Hospital Costs > In Montana > St Vincent Healthcare, 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 | 479 | 136 / 1 | $43.361,70 | 948 / 10 | $15.032,80 | 1722 / 9 | $12.619,90 | 1683 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 268 | 250 / 1 | $30.331,90 | 797 / 4 | $12.135,60 | 1242 / 5 | $10.534,00 | 1221 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 107 | 87 / 1 | $77.474,60 | 492 / 3 | $27.251,00 | 551 / 7 | $22.124,70 | 548 / 2 |
| Pulmonary Edema & Respiratory Failure | 106 | 97 / 1 | $21.824,80 | 523 / 5 | $8.076,13 | 1078 / 6 | $7.065,32 | 1076 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 80 | 127 / 1 | $20.072,60 | 789 / 6 | $7.500,46 | 1242 / 6 | $5.921,19 | 1237 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 77 | 128 / 3 | $25.935,80 | 763 / 7 | $9.904,58 | 1221 / 6 | $8.170,73 | 1221 / 4 |
| Heart Failure & Shock W Mcc | 72 | 212 / 3 | $21.864,90 | 526 / 5 | $9.708,83 | 1461 / 5 | $8.973,14 | 1457 / 7 |
| Heart Failure & Shock W Cc | 63 | 215 / 2 | $16.967,40 | 800 / 7 | $6.685,68 | 1603 / 6 | $5.876,14 | 1598 / 9 |
| G.I. Hemorrhage W Cc | 61 | 157 / 4 | $18.447,00 | 603 / 8 | $7.027,20 | 1279 / 7 | $5.670,36 | 1276 / 7 |
| Renal Failure W Cc | 55 | 166 / 3 | $17.750,20 | 755 / 8 | $6.353,18 | 1257 / 5 | $5.452,00 | 1249 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 54 | 149 / 2 | $16.963,90 | 794 / 5 | $7.003,91 | 1335 / 5 | $5.348,09 | 1330 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 53 | 43 / 1 | $41.819,50 | 204 / 6 | $14.338,90 | 482 / 5 | $12.667,80 | 479 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 51 | 131 / 4 | $19.349,10 | 436 / 7 | $7.275,35 | 1105 / 6 | $6.004,04 | 1102 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 50 | 146 / 3 | $70.218,00 | 689 / 8 | $15.237,20 | 682 / 7 | $11.177,40 | 678 / 4 |
| Cellulitis W/O Mcc | 49 | 140 / 1 | $15.893,70 | 982 / 8 | $6.221,57 | 1371 / 7 | $4.601,04 | 1365 / 7 |
| Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 2 | $46.449,70 | 907 / 8 | $12.489,20 | 1100 / 6 | $11.311,50 | 1086 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 41 | 234 / 5 | $13.685,60 | 588 / 5 | $5.267,07 | 1448 / 6 | $4.084,24 | 1437 / 5 |
| Renal Failure W Mcc | 39 | 156 / 2 | $30.770,70 | 808 / 6 | $10.166,10 | 869 / 6 | $8.681,95 | 869 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 3 | $13.248,90 | 723 / 6 | $5.048,89 | 1047 / 6 | $3.684,05 | 1044 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 37 | 87 / 2 | $97.886,10 | 466 / 3 | $35.579,20 | 773 / 2 | $32.302,20 | 767 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 36 | 132 / 3 | $34.140,00 | 491 / 6 | $11.280,10 | 849 / 5 | $10.412,80 | 847 / 5 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 36 | 33 / 1 | $59.942,00 | 189 / 4 | $17.463,70 | 281 / 4 | $15.706,60 | 280 / 3 |
| Extracranial Procedures W/O Cc/Mcc | 35 | 63 / 2 | $20.912,30 | 161 / 2 | $7.214,20 | 497 / 5 | $5.742,00 | 496 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 1 | $13.306,00 | 635 / 6 | $4.772,61 | 1113 / 6 | $3.859,12 | 1104 / 5 |
| Major Cardiovasc Procedures W/O Mcc | 33 | 68 / 1 | $85.844,20 | 451 / 5 | $21.727,10 | 385 / 2 | $19.238,80 | 385 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 1 | $37.614,10 | 1248 / 8 | $8.941,09 | 1284 / 7 | $7.867,53 | 1281 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 2 | $14.087,20 | 809 / 5 | $5.322,16 | 1530 / 7 | $4.377,03 | 1519 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 2 | $17.063,30 | 707 / 6 | $6.284,66 | 1348 / 5 | $5.316,88 | 1343 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 31 | 71 / 2 | $15.280,60 | 273 / 7 | $5.548,97 | 740 / 7 | $3.918,90 | 736 / 4 |
| Revision Of Hip Or Knee Replacement W Cc | 30 | 56 / 1 | $67.498,50 | 201 / 2 | $20.652,00 | 225 / 1 | $18.361,40 | 225 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 29 | 40 / 1 | $50.056,20 | 133 / 2 | $16.612,60 | 283 / 2 | $15.493,30 | 283 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 3 | $81.579,30 | 1324 / 6 | $16.237,40 | 1203 / 6 | $15.077,60 | 1190 / 6 |
| Cervical Spinal Fusion W/O Cc/Mcc | 28 | 76 / 2 | $44.326,40 | 263 / 4 | $16.264,10 | 381 / 4 | $12.038,90 | 380 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 1 | $11.296,80 | 346 / 4 | $4.936,57 | 1144 / 6 | $3.834,36 | 1138 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 3 | $14.941,00 | 508 / 4 | $5.463,93 | 1101 / 4 | $4.395,37 | 1097 / 4 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 27 | 89 / 2 | $205.932,00 | 238 / 3 | $54.339,60 | 268 / 3 | $53.303,10 | 268 / 3 |
| G.I. Hemorrhage W Mcc | 27 | 94 / 2 | $32.805,90 | 421 / 5 | $11.324,00 | 825 / 4 | $10.600,40 | 822 / 4 |
| Other Vascular Procedures W Cc | 26 | 76 / 1 | $66.683,10 | 468 / 4 | $17.232,50 | 447 / 3 | $14.619,50 | 444 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 23 | 95 / 3 | $171.240,00 | 351 / 4 | $39.860,00 | 301 / 4 | $33.445,80 | 301 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 23 | 42 / 1 | $65.225,80 | 310 / 5 | $21.804,10 | 600 / 3 | $20.622,00 | 597 / 4 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 4 | $37.820,20 | 146 / 4 | $16.079,60 | 905 / 4 | $15.283,30 | 897 / 6 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 22 | 52 / 1 | $52.022,50 | 71 / 3 | $14.208,60 | 84 / 3 | $13.093,50 | 84 / 2 |
| Medical Back Problems W/O Mcc | 21 | 100 / 2 | $18.085,30 | 393 / 7 | $5.863,14 | 618 / 5 | $4.433,24 | 616 / 5 |
| Other Vascular Procedures W Mcc | 21 | 76 / 1 | $79.161,80 | 370 / 1 | $21.835,00 | 544 / 1 | $21.174,10 | 541 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 2 | $19.554,80 | 382 / 3 | $7.415,52 | 686 / 3 | $6.357,62 | 683 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 2 | $10.982,20 | 454 / 5 | $4.040,25 | 1062 / 6 | $2.871,10 | 1057 / 5 |
| Transient Ischemia | 20 | 105 / 3 | $13.973,00 | 240 / 2 | $5.559,80 | 272 / 4 | $3.119,95 | 272 / 2 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 3 | $137.001,00 | 431 / 4 | $25.488,60 | 417 / 3 | $24.219,10 | 416 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 1 | $27.403,70 | 629 / 3 | $7.351,05 | 661 / 4 | $5.780,32 | 659 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 2 | $26.724,00 | 329 / 1 | $11.205,50 | 974 / 2 | $10.215,40 | 972 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 2 | $28.853,60 | 352 / 5 | $8.795,61 | 233 / 1 | $8.129,94 | 233 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 2 | $11.422,10 | 383 / 1 | $5.219,94 | 1105 / 3 | $3.828,89 | 1096 / 4 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 2 | $30.461,40 | 362 / 3 | $9.001,78 | 416 / 2 | $8.209,06 | 415 / 3 |
| Syncope & Collapse | 17 | 152 / 4 | $16.048,60 | 490 / 5 | $5.470,71 | 854 / 5 | $3.895,24 | 850 / 5 |
| Seizures W/O Mcc | 17 | 91 / 2 | $17.009,60 | 372 / 3 | $5.666,76 | 370 / 3 | $3.868,94 | 368 / 1 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 3 | $18.262,90 | 558 / 5 | $4.896,44 | 608 / 4 | $3.882,56 | 607 / 5 |
| Respiratory Infections & Inflammations W Mcc | 16 | 120 / 7 | $51.703,40 | 1112 / 8 | $15.802,80 | 1450 / 8 | $13.929,10 | 1435 / 7 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 3 | $32.028,20 | 166 / 2 | $10.565,80 | 451 / 2 | $9.541,88 | 451 / 3 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 1 | $161.285,00 | 589 / 2 | $38.527,80 | 538 / 1 | $37.551,20 | 537 / 1 |
| Major Cardiovasc Procedures W Mcc | 16 | 52 / 2 | $133.264,00 | 280 / 3 | $33.824,70 | 289 / 2 | $32.604,80 | 289 / 2 |
| Diabetes W Cc | 16 | 76 / 2 | $18.188,30 | 576 / 2 | $5.599,56 | 765 / 1 | $4.644,81 | 762 / 1 |
| Cervical Spinal Fusion W Cc | 15 | 38 / 1 | $60.367,10 | 134 / 1 | $18.687,30 | 199 / 1 | $17.223,80 | 198 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 4 | $55.369,70 | 241 / 4 | $19.411,90 | 522 / 3 | $18.456,90 | 519 / 3 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 4 | $21.580,60 | 469 / 6 | $6.680,80 | 751 / 5 | $5.676,13 | 748 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 5 | $29.628,90 | 499 / 6 | $7.255,80 | 963 / 4 | $6.255,67 | 960 / 6 |
| G.I. Obstruction W Cc | 15 | 77 / 6 | $18.101,20 | 520 / 6 | $6.004,87 | 1067 / 5 | $5.231,73 | 1064 / 6 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 4 | $9.916,71 | 132 / 3 | $4.358,57 | 771 / 5 | $3.384,93 | 768 / 7 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 3 | $12.510,20 | 244 / 2 | $5.524,36 | 876 / 4 | $4.382,29 | 871 / 4 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 14 | 52 / 1 | $28.307,30 | 41 / 1 | $12.038,50 | 267 / 1 | $10.969,90 | 265 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 4 | $84.451,70 | 237 / 4 | $29.595,50 | 400 / 1 | $28.515,60 | 398 / 2 |
| Major Chest Procedures W Cc | 14 | 60 / 3 | $60.214,60 | 195 / 4 | $16.410,70 | 263 / 2 | $15.468,10 | 261 / 4 |
| Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 1 | $32.260,30 | 81 / 2 | $11.298,90 | 235 / 2 | $9.342,64 | 234 / 2 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 13 | 60 / 3 | $19.524,40 | 18 / 2 | $11.607,00 | 4 / 4 | $4.461,38 | 4 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 2 | $17.612,70 | 148 / 1 | $6.672,62 | 362 / 3 | $5.503,15 | 362 / 2 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 1 | $16.850,50 | 257 / 2 | $5.266,69 | 403 / 2 | $4.204,62 | 402 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 3 | $12.957,50 | 195 / 4 | $5.001,23 | 463 / 4 | $3.849,77 | 463 / 3 |
| Pulmonary Embolism W Mcc | 12 | 31 / 2 | $24.275,80 | 89 / 2 | $9.246,67 | 194 / 2 | $8.241,58 | 194 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 8 | $19.701,10 | 688 / 5 | $7.768,33 | 1483 / 6 | $6.815,92 | 1477 / 7 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 2 | $83.545,80 | 112 / 1 | $26.015,60 | 134 / 1 | $24.936,80 | 134 / 1 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 12 | 34 / 1 | $199.157,00 | 53 / 1 | $59.611,40 | 78 / 1 | $58.337,00 | 78 / 1 |
| Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 1 | $196.279,00 | 228 / 1 | $47.593,30 | 276 / 1 | $46.475,10 | 276 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 3 | $161.921,00 | 396 / 4 | $31.381,20 | 442 / 4 | $30.176,60 | 442 / 4 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 3 | $21.599,20 | 679 / 4 | $7.544,83 | 1101 / 4 | $6.576,67 | 1097 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 2 | $72.279,70 | 524 / 3 | $17.447,20 | 582 / 2 | $16.597,10 | 581 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 2 | $19.173,40 | 261 / 2 | $7.802,42 | 535 / 3 | $6.736,58 | 533 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 3 | $33.263,40 | 148 / 3 | $10.656,80 | 529 / 1 | $9.740,18 | 527 / 2 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 2 | $21.996,40 | 46 / 1 | $10.957,90 | 278 / 1 | $10.036,20 | 278 / 1 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 3 | $23.471,60 | 410 / 3 | $5.270,45 | 414 / 3 | $4.029,36 | 411 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 4 | $22.453,20 | 389 / 5 | $6.254,73 | 571 / 4 | $5.538,27 | 568 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 6 | $24.326,50 | 406 / 6 | $7.899,64 | 558 / 7 | $6.748,91 | 553 / 4 | Total 90 procedures | 3.180 | 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.