Hospital Costs > In Nevada > St Rose Dominican Hospitals - San Martin Campus, 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 | 57 | 459 / 15 | $81.241,30 | 2449 / 9 | $12.155,60 | 1509 / 4 | $11.031,60 | 1479 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 56 | 219 / 9 | $45.929,40 | 2605 / 16 | $4.952,71 | 1088 / 4 | $3.817,02 | 1080 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 17 | $99.831,70 | 2475 / 14 | $14.631,30 | 1174 / 7 | $11.333,30 | 1146 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 8 | $38.130,40 | 2458 / 11 | $4.816,79 | 926 / 3 | $3.904,04 | 919 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 9 | $49.982,00 | 2557 / 9 | $7.411,93 | 302 / 9 | $4.467,88 | 300 / 1 |
| Renal Failure W Cc | 41 | 180 / 11 | $37.692,90 | 1978 / 7 | $6.168,29 | 283 / 3 | $4.517,17 | 281 / 1 |
| Heart Failure & Shock W Cc | 37 | 241 / 13 | $39.361,40 | 2306 / 10 | $6.151,89 | 1144 / 3 | $5.399,46 | 1141 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 10 | $76.647,10 | 2315 / 12 | $10.341,10 | 1489 / 10 | $8.650,08 | 1489 / 9 |
| Cellulitis W/O Mcc | 36 | 153 / 9 | $36.912,90 | 2343 / 10 | $5.187,92 | 481 / 2 | $3.861,81 | 478 / 2 |
| Heart Failure & Shock W Mcc | 31 | 253 / 12 | $67.231,40 | 2302 / 9 | $10.421,10 | 1680 / 5 | $9.426,87 | 1675 / 8 |
| G.I. Hemorrhage W Cc | 28 | 190 / 11 | $49.939,60 | 2164 / 12 | $7.542,61 | 698 / 12 | $5.088,04 | 697 / 4 |
| Pulmonary Edema & Respiratory Failure | 28 | 175 / 12 | $64.373,70 | 1987 / 8 | $7.611,68 | 1084 / 2 | $7.072,82 | 1082 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 7 | $27.216,90 | 1689 / 6 | $3.944,37 | 303 / 3 | $2.262,85 | 301 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 4 | $35.381,20 | 1743 / 7 | $5.634,72 | 324 / 8 | $3.071,32 | 322 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 23 | 95 / 3 | $282.647,00 | 498 / 3 | $38.686,60 | 400 / 4 | $37.789,20 | 400 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 10 | $35.584,40 | 1817 / 8 | $5.334,30 | 256 / 3 | $3.559,43 | 256 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 23 | 75 / 3 | $62.541,70 | 844 / 6 | $7.071,61 | 591 / 1 | $6.078,22 | 589 / 2 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 10 | $33.296,00 | 1620 / 7 | $6.402,73 | 308 / 11 | $3.764,82 | 307 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 15 | $39.062,80 | 2356 / 12 | $5.184,64 | 564 / 7 | $3.357,09 | 562 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 14 | $98.406,00 | 1503 / 7 | $13.696,30 | 445 / 2 | $12.302,10 | 440 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 15 | $48.565,40 | 2145 / 9 | $7.052,00 | 986 / 3 | $6.225,82 | 981 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 9 | $32.329,10 | 1774 / 7 | $8.835,71 | 512 / 14 | $3.337,19 | 511 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 21 | 80 / 4 | $156.772,00 | 900 / 4 | $26.457,40 | 262 / 5 | $18.288,90 | 262 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 13 | $76.554,30 | 1545 / 9 | $7.376,29 | 234 / 4 | $5.025,52 | 234 / 1 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 5 | $113.180,00 | 1313 / 6 | $16.130,80 | 864 / 3 | $15.047,60 | 856 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 14 | $45.270,60 | 2174 / 11 | $6.008,70 | 833 / 3 | $4.828,80 | 830 / 4 |
| Renal Failure W Mcc | 19 | 176 / 16 | $73.128,00 | 1937 / 8 | $9.733,53 | 213 / 2 | $7.568,11 | 213 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 13 | $114.052,00 | 1284 / 8 | $12.746,90 | 886 / 2 | $12.009,20 | 880 / 10 |
| Syncope & Collapse | 17 | 152 / 13 | $43.794,80 | 1755 / 10 | $4.523,59 | 764 / 1 | $3.813,94 | 761 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 10 | $57.826,80 | 1659 / 5 | $8.014,47 | 864 / 1 | $6.919,29 | 861 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 11 | $47.527,20 | 1451 / 6 | $7.497,94 | 267 / 6 | $5.640,94 | 264 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 4 | $25.609,80 | 1018 / 5 | $4.201,94 | 181 / 4 | $2.507,19 | 181 / 1 |
| G.I. Obstruction W Cc | 16 | 76 / 7 | $36.052,00 | 1370 / 5 | $5.327,44 | 590 / 1 | $4.573,44 | 589 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 10 | $32.909,80 | 1777 / 11 | $4.080,94 | 472 / 1 | $3.289,12 | 470 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 13 | $52.802,10 | 2310 / 13 | $6.541,07 | 1156 / 2 | $5.817,87 | 1151 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 10 | $50.350,70 | 1691 / 8 | $10.495,70 | 267 / 13 | $5.373,53 | 267 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 11 | $261.807,00 | 926 / 6 | $41.182,10 | 586 / 7 | $38.377,90 | 585 / 8 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 10 | $36.396,80 | 1159 / 7 | $4.111,21 | 133 / 1 | $3.071,21 | 133 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 10 | $50.769,70 | 1170 / 5 | $7.443,43 | 478 / 1 | $6.581,71 | 475 / 1 |
| G.I. Hemorrhage W Mcc | 14 | 107 / 12 | $82.756,60 | 1463 / 5 | $11.110,40 | 804 / 1 | $10.548,10 | 801 / 2 |
| Other Vascular Procedures W Cc | 14 | 88 / 6 | $147.716,00 | 1052 / 7 | $21.548,30 | 836 / 10 | $17.796,00 | 831 / 7 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 3 | $80.828,30 | 677 / 4 | $10.638,80 | 283 / 1 | $8.523,54 | 283 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 4 | $50.139,70 | 945 / 4 | $7.104,08 | 430 / 1 | $6.470,75 | 429 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 12 | 104 / 5 | $369.380,00 | 429 / 3 | $58.859,80 | 339 / 3 | $57.953,30 | 339 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 15 | $45.657,30 | 1646 / 6 | $5.869,18 | 239 / 1 | $4.888,82 | 239 / 2 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 8 | $50.469,90 | 1274 / 6 | $6.037,64 | 537 / 1 | $5.266,73 | 534 / 2 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 4 | $24.102,70 | 667 / 1 | $5.166,18 | 16 / 5 | $2.310,36 | 16 / 1 |
| Diabetes W Cc | 11 | 81 / 11 | $37.632,70 | 1355 / 6 | $5.163,36 | 606 / 1 | $4.398,27 | 605 / 1 | Total 48 procedures | 1.122 | 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.