Hospital Costs > In Ohio > Union Hospital, 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 | 128 | 388 / 48 | $14.225,90 | 50 / 3 | $9.849,53 | 148 / 11 | $8.793,12 | 148 / 12 |
Heart Failure & Shock W Mcc | 95 | 189 / 31 | $12.922,20 | 78 / 4 | $8.137,11 | 273 / 8 | $7.374,75 | 273 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 75 | 489 / 60 | $26.316,40 | 108 / 1 | $11.825,40 | 196 / 9 | $9.694,29 | 196 / 17 |
Simple Pneumonia & Pleurisy W Mcc | 64 | 141 / 23 | $12.725,50 | 50 / 4 | $7.974,12 | 70 / 14 | $6.491,03 | 70 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 51 | 224 / 47 | $8.253,55 | 109 / 4 | $4.363,55 | 424 / 15 | $3.340,49 | 422 / 27 |
Renal Failure W Cc | 51 | 170 / 43 | $8.910,51 | 43 / 3 | $5.475,10 | 273 / 13 | $4.503,08 | 271 / 20 |
Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 38 | $7.957,33 | 110 / 5 | $4.557,92 | 241 / 17 | $3.356,00 | 241 / 15 |
Chronic Obstructive Pulmonary Disease W Cc | 46 | 133 / 35 | $7.896,70 | 21 / 2 | $5.288,74 | 238 / 10 | $4.244,04 | 238 / 15 |
Heart Failure & Shock W Cc | 45 | 233 / 62 | $7.791,84 | 29 / 2 | $5.639,80 | 203 / 14 | $4.542,69 | 203 / 10 |
Pulmonary Edema & Respiratory Failure | 45 | 158 / 39 | $9.918,80 | 12 / 3 | $6.914,24 | 39 / 9 | $5.436,42 | 39 / 3 |
Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 45 | $11.510,00 | 100 / 5 | $6.655,00 | 221 / 17 | $5.446,54 | 220 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 30 | $8.343,00 | 25 / 2 | $5.820,74 | 219 / 4 | $4.872,45 | 218 / 11 |
Renal Failure W Mcc | 37 | 158 / 44 | $14.297,20 | 52 / 3 | $8.156,46 | 65 / 4 | $7.094,78 | 65 / 6 |
Kidney & Urinary Tract Infections W Mcc | 36 | 108 / 22 | $6.700,42 | 3 / 1 | $6.072,64 | 146 / 12 | $5.140,39 | 146 / 14 |
Cellulitis W/O Mcc | 34 | 155 / 46 | $6.603,76 | 26 / 2 | $4.886,59 | 318 / 14 | $3.711,00 | 315 / 22 |
G.I. Hemorrhage W Cc | 34 | 184 / 46 | $10.992,50 | 83 / 3 | $5.716,68 | 250 / 11 | $4.639,35 | 250 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 33 | $5.009,70 | 7 / 2 | $4.072,76 | 474 / 10 | $3.291,64 | 474 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 33 | $8.643,52 | 59 / 5 | $4.578,48 | 215 / 12 | $3.500,73 | 215 / 16 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 45 | $8.243,58 | 36 / 2 | $5.431,45 | 263 / 8 | $4.420,64 | 263 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 29 | $10.068,70 | 14 / 2 | $6.719,69 | 180 / 6 | $5.811,09 | 180 / 11 |
Respiratory Infections & Inflammations W Mcc | 32 | 104 / 26 | $14.069,00 | 9 / 2 | $9.911,06 | 111 / 4 | $9.437,22 | 111 / 5 |
Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 25 | $19.725,00 | 27 / 1 | $10.759,00 | 113 / 13 | $9.254,93 | 112 / 7 |
Medical Back Problems W/O Mcc | 29 | 92 / 20 | $8.332,41 | 28 / 2 | $4.843,21 | 217 / 10 | $3.797,72 | 217 / 17 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 30 | $10.983,30 | 10 / 1 | $8.786,56 | 93 / 4 | $7.875,00 | 93 / 6 |
G.I. Obstruction W Cc | 25 | 67 / 18 | $9.444,00 | 43 / 2 | $5.098,68 | 283 / 8 | $4.176,68 | 282 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 40 | $11.354,40 | 47 / 1 | $6.060,39 | 190 / 14 | $4.813,78 | 190 / 14 |
Syncope & Collapse | 22 | 147 / 36 | $7.952,86 | 40 / 3 | $4.240,05 | 280 / 13 | $3.310,36 | 278 / 21 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 17 | 51 / 10 | $8.337,24 | 15 / 1 | $5.091,12 | 145 / 4 | $4.417,53 | 145 / 14 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 38 | $10.352,50 | 119 / 5 | $4.595,56 | 239 / 11 | $3.687,00 | 239 / 21 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 32 | $37.359,30 | 16 / 1 | $25.780,10 | 35 / 3 | $23.959,70 | 35 / 4 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 17 | $7.868,36 | 58 / 2 | $3.821,86 | 122 / 12 | $2.382,79 | 122 / 11 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 15 | $6.550,08 | 12 / 1 | $4.438,92 | 108 / 6 | $3.329,77 | 108 / 7 |
G.I. Hemorrhage W Mcc | 13 | 108 / 38 | $18.558,30 | 56 / 3 | $9.590,38 | 151 / 8 | $8.693,69 | 151 / 14 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 35 | $16.976,10 | 23 / 2 | $10.292,20 | 160 / 10 | $9.439,38 | 160 / 19 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 44 | $5.482,38 | 26 / 1 | $3.372,38 | 244 / 14 | $2.197,08 | 242 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 35 | $8.752,85 | 9 / 1 | $6.200,85 | 97 / 9 | $5.272,15 | 96 / 8 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 25 | $7.590,42 | 8 / 1 | $5.338,50 | 27 / 1 | $4.361,67 | 27 / 2 |
Endocrine Disorders W Cc | 12 | 26 / 7 | $10.438,30 | 10 / 1 | $5.837,33 | 51 / 3 | $5.214,50 | 51 / 4 |
Cellulitis W Mcc | 12 | 46 / 18 | $10.849,10 | 9 / 1 | $7.100,92 | 19 / 2 | $6.279,08 | 19 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 26 | $12.814,70 | 48 / 3 | $6.983,92 | 188 / 12 | $5.958,00 | 187 / 18 |
Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 7 | $7.784,00 | 11 / 1 | $4.817,36 | 27 / 4 | $3.516,36 | 27 / 4 |
Transient Ischemia | 11 | 114 / 41 | $7.254,09 | 22 / 1 | $4.116,73 | 120 / 10 | $2.845,64 | 120 / 10 | Total 42 procedures | 1.384 | 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.