Hospital Costs > In Indiana > Terre Haute Regional 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 | 87 | 429 / 43 | $64.367,70 | 2187 / 68 | $11.830,80 | 1375 / 45 | $10.775,00 | 1348 / 48 |
Chronic Obstructive Pulmonary Disease W Mcc | 78 | 124 / 19 | $35.020,10 | 1739 / 65 | $7.220,27 | 1080 / 25 | $6.317,46 | 1075 / 42 |
Chronic Obstructive Pulmonary Disease W Cc | 76 | 103 / 13 | $28.074,60 | 1624 / 61 | $5.854,61 | 875 / 29 | $4.853,78 | 872 / 32 |
Heart Failure & Shock W Mcc | 71 | 213 / 30 | $51.943,40 | 2034 / 67 | $9.090,04 | 1227 / 31 | $8.612,31 | 1224 / 48 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 63 | 212 / 20 | $24.187,90 | 1819 / 62 | $4.683,38 | 823 / 14 | $3.645,67 | 818 / 26 |
Renal Failure W Cc | 55 | 166 / 26 | $31.324,10 | 1765 / 61 | $6.037,55 | 933 / 28 | $5.116,53 | 925 / 31 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 53 | 67 / 8 | $24.056,30 | 1500 / 61 | $4.596,09 | 744 / 23 | $3.523,55 | 741 / 35 |
Heart Failure & Shock W Cc | 51 | 227 / 31 | $25.165,10 | 1681 / 62 | $6.123,02 | 1174 / 30 | $5.424,04 | 1171 / 44 |
Spinal Fusion Except Cervical W/O Mcc | 47 | 147 / 16 | $65.705,30 | 301 / 8 | $22.986,50 | 501 / 6 | $21.802,50 | 498 / 13 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 46 | 79 / 7 | $40.396,10 | 818 / 25 | $10.184,90 | 629 / 18 | $9.271,85 | 628 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 21 | $19.327,30 | 1492 / 55 | $4.468,77 | 1072 / 26 | $3.696,09 | 1069 / 39 |
Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 30 | $23.879,40 | 1914 / 67 | $4.777,93 | 839 / 21 | $3.848,44 | 834 / 26 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 42 | 522 / 53 | $78.849,70 | 2188 / 66 | $12.693,40 | 1331 / 14 | $11.659,50 | 1299 / 51 |
Cellulitis W/O Mcc | 41 | 148 / 23 | $27.499,20 | 2013 / 70 | $5.320,02 | 727 / 27 | $4.066,46 | 723 / 25 |
Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 33 | $30.424,20 | 1969 / 67 | $6.046,65 | 856 / 24 | $4.952,15 | 853 / 31 |
Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 15 | $18.294,20 | 1173 / 45 | $4.263,55 | 772 / 19 | $3.530,45 | 768 / 31 |
Renal Failure W Mcc | 33 | 162 / 27 | $45.402,30 | 1456 / 48 | $9.170,70 | 715 / 18 | $8.394,70 | 715 / 23 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 25 | $74.901,80 | 773 / 29 | $13.140,10 | 412 / 18 | $10.427,10 | 412 / 14 |
Pulmonary Edema & Respiratory Failure | 31 | 172 / 39 | $38.686,60 | 1457 / 59 | $7.416,26 | 767 / 15 | $6.674,06 | 767 / 27 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 29 | 42 / 7 | $213.470,00 | 784 / 30 | $36.757,30 | 658 / 25 | $36.129,30 | 657 / 28 |
G.I. Hemorrhage W Cc | 28 | 190 / 33 | $29.662,00 | 1533 / 49 | $6.174,11 | 1031 / 19 | $5.394,68 | 1029 / 32 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 19 | $33.186,80 | 1103 / 38 | $6.789,46 | 557 / 11 | $6.113,77 | 554 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 34 | $28.166,30 | 1019 / 41 | $6.618,62 | 684 / 25 | $5.415,58 | 683 / 29 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 22 | $28.794,30 | 1449 / 45 | $4.991,73 | 685 / 13 | $4.171,36 | 681 / 23 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 29 | $40.425,80 | 955 / 40 | $6.917,14 | 424 / 19 | $5.335,14 | 422 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 28 | $23.343,20 | 1311 / 49 | $4.965,76 | 1155 / 22 | $4.450,71 | 1151 / 44 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 15 | $26.426,00 | 592 / 15 | $6.404,48 | 539 / 13 | $5.545,05 | 538 / 18 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 31 | $40.587,60 | 1521 / 51 | $7.270,00 | 937 / 32 | $6.288,40 | 934 / 36 |
Syncope & Collapse | 20 | 149 / 29 | $21.455,30 | 983 / 37 | $4.607,35 | 774 / 14 | $3.821,75 | 771 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 30 | $29.181,90 | 913 / 34 | $7.373,63 | 709 / 19 | $6.679,74 | 706 / 30 |
Chest Pain | 18 | 133 / 19 | $17.926,50 | 763 / 25 | $3.907,78 | 723 / 13 | $3.166,44 | 718 / 25 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 15 | $228.483,00 | 839 / 28 | $41.640,30 | 696 / 24 | $40.932,50 | 695 / 27 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 30 | $70.125,50 | 1149 / 45 | $13.490,80 | 711 / 10 | $12.995,70 | 703 / 26 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 48 | $47.197,60 | 1818 / 61 | $8.375,76 | 875 / 10 | $7.737,65 | 875 / 35 |
Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 18 | $53.969,10 | 795 / 27 | $7.070,53 | 152 / 20 | $4.832,06 | 152 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 33 | $62.087,20 | 1402 / 47 | $11.791,60 | 444 / 30 | $9.981,69 | 443 / 10 |
Cellulitis W Mcc | 16 | 42 / 10 | $44.750,10 | 680 / 27 | $8.698,12 | 315 / 12 | $7.942,12 | 314 / 15 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 8 | $22.462,20 | 375 / 10 | $4.794,13 | 288 / 9 | $3.744,53 | 286 / 12 |
Transient Ischemia | 15 | 110 / 25 | $21.225,50 | 753 / 33 | $4.597,13 | 327 / 23 | $3.184,93 | 327 / 8 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 31 | $48.507,30 | 1031 / 38 | $11.091,80 | 524 / 12 | $10.528,60 | 518 / 19 |
Coronary Bypass W/O Cardiac Cath W Mcc | 14 | 45 / 3 | $179.914,00 | 155 / 4 | $32.595,60 | 59 / 1 | $31.733,90 | 59 / 2 |
Signs & Symptoms W/O Mcc | 14 | 77 / 14 | $16.833,80 | 460 / 12 | $4.414,43 | 531 / 8 | $3.724,14 | 530 / 15 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 26 | $290.082,00 | 1496 / 37 | $47.497,10 | 1441 / 36 | $47.149,70 | 1431 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 45 | $30.277,40 | 1635 / 58 | $6.304,29 | 1280 / 16 | $5.956,86 | 1275 / 49 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 13 | $14.697,70 | 284 / 17 | $4.016,08 | 226 / 7 | $3.179,15 | 225 / 10 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 11 | $16.600,30 | 447 / 19 | $4.033,31 | 243 / 8 | $3.009,31 | 242 / 9 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 37 | $17.541,70 | 1242 / 47 | $3.630,31 | 835 / 21 | $2.697,38 | 831 / 30 |
Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 19 | $109.708,00 | 668 / 23 | $19.594,90 | 303 / 6 | $18.575,80 | 303 / 10 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 15 | $42.918,80 | 724 / 23 | $7.595,67 | 344 / 7 | $6.945,00 | 342 / 15 |
Other Vascular Procedures W Cc | 12 | 90 / 23 | $92.502,30 | 769 / 26 | $15.818,50 | 132 / 10 | $12.952,70 | 132 / 4 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 13 | $61.808,00 | 720 / 25 | $9.862,83 | 329 / 13 | $8.586,83 | 328 / 14 |
Major Chest Procedures W Mcc | 12 | 37 / 6 | $121.361,00 | 151 / 4 | $28.804,50 | 86 / 2 | $28.001,80 | 86 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 24 | $40.074,90 | 949 / 31 | $7.257,36 | 579 / 7 | $6.823,91 | 574 / 17 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 18 | $89.997,90 | 712 / 20 | $13.185,50 | 388 / 7 | $12.082,90 | 385 / 14 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 19 | $30.639,20 | 853 / 30 | $6.368,82 | 291 / 16 | $4.783,45 | 291 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 24 | $88.551,10 | 366 / 13 | $18.707,80 | 164 / 7 | $16.926,50 | 164 / 7 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 23 | $23.566,50 | 1393 / 47 | $4.482,00 | 667 / 15 | $3.388,18 | 664 / 21 | Total 57 procedures | 1.584 | 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.