Hospital Costs > In North Dakota > Trinity Hospitals, 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 | 19 | 72 / 3 | $11.853,20 | 61 / 1 | $6.635,89 | 715 / 2 | $5.917,68 | 713 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 3 | $18.996,10 | 129 / 1 | $10.919,50 | 922 / 3 | $10.070,00 | 921 / 4 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 3 | $14.329,40 | 122 / 1 | $4.768,53 | 264 / 1 | $3.707,60 | 263 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 25 | 99 / 2 | $11.272,80 | 173 / 2 | $4.365,80 | 132 / 1 | $3.337,96 | 132 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 5 | $11.924,20 | 226 / 3 | $4.953,55 | 850 / 1 | $4.152,65 | 847 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 6 | $16.503,90 | 176 / 4 | $7.606,65 | 650 / 3 | $6.587,47 | 647 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 3 | $9.294,39 | 266 / 5 | $3.594,48 | 704 / 1 | $2.587,52 | 700 / 2 |
| Cellulitis W/O Mcc | 34 | 155 / 4 | $11.080,40 | 367 / 2 | $5.297,15 | 1058 / 1 | $4.314,97 | 1052 / 2 |
| Chest Pain | 20 | 131 / 1 | $9.014,25 | 105 / 2 | $3.865,35 | 588 / 1 | $3.014,15 | 584 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 4 | $10.257,80 | 115 / 1 | $5.876,32 | 968 / 1 | $4.929,46 | 965 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 2 | $14.934,70 | 306 / 3 | $7.439,25 | 972 / 3 | $6.216,21 | 967 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 1 | $12.461,30 | 487 / 3 | $4.530,80 | 769 / 1 | $3.547,07 | 766 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 27 | 161 / 4 | $22.965,70 | 196 / 5 | $6.834,56 | 675 / 1 | $5.698,70 | 673 / 2 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 4 | $90.851,80 | 77 / 3 | $31.594,60 | 329 / 4 | $27.040,80 | 329 / 3 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 5 | $63.222,20 | 48 / 3 | $23.803,20 | 373 / 4 | $22.966,50 | 372 / 4 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 2 | $16.483,80 | 123 / 1 | $6.181,50 | 350 / 1 | $5.444,17 | 350 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 3 | $14.136,80 | 98 / 1 | $5.767,08 | 296 / 1 | $4.733,42 | 295 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 41 | 234 / 4 | $11.270,80 | 312 / 2 | $4.676,27 | 1245 / 1 | $3.925,15 | 1234 / 3 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 3 | $62.476,10 | 40 / 2 | $30.617,50 | 353 / 2 | $29.797,60 | 353 / 4 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 2 | $11.330,20 | 129 / 1 | $4.514,92 | 269 / 1 | $3.390,08 | 270 / 1 |
| G.I. Hemorrhage W Cc | 41 | 177 / 6 | $16.046,10 | 396 / 4 | $6.305,20 | 1048 / 2 | $5.409,00 | 1046 / 2 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 5 | $33.394,80 | 440 / 5 | $11.651,50 | 933 / 4 | $10.961,60 | 927 / 6 |
| G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 1 | $12.617,10 | 198 / 2 | $4.420,22 | 346 / 1 | $3.462,89 | 343 / 1 |
| G.I. Obstruction W Cc | 16 | 76 / 5 | $16.190,00 | 374 / 5 | $5.892,12 | 1072 / 3 | $5.238,81 | 1069 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 2 | $10.610,10 | 177 / 2 | $3.998,27 | 251 / 1 | $2.631,65 | 251 / 1 |
| Heart Failure & Shock W Cc | 55 | 223 / 5 | $12.882,50 | 360 / 4 | $6.249,15 | 1157 / 1 | $5.410,53 | 1154 / 3 |
| Heart Failure & Shock W Mcc | 40 | 244 / 6 | $19.138,20 | 377 / 4 | $9.437,42 | 1233 / 3 | $8.622,22 | 1230 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 3 | $11.359,90 | 396 / 4 | $4.287,28 | 998 / 1 | $3.731,39 | 990 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 60 | 83 / 3 | $30.462,00 | 239 / 1 | $12.372,00 | 1095 / 3 | $11.295,00 | 1081 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 4 | $48.049,40 | 127 / 3 | $19.239,80 | 491 / 3 | $18.157,80 | 488 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 2 | $25.712,80 | 103 / 1 | $10.230,80 | 502 / 1 | $9.273,15 | 500 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 6 | $62.174,50 | 119 / 1 | $33.468,50 | 780 / 2 | $32.420,60 | 774 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 6 | $15.068,90 | 157 / 2 | $6.756,42 | 943 / 1 | $5.749,21 | 940 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 5 | $25.106,30 | 208 / 3 | $11.832,30 | 968 / 5 | $10.906,40 | 964 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 1 | $13.471,20 | 150 / 3 | $4.784,08 | 558 / 1 | $3.695,08 | 554 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 4 | $24.014,20 | 862 / 6 | $8.670,94 | 1421 / 6 | $7.381,69 | 1417 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 57 | 176 / 1 | $9.874,26 | 283 / 1 | $4.852,05 | 919 / 1 | $3.898,51 | 912 / 4 |
| Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 5 | $61.837,80 | 146 / 1 | $21.373,70 | 492 / 1 | $20.274,80 | 492 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 218 | 346 / 4 | $31.168,70 | 273 / 2 | $13.636,60 | 1521 / 2 | $12.101,20 | 1486 / 5 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 5 | $46.654,40 | 104 / 3 | $17.494,80 | 192 / 4 | $14.202,60 | 192 / 1 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 5 | $46.207,80 | 314 / 5 | $16.104,60 | 888 / 2 | $15.160,40 | 880 / 5 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 5 | $88.105,40 | 279 / 4 | $33.105,10 | 698 / 5 | $32.243,60 | 696 / 5 |
| Medical Back Problems W/O Mcc | 19 | 102 / 3 | $13.733,20 | 159 / 2 | $6.251,63 | 558 / 5 | $4.322,53 | 556 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 5 | $17.374,20 | 265 / 4 | $6.985,89 | 661 / 1 | $6.322,42 | 658 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 3 | $14.764,90 | 923 / 5 | $4.456,40 | 819 / 1 | $3.528,17 | 816 / 2 |
| Other Vascular Procedures W Cc | 15 | 87 / 5 | $52.664,10 | 244 / 3 | $16.804,90 | 660 / 3 | $16.047,40 | 657 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 28 | 72 / 3 | $77.142,40 | 244 / 5 | $20.854,40 | 524 / 4 | $19.883,70 | 520 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 73 | 123 / 4 | $57.062,10 | 385 / 6 | $12.912,30 | 826 / 1 | $11.754,50 | 821 / 5 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 4 | $36.711,20 | 53 / 1 | $16.758,10 | 475 / 3 | $15.709,50 | 474 / 5 |
| Pulmonary Edema & Respiratory Failure | 78 | 125 / 2 | $20.524,00 | 438 / 4 | $7.676,62 | 878 / 2 | $6.787,44 | 878 / 2 |
| Pulmonary Embolism W Mcc | 12 | 31 / 2 | $20.034,10 | 45 / 3 | $10.228,70 | 152 / 3 | $8.001,92 | 152 / 2 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 5 | $11.116,40 | 49 / 2 | $6.218,85 | 547 / 2 | $5.270,85 | 545 / 3 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 1 | $17.563,10 | 106 / 1 | $8.042,33 | 234 / 1 | $6.655,33 | 234 / 1 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 2 | $14.495,10 | 398 / 5 | $5.031,59 | 532 / 1 | $4.016,18 | 530 / 2 |
| Renal Failure W Cc | 48 | 173 / 5 | $13.214,00 | 304 / 4 | $6.079,31 | 1048 / 2 | $5.233,35 | 1040 / 3 |
| Renal Failure W Mcc | 30 | 165 / 5 | $24.377,40 | 428 / 5 | $9.870,53 | 1102 / 3 | $9.140,10 | 1102 / 4 |
| Respiratory Infections & Inflammations W Mcc | 24 | 112 / 5 | $21.079,60 | 124 / 2 | $12.445,80 | 1135 / 4 | $12.207,00 | 1121 / 5 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 43 | 88 / 2 | $37.120,40 | 257 / 1 | $14.495,70 | 886 / 3 | $13.676,30 | 878 / 5 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 3 | $64.504,70 | 61 / 1 | $32.960,80 | 482 / 1 | $32.116,30 | 481 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 65 | 451 / 6 | $23.706,50 | 458 / 2 | $11.620,50 | 1352 / 3 | $10.730,40 | 1325 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 6 | $17.392,50 | 546 / 5 | $6.727,27 | 935 / 3 | $5.609,00 | 932 / 2 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 2 | $14.931,80 | 325 / 2 | $4.406,53 | 330 / 1 | $3.428,95 | 329 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 85 | 118 / 1 | $13.582,00 | 403 / 5 | $6.223,96 | 1013 / 3 | $5.090,22 | 1010 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 62 | 143 / 2 | $17.863,10 | 257 / 1 | $9.352,61 | 1179 / 3 | $8.107,10 | 1179 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 38 | 55 / 1 | $11.215,40 | 339 / 3 | $4.554,24 | 716 / 1 | $3.433,13 | 712 / 1 |
| Syncope & Collapse | 12 | 157 / 4 | $11.312,80 | 162 / 3 | $4.584,25 | 612 / 1 | $3.661,75 | 609 / 1 | Total 66 procedures | 2.017 | 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.