Hospital Costs > In Ohio > Summa Barberton 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 | 81 | 483 / 58 | $70.865,30 | 2016 / 114 | $14.003,40 | 674 / 71 | $10.588,30 | 665 / 44 |
Chronic Obstructive Pulmonary Disease W Mcc | 73 | 129 / 25 | $35.270,70 | 1754 / 96 | $7.770,59 | 709 / 71 | $5.978,62 | 704 / 47 |
Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 29 | $27.075,60 | 2081 / 110 | $5.369,42 | 1444 / 75 | $4.297,11 | 1435 / 83 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 61 | 455 / 71 | $65.785,40 | 2216 / 105 | $11.585,60 | 1047 / 62 | $10.257,00 | 1035 / 67 |
Heart Failure & Shock W Cc | 59 | 219 / 52 | $35.292,00 | 2192 / 109 | $6.609,36 | 1212 / 71 | $5.462,93 | 1209 / 71 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 42 | $30.150,10 | 2175 / 109 | $5.205,57 | 1249 / 69 | $3.928,55 | 1238 / 79 |
Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 26 | $47.405,10 | 1829 / 103 | $9.317,05 | 614 / 69 | $7.450,82 | 614 / 51 |
Heart Failure & Shock W Mcc | 54 | 230 / 52 | $52.437,30 | 2053 / 101 | $10.056,30 | 1161 / 76 | $8.517,43 | 1158 / 71 |
G.I. Hemorrhage W Cc | 47 | 171 / 37 | $46.480,20 | 2101 / 102 | $6.740,60 | 1172 / 65 | $5.547,15 | 1170 / 70 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 45 | 105 / 21 | $22.516,50 | 1529 / 86 | $4.091,56 | 1211 / 61 | $3.038,51 | 1206 / 75 |
Cellulitis W/O Mcc | 44 | 145 / 37 | $26.761,90 | 1977 / 109 | $5.829,16 | 934 / 73 | $4.227,00 | 928 / 60 |
Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 41 | $28.325,20 | 1641 / 97 | $6.888,15 | 972 / 84 | $4.933,48 | 969 / 62 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 28 | $22.777,90 | 1765 / 95 | $4.964,64 | 1131 / 72 | $3.751,18 | 1128 / 71 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 30 | $28.263,40 | 1555 / 92 | $5.465,47 | 1039 / 64 | $4.332,69 | 1035 / 68 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 36 | 152 / 29 | $40.594,70 | 962 / 52 | $7.081,00 | 767 / 36 | $5.846,67 | 765 / 42 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 36 | 160 / 34 | $91.690,80 | 1071 / 58 | $13.794,20 | 1001 / 30 | $12.505,60 | 994 / 52 |
Syncope & Collapse | 35 | 134 / 26 | $26.657,40 | 1301 / 81 | $5.043,37 | 762 / 57 | $3.812,86 | 759 / 55 |
Renal Failure W Mcc | 33 | 162 / 46 | $52.814,50 | 1639 / 89 | $9.778,30 | 926 / 55 | $8.773,64 | 926 / 64 |
Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 16 | $23.075,50 | 1456 / 79 | $4.791,42 | 991 / 57 | $3.724,76 | 983 / 58 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 48 | $27.160,80 | 1785 / 101 | $6.470,24 | 1355 / 68 | $5.364,17 | 1350 / 83 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 25 | $23.406,20 | 1474 / 97 | $5.031,14 | 850 / 69 | $3.612,07 | 845 / 58 |
Chest Pain | 27 | 124 / 23 | $19.917,00 | 916 / 51 | $4.422,70 | 409 / 46 | $2.840,04 | 407 / 24 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 51 | $45.949,70 | 1666 / 84 | $8.159,85 | 511 / 59 | $6.343,04 | 511 / 37 |
Respiratory Infections & Inflammations W Mcc | 26 | 110 / 32 | $55.147,70 | 1177 / 68 | $11.885,70 | 556 / 42 | $10.577,50 | 549 / 43 |
Diabetes W Cc | 26 | 66 / 15 | $34.200,00 | 1290 / 70 | $5.583,96 | 792 / 37 | $4.694,38 | 789 / 48 |
Renal Failure W Cc | 25 | 196 / 58 | $30.233,60 | 1704 / 92 | $6.116,16 | 873 / 45 | $5.059,44 | 865 / 59 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 34 | $43.242,40 | 1816 / 91 | $6.040,25 | 1275 / 66 | $4.946,85 | 1267 / 73 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 43 | $43.013,40 | 1396 / 78 | $8.027,33 | 401 / 54 | $6.220,11 | 399 / 33 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 24 | $32.961,50 | 964 / 56 | $6.519,29 | 623 / 30 | $5.436,29 | 620 / 37 |
Signs & Symptoms W/O Mcc | 17 | 74 / 18 | $26.061,20 | 927 / 55 | $4.838,82 | 618 / 30 | $3.893,12 | 617 / 40 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 37 | $31.639,30 | 1240 / 75 | $7.313,59 | 711 / 57 | $5.963,12 | 710 / 56 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 18 | $29.703,10 | 797 / 50 | $6.148,81 | 332 / 25 | $4.946,62 | 330 / 22 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 25 | $22.396,60 | 1326 / 71 | $4.868,62 | 887 / 42 | $3.579,12 | 883 / 45 |
Atherosclerosis W/O Mcc | 16 | 42 / 7 | $32.004,90 | 465 / 17 | $4.477,00 | / 11 | $3.410,88 | / |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 38 | $73.318,30 | 1603 / 84 | $12.321,10 | 1101 / 49 | $11.312,80 | 1087 / 62 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 22 | $47.286,00 | 1144 / 64 | $7.085,13 | 570 / 37 | $5.601,13 | 569 / 40 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 13 | $19.198,90 | 488 / 24 | $4.488,29 | 270 / 11 | $3.278,93 | 269 / 13 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 15 | $29.762,80 | 620 / 32 | $6.469,00 | 147 / 18 | $4.339,07 | 147 / 9 |
Seizures W/O Mcc | 14 | 94 / 26 | $28.569,60 | 908 / 43 | $5.226,29 | 467 / 26 | $3.998,21 | 465 / 28 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 53 | $37.126,60 | 1936 / 93 | $7.025,36 | 590 / 56 | $5.306,71 | 588 / 36 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 14 | $39.483,90 | 721 / 36 | $6.331,86 | 615 / 27 | $5.157,00 | 613 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 31 | $35.531,20 | 1257 / 64 | $5.252,54 | 569 / 40 | $3.703,62 | 565 / 36 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 28 | $40.104,90 | 961 / 57 | $8.927,85 | 705 / 37 | $7.759,31 | 700 / 41 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 15 | $39.455,10 | 597 / 38 | $5.494,17 | 182 / 12 | $4.566,08 | 182 / 16 |
Transient Ischemia | 12 | 113 / 40 | $30.308,30 | 1186 / 62 | $4.957,17 | 674 / 40 | $3.555,75 | 670 / 46 |
Hypertension W/O Mcc | 12 | 53 / 13 | $25.357,70 | 550 / 28 | $4.522,75 | 248 / 15 | $3.008,92 | 246 / 12 |
Medical Back Problems W/O Mcc | 12 | 109 / 35 | $27.877,40 | 939 / 53 | $5.726,33 | 780 / 37 | $4.712,75 | 777 / 51 |
Diabetes W/O Cc/Mcc | 11 | 27 / 6 | $21.130,10 | 189 / 10 | $4.123,64 | 170 / 4 | $3.618,09 | 170 / 8 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 22 | $33.227,50 | 723 / 42 | $7.729,64 | 589 / 24 | $6.944,18 | 587 / 34 | Total 49 procedures | 1.454 | 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.