Hospital Costs > In Ohio > Trinity Medical Ctr East &Trinity Medical Ctr West, 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 | 13 | 78 / 24 | $21.494,70 | 357 / 21 | $6.480,31 | 459 / 27 | $5.410,31 | 458 / 32 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 33 | $21.709,40 | 194 / 11 | $9.093,12 | 128 / 9 | $8.029,58 | 128 / 12 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 18 | 106 / 13 | $9.172,28 | 104 / 5 | $4.389,50 | 60 / 8 | $3.004,67 | 60 / 5 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 19 | $16.845,60 | 56 / 4 | $6.428,27 | 136 / 6 | $4.933,27 | 136 / 10 |
Bronchitis & Asthma W Cc/Mcc | 32 | 44 / 2 | $15.011,40 | 192 / 14 | $5.539,06 | 186 / 13 | $4.053,72 | 183 / 11 |
Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 3 | $10.383,10 | 55 / 4 | $4.183,50 | 33 / 4 | $2.512,92 | 33 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 31 | $13.229,90 | 341 / 23 | $5.041,43 | 265 / 37 | $3.569,17 | 265 / 21 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 30 | $18.139,80 | 249 / 19 | $7.395,55 | 323 / 27 | $6.076,35 | 322 / 27 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 62 | 88 / 10 | $9.793,98 | 330 / 22 | $3.697,37 | 323 / 38 | $2.292,44 | 321 / 20 |
Cellulitis W Mcc | 13 | 45 / 17 | $22.547,00 | 179 / 16 | $8.960,69 | 169 / 28 | $7.319,31 | 168 / 22 |
Cellulitis W/O Mcc | 78 | 111 / 16 | $10.724,20 | 330 / 24 | $5.231,35 | 293 / 33 | $3.682,69 | 290 / 19 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 16 | 75 / 6 | $26.264,10 | 126 / 2 | $6.791,81 | 45 / 2 | $6.066,81 | 45 / 4 |
Chest Pain | 16 | 135 / 33 | $9.445,75 | 129 / 6 | $3.877,56 | 362 / 18 | $2.765,06 | 361 / 23 |
Chronic Obstructive Pulmonary Disease W Cc | 75 | 104 / 17 | $14.949,00 | 507 / 39 | $5.788,52 | 318 / 42 | $4.342,89 | 317 / 20 |
Chronic Obstructive Pulmonary Disease W Mcc | 99 | 103 / 15 | $17.583,40 | 525 / 38 | $7.039,94 | 297 / 32 | $5.562,58 | 296 / 20 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 46 | 74 / 15 | $12.130,30 | 457 / 38 | $4.598,52 | 208 / 33 | $3.024,17 | 208 / 18 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 18 | $36.484,90 | 109 / 9 | $12.252,50 | 115 / 6 | $10.571,10 | 112 / 7 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 38 | 150 / 28 | $18.845,10 | 78 / 4 | $6.453,24 | 158 / 12 | $4.888,11 | 158 / 7 |
Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 12 | $80.766,20 | 11 / 2 | $37.939,10 | 55 / 3 | $35.852,00 | 55 / 4 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 16 | $13.334,00 | 73 / 6 | $5.471,00 | 139 / 11 | $4.385,45 | 139 / 13 |
Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 14 | $10.778,00 | 36 / 1 | $6.147,93 | 170 / 13 | $4.872,33 | 170 / 12 |
Diabetes W Cc | 25 | 67 / 16 | $11.765,90 | 141 / 13 | $5.211,16 | 316 / 21 | $4.040,20 | 316 / 25 |
Diabetes W Mcc | 14 | 43 / 10 | $16.597,40 | 44 / 2 | $7.807,36 | 62 / 5 | $6.673,86 | 62 / 5 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 12 | $16.333,70 | 114 / 5 | $5.802,73 | 71 / 3 | $4.592,64 | 71 / 5 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 10 | $21.317,70 | 29 / 2 | $10.516,80 | 41 / 2 | $9.133,75 | 41 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 21 | $17.664,10 | 130 / 8 | $7.277,44 | 138 / 20 | $5.797,67 | 138 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 95 | 180 / 22 | $11.918,90 | 378 / 21 | $4.754,41 | 327 / 40 | $3.264,08 | 326 / 17 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 15 | $41.112,90 | 13 / 1 | $23.533,20 | 19 / 1 | $22.145,60 | 19 / 2 |
Extracranial Procedures W Cc | 12 | 34 / 6 | $27.528,80 | 60 / 1 | $9.211,17 | 65 / 2 | $7.861,33 | 65 / 2 |
Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 18 | $20.304,30 | 144 / 8 | $6.167,56 | 186 / 4 | $4.930,25 | 186 / 12 |
G.I. Hemorrhage W Cc | 56 | 162 / 33 | $17.687,30 | 541 / 29 | $6.247,45 | 361 / 42 | $4.769,12 | 361 / 25 |
G.I. Hemorrhage W Mcc | 26 | 95 / 25 | $21.932,20 | 109 / 6 | $9.861,00 | 85 / 17 | $8.423,27 | 85 / 8 |
G.I. Obstruction W Cc | 15 | 77 / 28 | $13.125,80 | 169 / 12 | $5.462,00 | 180 / 21 | $4.025,53 | 179 / 15 |
Heart Failure & Shock W Cc | 81 | 197 / 36 | $14.273,60 | 498 / 32 | $6.139,69 | 367 / 43 | $4.749,52 | 367 / 22 |
Heart Failure & Shock W Mcc | 96 | 188 / 30 | $20.752,80 | 464 / 29 | $8.824,48 | 347 / 36 | $7.477,10 | 347 / 27 |
Heart Failure & Shock W/O Cc/Mcc | 41 | 69 / 9 | $11.551,40 | 414 / 26 | $4.415,07 | 375 / 38 | $3.188,32 | 373 / 22 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 38 | $26.695,40 | 119 / 8 | $11.014,80 | 53 / 20 | $8.951,94 | 53 / 4 |
Hypertension W/O Mcc | 15 | 50 / 10 | $13.474,70 | 154 / 7 | $4.036,33 | 229 / 8 | $2.963,93 | 227 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 31 | $18.856,30 | 405 / 21 | $6.363,61 | 276 / 27 | $4.938,55 | 275 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 34 | $23.676,80 | 167 / 11 | $10.181,80 | 76 / 23 | $8.003,59 | 76 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 28 | $13.655,40 | 159 / 8 | $4.805,00 | 344 / 23 | $3.430,44 | 341 / 20 |
Kidney & Urinary Tract Infections W Mcc | 48 | 96 / 13 | $14.971,00 | 241 / 18 | $6.644,31 | 134 / 32 | $5.114,52 | 134 / 12 |
Kidney & Urinary Tract Infections W/O Mcc | 106 | 127 / 12 | $11.722,50 | 479 / 31 | $4.910,11 | 521 / 45 | $3.635,72 | 521 / 32 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 10 | $28.856,70 | 73 / 2 | $9.971,33 | 250 / 11 | $8.495,60 | 250 / 15 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 8 | $20.416,50 | 38 / 1 | $7.157,57 | 115 / 3 | $5.722,86 | 115 / 5 |
Major Chest Procedures W Mcc | 12 | 37 / 8 | $57.600,30 | 13 / 2 | $26.681,90 | 8 / 4 | $22.578,20 | 8 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 19 | $14.580,40 | 101 / 4 | $7.472,43 | 34 / 21 | $5.208,00 | 34 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 75 | $32.010,30 | 312 / 14 | $11.595,10 | 108 / 4 | $9.395,58 | 108 / 9 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 30 | $38.606,30 | 162 / 6 | $14.770,20 | 302 / 22 | $12.877,70 | 300 / 25 |
Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 16 | $57.632,80 | 59 / 5 | $25.436,50 | 28 / 5 | $22.853,10 | 28 / 7 |
Medical Back Problems W/O Mcc | 12 | 109 / 35 | $12.175,90 | 107 / 8 | $5.196,00 | 166 / 19 | $3.694,25 | 166 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 32 | $14.725,80 | 136 / 7 | $6.741,06 | 184 / 26 | $5.506,12 | 182 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 21 | $11.650,30 | 507 / 26 | $4.652,28 | 352 / 54 | $3.188,02 | 352 / 18 |
Other Circulatory System Diagnoses W Cc | 11 | 55 / 17 | $15.109,70 | 83 / 8 | $5.830,27 | 162 / 8 | $4.975,09 | 161 / 12 |
Other Circulatory System Diagnoses W Mcc | 19 | 97 / 29 | $21.086,60 | 62 / 5 | $10.837,40 | 182 / 19 | $9.538,32 | 182 / 21 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 29 | $20.226,20 | 421 / 29 | $6.168,00 | 212 / 19 | $4.695,58 | 210 / 16 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 24 | $22.996,00 | 189 / 10 | $9.357,20 | 89 / 20 | $7.527,00 | 89 / 10 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 14 | $44.690,50 | 34 / 2 | $20.075,90 | 47 / 8 | $18.014,20 | 47 / 7 |
Other Vascular Procedures W Cc | 13 | 89 / 26 | $40.882,40 | 100 / 4 | $14.449,30 | 112 / 5 | $12.813,80 | 112 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 39 | 61 / 9 | $53.799,90 | 46 / 2 | $18.111,30 | 104 / 4 | $16.375,70 | 104 / 9 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 68 | 128 / 17 | $42.373,60 | 88 / 3 | $11.682,70 | 311 / 2 | $10.165,40 | 311 / 17 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 15 | $31.999,60 | 19 / 1 | $10.256,50 | 100 / 4 | $8.978,36 | 100 / 8 |
Peripheral Vascular Disorders W Cc | 18 | 66 / 16 | $13.291,30 | 118 / 8 | $5.928,89 | 197 / 18 | $4.641,22 | 197 / 15 |
Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 6 | $11.367,70 | 70 / 7 | $4.370,67 | 84 / 6 | $3.153,80 | 84 / 7 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 20 | $12.559,50 | 13 / 1 | $8.192,36 | 150 / 7 | $7.035,00 | 150 / 9 |
Pulmonary Edema & Respiratory Failure | 42 | 161 / 41 | $18.837,60 | 331 / 20 | $7.352,10 | 350 / 24 | $6.154,76 | 350 / 23 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 18 | $11.596,70 | 28 / 1 | $7.381,58 | 98 / 10 | $6.166,42 | 98 / 6 |
Red Blood Cell Disorders W/O Mcc | 33 | 110 / 22 | $12.785,80 | 265 / 12 | $4.998,64 | 213 / 26 | $3.647,61 | 213 / 18 |
Renal Failure W Cc | 66 | 155 / 35 | $13.176,10 | 299 / 15 | $5.914,18 | 314 / 35 | $4.554,27 | 312 / 23 |
Renal Failure W Mcc | 50 | 145 / 34 | $18.803,50 | 181 / 11 | $8.858,94 | 245 / 26 | $7.619,46 | 245 / 19 |
Respiratory Infections & Inflammations W Mcc | 40 | 96 / 21 | $24.749,30 | 221 / 14 | $11.154,20 | 166 / 25 | $9.619,40 | 166 / 11 |
Respiratory Neoplasms W Mcc | 19 | 33 / 4 | $24.820,60 | 65 / 3 | $10.121,10 | 59 / 6 | $8.561,68 | 59 / 4 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 33 | $31.751,20 | 149 / 12 | $13.104,80 | 262 / 14 | $11.798,10 | 260 / 17 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 21 | $63.102,00 | 55 / 5 | $27.071,20 | 25 / 3 | $24.234,30 | 25 / 5 |
Seizures W/O Mcc | 23 | 85 / 17 | $10.477,40 | 84 / 4 | $4.683,57 | 145 / 15 | $3.434,22 | 144 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 118 | 398 / 50 | $22.201,50 | 373 / 22 | $10.431,90 | 277 / 26 | $9.111,98 | 277 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 54 | 153 / 21 | $14.028,50 | 281 / 15 | $6.473,07 | 438 / 32 | $5.135,46 | 436 / 26 |
Signs & Symptoms W/O Mcc | 21 | 70 / 15 | $13.962,90 | 271 / 19 | $4.444,38 | 382 / 20 | $3.503,95 | 381 / 28 |
Simple Pneumonia & Pleurisy W Cc | 69 | 134 / 18 | $16.052,00 | 690 / 42 | $6.112,75 | 329 / 47 | $4.484,55 | 327 / 27 |
Simple Pneumonia & Pleurisy W Mcc | 66 | 139 / 22 | $19.721,00 | 372 / 26 | $8.273,24 | 162 / 22 | $6.743,48 | 162 / 17 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 13 | $10.909,70 | 303 / 16 | $4.568,41 | 296 / 30 | $3.041,21 | 294 / 18 |
Spinal Fusion Except Cervical W/O Mcc | 28 | 166 / 28 | $28.716,90 | 7 / 1 | $21.677,40 | 253 / 6 | $20.201,80 | 252 / 19 |
Syncope & Collapse | 62 | 107 / 12 | $13.196,20 | 273 / 18 | $4.703,19 | 292 / 37 | $3.325,42 | 290 / 23 |
Transient Ischemia | 29 | 96 / 23 | $12.823,20 | 168 / 6 | $4.507,17 | 228 / 25 | $3.055,52 | 228 / 15 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 6 | $13.621,10 | 49 / 3 | $4.984,55 | 42 / 4 | $3.462,09 | 42 / 5 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 7 | $11.391,00 | 29 / 1 | $4.316,23 | 70 / 7 | $3.037,62 | 70 / 6 | Total 86 procedures | 2.739 | 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.