Hospital Costs > In Iowa > Trinity Regional 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 | 131 | 385 / 14 | $28.550,80 | 715 / 12 | $11.138,20 | 982 / 15 | $10.157,40 | 973 / 17 |
Pulmonary Edema & Respiratory Failure | 56 | 147 / 12 | $32.746,80 | 1189 / 20 | $7.560,34 | 508 / 12 | $6.340,59 | 508 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 54 | 510 / 25 | $48.397,90 | 1220 / 25 | $12.796,00 | 1322 / 10 | $11.639,60 | 1290 / 23 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 49 | 139 / 5 | $23.651,70 | 227 / 6 | $6.400,96 | 507 / 6 | $5.454,59 | 505 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 45 | 160 / 15 | $25.654,80 | 747 / 15 | $8.555,36 | 774 / 12 | $7.626,80 | 774 / 13 |
Heart Failure & Shock W Cc | 44 | 234 / 14 | $20.724,50 | 1262 / 24 | $5.853,43 | 745 / 11 | $5.101,93 | 744 / 15 |
Renal Failure W Cc | 44 | 177 / 13 | $19.261,40 | 900 / 18 | $5.911,16 | 680 / 12 | $4.903,20 | 673 / 13 |
Heart Failure & Shock W Mcc | 40 | 244 / 19 | $26.479,90 | 862 / 17 | $8.830,55 | 894 / 14 | $8.151,10 | 893 / 14 |
Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 14 | $19.196,10 | 1053 / 24 | $5.754,90 | 612 / 13 | $4.749,60 | 609 / 13 |
Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 15 | $26.023,10 | 1201 / 23 | $6.887,59 | 818 / 12 | $6.061,27 | 813 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 37 | 159 / 11 | $63.030,90 | 524 / 16 | $12.396,20 | 714 / 10 | $11.278,90 | 710 / 18 |
G.I. Hemorrhage W Cc | 36 | 182 / 17 | $18.481,70 | 609 / 16 | $6.133,03 | 268 / 15 | $4.663,69 | 268 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 18 | $18.486,00 | 631 / 14 | $6.297,26 | 699 / 11 | $5.388,17 | 697 / 13 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 14 | $41.802,30 | 715 / 18 | $11.650,30 | 588 / 13 | $10.222,70 | 585 / 10 |
Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 11 | $15.063,40 | 952 / 25 | $4.579,45 | 402 / 14 | $3.547,16 | 402 / 11 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 12 | $17.608,80 | 763 / 14 | $5.505,59 | 631 / 10 | $4.661,66 | 629 / 12 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 8 | $13.012,00 | 714 / 20 | $3.480,75 | 229 / 9 | $2.179,79 | 228 / 7 |
Renal Failure W Mcc | 27 | 168 / 15 | $27.827,90 | 638 / 9 | $9.161,74 | 421 / 10 | $7.947,30 | 421 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 23 | 77 / 6 | $87.317,90 | 356 / 11 | $19.354,70 | 353 / 3 | $18.348,00 | 351 / 9 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 9 | $17.832,80 | 1136 / 18 | $3.974,90 | 352 / 7 | $3.161,57 | 350 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 17 | $23.955,50 | 723 / 19 | $6.344,85 | 526 / 9 | $5.247,05 | 525 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 11 | $23.065,40 | 529 / 14 | $7.106,84 | 359 / 9 | $6.142,53 | 358 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 23 | $17.039,30 | 1004 / 19 | $4.364,28 | 438 / 9 | $3.352,11 | 436 / 12 |
Cellulitis W/O Mcc | 18 | 171 / 20 | $17.805,50 | 1219 / 25 | $4.958,33 | 497 / 9 | $3.877,39 | 494 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 17 | $21.810,40 | 1194 / 19 | $4.642,41 | 607 / 7 | $3.921,29 | 604 / 8 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 11 | $16.366,80 | 866 / 19 | $4.139,65 | 213 / 5 | $2.920,12 | 211 / 5 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 16 | $32.656,20 | 499 / 13 | $11.676,30 | 691 / 11 | $10.904,90 | 683 / 13 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 13 | $32.636,90 | 840 / 15 | $6.223,87 | 267 / 6 | $5.085,47 | 267 / 6 |
Diabetes W Cc | 15 | 77 / 8 | $16.960,20 | 476 / 6 | $4.867,00 | 386 / 3 | $4.133,60 | 386 / 5 |
Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 11 | $22.119,90 | 203 / 5 | $6.159,79 | 225 / 3 | $5.035,93 | 225 / 5 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 11 | $20.694,10 | 422 / 14 | $5.836,07 | 340 / 7 | $4.872,57 | 340 / 10 |
G.I. Hemorrhage W Mcc | 13 | 108 / 12 | $31.466,80 | 373 / 12 | $10.372,70 | 551 / 8 | $9.797,31 | 552 / 13 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 6 | $49.263,80 | 306 / 3 | $12.796,10 | 362 / 2 | $11.938,70 | 357 / 4 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 11 | $30.074,10 | 692 / 13 | $8.216,38 | 462 / 9 | $7.261,62 | 459 / 8 |
G.I. Obstruction W Cc | 12 | 80 / 15 | $15.790,90 | 349 / 12 | $5.269,17 | 95 / 9 | $3.767,33 | 94 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 13 | $85.430,70 | 306 / 6 | $32.205,50 | 672 / 9 | $31.266,80 | 666 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 13 | $17.320,90 | 386 / 13 | $4.450,82 | 279 / 5 | $3.346,27 | 277 / 8 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 15 | $14.749,50 | 751 / 13 | $4.206,36 | 373 / 5 | $3.211,45 | 372 / 5 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 17 | $45.236,50 | 999 / 14 | $12.170,00 | 1210 / 19 | $11.056,30 | 1202 / 20 |
Major Cardiovasc Procedures W Mcc | 11 | 57 / 7 | $120.547,00 | 214 / 4 | $38.083,50 | 423 / 6 | $36.965,40 | 422 / 6 |
Medical Back Problems W/O Mcc | 11 | 110 / 16 | $14.036,60 | 177 / 6 | $4.957,91 | 304 / 4 | $3.959,36 | 304 / 6 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 7 | $39.389,50 | 138 / 3 | $12.697,90 | 245 / 3 | $11.586,60 | 244 / 3 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 16 | $50.019,50 | 421 / 11 | $15.621,70 | 766 / 12 | $14.608,50 | 758 / 15 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 12 | $54.575,30 | 235 / 8 | $18.051,50 | 349 / 10 | $16.930,50 | 346 / 11 | Total 44 procedures | 1.172 | 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.