Hospital Costs > In Louisiana > Terrebonne General Medical Center, 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 | 158 | 358 / 11 | $34.121,40 | 1007 / 23 | $10.905,00 | 324 / 25 | $9.222,60 | 324 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 142 | 422 / 15 | $40.564,30 | 783 / 13 | $13.119,30 | 187 / 31 | $9.674,92 | 187 / 12 |
| Heart Failure & Shock W Mcc | 132 | 152 / 5 | $30.785,50 | 1135 / 24 | $8.901,38 | 774 / 28 | $8.022,33 | 774 / 27 |
| Chronic Obstructive Pulmonary Disease W Mcc | 99 | 103 / 4 | $23.482,90 | 1023 / 21 | $6.997,82 | 928 / 19 | $6.180,69 | 923 / 25 |
| Heart Failure & Shock W Cc | 89 | 189 / 14 | $18.855,20 | 1032 / 30 | $6.078,36 | 1067 / 24 | $5.341,10 | 1065 / 32 |
| G.I. Hemorrhage W Cc | 70 | 148 / 9 | $14.994,60 | 307 / 3 | $6.147,34 | 852 / 14 | $5.217,51 | 850 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 63 | 140 / 15 | $20.717,40 | 1202 / 27 | $6.342,17 | 1038 / 33 | $5.112,41 | 1035 / 25 |
| Simple Pneumonia & Pleurisy W Mcc | 63 | 142 / 10 | $33.014,60 | 1227 / 17 | $9.014,19 | 420 / 30 | $7.209,92 | 420 / 11 |
| Renal Failure W Cc | 61 | 160 / 18 | $16.506,40 | 615 / 12 | $6.355,95 | 742 / 26 | $4.951,84 | 735 / 16 |
| Renal Failure W Mcc | 57 | 138 / 15 | $32.310,90 | 910 / 19 | $9.526,96 | 728 / 26 | $8.423,23 | 728 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 15 | $16.715,10 | 966 / 25 | $5.105,16 | 956 / 32 | $3.733,65 | 948 / 23 |
| Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 24 | $11.775,80 | 486 / 16 | $5.009,57 | 1111 / 25 | $4.031,06 | 1103 / 24 |
| Cellulitis W/O Mcc | 51 | 138 / 12 | $14.470,30 | 788 / 24 | $5.768,00 | 762 / 37 | $4.094,78 | 757 / 19 |
| Red Blood Cell Disorders W/O Mcc | 50 | 93 / 12 | $11.955,30 | 213 / 10 | $5.198,20 | 831 / 16 | $4.329,08 | 826 / 20 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 49 | 76 / 3 | $41.027,00 | 857 / 14 | $9.805,06 | 500 / 11 | $8.999,51 | 499 / 15 |
| Spinal Fusion Except Cervical W/O Mcc | 46 | 148 / 10 | $80.930,90 | 535 / 6 | $23.383,30 | 77 / 9 | $18.612,40 | 76 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 16 | $19.010,80 | 690 / 15 | $7.116,07 | 386 / 31 | $5.079,98 | 385 / 12 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 44 | 87 / 8 | $48.100,50 | 569 / 14 | $14.010,30 | 803 / 24 | $13.331,90 | 795 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 8 | $9.703,21 | 320 / 6 | $3.971,40 | 1034 / 18 | $2.853,40 | 1029 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 5 | $24.153,30 | 598 / 10 | $7.314,76 | 649 / 12 | $6.586,76 | 646 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 10 | $13.331,40 | 351 / 5 | $5.547,31 | 339 / 24 | $3.656,40 | 339 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 42 | 154 / 13 | $43.342,60 | 101 / 1 | $12.863,00 | 170 / 13 | $9.705,05 | 170 / 9 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 14 | $24.368,90 | 683 / 10 | $7.338,35 | 819 / 9 | $6.733,55 | 819 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 18 | $24.405,80 | 752 / 11 | $6.688,67 | 688 / 20 | $5.421,03 | 687 / 19 |
| Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 13 | $36.458,50 | 470 / 3 | $11.060,60 | 485 / 11 | $10.050,90 | 484 / 15 |
| Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 13 | $24.475,20 | 884 / 20 | $7.177,70 | 1038 / 25 | $6.459,84 | 1035 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 17 | $21.134,40 | 1124 / 24 | $5.821,72 | 1049 / 18 | $5.003,50 | 1045 / 27 |
| Major Cardiovasc Procedures W/O Mcc | 33 | 68 / 4 | $51.633,70 | 64 / 1 | $19.541,00 | 17 / 9 | $15.713,80 | 17 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 19 | $13.320,90 | 732 / 22 | $4.850,21 | 940 / 34 | $3.611,91 | 937 / 18 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 33 | 38 / 2 | $94.974,20 | 216 / 8 | $30.886,40 | 22 / 13 | $24.152,10 | 22 / 2 |
| Respiratory Infections & Inflammations W Mcc | 33 | 103 / 8 | $35.814,80 | 623 / 11 | $10.994,60 | 381 / 11 | $10.218,40 | 380 / 13 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 31 | 87 / 4 | $93.486,50 | 53 / 1 | $27.142,10 | 8 / 2 | $24.379,30 | 8 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 12 | $14.051,00 | 731 / 22 | $4.500,74 | 827 / 20 | $3.579,35 | 823 / 21 |
| G.I. Hemorrhage W Mcc | 31 | 90 / 10 | $30.464,70 | 338 / 8 | $9.941,03 | 352 / 9 | $9.279,35 | 352 / 13 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 12 | $14.124,90 | 678 / 20 | $4.721,77 | 983 / 20 | $3.718,03 | 974 / 26 |
| Other Vascular Procedures W Cc | 28 | 74 / 8 | $62.295,50 | 405 / 8 | $16.011,40 | 391 / 11 | $14.347,00 | 389 / 15 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 27 | 89 / 4 | $132.188,00 | 44 / 2 | $39.405,60 | 9 / 2 | $38.510,70 | 9 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 17 | $32.896,50 | 653 / 17 | $9.782,69 | 553 / 34 | $5.527,31 | 551 / 19 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 5 | $22.362,60 | 392 / 7 | $7.389,28 | 262 / 13 | $5.077,08 | 262 / 5 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 24 | 68 / 5 | $117.902,00 | 303 / 8 | $34.095,20 | 225 / 9 | $32.034,50 | 225 / 11 |
| Cellulitis W Mcc | 24 | 34 / 3 | $28.230,60 | 338 / 5 | $8.580,75 | 286 / 8 | $7.774,08 | 285 / 9 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 10 | $90.107,00 | 366 / 5 | $32.127,50 | 178 / 22 | $26.689,00 | 178 / 13 |
| Other Circulatory System Diagnoses W Mcc | 22 | 94 / 11 | $34.218,90 | 323 / 8 | $11.812,80 | 488 / 17 | $10.731,00 | 487 / 19 |
| Red Blood Cell Disorders W Mcc | 22 | 49 / 8 | $23.369,20 | 246 / 7 | $7.728,05 | 135 / 8 | $6.285,00 | 135 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 8 | $31.736,00 | 703 / 11 | $7.198,24 | 218 / 7 | $6.034,81 | 217 / 5 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 9 | $18.777,00 | 337 / 7 | $6.095,67 | 467 / 10 | $5.147,86 | 464 / 11 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 4 | $18.047,60 | 170 / 4 | $5.597,90 | 322 / 1 | $5.117,90 | 322 / 4 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 20 | 75 / 3 | $38.353,20 | 39 / 2 | $11.190,00 | 126 / 2 | $10.284,30 | 124 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 16 | $27.659,80 | 276 / 4 | $9.392,75 | 163 / 5 | $8.365,55 | 162 / 5 |
| Syncope & Collapse | 20 | 149 / 18 | $17.097,60 | 577 / 12 | $4.807,90 | 985 / 15 | $4.040,70 | 979 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 19 | $23.489,70 | 618 / 12 | $6.978,89 | 120 / 14 | $5.347,78 | 119 / 4 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 11 | $11.083,50 | 205 / 4 | $4.215,35 | 682 / 11 | $3.217,71 | 680 / 14 |
| Major Cardiovasc Procedures W Mcc | 17 | 51 / 6 | $138.353,00 | 305 / 6 | $36.385,00 | 274 / 12 | $32.155,50 | 274 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 28 | $15.455,20 | 783 / 18 | $5.402,71 | 113 / 41 | $2.744,41 | 112 / 3 |
| G.I. Obstruction W Cc | 17 | 75 / 13 | $14.994,70 | 290 / 5 | $5.633,53 | 854 / 12 | $4.890,94 | 852 / 19 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 13 | $24.481,80 | 450 / 8 | $8.664,56 | 112 / 21 | $6.535,12 | 112 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 10 | $61.207,30 | 86 / 2 | $17.062,40 | 40 / 2 | $15.462,10 | 40 / 1 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 15 | $40.826,90 | 206 / 3 | $14.551,90 | 21 / 7 | $10.980,70 | 21 / 2 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 11 | $14.883,50 | 322 / 5 | $4.723,87 | 421 / 10 | $3.553,73 | 420 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 14 | $18.878,30 | 505 / 14 | $5.145,53 | 609 / 17 | $3.745,33 | 605 / 15 |
| Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 12 | $49.883,70 | 339 / 7 | $15.339,20 | 16 / 17 | $9.177,67 | 16 / 2 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 7 | $200.147,00 | 142 / 5 | $54.035,60 | 111 / 4 | $53.514,60 | 111 / 4 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 12 | $87.921,10 | 277 / 4 | $27.488,20 | 70 / 7 | $24.457,30 | 70 / 3 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 16 | $22.840,70 | 218 / 2 | $6.409,07 | 162 / 9 | $4.875,86 | 162 / 6 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 9 | $22.562,90 | 525 / 6 | $6.221,50 | 295 / 6 | $4.790,36 | 295 / 5 |
| Medical Back Problems W/O Mcc | 14 | 107 / 9 | $22.903,40 | 721 / 15 | $5.652,29 | 412 / 10 | $4.109,21 | 412 / 6 |
| Seizures W/O Mcc | 13 | 95 / 14 | $11.952,80 | 132 / 3 | $4.849,85 | 476 / 8 | $4.010,46 | 474 / 12 |
| Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 13 | $19.693,50 | 370 / 7 | $5.543,62 | 463 / 9 | $4.709,15 | 459 / 13 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 12 | $17.922,00 | 309 / 6 | $5.836,77 | 254 / 6 | $4.757,38 | 253 / 4 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 7 | $21.094,00 | 52 / 2 | $9.454,00 | 129 / 1 | $8.991,23 | 129 / 5 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 9 | $26.044,90 | 107 / 1 | $10.615,50 | 101 / 16 | $7.690,23 | 101 / 5 |
| Transient Ischemia | 13 | 112 / 17 | $15.712,20 | 339 / 5 | $4.667,00 | 873 / 13 | $3.830,08 | 869 / 16 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 8 | $48.481,10 | 133 / 1 | $16.642,80 | 163 / 6 | $15.634,80 | 163 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 14 | $29.462,00 | 369 / 7 | $8.307,27 | 150 / 2 | $7.785,09 | 150 / 3 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 4 | $30.295,40 | 115 / 1 | $8.666,82 | 20 / 1 | $6.218,91 | 20 / 1 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 7 | $29.363,80 | 286 / 4 | $6.682,91 | 297 / 4 | $5.589,09 | 296 / 7 | Total 76 procedures | 2.654 | 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.