Hospital Costs > In Indiana > St Mary Medical Center Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 22 | $34.408,50 | 596 / 15 | $10.737,70 | 515 / 25 | $9.037,05 | 514 / 16 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 4 | $44.180,40 | 79 / 5 | $12.322,60 | 56 / 4 | $10.369,10 | 55 / 4 |
| Atherosclerosis W/O Mcc | 15 | 43 / 5 | $13.823,90 | 134 / 6 | $3.855,60 | / 5 | $2.968,13 | / |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 11 | $17.780,80 | 297 / 7 | $5.421,79 | 297 / 4 | $4.322,43 | 294 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 60 | 101 / 9 | $14.652,90 | 483 / 10 | $4.910,43 | 705 / 17 | $4.017,35 | 702 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 22 | $22.045,10 | 462 / 15 | $8.957,79 | 276 / 45 | $6.002,52 | 275 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 18 | $11.160,60 | 478 / 17 | $3.604,36 | 688 / 19 | $2.578,60 | 684 / 28 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 15 | 103 / 11 | $107.143,00 | 104 / 3 | $31.132,90 | 171 / 5 | $30.081,10 | 171 / 8 |
| Cellulitis W Mcc | 21 | 37 / 6 | $22.075,90 | 169 / 5 | $8.357,57 | 173 / 6 | $7.324,43 | 172 / 8 |
| Cellulitis W/O Mcc | 80 | 109 / 8 | $15.723,90 | 955 / 31 | $5.265,52 | 960 / 21 | $4.245,01 | 954 / 34 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 18 | $48.710,40 | 323 / 7 | $13.529,40 | 358 / 10 | $11.939,60 | 357 / 11 |
| Chest Pain | 18 | 133 / 19 | $12.178,40 | 256 / 6 | $3.832,50 | 401 / 9 | $2.831,61 | 399 / 14 |
| Chronic Obstructive Pulmonary Disease W Cc | 82 | 97 / 11 | $20.533,80 | 1050 / 41 | $5.689,96 | 757 / 17 | $4.765,15 | 755 / 23 |
| Chronic Obstructive Pulmonary Disease W Mcc | 127 | 75 / 7 | $23.681,60 | 1033 / 36 | $7.234,63 | 925 / 26 | $6.177,68 | 920 / 32 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 18 | $13.918,10 | 652 / 21 | $4.632,91 | 509 / 26 | $3.335,71 | 508 / 21 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 22 | 71 / 9 | $40.490,30 | 163 / 6 | $13.344,10 | 222 / 16 | $11.146,40 | 217 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 50 | 138 / 17 | $30.547,90 | 544 / 21 | $7.402,50 | 416 / 30 | $5.324,90 | 414 / 18 |
| Complications Of Treatment W Cc | 11 | 41 / 6 | $17.109,30 | 55 / 2 | $6.327,64 | 59 / 5 | $5.037,09 | 59 / 3 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 15 | $87.207,80 | 173 / 4 | $23.437,60 | 142 / 7 | $19.375,00 | 141 / 3 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 6 | $24.807,20 | 352 / 15 | $5.641,30 | 150 / 8 | $4.431,25 | 150 / 8 |
| Diabetes W Cc | 20 | 72 / 16 | $17.463,90 | 513 / 17 | $5.214,05 | 127 / 11 | $3.657,45 | 127 / 2 |
| Digestive Malignancy W Cc | 11 | 36 / 6 | $26.699,50 | 102 / 1 | $7.656,36 | 82 / 1 | $6.609,09 | 81 / 4 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 12 | $18.107,60 | 232 / 5 | $5.939,00 | 200 / 10 | $4.493,73 | 200 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 17 | $22.787,50 | 329 / 9 | $7.265,58 | 471 / 8 | $6.568,32 | 468 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 75 | 200 / 17 | $16.288,70 | 914 / 24 | $4.704,37 | 856 / 17 | $3.666,88 | 851 / 28 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 14 | $87.856,20 | 139 / 7 | $29.582,20 | 317 / 10 | $29.023,40 | 317 / 15 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 17 | 45 / 6 | $16.584,10 | 247 / 5 | $4.732,29 | 232 / 5 | $3.686,65 | 232 / 11 |
| G.I. Hemorrhage W Cc | 83 | 135 / 10 | $18.782,00 | 642 / 15 | $6.262,28 | 762 / 23 | $5.143,59 | 760 / 21 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 18 | $24.813,70 | 168 / 4 | $10.757,10 | 322 / 18 | $9.228,00 | 322 / 14 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 11 | $15.637,10 | 366 / 9 | $4.388,50 | 215 / 9 | $3.206,29 | 213 / 7 |
| G.I. Obstruction W Cc | 23 | 69 / 15 | $22.638,20 | 833 / 32 | $5.496,17 | 591 / 14 | $4.573,74 | 590 / 23 |
| G.I. Obstruction W Mcc | 11 | 31 / 11 | $25.346,00 | 72 / 2 | $9.744,00 | 169 / 4 | $8.984,73 | 169 / 8 |
| Heart Failure & Shock W Cc | 116 | 162 / 12 | $17.446,80 | 867 / 24 | $6.120,39 | 1055 / 29 | $5.330,06 | 1053 / 41 |
| Heart Failure & Shock W Mcc | 163 | 121 / 6 | $26.988,60 | 895 / 31 | $9.109,81 | 797 / 32 | $8.043,71 | 797 / 27 |
| Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 17 | $12.026,30 | 473 / 10 | $4.254,52 | 656 / 16 | $3.435,94 | 654 / 25 |
| Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 28 | $37.032,50 | 500 / 11 | $11.625,00 | 755 / 21 | $10.535,50 | 748 / 26 |
| Hypertension W/O Mcc | 19 | 46 / 6 | $12.970,90 | 139 / 4 | $3.968,32 | 215 / 3 | $2.921,89 | 213 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 20 | $73.120,10 | 199 / 5 | $29.096,20 | 174 / 6 | $26.616,90 | 174 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 25 | $24.502,70 | 761 / 26 | $6.749,33 | 685 / 28 | $5.416,03 | 684 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 41 | 127 / 15 | $30.389,20 | 352 / 12 | $10.344,80 | 369 / 17 | $9.007,54 | 368 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 28 | $22.284,80 | 736 / 33 | $4.594,83 | 801 / 9 | $3.997,50 | 797 / 36 |
| Kidney & Urinary Tract Infections W Mcc | 58 | 86 / 7 | $20.384,70 | 600 / 20 | $6.728,00 | 736 / 16 | $6.005,52 | 735 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 83 | 150 / 9 | $14.228,90 | 827 / 23 | $4.770,94 | 826 / 19 | $3.840,63 | 821 / 25 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 8 | $30.687,60 | 104 / 2 | $9.966,32 | 390 / 5 | $9.013,05 | 390 / 10 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 19 | 21 / 4 | $48.112,90 | 84 / 2 | $15.329,40 | 105 / 4 | $13.220,90 | 105 / 6 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 19 | $65.367,80 | 190 / 5 | $20.504,00 | 160 / 10 | $17.417,30 | 160 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 13 | $26.173,20 | 530 / 17 | $7.075,77 | 445 / 10 | $6.521,92 | 444 / 16 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 8 | $20.050,80 | 59 / 1 | $7.265,33 | 126 / 2 | $6.465,33 | 126 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 12 | $50.537,80 | 129 / 4 | $18.324,90 | 274 / 10 | $17.435,30 | 272 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 182 | 382 / 25 | $37.480,50 | 614 / 10 | $12.710,10 | 1111 / 16 | $11.232,90 | 1086 / 42 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 20 | $52.674,30 | 481 / 16 | $14.885,20 | 602 / 12 | $14.001,00 | 596 / 21 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 17 | $71.149,20 | 135 / 5 | $27.062,90 | 156 / 4 | $25.955,40 | 156 / 4 |
| Medical Back Problems W/O Mcc | 31 | 90 / 11 | $20.401,10 | 564 / 13 | $5.208,32 | 594 / 11 | $4.392,84 | 592 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 18 | $22.492,80 | 561 / 16 | $6.810,52 | 584 / 12 | $6.161,04 | 581 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 57 | 109 / 14 | $15.607,20 | 1031 / 35 | $4.390,26 | 950 / 21 | $3.616,93 | 947 / 36 |
| Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 7 | $29.485,20 | 110 / 5 | $9.857,43 | 157 / 5 | $9.599,14 | 157 / 9 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 15 | $33.132,40 | 290 / 11 | $10.932,80 | 207 / 9 | $9.593,78 | 207 / 7 |
| Other Digestive System Diagnoses W Cc | 33 | 64 / 9 | $19.667,40 | 388 / 14 | $6.008,33 | 287 / 12 | $4.840,91 | 284 / 10 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 13 | $23.324,10 | 77 / 3 | $9.854,36 | 106 / 3 | $8.862,36 | 106 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 13 | $26.944,60 | 446 / 18 | $6.348,62 | 379 / 13 | $5.786,62 | 379 / 16 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 41 | 60 / 7 | $26.950,80 | 301 / 10 | $9.458,15 | 296 / 13 | $8.360,37 | 296 / 10 |
| Other Vascular Procedures W Cc | 27 | 75 / 13 | $48.094,30 | 177 / 5 | $15.501,30 | 490 / 8 | $14.874,30 | 487 / 17 |
| Other Vascular Procedures W Mcc | 13 | 84 / 16 | $78.576,70 | 363 / 9 | $19.821,80 | 364 / 6 | $19.356,50 | 362 / 11 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 5 | $25.358,10 | 101 / 2 | $6.645,09 | 46 / 2 | $5.766,55 | 46 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 40 | 156 / 21 | $49.433,90 | 215 / 6 | $12.902,10 | 598 / 14 | $10.943,20 | 594 / 21 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 14 | 40 / 3 | $79.864,10 | 86 / 3 | $19.842,40 | 100 / 4 | $18.910,90 | 100 / 5 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 13 | $61.244,70 | 194 / 6 | $12.079,10 | 234 / 6 | $11.301,80 | 232 / 12 |
| Peripheral Vascular Disorders W Cc | 34 | 50 / 6 | $19.822,50 | 403 / 16 | $5.980,21 | 308 / 10 | $4.872,94 | 306 / 11 |
| Peripheral Vascular Disorders W Mcc | 21 | 28 / 4 | $24.065,90 | 102 / 3 | $8.074,14 | 147 / 3 | $7.329,00 | 147 / 6 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 14 | $51.187,60 | 226 / 11 | $15.885,80 | 370 / 9 | $14.973,80 | 369 / 14 |
| Permanent Cardiac Pacemaker Implant W Mcc | 26 | 26 / 2 | $62.313,00 | 91 / 4 | $22.022,90 | 231 / 8 | $21.279,50 | 231 / 12 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 14 | $54.061,50 | 323 / 13 | $12.917,70 | 264 / 7 | $11.716,30 | 263 / 9 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 12 | $27.394,30 | 287 / 12 | $8.703,24 | 214 / 11 | $7.328,00 | 213 / 10 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 13 | $10.375,30 | 113 / 3 | $4.358,15 | 181 / 15 | $3.086,77 | 180 / 6 |
| Pulmonary Edema & Respiratory Failure | 70 | 133 / 21 | $21.253,00 | 483 / 18 | $8.075,59 | 589 / 44 | $6.438,07 | 589 / 19 |
| Red Blood Cell Disorders W Mcc | 18 | 53 / 10 | $29.426,30 | 440 / 17 | $7.744,17 | 152 / 10 | $6.345,06 | 152 / 3 |
| Red Blood Cell Disorders W/O Mcc | 45 | 98 / 9 | $20.656,60 | 954 / 28 | $5.056,42 | 582 / 18 | $4.064,11 | 580 / 15 |
| Renal Failure W Cc | 76 | 145 / 18 | $17.705,10 | 753 / 22 | $6.012,55 | 657 / 26 | $4.885,88 | 650 / 21 |
| Renal Failure W Mcc | 108 | 87 / 5 | $26.260,50 | 535 / 14 | $9.142,12 | 633 / 17 | $8.255,35 | 633 / 18 |
| Respiratory Infections & Inflammations W Cc | 31 | 57 / 4 | $24.620,30 | 457 / 17 | $8.278,61 | 412 / 18 | $7.181,87 | 409 / 16 |
| Respiratory Infections & Inflammations W Mcc | 52 | 84 / 8 | $31.733,30 | 450 / 13 | $11.231,70 | 540 / 16 | $10.558,10 | 534 / 20 |
| Respiratory Neoplasms W Mcc | 22 | 30 / 5 | $39.338,50 | 259 / 10 | $11.033,80 | 237 / 11 | $9.731,18 | 237 / 10 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 18 | $37.578,80 | 264 / 11 | $14.097,70 | 535 / 21 | $12.528,30 | 528 / 13 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 15 | $104.121,00 | 276 / 11 | $34.283,80 | 510 / 20 | $32.731,80 | 509 / 26 |
| Seizures W/O Mcc | 15 | 93 / 14 | $18.109,30 | 436 / 14 | $4.744,47 | 479 / 9 | $4.021,27 | 477 / 17 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 18 | $119.653,00 | 309 / 9 | $37.452,50 | 487 / 12 | $36.527,00 | 486 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 225 | 291 / 16 | $36.599,20 | 1126 / 33 | $11.384,50 | 879 / 32 | $10.029,50 | 878 / 27 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 67 | 140 / 13 | $21.785,20 | 946 / 27 | $6.689,12 | 930 / 28 | $5.606,13 | 927 / 37 |
| Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 19 | $20.449,40 | 1172 / 35 | $6.098,93 | 586 / 29 | $4.731,86 | 583 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 75 | 130 / 19 | $24.704,90 | 683 / 19 | $8.665,36 | 834 / 26 | $7.693,79 | 834 / 32 |
| Spinal Fusion Except Cervical W/O Mcc | 44 | 150 / 18 | $126.429,00 | 978 / 29 | $27.834,40 | 1025 / 25 | $26.735,60 | 1020 / 36 |
| Syncope & Collapse | 40 | 129 / 16 | $16.721,90 | 548 / 17 | $4.547,20 | 723 / 10 | $3.772,40 | 720 / 24 |
| Transient Ischemia | 60 | 65 / 5 | $18.994,10 | 576 / 25 | $4.483,40 | 379 / 17 | $3.237,80 | 378 / 11 |
| Transurethral Procedures W Cc | 25 | 16 / 2 | $32.469,40 | 146 / 5 | $7.728,08 | 138 / 4 | $6.860,24 | 138 / 5 |
| Transurethral Prostatectomy W/O Cc/Mcc | 11 | 18 / 5 | $24.856,20 | 41 / 3 | $4.905,73 | 21 / 2 | $3.459,64 | 21 / 2 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 4 | $18.730,80 | 131 / 2 | $4.352,50 | 103 / 2 | $3.240,50 | 103 / 3 | Total 96 procedures | 3.553 | 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.