Hospital Costs > In Minnesota > University Medical Center-Mesabi/ Mesaba Clinics, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 21 | $14.446,40 | 462 / 13 | $5.506,56 | 1284 / 9 | $4.630,11 | 1279 / 13 |
Cellulitis W/O Mcc | 28 | 161 / 17 | $11.015,40 | 359 / 6 | $5.914,36 | 1630 / 11 | $4.876,64 | 1623 / 18 |
Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 18 | $12.184,30 | 253 / 6 | $6.341,75 | 1543 / 10 | $5.583,75 | 1537 / 18 |
Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 22 | $14.533,50 | 285 / 6 | $7.793,41 | 1588 / 11 | $6.965,77 | 1580 / 22 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 6 | $14.329,50 | 703 / 14 | $5.115,88 | 1369 / 8 | $4.193,53 | 1358 / 14 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 8 | $12.057,20 | 38 / 2 | $6.284,55 | 308 / 1 | $6.069,27 | 308 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 24 | $13.660,70 | 583 / 14 | $5.324,28 | 1615 / 11 | $4.240,34 | 1602 / 12 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 17 | $12.116,30 | 288 / 7 | $4.359,00 | 765 / 5 | $3.367,00 | 762 / 9 |
Heart Failure & Shock W Cc | 13 | 265 / 37 | $17.758,70 | 902 / 24 | $7.888,23 | 2152 / 37 | $6.861,77 | 2146 / 35 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 18 | $12.131,10 | 487 / 11 | $4.948,36 | 1163 / 11 | $3.912,93 | 1153 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 22 | $11.987,70 | 510 / 13 | $5.418,83 | 1619 / 10 | $4.462,14 | 1608 / 17 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 26 | 538 / 47 | $24.315,70 | 66 / 1 | $13.953,70 | 1796 / 5 | $12.886,60 | 1756 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 24 | $14.071,50 | 844 / 17 | $5.030,20 | 1497 / 14 | $4.065,93 | 1492 / 14 |
Neuroses Except Depressive | 13 | 14 / 4 | $8.647,46 | 9 / 1 | $5.078,54 | 15 / 2 | $4.153,00 | 15 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 13 | $21.036,50 | 551 / 10 | $5.215,91 | 685 / 11 | $4.666,09 | 684 / 13 |
Psychoses | 150 | 153 / 8 | $22.917,20 | 379 / 8 | $9.507,35 | 505 / 11 | $8.141,09 | 505 / 13 |
Pulmonary Edema & Respiratory Failure | 17 | 186 / 24 | $20.053,30 | 404 / 5 | $8.284,06 | 1388 / 10 | $7.570,65 | 1384 / 14 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 15 | $14.496,90 | 399 / 6 | $5.647,50 | 1165 / 8 | $4.741,50 | 1157 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 22 | 494 / 34 | $24.732,50 | 514 / 15 | $12.042,00 | 1628 / 11 | $11.278,30 | 1596 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 30 | $14.672,40 | 323 / 7 | $7.157,94 | 1527 / 12 | $6.301,47 | 1521 / 21 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 22 | $14.340,80 | 488 / 10 | $6.708,00 | 1513 / 13 | $5.529,86 | 1507 / 13 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 27 | $17.951,20 | 262 / 5 | $9.175,79 | 1214 / 8 | $8.158,53 | 1214 / 11 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 7 | $13.499,00 | 552 / 14 | $5.080,86 | 1261 / 9 | $3.986,76 | 1254 / 13 | Total 23 procedures | 564 | 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.