Hospital Costs > In Montana > St Patrick 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 | 247 | 317 / 3 | $36.777,70 | 579 / 8 | $13.529,90 | 612 / 4 | $10.482,80 | 605 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 233 | 283 / 2 | $30.410,10 | 799 / 5 | $10.908,30 | 876 / 1 | $10.028,00 | 875 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 102 | 92 / 2 | $65.528,70 | 296 / 1 | $25.094,50 | 372 / 2 | $21.094,70 | 371 / 1 |
| G.I. Hemorrhage W Cc | 82 | 136 / 1 | $17.223,50 | 506 / 7 | $5.765,18 | 567 / 2 | $4.967,72 | 566 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 80 | 116 / 1 | $51.604,90 | 256 / 5 | $12.611,00 | 556 / 2 | $10.790,90 | 552 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 79 | 126 / 2 | $21.657,70 | 483 / 4 | $8.336,01 | 524 / 2 | $7.352,15 | 524 / 2 |
| Heart Failure & Shock W Mcc | 76 | 208 / 2 | $22.086,10 | 538 / 6 | $8.572,00 | 463 / 2 | $7.629,75 | 463 / 2 |
| Pulmonary Edema & Respiratory Failure | 72 | 131 / 2 | $17.910,70 | 282 / 2 | $7.281,47 | 259 / 2 | $6.030,82 | 259 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 3 | $16.548,80 | 243 / 3 | $6.060,29 | 304 / 1 | $4.984,21 | 303 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 56 | 62 / 1 | $107.181,00 | 105 / 2 | $30.707,20 | 151 / 1 | $29.683,90 | 151 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 55 | 152 / 4 | $18.080,40 | 604 / 4 | $6.201,84 | 348 / 2 | $5.041,33 | 347 / 1 |
| Heart Failure & Shock W Cc | 52 | 226 / 3 | $15.643,90 | 648 / 5 | $5.676,85 | 548 / 1 | $4.941,83 | 548 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 3 | $17.091,00 | 1012 / 9 | $4.260,92 | 384 / 2 | $3.316,25 | 382 / 2 |
| Cellulitis W/O Mcc | 41 | 148 / 2 | $12.346,50 | 514 / 4 | $4.870,41 | 422 / 2 | $3.813,61 | 419 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 41 | 75 / 1 | $150.957,00 | 79 / 2 | $50.421,10 | 201 / 2 | $49.571,70 | 201 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 3 | $36.103,10 | 456 / 5 | $11.214,00 | 523 / 1 | $10.104,40 | 522 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 40 | 128 / 2 | $26.705,20 | 251 / 2 | $9.794,95 | 328 / 1 | $8.864,90 | 327 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 39 | 65 / 1 | $36.570,00 | 142 / 2 | $13.240,80 | 283 / 1 | $11.516,20 | 282 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 35 | 65 / 1 | $70.384,80 | 169 / 2 | $18.767,90 | 284 / 1 | $17.773,70 | 282 / 2 |
| Renal Failure W Cc | 35 | 186 / 4 | $15.470,40 | 505 / 5 | $5.407,46 | 326 / 1 | $4.567,43 | 324 / 1 |
| Renal Failure W Mcc | 34 | 161 / 3 | $28.993,70 | 699 / 5 | $8.909,00 | 388 / 1 | $7.895,91 | 388 / 1 |
| G.I. Hemorrhage W Mcc | 33 | 88 / 1 | $20.785,30 | 82 / 2 | $10.330,90 | 87 / 1 | $8.425,82 | 87 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 1 | $39.003,50 | 301 / 2 | $13.268,90 | 512 / 1 | $12.480,60 | 505 / 1 |
| Respiratory Infections & Inflammations W Mcc | 31 | 105 / 3 | $25.500,90 | 251 / 3 | $10.874,60 | 254 / 1 | $9.909,13 | 254 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 4 | $115.619,00 | 695 / 6 | $36.992,90 | 1043 / 4 | $36.024,70 | 1036 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 2 | $12.082,40 | 480 / 3 | $3.870,72 | 185 / 2 | $2.946,97 | 183 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 27 | 161 / 3 | $23.859,80 | 240 / 3 | $6.249,26 | 316 / 1 | $5.166,04 | 316 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 1 | $15.033,40 | 246 / 2 | $6.065,15 | 141 / 1 | $5.125,19 | 141 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 3 | $18.408,60 | 262 / 2 | $6.955,65 | 281 / 1 | $6.007,42 | 280 / 2 |
| Other Circulatory System Diagnoses W Mcc | 26 | 90 / 1 | $47.469,10 | 680 / 3 | $14.151,50 | 922 / 3 | $12.853,50 | 915 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 25 | 37 / 1 | $44.700,80 | 88 / 1 | $17.089,20 | 243 / 1 | $16.193,70 | 241 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 1 | $18.781,10 | 164 / 2 | $6.842,72 | 147 / 2 | $5.813,04 | 147 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 4 | $13.576,10 | 156 / 3 | $4.285,88 | 182 / 1 | $3.171,79 | 180 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 5 | $13.192,20 | 711 / 5 | $3.980,42 | 320 / 1 | $3.160,79 | 320 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 6 | $20.223,70 | 736 / 7 | $6.635,96 | 359 / 1 | $5.622,57 | 358 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 23 | 49 / 1 | $16.223,80 | 42 / 1 | $7.544,65 | 114 / 1 | $6.898,13 | 114 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 8 | $13.517,30 | 397 / 2 | $5.575,04 | 457 / 2 | $4.613,30 | 454 / 1 |
| Pulmonary Embolism W/O Mcc | 22 | 52 / 1 | $19.499,00 | 360 / 4 | $5.706,05 | 250 / 2 | $4.695,86 | 250 / 1 |
| G.I. Obstruction W Cc | 22 | 70 / 3 | $15.043,10 | 292 / 4 | $5.112,09 | 231 / 2 | $4.098,55 | 230 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 1 | $18.417,80 | 325 / 2 | $6.241,86 | 141 / 1 | $5.403,50 | 140 / 1 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 5 | $54.994,90 | 527 / 8 | $17.868,40 | 682 / 7 | $14.279,20 | 676 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 2 | $83.806,90 | 223 / 3 | $30.605,20 | 500 / 2 | $29.624,40 | 498 / 3 |
| Transient Ischemia | 18 | 107 / 4 | $14.424,30 | 262 / 3 | $4.006,28 | 230 / 1 | $3.057,33 | 230 / 1 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 18 | 70 / 4 | $93.410,10 | 209 / 3 | $22.289,20 | 289 / 1 | $21.466,10 | 288 / 1 |
| Cellulitis W Mcc | 17 | 41 / 1 | $23.923,80 | 209 / 2 | $8.381,71 | 253 / 1 | $7.658,53 | 252 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 2 | $22.753,50 | 410 / 2 | $5.943,12 | 200 / 1 | $4.943,18 | 200 / 1 |
| Nonspecific Cerebrovascular Disorders W Mcc | 17 | 34 / 1 | $26.410,50 | 77 / 1 | $9.148,06 | 55 / 1 | $8.338,18 | 55 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 16 | 31 / 1 | $27.520,30 | 78 / 1 | $9.482,94 | 71 / 1 | $6.971,31 | 71 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 16 | 53 / 2 | $39.983,80 | 56 / 1 | $15.182,70 | 177 / 1 | $13.977,50 | 177 / 1 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 16 | 57 / 2 | $27.398,60 | 58 / 3 | $11.557,20 | 17 / 3 | $5.046,12 | 17 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 3 | $25.337,30 | 254 / 4 | $9.079,38 | 277 / 2 | $8.301,44 | 277 / 2 |
| Major Chest Procedures W Cc | 16 | 58 / 2 | $59.042,90 | 188 / 3 | $15.581,10 | 202 / 1 | $14.613,90 | 201 / 3 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 16 | 53 / 2 | $57.569,50 | 173 / 3 | $16.464,40 | 260 / 2 | $15.396,40 | 259 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 2 | $13.548,90 | 84 / 1 | $5.118,56 | 111 / 1 | $4.204,31 | 111 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 8 | $15.337,50 | 987 / 7 | $4.446,80 | 262 / 2 | $3.378,20 | 262 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 3 | $27.890,50 | 363 / 2 | $10.055,80 | 169 / 1 | $8.191,67 | 169 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 4 | $10.628,30 | 405 / 4 | $3.185,00 | 198 / 1 | $2.124,73 | 197 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 3 | $49.916,70 | 121 / 3 | $21.832,70 | 98 / 4 | $15.893,20 | 98 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 5 | $10.853,10 | 300 / 2 | $4.060,67 | 149 / 2 | $2.819,93 | 148 / 1 |
| Disorders Of Pancreas Except Malignancy W Mcc | 14 | 32 / 1 | $32.379,40 | 79 / 1 | $9.914,71 | 52 / 1 | $9.185,14 | 52 / 1 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 4 | $14.326,30 | 131 / 4 | $5.566,64 | 204 / 2 | $4.678,93 | 202 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 5 | $68.746,20 | 240 / 1 | $22.985,50 | 140 / 4 | $17.293,70 | 140 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 5 | $10.041,50 | 140 / 4 | $3.499,77 | 261 / 1 | $2.642,54 | 261 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 5 | $30.038,40 | 446 / 5 | $6.287,08 | 63 / 1 | $4.509,23 | 63 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 2 | $117.792,00 | 216 / 2 | $29.247,80 | 379 / 2 | $28.250,00 | 379 / 3 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 4 | $13.626,30 | 323 / 3 | $5.224,00 | 128 / 1 | $3.480,31 | 128 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 7 | $33.881,10 | 84 / 4 | $12.805,20 | 306 / 2 | $11.586,20 | 303 / 2 |
| Other Resp System O.R. Procedures W Mcc | 13 | 50 / 1 | $49.115,20 | 58 / 1 | $20.224,50 | 112 / 1 | $19.356,20 | 112 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 3 | $31.823,00 | 234 / 5 | $9.365,23 | 197 / 1 | $8.142,62 | 197 / 2 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 1 | $18.982,80 | 135 / 1 | $7.101,17 | 84 / 1 | $6.066,33 | 84 / 1 |
| Carotid Artery Stent Procedure W/O Cc/Mcc | 12 | 20 / 1 | $39.435,20 | 37 / 1 | $13.241,90 | 11 / 1 | $8.137,42 | 11 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 7 | $11.616,80 | 200 / 1 | $5.106,67 | 371 / 1 | $4.394,00 | 370 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 1 | $37.846,00 | 115 / 1 | $11.487,00 | 188 / 1 | $10.449,20 | 188 / 1 |
| Pulmonary Embolism W Mcc | 11 | 32 / 3 | $28.456,50 | 142 / 3 | $9.010,55 | 187 / 1 | $8.226,00 | 187 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 11 | 31 / 2 | $97.483,30 | 29 / 2 | $27.919,20 | 11 / 1 | $23.294,30 | 11 / 1 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 2 | $10.754,50 | 126 / 2 | $5.042,00 | 14 / 2 | $2.536,18 | 14 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 3 | $44.191,50 | 93 / 1 | $10.460,80 | 149 / 1 | $9.246,73 | 149 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 1 | $59.379,20 | 177 / 1 | $12.278,40 | 233 / 1 | $11.283,60 | 231 / 1 |
| Syncope & Collapse | 11 | 158 / 6 | $10.706,60 | 130 / 2 | $4.169,18 | 345 / 1 | $3.382,55 | 343 / 1 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 2 | $16.606,50 | 112 / 2 | $5.483,64 | 50 / 1 | $4.479,73 | 50 / 1 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 5 | $16.672,50 | 454 / 4 | $3.894,73 | 151 / 1 | $3.111,73 | 151 / 2 | Total 81 procedures | 2.622 | 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.