Hospital Costs > In Nevada > Summerlin Hospital Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 5 | $73.911,60 | 1382 / 7 | $7.708,07 | 1042 / 6 | $6.846,36 | 1040 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 5 | $128.649,00 | 1784 / 12 | $14.662,50 | 891 / 12 | $9.971,78 | 890 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 8 | $50.675,10 | 2073 / 15 | $5.637,27 | 1277 / 7 | $4.615,96 | 1272 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 8 | $75.888,30 | 1819 / 9 | $8.577,00 | 1119 / 6 | $7.402,63 | 1116 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 5 | $35.401,20 | 1871 / 13 | $4.616,95 | 1247 / 9 | $3.085,05 | 1242 / 8 |
| Cellulitis W Mcc | 13 | 45 / 6 | $92.798,00 | 936 / 6 | $10.310,40 | 635 / 2 | $9.562,08 | 633 / 2 |
| Cellulitis W/O Mcc | 34 | 155 / 11 | $57.966,50 | 2609 / 18 | $6.250,41 | 1723 / 10 | $5.010,44 | 1715 / 11 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 12 | 79 / 3 | $74.110,60 | 369 / 4 | $8.024,92 | 222 / 3 | $7.824,92 | 222 / 4 |
| Chest Pain | 30 | 121 / 7 | $49.609,40 | 1681 / 10 | $4.571,53 | 808 / 6 | $3.267,07 | 803 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 11 | $61.176,70 | 2368 / 17 | $7.390,28 | 1453 / 14 | $5.445,83 | 1448 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 7 | $95.228,30 | 2548 / 19 | $8.891,93 | 1641 / 14 | $7.075,18 | 1633 / 11 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 11 | $51.397,00 | 2058 / 15 | $5.547,87 | 1319 / 7 | $4.101,20 | 1308 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 7 | $125.189,00 | 850 / 7 | $14.425,80 | 570 / 4 | $13.430,90 | 564 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 10 | $80.957,60 | 1567 / 11 | $7.672,50 | 1033 / 9 | $6.423,75 | 1030 / 10 |
| Degenerative Nervous System Disorders W/O Mcc | 19 | 59 / 2 | $64.206,10 | 843 / 2 | $7.601,63 | 332 / 2 | $5.394,53 | 332 / 2 |
| Diabetes W Cc | 20 | 72 / 6 | $82.678,80 | 1621 / 14 | $6.328,00 | 1208 / 7 | $5.780,80 | 1203 / 11 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 3 | $62.865,10 | 920 / 7 | $7.065,25 | 599 / 5 | $5.650,50 | 596 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 11 | $61.499,40 | 1289 / 7 | $8.573,00 | 920 / 7 | $7.832,08 | 915 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 81 | 194 / 6 | $63.188,10 | 2710 / 20 | $5.991,86 | 1721 / 14 | $4.361,72 | 1708 / 10 |
| Extracranial Procedures W Cc | 11 | 35 / 2 | $106.140,00 | 359 / 2 | $11.168,50 | 271 / 1 | $10.182,40 | 271 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 5 | $89.654,50 | 910 / 8 | $7.656,65 | 648 / 4 | $6.291,82 | 646 / 4 |
| Female Reproductive System Reconstructive Procedures | 13 | 12 / 1 | $60.725,00 | 36 / 1 | $7.409,92 | 12 / 1 | $5.315,31 | 12 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 3 | $40.161,10 | 861 / 6 | $5.370,09 | 694 / 3 | $4.599,18 | 693 / 5 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 4 | $49.691,20 | 780 / 5 | $5.545,08 | 481 / 1 | $4.521,08 | 479 / 2 |
| G.I. Hemorrhage W Cc | 60 | 158 / 5 | $64.485,40 | 2343 / 18 | $7.471,80 | 1553 / 10 | $6.057,25 | 1549 / 12 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 8 | $124.585,00 | 1636 / 11 | $12.367,50 | 1021 / 5 | $11.360,50 | 1013 / 6 |
| G.I. Obstruction W Cc | 25 | 67 / 3 | $60.975,20 | 1683 / 13 | $6.479,00 | 1300 / 7 | $5.846,68 | 1295 / 10 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 5 | $54.108,90 | 1297 / 12 | $4.838,93 | 1002 / 8 | $3.960,00 | 999 / 11 |
| Heart Failure & Shock W Cc | 83 | 195 / 4 | $62.777,20 | 2685 / 19 | $7.272,25 | 1837 / 10 | $6.215,05 | 1832 / 11 |
| Heart Failure & Shock W Mcc | 63 | 221 / 5 | $95.576,00 | 2549 / 16 | $10.450,40 | 1567 / 6 | $9.203,63 | 1562 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 4 | $36.303,00 | 1842 / 13 | $5.275,81 | 1429 / 8 | $4.286,88 | 1418 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 5 | $111.971,00 | 1961 / 15 | $13.271,00 | 1399 / 8 | $12.370,00 | 1381 / 10 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 6 | $165.438,00 | 909 / 7 | $19.988,20 | 561 / 2 | $18.971,60 | 558 / 2 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 8 | $102.842,00 | 895 / 10 | $11.381,80 | 665 / 5 | $10.381,80 | 662 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 38 | 86 / 5 | $270.930,00 | 1459 / 7 | $32.528,20 | 587 / 2 | $30.221,20 | 582 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 8 | $65.567,00 | 1946 / 14 | $8.415,22 | 1123 / 11 | $6.033,51 | 1120 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 9 | $108.493,00 | 1543 / 7 | $11.679,90 | 809 / 4 | $10.225,10 | 807 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 6 | $53.536,20 | 1525 / 7 | $7.688,29 | 946 / 7 | $4.221,21 | 942 / 3 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 14 | 30 / 2 | $87.168,80 | 150 / 1 | $13.889,20 | 65 / 1 | $11.909,30 | 65 / 2 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 16 | 24 / 1 | $104.081,00 | 144 / 1 | $10.405,20 | 57 / 1 | $8.442,94 | 57 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 11 | $97.094,30 | 1944 / 15 | $8.256,75 | 1410 / 8 | $7.347,42 | 1406 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 6 | $47.964,60 | 2625 / 18 | $5.669,05 | 1920 / 10 | $4.853,60 | 1909 / 13 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 5 | $109.524,00 | 822 / 6 | $11.545,70 | 655 / 3 | $10.656,10 | 653 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 7 | $201.240,00 | 900 / 7 | $22.134,90 | 632 / 6 | $21.038,20 | 629 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 91 | 473 / 12 | $152.706,00 | 2663 / 21 | $15.436,80 | 1775 / 14 | $12.786,60 | 1735 / 13 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 13 | 60 / 2 | $98.017,80 | 353 / 3 | $8.673,77 | 187 / 2 | $6.934,85 | 187 / 2 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 7 | $137.224,00 | 1411 / 9 | $16.258,10 | 726 / 4 | $14.458,10 | 719 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 27 | 58 / 4 | $304.954,00 | 1233 / 8 | $34.265,90 | 784 / 5 | $33.371,10 | 782 / 8 |
| Medical Back Problems W/O Mcc | 24 | 97 / 7 | $47.987,60 | 1383 / 14 | $5.918,75 | 871 / 4 | $4.915,38 | 868 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 7 | $74.040,60 | 1683 / 14 | $8.033,52 | 1102 / 8 | $7.352,24 | 1099 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 9 | $54.891,80 | 2503 / 19 | $5.402,00 | 1894 / 12 | $4.649,00 | 1888 / 13 |
| Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 3 | $60.891,80 | 440 / 3 | $7.234,25 | 326 / 1 | $6.428,92 | 326 / 2 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 5 | $120.996,00 | 673 / 5 | $8.769,00 | 555 / 4 | $7.576,27 | 554 / 4 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 8 | $141.145,00 | 1368 / 12 | $14.292,40 | 916 / 6 | $12.830,20 | 910 / 8 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 5 | $61.740,00 | 1369 / 11 | $8.219,33 | 698 / 8 | $5.546,86 | 694 / 4 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 6 | $110.396,00 | 739 / 5 | $11.321,50 | 328 / 2 | $10.331,50 | 327 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 4 | $52.605,00 | 770 / 4 | $7.174,20 | 469 / 4 | $6.116,33 | 469 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 4 | $83.354,40 | 1025 / 3 | $11.655,10 | 242 / 4 | $8.179,12 | 242 / 1 |
| Other Resp System O.R. Procedures W Mcc | 17 | 46 / 3 | $199.356,00 | 556 / 3 | $24.690,50 | 350 / 1 | $23.764,30 | 349 / 2 |
| Other Vascular Procedures W Cc | 15 | 87 / 5 | $155.944,00 | 1075 / 8 | $17.279,80 | 671 / 4 | $16.155,50 | 668 / 4 |
| Other Vascular Procedures W Mcc | 18 | 79 / 4 | $189.195,00 | 955 / 9 | $23.808,50 | 649 / 4 | $22.837,90 | 646 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 6 | $165.515,00 | 877 / 5 | $21.317,10 | 566 / 2 | $20.446,00 | 562 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 59 | 137 / 4 | $119.345,00 | 1316 / 9 | $14.494,00 | 304 / 9 | $10.145,10 | 304 / 2 |
| Peripheral Vascular Disorders W Cc | 20 | 64 / 4 | $64.422,70 | 1226 / 10 | $7.095,60 | 814 / 6 | $6.250,80 | 811 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 7 | $177.967,00 | 950 / 8 | $17.759,10 | 597 / 3 | $16.770,00 | 596 / 5 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 4 | $138.614,00 | 703 / 6 | $15.136,40 | 400 / 2 | $12.695,00 | 399 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 8 | $88.324,90 | 929 / 5 | $9.758,17 | 605 / 2 | $9.152,83 | 603 / 5 |
| Pulmonary Edema & Respiratory Failure | 76 | 127 / 5 | $95.909,20 | 2190 / 15 | $10.092,00 | 1428 / 13 | $7.666,45 | 1424 / 10 |
| Pulmonary Embolism W Mcc | 18 | 25 / 2 | $109.802,00 | 572 / 6 | $11.148,90 | 449 / 5 | $10.291,20 | 448 / 5 |
| Red Blood Cell Disorders W Mcc | 33 | 38 / 2 | $61.860,50 | 962 / 5 | $9.208,33 | 709 / 5 | $8.375,85 | 705 / 6 |
| Red Blood Cell Disorders W/O Mcc | 41 | 102 / 4 | $44.487,20 | 1838 / 13 | $6.078,22 | 1410 / 7 | $5.237,63 | 1401 / 10 |
| Renal Failure W Cc | 62 | 159 / 6 | $67.683,00 | 2399 / 16 | $7.172,31 | 1531 / 11 | $5.808,39 | 1522 / 11 |
| Renal Failure W Mcc | 54 | 141 / 7 | $103.864,00 | 2124 / 16 | $11.389,30 | 1461 / 10 | $10.131,30 | 1460 / 10 |
| Renal Failure W/O Cc/Mcc | 16 | 40 / 2 | $38.645,20 | 806 / 6 | $4.946,56 | 627 / 4 | $4.040,56 | 626 / 5 |
| Respiratory Infections & Inflammations W Mcc | 24 | 112 / 6 | $150.304,00 | 1782 / 9 | $14.855,50 | 1407 / 7 | $13.598,60 | 1392 / 7 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 5 | $193.643,00 | 642 / 6 | $12.205,20 | 332 / 4 | $10.469,20 | 331 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 44 | 87 / 7 | $106.116,00 | 1568 / 9 | $15.480,20 | 966 / 7 | $13.987,10 | 957 / 9 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 10 | $330.484,00 | 942 / 9 | $38.383,20 | 258 / 7 | $28.578,90 | 258 / 2 |
| Seizures W Mcc | 11 | 55 / 5 | $100.293,00 | 730 / 4 | $10.666,60 | 430 / 3 | $9.782,27 | 430 / 3 |
| Seizures W/O Mcc | 15 | 93 / 8 | $54.648,30 | 1263 / 10 | $5.810,73 | 871 / 6 | $4.969,13 | 868 / 7 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 8 | $364.544,00 | 1050 / 10 | $43.353,00 | 569 / 9 | $38.061,60 | 568 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 140 | 376 / 6 | $129.783,00 | 2773 / 16 | $13.480,00 | 1637 / 11 | $11.301,80 | 1605 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 6 | $75.979,10 | 2528 / 18 | $7.927,43 | 1740 / 9 | $6.663,91 | 1733 / 10 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 3 | $52.528,20 | 369 / 3 | $5.582,67 | 137 / 2 | $3.978,75 | 137 / 1 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 6 | $44.525,30 | 1276 / 14 | $5.326,67 | 898 / 8 | $4.517,78 | 895 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 13 | $74.345,80 | 2785 / 18 | $7.266,35 | 1663 / 6 | $5.682,03 | 1656 / 10 |
| Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 8 | $96.481,70 | 2445 / 17 | $10.119,40 | 1533 / 8 | $8.763,91 | 1533 / 10 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 6 | $42.955,10 | 1840 / 9 | $5.551,09 | 1394 / 7 | $4.190,18 | 1386 / 9 |
| Syncope & Collapse | 30 | 139 / 8 | $49.602,50 | 1836 / 14 | $5.656,87 | 1171 / 10 | $4.337,47 | 1164 / 9 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 17 | 47 / 5 | $617.527,00 | 541 / 7 | $76.845,30 | 374 / 7 | $74.665,50 | 373 / 7 |
| Transient Ischemia | 52 | 73 / 1 | $54.776,30 | 1603 / 11 | $5.393,87 | 1011 / 6 | $4.065,96 | 1006 / 5 |
| Transurethral Procedures W Cc | 12 | 29 / 3 | $81.311,60 | 366 / 3 | $9.575,00 | 290 / 1 | $8.471,00 | 290 / 1 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 15 | 31 / 2 | $61.740,60 | 238 / 3 | $9.249,40 | 98 / 3 | $5.378,27 | 98 / 2 | Total 93 procedures | 2.560 | 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.