13.975,90 | 1171 / 6 | $11.329,20 | 1143 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 112 | 404 / 7 | $44.913,80 | 1569 / 24 | $13.059,50 | 721 / 20 | $9.816,30 | 720 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 99 | 134 / 1 | $18.869,20 | 1443 / 13 | $5.262,25 | 1288 / 2 | $4.158,28 | 1279 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 94 | 100 / 4 | $104.600,00 | 783 / 14 | $26.304,40 | 346 / 8 | $20.906,80 | 345 / 8 |
| Simple Pneumonia & Pleurisy W Cc | 75 | 128 / 2 | $23.859,50 | 1529 / 22 | $6.572,08 | 1271 / 5 | $5.276,23 | 1267 / 10 |
| Heart Failure & Shock W Cc | 65 | 213 / 2 | $22.432,30 | 1439 / 14 | $6.496,86 | 1470 / 4 | $5.730,58 | 1465 / 8 |
| Renal Failure W Cc | 61 | 160 / 3 | $22.279,00 | 1208 / 17 | $6.690,18 | 1171 / 9 | $5.352,25 | 1163 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 3 | $37.920,20 | 1484 / 18 | $9.151,14 | 1165 / 5 | $8.082,58 | 1165 / 10 |
| G.I. Hemorrhage W Cc | 55 | 163 / 4 | $28.826,20 | 1489 / 14 | $6.598,49 | 1234 / 3 | $5.619,11 | 1232 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 4 | $21.928,80 | 1615 / 17 | $5.631,89 | 1110 / 11 | $3.831,81 | 1102 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 52 | 41 / 1 | $19.245,10 | 1138 / 17 | $4.970,58 | 1174 / 4 | $3.873,85 | 1168 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 51 | 156 / 6 | $24.967,80 | 1252 / 14 | $7.348,65 | 692 / 8 | $5.381,53 | 690 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 1 | $17.529,40 | 1269 / 11 | $4.882,04 | 1401 / 3 | $3.971,84 | 1396 / 6 |
| Heart Failure & Shock W Mcc | 44 | 240 / 4 | $31.992,40 | 1214 / 10 | $9.289,64 | 1237 / 5 | $8.632,18 | 1234 / 8 |
| Syncope & Collapse | 43 | 126 / 1 | $23.791,90 | 1147 / 5 | $5.145,58 | 1042 / 2 | $4.121,37 | 1035 / 4 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 41 | 36 / 1 | $45.043,00 | 220 / 2 | $10.860,50 | 131 / 2 | $8.148,34 | 131 / 1 |
| Cellulitis W/O Mcc | 35 | 154 / 3 | $20.865,30 | 1563 / 8 | $6.130,63 | 1156 / 5 | $4.394,49 | 1150 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 35 | 69 / 2 | $58.502,90 | 439 / 8 | $15.762,80 | 116 / 6 | $10.486,70 | 116 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 35 | 83 / 1 | $169.451,00 | 345 / 6 | $37.196,30 | 191 / 4 | $30.598,00 | 191 / 4 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 34 | 55 / 1 | $21.949,70 | 127 / 4 | $7.597,85 | 326 / 2 | $5.694,35 | 325 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 34 | 62 / 5 | $81.962,00 | 670 / 11 | $15.875,60 | 282 / 7 | $11.477,50 | 279 / 6 |
| Pulmonary Embolism W/O Mcc | 34 | 40 / 4 | $22.090,70 | 498 / 10 | $6.464,68 | 706 / 2 | $5.575,26 | 703 / 8 |
| Medical Back Problems W/O Mcc | 33 | 88 / 2 | $18.209,80 | 400 / 4 | $5.727,18 | 747 / 2 | $4.656,39 | 744 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 4 | $29.359,50 | 1430 / 8 | $7.751,06 | 670 / 2 | $5.947,26 | 666 / 5 |
| Major Small & Large Bowel Procedures W Cc | 31 | 77 / 3 | $71.421,50 | 881 / 8 | $14.980,30 | 631 / 1 | $14.083,30 | 625 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 6 | $48.636,10 | 1002 / 9 | $11.990,70 | 975 / 2 | $10.976,00 | 962 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 6 | $26.992,80 | 925 / 10 | $7.374,93 | 289 / 5 | $4.958,47 | 288 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 3 | $25.396,80 | 943 / 9 | $7.076,03 | 779 / 2 | $6.070,17 | 778 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 6 | $99.605,90 | 1154 / 10 | $13.919,30 | 721 / 3 | $11.305,60 | 717 / 6 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 25 | 36 / 1 | $16.643,00 | 374 / 4 | $4.759,92 | 389 / 2 | $3.567,56 | 388 / 2 |
| Respiratory Infections & Inflammations W Cc | 25 | 63 / 1 | $28.453,00 | 624 / 5 | $8.428,20 | 644 / 2 | $7.658,92 | 641 / 2 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 1 | $18.837,10 | 788 / 3 | $5.862,24 | 993 / 2 | $4.514,92 | 987 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 3 | $24.849,20 | 895 / 8 | $5.224,64 | 468 / 2 | $3.590,88 | 465 / 1 |
| Renal Failure W Mcc | 25 | 170 / 5 | $37.747,60 | 1189 / 12 | $9.891,40 | 708 / 4 | $8.385,92 | 708 / 4 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 24 | 39 / 1 | $73.906,10 | 107 / 4 | $25.225,70 | 40 / 4 | $16.662,20 | 40 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 3 | $110.823,00 | 676 / 6 | $25.596,20 | 310 / 4 | $18.644,70 | 310 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 3 | $19.238,60 | 982 / 6 | $5.344,91 | 1247 / 2 | $4.561,61 | 1242 / 4 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 22 | 34 / 3 | $42.402,70 | 455 / 6 | $9.853,95 | 414 / 2 | $8.857,00 | 412 / 3 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 22 | 40 / 1 | $17.312,50 | 270 / 2 | $5.147,14 | 341 / 1 | $4.025,68 | 341 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 2 | $16.631,50 | 1028 / 3 | $4.694,82 | 1170 / 2 | $3.928,27 | 1160 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 1 | $19.904,90 | 991 / 6 | $6.099,86 | 1265 / 2 | $5.238,90 | 1260 / 2 |
| G.I. Obstruction W Cc | 20 | 72 / 5 | $22.208,90 | 814 / 8 | $6.212,60 | 889 / 3 | $4.940,50 | 887 / 6 |
| Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 1 | $14.030,70 | 243 / 3 | $4.953,75 | 435 / 3 | $3.791,35 | 435 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 3 | $30.562,10 | 990 / 7 | $7.829,40 | 941 / 2 | $7.048,60 | 938 / 5 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 4 | $39.482,40 | 767 / 4 | $13.290,70 | 386 / 6 | $10.229,80 | 385 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 4 | $101.110,00 | 392 / 7 | $29.879,50 | 202 / 3 | $26.370,90 | 201 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 6 | $37.434,70 | 856 / 7 | $7.650,50 | 741 / 4 | $5.798,05 | 739 / 2 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 6 | $34.039,90 | 1246 / 9 | $8.226,10 | 865 / 2 | $6.781,45 | 865 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 1 | $16.450,70 | 958 / 3 | $4.978,11 | 790 / 2 | $3.566,63 | 786 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 19 | 57 / 3 | $134.682,00 | 293 / 5 | $27.600,20 | 292 / 1 | $26.584,60 | 292 / 3 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 2 | $101.334,00 | 263 / 5 | $28.225,90 | 109 / 1 | $18.887,40 | 109 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 5 | $64.077,80 | 1010 / 6 | $14.833,20 | 795 / 2 | $13.299,90 | 787 / 2 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 3 | $19.794,40 | 398 / 4 | $7.269,68 | 322 / 2 | $4.897,05 | 319 / 3 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 18 | 46 / 2 | $52.707,60 | 493 / 6 | $16.555,90 | 20 / 6 | $6.743,94 | 20 / 1 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 18 | 29 / 1 | $159.327,00 | 65 / 1 | $37.292,40 | 49 / 1 | $36.225,70 | 49 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 6 | $34.232,30 | 493 / 4 | $10.498,80 | 599 / 2 | $9.625,94 | 598 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 4 | $13.785,40 | 429 / 4 | $4.351,24 | 758 / 2 | $3.357,35 | 755 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 5 | $139.857,00 | 925 / 7 | $31.438,40 | 623 / 2 | $30.659,10 | 617 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 3 | $13.010,20 | 713 / 6 | $4.403,41 | 868 / 3 | $2.724,18 | 864 / 2 |
| Chest Pain | 17 | 134 / 3 | $18.460,00 | 802 / 3 | $5.002,76 | 476 / 1 | $2.900,94 | 474 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 8 | $71.998,30 | 274 / 10 | $20.298,80 | 78 / 7 | $13.328,80 | 78 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 5 | $28.359,40 | 882 / 5 | $7.235,75 | 636 / 1 | $6.259,75 | 633 / 1 |
| Transient Ischemia | 16 | 109 / 2 | $23.291,00 | 870 / 4 | $5.285,88 | 473 / 2 | $3.349,12 | 472 / 2 |
| Pulmonary Embolism W Mcc | 16 | 27 / 3 | $36.161,40 | 263 / 4 | $9.569,00 | 323 / 1 | $9.043,00 | 323 / 2 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 3 | $33.219,90 | 86 / 3 | $12.346,30 | 155 / 1 | $9.907,13 | 155 / 2 |
| Peritoneal Adhesiolysis W Cc | 15 | 24 / 2 | $51.920,10 | 98 / 5 | $18.156,70 | 12 / 3 | $10.652,50 | 12 / 1 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 15 | 32 / 1 | $18.313,10 | 125 / 1 | $4.935,53 | 124 / 1 | $3.890,20 | 124 / 1 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 15 | 27 / 1 | $21.141,70 | 156 / 1 | $5.493,33 | 155 / 1 | $4.603,73 | 155 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 2 | $44.172,90 | 260 / 5 | $9.404,80 | 259 / 1 | $8.361,60 | 259 / 2 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 2 | $16.463,70 | 440 / 2 | $4.439,79 | 495 / 2 | $3.573,50 | 494 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 3 | $20.011,40 | 249 / 2 | $7.043,43 | 155 / 2 | $5.034,57 | 155 / 2 |
| Seizures W/O Mcc | 14 | 94 / 3 | $24.231,10 | 744 / 3 | $5.220,50 | 670 / 1 | $4.441,07 | 667 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 14 | 102 / 3 | $244.365,00 | 304 / 5 | $56.035,50 | 183 / 3 | $48.862,90 | 183 / 3 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 3 | $19.615,20 | 632 / 2 | $4.760,08 | 730 / 2 | $4.107,77 | 727 / 3 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 4 | $27.597,20 | 365 / 4 | $6.894,23 | 535 / 1 | $5.877,62 | 534 / 4 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 4 | $74.968,10 | 545 / 4 | $14.189,50 | 238 / 2 | $11.555,80 | 237 / 1 |
| Other Vascular Procedures W Mcc | 13 | 84 / 3 | $169.808,00 | 928 / 4 | $37.205,30 | 979 / 4 | $36.368,40 | 976 / 4 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 1 | $18.097,20 | 467 / 2 | $4.864,31 | 490 / 1 | $3.746,77 | 486 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 2 | $34.842,30 | 721 / 3 | $6.410,69 | 405 / 1 | $5.022,69 | 404 / 2 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 4 | $92.750,40 | 387 / 5 | $18.488,10 | 152 / 4 | $13.665,60 | 152 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 4 | $56.038,30 | 313 / 4 | $12.133,30 | 314 / 1 | $11.429,30 | 312 / 1 |
| Dysequilibrium | 12 | 53 / 1 | $20.972,80 | 266 / 1 | $4.428,17 | 283 / 1 | $3.524,17 | 283 / 1 |
| O.R. Procedures For Obesity W Cc | 12 | 22 / 1 | $49.235,30 | 52 / 1 | $13.647,70 | 10 / 1 | $9.141,00 | 10 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 6 | $82.165,50 | 556 / 6 | $18.100,90 | 343 / 2 | $16.890,70 | 340 / 2 |
| Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 3 | $16.156,90 | 71 / 1 | $5.421,55 | 140 / 1 | $4.650,64 | 140 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 6 | $19.190,80 | 91 / 2 | $10.190,90 | 41 / 4 | $6.469,73 | 41 / 1 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 11 | 29 / 1 | $51.286,70 | 98 / 1 | $13.602,10 | 18 / 1 | $9.882,73 | 18 / 1 | Total 87 procedures | 2.695 | 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.