Hospital Costs > In Hawaii > Straub Clinic And Hospital, 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 | 224 | 292 / 3 | $55.212,60 | 1955 / 10 | $16.001,40 | 2262 / 3 | $13.448,80 | 2222 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 185 | 379 / 2 | $50.555,00 | 1314 / 7 | $19.246,00 | 1856 / 4 | $13.029,90 | 1815 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 87 | 120 / 2 | $33.503,10 | 1791 / 10 | $9.482,31 | 2044 / 3 | $7.464,85 | 2036 / 3 |
| Heart Failure & Shock W Mcc | 46 | 238 / 3 | $48.520,20 | 1950 / 10 | $12.541,60 | 2283 / 3 | $11.710,60 | 2273 / 6 |
| G.I. Hemorrhage W Cc | 44 | 174 / 5 | $31.175,20 | 1623 / 11 | $8.637,43 | 1858 / 3 | $6.782,09 | 1854 / 4 |
| Cellulitis W/O Mcc | 43 | 146 / 4 | $29.624,80 | 2108 / 10 | $7.397,58 | 1686 / 3 | $4.955,63 | 1679 / 1 |
| Heart Failure & Shock W Cc | 37 | 241 / 3 | $33.003,40 | 2097 / 9 | $8.839,19 | 2165 / 3 | $6.894,30 | 2159 / 5 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 29 | 34 / 1 | $73.624,10 | 105 / 1 | $29.881,00 | 125 / 1 | $19.378,00 | 125 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 2 | $189.839,00 | 1223 / 7 | $58.809,10 | 1460 / 6 | $48.179,90 | 1450 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 4 | $51.005,60 | 981 / 5 | $14.155,10 | 1300 / 3 | $12.988,70 | 1294 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 5 | $41.406,80 | 1555 / 10 | $9.322,73 | 1739 / 2 | $7.881,12 | 1735 / 5 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 2 | $69.671,40 | 1139 / 4 | $20.201,20 | 1621 / 1 | $19.187,90 | 1607 / 1 |
| Respiratory Infections & Inflammations W Mcc | 24 | 112 / 4 | $52.998,50 | 1134 / 5 | $16.071,40 | 1455 / 2 | $13.946,30 | 1440 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 5 | $30.229,50 | 2146 / 8 | $6.767,58 | 1989 / 5 | $4.861,25 | 1981 / 3 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 3 | $43.571,80 | 1623 / 3 | $9.870,83 | 1768 / 2 | $8.776,42 | 1763 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 1 | $96.551,10 | 550 / 2 | $31.822,20 | 626 / 1 | $21.702,60 | 626 / 2 |
| G.I. Obstruction W Cc | 21 | 71 / 3 | $22.960,20 | 861 / 3 | $7.953,24 | 1363 / 3 | $6.084,29 | 1358 / 3 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 21 | 38 / 1 | $150.378,00 | 115 / 2 | $48.328,10 | 188 / 1 | $43.793,90 | 187 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 3 | $62.083,70 | 499 / 2 | $19.325,50 | 498 / 2 | $10.637,90 | 496 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 4 | $31.738,10 | 802 / 4 | $9.699,71 | 930 / 4 | $6.464,48 | 928 / 1 |
| Other Vascular Procedures W Mcc | 21 | 76 / 2 | $93.884,00 | 532 / 2 | $24.303,10 | 685 / 1 | $23.352,70 | 682 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 4 | $27.110,80 | 992 / 6 | $7.053,95 | 1069 / 1 | $4.483,70 | 1065 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 5 | $44.618,60 | 1744 / 9 | $12.117,30 | 2171 / 3 | $11.075,80 | 2166 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 6 | $27.074,40 | 2011 / 10 | $6.642,12 | 1918 / 3 | $4.629,35 | 1904 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 4 | $27.657,40 | 1520 / 4 | $6.685,18 | 1758 / 1 | $5.652,18 | 1753 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 3 | $34.413,80 | 730 / 4 | $10.233,40 | 1183 / 4 | $6.947,18 | 1180 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 5 | $59.450,60 | 1337 / 9 | $15.347,40 | 1713 / 2 | $14.136,40 | 1694 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 8 | $35.183,90 | 2189 / 9 | $8.100,47 | 2348 / 2 | $7.033,53 | 2339 / 2 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 1 | $275.961,00 | 956 / 2 | $94.258,30 | 995 / 2 | $52.222,60 | 994 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 4 | $40.296,10 | 1930 / 7 | $9.741,19 | 2093 / 2 | $8.256,00 | 2085 / 4 |
| Renal Failure W Mcc | 16 | 179 / 4 | $41.285,40 | 1320 / 5 | $14.201,60 | 1524 / 4 | $10.388,90 | 1523 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 1 | $58.105,70 | 321 / 1 | $20.534,10 | 788 / 1 | $19.362,20 | 784 / 1 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 1 | $38.255,70 | 1024 / 1 | $8.193,87 | 1095 / 1 | $7.161,07 | 1092 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 7 | $44.791,30 | 986 / 5 | $13.576,30 | 1478 / 2 | $12.696,80 | 1466 / 5 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 15 | 101 / 2 | $258.160,00 | 333 / 2 | $87.607,20 | 354 / 2 | $58.974,50 | 354 / 1 |
| Renal Failure W Cc | 14 | 207 / 6 | $28.153,50 | 1611 / 6 | $8.435,14 | 1848 / 2 | $6.526,21 | 1838 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 3 | $99.048,50 | 472 / 2 | $28.354,70 | 917 / 2 | $27.170,50 | 912 / 3 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 4 | $37.644,60 | 610 / 2 | $15.904,10 | 1039 / 3 | $11.440,00 | 1031 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 8 | $24.438,20 | 1946 / 7 | $7.362,75 | 1037 / 5 | $3.981,75 | 1029 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 2 | $36.718,40 | 103 / 1 | $17.923,80 | 543 / 1 | $14.331,80 | 542 / 2 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 2 | $104.829,00 | 285 / 2 | $37.684,00 | 259 / 2 | $20.867,50 | 258 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 5 | $25.560,00 | 742 / 4 | $9.067,00 | 1315 / 3 | $8.214,67 | 1312 / 4 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 2 | $47.628,90 | 429 / 2 | $16.200,80 | 336 / 1 | $8.773,25 | 336 / 1 |
| Cellulitis W Mcc | 12 | 46 / 2 | $35.998,00 | 509 / 1 | $12.022,50 | 799 / 1 | $10.977,40 | 797 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 1 | $78.110,80 | 322 / 1 | $28.353,40 | 215 / 1 | $14.975,70 | 215 / 1 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 3 | $102.459,00 | 1234 / 5 | $30.640,60 | 1238 / 4 | $17.960,20 | 1224 / 2 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 3 | $38.640,50 | 988 / 3 | $8.967,91 | 841 / 1 | $6.347,64 | 838 / 1 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 1 | $127.986,00 | 431 / 1 | $44.528,40 | 454 / 1 | $31.548,40 | 454 / 1 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 2 | $106.737,00 | 221 / 2 | $34.604,80 | 386 / 1 | $33.611,20 | 386 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 2 | $68.954,50 | 208 / 3 | $19.226,30 | 294 / 2 | $18.344,60 | 293 / 2 |
| Diabetes W Cc | 11 | 81 / 2 | $22.998,60 | 886 / 2 | $7.337,55 | 1079 / 1 | $5.341,27 | 1075 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 5 | $20.474,10 | 1419 / 6 | $4.949,36 | 1714 / 1 | $4.144,91 | 1708 / 3 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 2 | $184.400,00 | 599 / 3 | $49.162,20 | 699 / 2 | $44.362,10 | 699 / 3 | Total 53 procedures | 1.448 | 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.