Hospital Costs > In Louisiana > St Tammany Parish 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 | 156 | 408 / 13 | $83.877,90 | 2275 / 48 | $13.164,20 | 607 / 32 | $10.474,10 | 600 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 148 | 368 / 13 | $45.232,10 | 1586 / 39 | $10.476,10 | 327 / 14 | $9.228,91 | 327 / 13 |
Heart Failure & Shock W Cc | 78 | 200 / 15 | $21.295,90 | 1329 / 37 | $5.845,73 | 896 / 15 | $5.207,88 | 895 / 24 |
Renal Failure W Cc | 66 | 155 / 17 | $23.464,70 | 1308 / 26 | $5.697,62 | 615 / 10 | $4.853,50 | 609 / 12 |
Cellulitis W/O Mcc | 62 | 127 / 8 | $21.169,00 | 1593 / 43 | $5.356,31 | 508 / 21 | $3.889,71 | 505 / 12 |
Pulmonary Edema & Respiratory Failure | 56 | 147 / 10 | $32.988,00 | 1200 / 18 | $7.459,75 | 636 / 13 | $6.498,95 | 636 / 12 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 55 | 133 / 8 | $34.150,90 | 715 / 20 | $9.111,33 | 213 / 32 | $4.997,89 | 213 / 10 |
G.I. Hemorrhage W Cc | 55 | 163 / 11 | $30.940,40 | 1610 / 37 | $6.175,69 | 836 / 16 | $5.204,64 | 834 / 20 |
Renal Failure W Mcc | 53 | 142 / 16 | $37.299,20 | 1170 / 27 | $8.757,85 | 487 / 8 | $8.040,87 | 487 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 51 | 224 / 18 | $25.820,00 | 1939 / 53 | $5.027,53 | 299 / 27 | $3.231,12 | 298 / 5 |
Heart Failure & Shock W Mcc | 50 | 234 / 25 | $35.190,70 | 1408 / 36 | $8.680,86 | 647 / 20 | $7.872,54 | 647 / 23 |
Simple Pneumonia & Pleurisy W Mcc | 49 | 156 / 13 | $36.526,10 | 1432 / 21 | $8.291,20 | 717 / 13 | $7.578,71 | 717 / 19 |
Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 16 | $34.199,90 | 1698 / 38 | $7.029,96 | 826 / 20 | $6.073,98 | 821 / 20 |
Kidney & Urinary Tract Infections W Mcc | 45 | 99 / 10 | $22.348,80 | 731 / 14 | $6.329,44 | 355 / 4 | $5.508,82 | 354 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 44 | 152 / 11 | $107.358,00 | 1233 / 29 | $14.234,70 | 522 / 24 | $10.698,90 | 520 / 21 |
Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 26 | $21.147,70 | 1685 / 47 | $4.875,68 | 871 / 18 | $3.871,32 | 865 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 18 | $22.630,30 | 1034 / 19 | $6.378,50 | 283 / 12 | $4.969,45 | 282 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 17 | $21.774,40 | 1704 / 50 | $4.659,61 | 581 / 24 | $3.366,31 | 579 / 13 |
Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 14 | $60.187,50 | 1354 / 25 | $11.310,50 | 709 / 17 | $10.440,30 | 703 / 22 |
Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 19 | $30.021,60 | 1718 / 38 | $5.615,15 | 580 / 13 | $4.621,26 | 578 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 20 | $27.023,30 | 929 / 18 | $6.094,76 | 171 / 7 | $4.771,15 | 171 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 8 | $31.909,50 | 1043 / 23 | $7.291,27 | 622 / 10 | $6.558,18 | 619 / 13 |
Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 29 | $27.371,60 | 1801 / 41 | $6.066,88 | 895 / 20 | $4.993,47 | 892 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 13 | $20.809,00 | 1111 / 22 | $5.031,75 | 903 / 14 | $4.202,75 | 900 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 11 | $25.405,70 | 731 / 14 | $6.564,42 | 180 / 8 | $5.490,90 | 178 / 8 |
G.I. Hemorrhage W Mcc | 29 | 92 / 11 | $43.752,40 | 829 / 19 | $9.782,90 | 116 / 8 | $8.536,86 | 116 / 4 |
G.I. Obstruction W Cc | 29 | 63 / 6 | $33.819,90 | 1320 / 23 | $5.836,10 | 983 / 16 | $5.088,00 | 980 / 20 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 13 | $20.772,90 | 1312 / 37 | $5.379,00 | 193 / 43 | $3.007,17 | 193 / 4 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 15 | $14.587,80 | 939 / 22 | $3.771,77 | 1021 / 10 | $2.847,46 | 1016 / 19 |
Other Circulatory System Diagnoses W Mcc | 25 | 91 / 10 | $58.308,80 | 906 / 22 | $10.800,30 | 397 / 8 | $10.352,90 | 396 / 15 |
Major Small & Large Bowel Procedures W Cc | 24 | 84 / 11 | $62.470,00 | 699 / 15 | $15.165,10 | 100 / 12 | $11.896,40 | 100 / 10 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 16 | $67.401,90 | 1093 / 27 | $13.432,20 | 229 / 16 | $11.663,30 | 227 / 11 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 11 | $115.268,00 | 693 / 20 | $27.526,20 | 57 / 7 | $24.628,90 | 57 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 23 | 77 / 7 | $147.021,00 | 809 / 13 | $22.438,70 | 366 / 15 | $18.421,50 | 364 / 14 |
Respiratory Infections & Inflammations W Mcc | 22 | 114 / 13 | $37.638,40 | 676 / 12 | $10.063,00 | 180 / 3 | $9.676,14 | 180 / 5 |
Other Digestive System Diagnoses W Cc | 22 | 75 / 8 | $23.702,50 | 597 / 11 | $5.997,68 | 318 / 6 | $4.893,77 | 315 / 5 |
O.R. Procedures For Obesity W/O Cc/Mcc | 20 | 57 / 6 | $45.924,00 | 227 / 7 | $9.272,90 | 136 / 6 | $8.188,10 | 136 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 16 | $30.946,80 | 374 / 7 | $9.544,70 | 232 / 6 | $8.579,90 | 231 / 8 |
Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 8 | $156.499,00 | 843 / 18 | $31.351,80 | 593 / 14 | $30.640,30 | 591 / 17 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 27 | $21.477,80 | 1024 / 32 | $5.095,06 | 741 / 11 | $4.225,72 | 736 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 11 | $34.118,30 | 772 / 14 | $7.195,39 | 309 / 6 | $6.258,50 | 307 / 6 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 14 | $36.521,40 | 681 / 12 | $9.624,72 | 422 / 10 | $8.819,39 | 422 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 5 | $103.262,00 | 675 / 12 | $18.015,20 | 229 / 5 | $17.021,40 | 228 / 8 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 7 | $48.412,80 | 290 / 7 | $12.102,90 | 202 / 4 | $11.042,90 | 198 / 7 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 11 | $24.725,30 | 578 / 13 | $5.471,80 | 308 / 8 | $4.343,27 | 304 / 8 |
Major Cardiovasc Procedures W Mcc | 15 | 53 / 8 | $161.149,00 | 390 / 10 | $29.524,30 | 127 / 3 | $28.713,60 | 127 / 5 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 15 | 80 / 6 | $74.271,10 | 291 / 4 | $11.584,00 | 172 / 3 | $10.654,90 | 170 / 5 |
Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 15 | $35.581,80 | 565 / 13 | $6.420,40 | 361 / 11 | $5.375,07 | 361 / 11 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 11 | $37.806,50 | 588 / 10 | $8.622,00 | 179 / 3 | $7.916,93 | 179 / 5 |
Other Circulatory System Diagnoses W Cc | 15 | 51 / 4 | $37.753,30 | 523 / 8 | $6.765,20 | 374 / 6 | $5.920,40 | 373 / 9 |
Syncope & Collapse | 14 | 155 / 22 | $22.124,40 | 1051 / 21 | $4.686,43 | 950 / 11 | $3.998,43 | 944 / 20 |
Respiratory Neoplasms W Mcc | 14 | 38 / 5 | $50.977,90 | 391 / 8 | $10.245,80 | 194 / 4 | $9.468,57 | 194 / 6 |
Cellulitis W Mcc | 14 | 44 / 7 | $41.397,00 | 623 / 12 | $8.302,79 | 266 / 4 | $7.697,07 | 265 / 8 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 4 | $85.175,80 | 309 / 8 | $14.100,80 | 95 / 3 | $13.076,80 | 95 / 5 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 9 | $48.925,60 | 554 / 13 | $9.612,31 | 173 / 9 | $8.052,23 | 173 / 9 |
Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 5 | $244.180,00 | 318 / 6 | $39.181,50 | 103 / 5 | $38.297,80 | 103 / 5 |
Other Vascular Procedures W Mcc | 13 | 84 / 15 | $85.190,50 | 444 / 10 | $18.432,90 | 176 / 4 | $17.687,00 | 176 / 5 |
Chest Pain | 13 | 138 / 19 | $20.071,30 | 927 / 20 | $4.183,69 | 378 / 14 | $2.791,23 | 377 / 9 |
Other Vascular Procedures W Cc | 13 | 89 / 15 | $89.300,20 | 745 / 16 | $14.309,20 | 174 / 2 | $13.196,50 | 174 / 7 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 12 | $20.512,20 | 561 / 12 | $4.792,31 | 104 / 12 | $2.953,85 | 104 / 2 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 13 | $16.612,70 | 634 / 15 | $4.061,15 | 486 / 6 | $2.948,54 | 485 / 8 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 31 | $16.114,40 | 841 / 19 | $4.380,31 | 387 / 11 | $3.130,54 | 385 / 9 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 13 | $51.063,10 | 855 / 18 | $9.345,00 | 738 / 17 | $8.505,62 | 734 / 19 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 17 | $35.054,70 | 850 / 19 | $7.885,50 | 463 / 9 | $7.262,83 | 460 / 14 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 8 | $59.513,20 | 578 / 14 | $11.485,50 | 95 / 13 | $7.812,75 | 95 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 10 | $33.666,50 | 732 / 14 | $6.323,25 | 38 / 4 | $5.224,58 | 38 / 2 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 3 | $73.237,80 | 198 / 3 | $16.243,80 | 21 / 2 | $13.325,10 | 21 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 11 | $27.238,70 | 620 / 11 | $6.467,83 | 493 / 3 | $5.457,17 | 492 / 8 |
G.I. Obstruction W Mcc | 12 | 30 / 5 | $43.421,80 | 287 / 7 | $8.909,67 | 47 / 2 | $8.003,00 | 47 / 3 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 25 | $14.803,20 | 829 / 24 | $4.344,92 | 1010 / 16 | $3.742,25 | 1002 / 28 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 8 | $54.165,10 | 326 / 6 | $12.398,50 | 192 / 4 | $11.298,90 | 191 / 8 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 4 | $47.383,20 | 156 / 5 | $10.276,60 | 61 / 3 | $9.401,00 | 61 / 4 |
Diabetes W Cc | 11 | 81 / 18 | $20.197,00 | 707 / 16 | $5.240,82 | 479 / 8 | $4.254,64 | 479 / 9 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 6 | $113.155,00 | 436 / 8 | $15.043,10 | 164 / 4 | $13.832,90 | 164 / 7 | Total 74 procedures | 2.177 | 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.