Hospital Costs > In Minnesota > Unity 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 | 189 | 327 / 13 | $43.332,20 | 1495 / 37 | $12.999,20 | 1521 / 23 | $11.054,00 | 1490 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 174 | 390 / 23 | $45.957,20 | 1085 / 39 | $15.207,30 | 1675 / 19 | $12.491,60 | 1638 / 17 |
Pulmonary Edema & Respiratory Failure | 102 | 101 / 6 | $31.531,40 | 1122 / 25 | $8.716,22 | 1362 / 15 | $7.512,63 | 1358 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 95 | 180 / 9 | $17.672,80 | 1081 / 31 | $5.409,83 | 1794 / 14 | $4.468,86 | 1781 / 23 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 74 | 53 / 2 | $27.445,40 | 657 / 16 | $5.524,15 | 453 / 10 | $4.262,43 | 452 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 4 | $20.190,20 | 731 / 21 | $7.996,87 | 1493 / 17 | $6.826,45 | 1486 / 14 |
Heart Failure & Shock W Mcc | 58 | 226 / 16 | $34.215,50 | 1350 / 32 | $10.014,40 | 1613 / 17 | $9.306,02 | 1608 / 17 |
Renal Failure W Cc | 56 | 165 / 13 | $22.031,40 | 1183 / 30 | $6.640,89 | 1517 / 14 | $5.778,04 | 1508 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 13 | $24.592,60 | 1217 / 39 | $8.066,75 | 1164 / 29 | $5.829,87 | 1159 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 13 | $18.478,90 | 1405 / 35 | $5.423,35 | 1698 / 11 | $4.547,43 | 1687 / 22 |
Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 15 | $33.952,10 | 1281 / 32 | $10.217,40 | 1346 / 20 | $8.398,56 | 1346 / 14 |
Spinal Fusion Except Cervical W/O Mcc | 42 | 152 / 9 | $67.658,50 | 327 / 11 | $25.718,50 | 852 / 3 | $24.623,70 | 848 / 12 |
G.I. Hemorrhage W Cc | 41 | 177 / 17 | $24.556,90 | 1172 / 33 | $6.904,63 | 1548 / 14 | $6.050,78 | 1544 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 11 | $16.288,70 | 1114 / 24 | $5.060,39 | 1640 / 15 | $4.236,98 | 1635 / 18 |
Renal Failure W Mcc | 40 | 155 / 13 | $34.781,10 | 1040 / 21 | $10.724,90 | 1100 / 13 | $9.134,03 | 1100 / 7 |
Cellulitis W/O Mcc | 38 | 151 / 13 | $17.727,50 | 1208 / 31 | $7.231,79 | 1343 / 33 | $4.571,13 | 1337 / 10 |
Heart Failure & Shock W Cc | 38 | 240 / 23 | $25.357,30 | 1694 / 39 | $6.811,32 | 1636 / 14 | $5.922,89 | 1631 / 16 |
Syncope & Collapse | 35 | 134 / 9 | $25.319,40 | 1232 / 20 | $5.271,00 | 1180 / 8 | $4.355,31 | 1173 / 12 |
Respiratory Infections & Inflammations W Mcc | 34 | 102 / 12 | $44.300,40 | 918 / 23 | $12.813,40 | 1125 / 11 | $12.173,40 | 1111 / 17 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 19 | $19.793,60 | 1114 / 40 | $6.780,09 | 1699 / 18 | $5.719,24 | 1692 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 15 | $25.947,10 | 1448 / 31 | $5.638,52 | 1330 / 14 | $4.705,35 | 1325 / 15 |
Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 11 | $21.540,00 | 1165 / 28 | $6.358,68 | 1537 / 12 | $5.579,32 | 1531 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 17 | $41.074,20 | 685 / 24 | $12.779,70 | 1221 / 10 | $11.693,90 | 1206 / 14 |
Chest Pain | 29 | 122 / 9 | $19.168,10 | 858 / 20 | $4.469,66 | 1018 / 9 | $3.593,52 | 1012 / 9 |
G.I. Obstruction W Cc | 25 | 67 / 17 | $21.647,60 | 766 / 20 | $6.258,80 | 1016 / 12 | $5.146,48 | 1013 / 11 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 13 | $109.838,00 | 613 / 7 | $34.252,40 | 872 / 2 | $33.500,40 | 866 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 19 | $26.742,10 | 908 / 22 | $7.268,61 | 1309 / 11 | $6.360,78 | 1306 / 17 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 8 | $18.427,00 | 463 / 4 | $7.532,83 | 801 / 7 | $6.096,96 | 800 / 3 |
Hypertension W/O Mcc | 23 | 42 / 1 | $20.123,60 | 418 / 7 | $4.588,83 | 498 / 3 | $3.748,48 | 496 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 14 | $21.147,60 | 467 / 6 | $7.532,04 | 944 / 2 | $6.884,74 | 941 / 9 |
Transient Ischemia | 22 | 103 / 9 | $23.853,40 | 907 / 13 | $5.933,23 | 925 / 11 | $3.906,91 | 920 / 5 |
Medical Back Problems W/O Mcc | 21 | 100 / 15 | $19.645,40 | 495 / 13 | $5.582,71 | 721 / 3 | $4.601,38 | 718 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 11 | $26.144,80 | 485 / 7 | $8.136,00 | 762 / 3 | $7.273,52 | 757 / 8 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 14 | $37.563,40 | 723 / 15 | $10.515,80 | 715 / 4 | $9.488,65 | 714 / 4 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 14 | $32.998,80 | 655 / 16 | $7.276,60 | 1017 / 4 | $6.371,00 | 1014 / 10 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 9 | $22.642,50 | 531 / 20 | $6.890,05 | 906 / 9 | $6.127,11 | 903 / 17 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 13 | $24.798,40 | 1240 / 26 | $5.706,58 | 1209 / 12 | $4.815,63 | 1201 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 19 | $42.823,20 | 1392 / 26 | $10.268,70 | 1643 / 22 | $9.504,11 | 1640 / 24 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 13 | $18.405,80 | 1185 / 25 | $4.873,26 | 1211 / 8 | $3.984,00 | 1201 / 10 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 13 | $19.611,30 | 385 / 11 | $9.563,72 | 187 / 17 | $4.624,67 | 185 / 1 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 6 | $22.701,80 | 450 / 15 | $6.153,00 | 324 / 13 | $3.972,33 | 324 / 6 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 5 | $17.425,20 | 1055 / 20 | $5.944,17 | 1074 / 18 | $3.801,00 | 1065 / 5 |
Seizures W/O Mcc | 18 | 90 / 12 | $14.477,60 | 235 / 5 | $5.348,17 | 459 / 5 | $3.989,72 | 457 / 4 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 11 | $15.967,30 | 587 / 18 | $4.505,18 | 799 / 10 | $3.437,88 | 796 / 12 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 13 | $28.526,50 | 629 / 17 | $8.932,00 | 807 / 5 | $8.013,41 | 802 / 8 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 6 | $36.943,20 | 517 / 8 | $8.955,25 | 391 / 2 | $8.121,25 | 390 / 3 |
Diabetes W Cc | 16 | 76 / 10 | $22.283,60 | 834 / 16 | $5.879,88 | 1080 / 4 | $5.351,88 | 1076 / 11 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 16 | $16.500,90 | 1150 / 25 | $4.174,00 | 1267 / 9 | $3.122,00 | 1262 / 12 |
Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 10 | $24.400,00 | 374 / 12 | $6.720,75 | 388 / 7 | $5.816,75 | 388 / 5 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 10 | $19.988,70 | 514 / 9 | $4.678,33 | 420 / 3 | $3.635,13 | 419 / 4 |
Other Disorders Of Nervous System W Cc | 15 | 41 / 9 | $23.565,50 | 250 / 10 | $8.232,60 | 297 / 9 | $5.277,40 | 297 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 14 | $83.498,90 | 1346 / 17 | $16.887,40 | 1322 / 7 | $15.854,10 | 1309 / 10 |
Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 11 | $53.184,60 | 252 / 7 | $17.332,10 | 547 / 4 | $16.298,90 | 546 / 6 |
G.I. Hemorrhage W Mcc | 14 | 107 / 18 | $59.693,40 | 1189 / 20 | $13.814,70 | 1323 / 15 | $13.037,60 | 1313 / 17 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 8 | $20.577,60 | 251 / 8 | $6.445,62 | 433 / 2 | $5.803,15 | 433 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 15 | $23.211,00 | 795 / 18 | $5.310,31 | 879 / 6 | $4.104,15 | 875 / 8 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 15 | $30.882,70 | 767 / 17 | $6.295,67 | 619 / 1 | $5.693,00 | 618 / 3 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 21 | $64.990,50 | 749 / 20 | $19.523,00 | 668 / 19 | $14.232,90 | 662 / 3 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 5 | $22.371,20 | 195 / 8 | $5.020,42 | 261 / 2 | $4.215,08 | 260 / 5 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 9 | $21.679,00 | 158 / 3 | $7.228,09 | 160 / 8 | $5.233,91 | 160 / 3 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 9 | $26.792,50 | 232 / 6 | $7.515,36 | 496 / 1 | $6.526,27 | 495 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 19 | $49.690,00 | 956 / 18 | $11.411,70 | 904 / 6 | $10.643,70 | 902 / 8 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 8 | $26.803,50 | 402 / 6 | $6.202,36 | 353 / 4 | $5.216,18 | 353 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 9 | $22.423,50 | 114 / 6 | $7.590,18 | 258 / 3 | $6.601,09 | 258 / 5 |
Dysequilibrium | 11 | 54 / 7 | $15.341,00 | 133 / 3 | $4.591,73 | 274 / 2 | $3.489,18 | 274 / 3 |
Respiratory Neoplasms W Mcc | 11 | 41 / 9 | $38.206,50 | 234 / 10 | $11.319,00 | 330 / 3 | $10.437,50 | 329 / 4 |
O.R. Procedures For Obesity W/O Cc/Mcc | 11 | 66 / 5 | $33.364,50 | 117 / 3 | $10.547,50 | 242 / 1 | $9.337,36 | 242 / 5 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 13 | $70.730,20 | 422 / 14 | $18.977,90 | 484 / 5 | $18.102,30 | 481 / 9 |
Signs & Symptoms W/O Mcc | 11 | 80 / 14 | $18.785,10 | 585 / 11 | $4.933,09 | 844 / 8 | $4.383,27 | 841 / 12 | Total 69 procedures | 2.159 | 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.