Hospital Costs > In Indiana > St Vincent Carmel Hospital Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| O.R. Procedures For Obesity W/O Cc/Mcc | 80 | 9 / 1 | $55.999,90 | 306 / 6 | $10.200,40 | 127 / 5 | $8.118,54 | 127 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 63 | 501 / 48 | $55.955,40 | 1545 / 44 | $15.259,20 | 588 / 64 | $10.458,60 | 582 / 17 |
| O.R. Procedures For Obesity W Cc | 48 | 1 / 1 | $58.121,60 | 67 / 2 | $11.706,20 | 42 / 1 | $10.599,60 | 42 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 44 | 472 / 51 | $38.262,80 | 1225 / 38 | $12.661,20 | 458 / 60 | $9.447,61 | 458 / 7 |
| Spinal Fusion Except Cervical W/O Mcc | 39 | 155 / 20 | $114.385,00 | 881 / 23 | $28.531,00 | 347 / 28 | $20.908,30 | 346 / 9 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 32 | 64 / 7 | $64.140,40 | 523 / 14 | $13.367,00 | 403 / 9 | $12.200,00 | 400 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 35 | $16.635,70 | 957 / 25 | $5.215,79 | 966 / 47 | $3.741,07 | 958 / 36 |
| G.I. Hemorrhage W Cc | 25 | 193 / 36 | $21.770,30 | 919 / 25 | $6.403,32 | 788 / 32 | $5.170,44 | 786 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 48 | $17.637,10 | 1301 / 45 | $4.948,84 | 1057 / 35 | $3.997,26 | 1049 / 41 |
| Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 13 | $66.865,70 | 544 / 16 | $15.416,90 | 287 / 21 | $11.540,50 | 286 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 42 | $22.700,40 | 1041 / 31 | $7.207,94 | 648 / 53 | $5.351,47 | 646 / 23 |
| Heart Failure & Shock W Mcc | 17 | 267 / 50 | $32.636,70 | 1260 / 47 | $8.905,00 | 770 / 23 | $8.016,53 | 770 / 25 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 47 | $36.186,00 | 1342 / 53 | $7.614,31 | 948 / 24 | $6.862,31 | 948 / 41 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 23 | $59.542,80 | 625 / 22 | $15.231,50 | 634 / 15 | $14.099,50 | 628 / 22 |
| Stomach, Esophageal & Duodenal Proc W Cc | 16 | 34 / 3 | $73.639,70 | 123 / 2 | $16.292,50 | 73 / 1 | $15.386,50 | 73 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 10 | $36.735,10 | 245 / 4 | $10.732,30 | 222 / 9 | $8.161,87 | 222 / 8 |
| Stomach, Esophageal & Duodenal Proc W Mcc | 15 | 26 / 2 | $96.577,50 | 45 / 1 | $37.830,70 | 34 / 2 | $29.334,40 | 34 / 3 |
| O.R. Procedures For Obesity W Mcc | 14 | 2 / 1 | $76.963,20 | 3 / 1 | $21.258,70 | 2 / 1 | $20.049,60 | 2 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 37 | $19.085,20 | 515 / 15 | $6.867,54 | 625 / 19 | $5.846,00 | 624 / 21 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 22 | $28.587,80 | 347 / 12 | $8.681,58 | 146 / 5 | $7.777,58 | 146 / 5 |
| Renal Failure W Mcc | 12 | 183 / 36 | $48.254,00 | 1534 / 50 | $11.246,00 | 1108 / 50 | $9.151,67 | 1108 / 37 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 48 | $23.108,50 | 1457 / 51 | $6.214,64 | 1327 / 36 | $5.336,09 | 1322 / 45 | Total 22 procedures | 569 | 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.