Hospital Costs > In Louisiana > Tulane 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 | 102 | 414 / 20 | $95.251,10 | 2595 / 58 | $21.040,30 | 2515 / 58 | $15.330,70 | 2471 / 55 |
| Red Blood Cell Disorders W/O Mcc | 57 | 86 / 9 | $33.379,70 | 1622 / 46 | $10.678,70 | 1878 / 45 | $7.763,88 | 1869 / 45 |
| Renal Failure W Mcc | 53 | 142 / 16 | $54.773,90 | 1670 / 38 | $16.951,00 | 1897 / 40 | $12.685,40 | 1893 / 39 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 31 | $102.935,00 | 2510 / 56 | $20.610,30 | 2248 / 56 | $14.940,30 | 2204 / 56 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 51 | 224 / 18 | $33.188,50 | 2287 / 57 | $9.806,78 | 2563 / 60 | $7.045,06 | 2548 / 59 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 14 | $44.141,00 | 2144 / 44 | $13.564,00 | 2375 / 48 | $9.152,72 | 2365 / 47 |
| Kidney Transplant | 45 | 58 / 2 | $354.221,00 | 165 / 3 | $32.303,20 | 89 / 3 | $23.366,20 | 89 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 45 | 56 / 3 | $135.454,00 | 1100 / 16 | $25.330,50 | 1080 / 16 | $17.672,00 | 1076 / 16 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 43 | 60 / 3 | $104.703,00 | 863 / 12 | $17.244,60 | 836 / 12 | $11.203,40 | 836 / 12 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 42 | 34 / 2 | $157.313,00 | 556 / 7 | $28.130,00 | 504 / 7 | $18.035,70 | 504 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 39 | 87 / 7 | $59.627,70 | 1594 / 28 | $14.602,20 | 1576 / 30 | $10.322,10 | 1573 / 29 |
| Heart Failure & Shock W Cc | 38 | 240 / 32 | $42.549,60 | 2400 / 65 | $12.113,00 | 2545 / 63 | $8.654,29 | 2539 / 61 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 19 | $79.650,30 | 2030 / 38 | $15.012,60 | 1951 / 37 | $9.610,81 | 1947 / 36 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 22 | $62.611,30 | 2386 / 50 | $14.309,90 | 2239 / 51 | $9.017,50 | 2231 / 50 |
| Renal Failure W Cc | 35 | 186 / 27 | $34.843,90 | 1893 / 38 | $11.759,80 | 2246 / 43 | $8.469,46 | 2236 / 43 |
| Other Circulatory System Diagnoses W Mcc | 34 | 82 / 6 | $347.714,00 | 1399 / 27 | $46.966,50 | 1397 / 27 | $41.987,60 | 1389 / 27 |
| Heart Failure & Shock W Mcc | 28 | 256 / 35 | $55.570,80 | 2121 / 52 | $16.284,10 | 2266 / 54 | $11.651,20 | 2256 / 53 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 7 | $77.371,00 | 1525 / 26 | $18.162,90 | 1585 / 28 | $13.863,60 | 1572 / 27 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 14 | $124.138,00 | 1699 / 39 | $24.213,30 | 1498 / 39 | $17.532,70 | 1484 / 38 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 10 | $366.749,00 | 1554 / 28 | $58.403,80 | 1470 / 28 | $49.114,50 | 1460 / 28 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 21 | $103.412,00 | 1196 / 27 | $20.071,80 | 1319 / 35 | $15.629,50 | 1312 / 34 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 18 | $76.832,60 | 1549 / 39 | $14.880,90 | 1502 / 39 | $9.267,17 | 1499 / 38 |
| G.I. Hemorrhage W Cc | 23 | 195 / 25 | $52.169,10 | 2202 / 46 | $12.462,60 | 2233 / 44 | $8.624,91 | 2229 / 44 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 14 | $187.104,00 | 1630 / 27 | $27.043,90 | 1551 / 27 | $17.649,00 | 1544 / 27 |
| Cellulitis W/O Mcc | 22 | 167 / 30 | $25.530,80 | 1902 / 53 | $10.728,60 | 2471 / 58 | $7.658,09 | 2463 / 58 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 26 | $35.292,80 | 1923 / 44 | $11.091,60 | 2246 / 48 | $8.055,81 | 2239 / 47 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 19 | $32.910,10 | 1792 / 49 | $9.884,81 | 2015 / 50 | $6.978,90 | 2003 / 49 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 21 | 52 / 2 | $75.012,70 | 331 / 8 | $13.077,60 | 322 / 9 | $9.718,90 | 322 / 9 |
| Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 15 | $199.817,00 | 1276 / 28 | $34.895,10 | 1183 / 27 | $30.197,40 | 1178 / 28 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 20 | 50 / 3 | $35.846,40 | 439 / 5 | $11.356,40 | 486 / 5 | $8.414,00 | 486 / 5 |
| Chest Pain | 19 | 132 / 13 | $25.018,00 | 1215 / 28 | $8.276,00 | 1556 / 31 | $5.720,47 | 1547 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 19 | $32.952,50 | 1736 / 36 | $11.120,50 | 2039 / 39 | $7.378,21 | 2034 / 38 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 6 | $47.732,60 | 661 / 10 | $12.917,00 | 707 / 11 | $9.201,00 | 707 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 41 | $35.325,70 | 2385 / 64 | $10.738,60 | 2590 / 65 | $7.559,94 | 2579 / 64 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 13 | $65.566,70 | 1581 / 29 | $10.260,10 | 1465 / 28 | $6.348,71 | 1461 / 28 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 33 | $29.879,90 | 2132 / 55 | $9.246,82 | 2402 / 55 | $6.805,41 | 2393 / 55 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 16 | 24 / 1 | $86.811,20 | 140 / 2 | $14.980,20 | 119 / 2 | $11.653,80 | 119 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 10 | $170.531,00 | 891 / 17 | $31.467,20 | 782 / 20 | $23.379,80 | 777 / 19 |
| Syncope & Collapse | 16 | 153 / 21 | $28.549,60 | 1375 / 30 | $9.719,38 | 1799 / 33 | $6.951,38 | 1791 / 33 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 10 | $319.573,00 | 1015 / 17 | $56.546,80 | 726 / 17 | $41.673,10 | 725 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 13 | $46.438,10 | 1089 / 23 | $14.208,90 | 1321 / 24 | $10.659,70 | 1316 / 24 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 26 | $75.748,10 | 2098 / 36 | $15.265,30 | 2084 / 36 | $11.043,50 | 2078 / 35 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 12 | $33.575,20 | 1096 / 19 | $9.129,79 | 1237 / 20 | $6.730,93 | 1234 / 20 |
| Transient Ischemia | 14 | 111 / 16 | $43.019,80 | 1487 / 29 | $9.198,50 | 1551 / 29 | $6.314,36 | 1543 / 28 |
| Diabetes W Cc | 14 | 78 / 15 | $39.235,70 | 1382 / 30 | $10.677,80 | 1470 / 29 | $7.489,21 | 1465 / 29 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 13 | $71.105,10 | 1037 / 20 | $20.561,10 | 1055 / 21 | $13.286,20 | 1051 / 21 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 32 | $58.309,40 | 2070 / 38 | $15.443,20 | 2247 / 43 | $11.723,80 | 2241 / 43 |
| Seizures W/O Mcc | 13 | 95 / 14 | $53.188,30 | 1254 / 22 | $11.646,90 | 1232 / 22 | $7.638,69 | 1230 / 21 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 13 | 85 / 5 | $234.428,00 | 467 / 8 | $42.736,00 | 301 / 8 | $29.804,00 | 301 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 42 | $36.440,30 | 2232 / 54 | $11.924,60 | 2646 / 63 | $8.729,46 | 2637 / 61 |
| Hypertension W/O Mcc | 13 | 52 / 8 | $35.389,90 | 703 / 17 | $8.772,92 | 729 / 17 | $6.062,77 | 727 / 17 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 8 | $42.552,20 | 351 / 9 | $17.071,00 | 623 / 11 | $13.847,00 | 622 / 11 |
| Pancreas, Liver & Shunt Procedures W Cc | 12 | 43 / 2 | $139.317,00 | 118 / 2 | $26.271,30 | 76 / 2 | $21.239,20 | 76 / 2 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 20 | $127.698,00 | 1644 / 29 | $25.549,80 | 1652 / 29 | $21.459,10 | 1642 / 29 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 10 | $77.004,10 | 645 / 9 | $20.370,90 | 703 / 10 | $15.926,40 | 699 / 10 |
| Diabetes W Mcc | 12 | 45 / 10 | $58.626,60 | 627 / 15 | $16.168,30 | 650 / 16 | $11.605,70 | 649 / 15 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Mcc | 11 | 15 / 1 | $229.796,00 | 44 / 1 | $35.472,40 | 36 / 1 | $21.735,80 | 36 / 1 |
| Seizures W Mcc | 11 | 55 / 11 | $102.647,00 | 736 / 12 | $21.571,30 | 667 / 12 | $13.851,50 | 667 / 12 |
| Other Vascular Procedures W Mcc | 11 | 86 / 16 | $212.706,00 | 979 / 20 | $40.048,90 | 911 / 20 | $29.352,20 | 908 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 25 | $63.172,00 | 1720 / 34 | $14.763,80 | 1769 / 35 | $10.781,30 | 1766 / 34 |
| Hiv W Major Related Condition W Mcc | 11 | 26 / 5 | $185.306,00 | 86 / 6 | $34.242,60 | 60 / 5 | $24.050,10 | 60 / 5 | Total 61 procedures | 1.514 | 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.