Hospital Costs > In California > Twin Cities Community Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 203 | 361 / 45 | $103.453,00 | 2514 / 172 | $15.486,20 | 1960 / 35 | $13.458,00 | 1918 / 42 |
Pulmonary Edema & Respiratory Failure | 111 | 92 / 6 | $84.102,90 | 2156 / 134 | $9.049,30 | 1585 / 12 | $8.069,67 | 1580 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 81 | 435 / 139 | $129.149,00 | 2771 / 239 | $13.231,50 | 2009 / 26 | $12.403,80 | 1972 / 35 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 65 | 210 / 47 | $61.155,10 | 2704 / 211 | $5.714,60 | 1908 / 26 | $4.615,03 | 1894 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 63 | 144 / 53 | $72.381,00 | 2502 / 219 | $7.982,92 | 1687 / 36 | $6.552,19 | 1680 / 33 |
Kidney & Urinary Tract Infections W/O Mcc | 49 | 184 / 61 | $52.398,90 | 2658 / 192 | $5.723,78 | 1896 / 21 | $4.825,16 | 1885 / 27 |
Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 41 | $62.973,60 | 2725 / 177 | $7.098,22 | 1983 / 18 | $6.138,88 | 1975 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 42 | $72.188,90 | 2538 / 206 | $5.771,16 | 2013 / 48 | $4.913,89 | 2005 / 63 |
Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 31 | $113.314,00 | 1970 / 114 | $13.684,20 | 1437 / 15 | $12.508,20 | 1419 / 20 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 56 | $102.053,00 | 2468 / 178 | $10.130,20 | 1746 / 15 | $9.237,89 | 1746 / 21 |
Cellulitis W/O Mcc | 35 | 154 / 51 | $56.610,20 | 2602 / 204 | $7.354,26 | 1738 / 89 | $5.031,29 | 1730 / 18 |
G.I. Hemorrhage W Cc | 34 | 184 / 57 | $63.816,20 | 2337 / 163 | $7.301,76 | 1727 / 14 | $6.417,06 | 1723 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 33 | 69 / 15 | $59.539,20 | 1556 / 102 | $5.538,52 | 1045 / 11 | $4.442,76 | 1041 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 44 | $78.264,00 | 2024 / 154 | $8.113,97 | 1400 / 26 | $6.567,30 | 1397 / 20 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 18 | $40.291,80 | 1894 / 87 | $4.988,78 | 1185 / 9 | $3.960,04 | 1175 / 11 |
Heart Failure & Shock W Cc | 26 | 252 / 74 | $50.294,90 | 2554 / 144 | $6.935,04 | 1800 / 18 | $6.144,88 | 1795 / 26 |
Heart Failure & Shock W Mcc | 25 | 259 / 97 | $97.388,80 | 2554 / 184 | $9.796,64 | 1490 / 7 | $9.026,08 | 1486 / 10 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 21 | $53.674,50 | 1924 / 112 | $5.336,83 | 1437 / 17 | $4.278,17 | 1429 / 20 |
Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 66 | $84.250,10 | 2523 / 174 | $8.783,25 | 1915 / 31 | $7.728,58 | 1907 / 31 |
G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 19 | $49.064,80 | 1284 / 89 | $4.676,05 | 977 / 15 | $3.905,14 | 974 / 30 |
Syncope & Collapse | 21 | 148 / 46 | $55.020,40 | 1871 / 130 | $5.681,14 | 1153 / 22 | $4.310,48 | 1146 / 12 |
Transient Ischemia | 20 | 105 / 36 | $71.036,80 | 1655 / 137 | $5.878,50 | 1213 / 34 | $4.562,55 | 1207 / 31 |
Medical Back Problems W/O Mcc | 20 | 101 / 37 | $60.438,50 | 1460 / 111 | $6.311,10 | 991 / 17 | $5.219,90 | 988 / 19 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 11 | $68.843,20 | 1254 / 65 | $7.258,68 | 947 / 11 | $6.310,47 | 944 / 18 |
G.I. Obstruction W Cc | 19 | 73 / 33 | $54.947,20 | 1644 / 103 | $6.357,42 | 1165 / 11 | $5.466,47 | 1162 / 15 |
G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 10 | $50.806,80 | 978 / 58 | $5.292,37 | 673 / 7 | $4.271,74 | 669 / 15 |
Renal Failure W Cc | 19 | 202 / 69 | $74.486,70 | 2416 / 191 | $6.776,95 | 1505 / 18 | $5.766,42 | 1496 / 20 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 30 | $41.086,20 | 1932 / 119 | $4.315,79 | 1353 / 16 | $3.231,16 | 1348 / 20 |
Signs & Symptoms W/O Mcc | 18 | 73 / 20 | $59.218,40 | 1322 / 82 | $5.203,28 | 856 / 7 | $4.405,06 | 853 / 12 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 28 | $56.010,60 | 2077 / 122 | $5.494,61 | 1306 / 13 | $4.082,89 | 1295 / 10 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 25 | $93.369,40 | 725 / 25 | $15.871,10 | 646 / 11 | $14.671,10 | 642 / 18 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 9 | $68.231,50 | 923 / 48 | $4.889,12 | 459 / 2 | $3.759,12 | 458 / 3 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 19 | $96.575,00 | 887 / 60 | $11.743,70 | 683 / 9 | $10.534,10 | 680 / 12 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 58 | $164.066,00 | 1791 / 145 | $13.332,90 | 1198 / 13 | $12.555,80 | 1183 / 17 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 41 | $204.528,00 | 1519 / 111 | $20.535,90 | 906 / 44 | $15.283,40 | 898 / 4 |
Renal Failure W/O Cc/Mcc | 14 | 42 / 7 | $52.032,40 | 849 / 28 | $4.794,64 | 559 / 4 | $3.763,79 | 558 / 5 |
Seizures W/O Mcc | 14 | 94 / 28 | $63.758,70 | 1294 / 89 | $5.988,50 | 612 / 10 | $4.290,71 | 609 / 9 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 35 | $82.226,00 | 1406 / 90 | $9.902,08 | 1075 / 19 | $8.974,08 | 1070 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $82.084,00 | 1420 / 117 | $8.701,31 | 1021 / 8 | $8.236,08 | 1016 / 26 |
Chest Pain | 13 | 138 / 59 | $45.830,60 | 1657 / 125 | $4.639,85 | 1129 / 13 | $3.800,46 | 1122 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 54 | $50.018,40 | 2064 / 134 | $5.932,25 | 1468 / 18 | $4.924,25 | 1463 / 19 |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 61 | $73.258,10 | 2416 / 174 | $6.946,08 | 1812 / 20 | $6.140,75 | 1805 / 26 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 10 | $118.163,00 | 513 / 25 | $10.893,50 | 399 / 3 | $9.896,17 | 399 / 9 |
Diabetes W Cc | 11 | 81 / 24 | $66.629,70 | 1603 / 115 | $6.026,45 | 956 / 5 | $5.040,27 | 952 / 8 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 20 | $57.198,30 | 796 / 57 | $5.705,18 | 531 / 8 | $4.719,00 | 529 / 12 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 20 | $36.582,00 | 826 / 34 | $5.401,45 | 617 / 11 | $4.296,00 | 617 / 10 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 55 | $56.246,20 | 1764 / 115 | $7.671,27 | 1163 / 14 | $6.682,18 | 1159 / 13 | Total 47 procedures | 1.424 | 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.