Hospital Costs > In Utah > Utah Valley Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 1 | $25.079,70 | 524 / 4 | $8.342,78 | 824 / 2 | $6.181,61 | 822 / 3 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 2 | $18.510,70 | 246 / 2 | $5.915,62 | 646 / 1 | $4.927,00 | 642 / 2 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 18 | 48 / 2 | $38.243,00 | 143 / 4 | $13.206,30 | 261 / 3 | $10.845,10 | 259 / 3 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 5 | $22.235,30 | 132 / 5 | $8.497,33 | 334 / 5 | $5.722,07 | 333 / 2 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 17 | 46 / 3 | $61.356,00 | 70 / 3 | $23.091,70 | 134 / 1 | $19.806,60 | 134 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 3 | $15.803,60 | 603 / 4 | $6.333,65 | 1358 / 6 | $4.743,13 | 1353 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 3 | $21.557,60 | 426 / 2 | $8.665,15 | 1076 / 4 | $7.288,10 | 1073 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 2 | $11.801,30 | 561 / 4 | $4.750,70 | 1533 / 5 | $3.598,82 | 1527 / 6 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 15 | 103 / 6 | $114.282,00 | 143 / 4 | $42.644,70 | 113 / 5 | $28.704,40 | 113 / 1 |
| Cellulitis W/O Mcc | 39 | 150 / 2 | $18.017,30 | 1244 / 7 | $7.157,21 | 1693 / 8 | $4.970,51 | 1686 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 32 | 72 / 3 | $24.951,60 | 27 / 1 | $14.940,30 | 433 / 3 | $12.316,80 | 432 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 5 | $21.502,60 | 1161 / 7 | $7.837,69 | 1410 / 8 | $5.391,85 | 1405 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 7 | $32.592,60 | 1625 / 9 | $9.080,67 | 1964 / 7 | $7.855,78 | 1956 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 4 | $61.256,60 | 485 / 4 | $15.291,90 | 649 / 2 | $14.375,60 | 642 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 4 | $21.130,60 | 134 / 2 | $8.385,41 | 845 / 5 | $6.000,79 | 843 / 5 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 28 | 48 / 1 | $89.513,90 | 73 / 3 | $33.090,40 | 142 / 4 | $24.063,40 | 142 / 2 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 12 | 43 / 2 | $53.129,00 | 25 / 2 | $21.493,80 | 32 / 1 | $15.939,50 | 32 / 1 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 34 | 64 / 2 | $86.375,00 | 125 / 5 | $29.946,90 | 188 / 3 | $26.443,30 | 188 / 3 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 20 | 54 / 2 | $50.445,10 | 63 / 3 | $16.882,70 | 118 / 2 | $13.923,00 | 117 / 2 |
| Diabetes W Cc | 13 | 79 / 2 | $18.930,80 | 617 / 4 | $6.361,54 | 1047 / 4 | $5.262,77 | 1043 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 3 | $29.736,60 | 91 / 1 | $13.052,60 | 26 / 1 | $8.919,42 | 26 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 5 | $22.325,30 | 309 / 3 | $8.457,43 | 680 / 3 | $7.073,36 | 675 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 6 | $25.376,90 | 1908 / 18 | $6.543,05 | 1982 / 15 | $4.747,05 | 1968 / 15 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 20 | 43 / 2 | $102.914,00 | 235 / 3 | $35.270,20 | 314 / 2 | $28.985,90 | 314 / 2 |
| Extracranial Procedures W Cc | 14 | 32 / 1 | $25.494,90 | 47 / 1 | $10.818,60 | 242 / 1 | $9.713,43 | 242 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 28 | 70 / 1 | $17.551,70 | 92 / 1 | $7.602,43 | 689 / 3 | $6.479,71 | 686 / 5 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 4 | $17.589,90 | 413 / 4 | $5.954,31 | 602 / 5 | $4.244,54 | 602 / 5 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 3 | $15.664,70 | 218 / 1 | $5.960,00 | 585 / 2 | $4.984,73 | 583 / 3 |
| G.I. Hemorrhage W Cc | 55 | 163 / 4 | $22.919,40 | 1022 / 11 | $7.821,18 | 1612 / 12 | $6.177,45 | 1608 / 12 |
| G.I. Hemorrhage W Mcc | 26 | 95 / 3 | $33.272,50 | 434 / 4 | $12.832,20 | 1000 / 6 | $11.253,40 | 993 / 7 |
| G.I. Obstruction W Cc | 32 | 60 / 2 | $18.865,80 | 574 / 6 | $7.649,41 | 802 / 6 | $4.813,94 | 800 / 4 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 6 | $16.017,30 | 592 / 5 | $5.348,00 | 940 / 7 | $3.779,38 | 937 / 6 |
| Heart Failure & Shock W Cc | 50 | 228 / 4 | $21.126,40 | 1307 / 11 | $7.307,20 | 1834 / 13 | $6.213,16 | 1829 / 14 |
| Heart Failure & Shock W Mcc | 37 | 247 / 6 | $31.753,40 | 1201 / 9 | $10.781,50 | 1631 / 11 | $9.343,49 | 1626 / 12 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 4 | $14.479,70 | 789 / 2 | $5.410,21 | 1480 / 3 | $4.381,64 | 1468 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 3 | $41.356,30 | 698 / 4 | $13.020,10 | 1068 / 6 | $11.203,20 | 1054 / 6 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 5 | $62.267,10 | 329 / 5 | $19.634,60 | 516 / 3 | $18.403,90 | 513 / 4 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 4 | $34.330,20 | 290 / 4 | $11.049,20 | 605 / 6 | $9.821,50 | 603 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 2 | $58.860,00 | 162 / 2 | $14.541,10 | 6 / 1 | $10.690,20 | 6 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 53 | 71 / 1 | $113.937,00 | 667 / 5 | $43.148,70 | 1086 / 5 | $36.784,50 | 1079 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 51 | 131 / 3 | $21.925,40 | 595 / 5 | $7.593,29 | 1382 / 7 | $6.535,73 | 1379 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 30 | 138 / 4 | $34.305,90 | 497 / 5 | $12.369,10 | 1043 / 4 | $11.285,70 | 1038 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 2 | $17.842,70 | 420 / 6 | $5.958,42 | 1204 / 6 | $4.861,35 | 1200 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 1 | $20.846,90 | 625 / 5 | $7.963,20 | 1355 / 7 | $7.162,40 | 1351 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 8 | $20.217,30 | 1598 / 15 | $6.024,81 | 2051 / 13 | $5.110,35 | 2040 / 14 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 2 | $31.847,60 | 123 / 2 | $15.663,30 | 371 / 2 | $8.942,42 | 371 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 17 | 23 / 2 | $59.311,50 | 168 / 2 | $19.933,10 | 402 / 2 | $18.711,60 | 401 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 24 | 31 / 2 | $39.266,20 | 135 / 1 | $13.995,40 | 319 / 2 | $11.472,20 | 317 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 2 | $31.174,60 | 130 / 2 | $11.045,10 | 278 / 3 | $8.511,60 | 278 / 4 |
| Major Cardiovasc Procedures W Mcc | 13 | 55 / 4 | $92.254,40 | 87 / 2 | $32.698,80 | 241 / 1 | $31.478,40 | 241 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 31 | 70 / 2 | $63.148,80 | 159 / 2 | $24.318,40 | 392 / 3 | $19.320,70 | 392 / 4 |
| Major Chest Trauma W Cc | 11 | 25 / 2 | $25.477,40 | 46 / 1 | $8.925,73 | 30 / 2 | $4.928,09 | 30 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 26 | 70 / 7 | $47.214,60 | 285 / 6 | $17.802,10 | 131 / 10 | $10.676,30 | 130 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 4 | $67.948,10 | 346 / 5 | $24.313,70 | 332 / 4 | $17.848,50 | 330 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 307 | 263 / 5 | $39.846,90 | 746 / 16 | $15.265,30 | 1263 / 17 | $11.500,20 | 1232 / 19 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 15 | 54 / 3 | $48.789,10 | 122 / 4 | $16.635,50 | 279 / 2 | $15.430,70 | 279 / 3 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 4 | $62.425,00 | 698 / 7 | $19.230,00 | 1137 / 6 | $16.936,90 | 1124 / 7 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 3 | $89.811,80 | 298 / 6 | $31.325,40 | 557 / 4 | $30.177,80 | 555 / 6 |
| Medical Back Problems W Mcc | 11 | 28 / 2 | $41.758,90 | 154 / 1 | $11.469,70 | 186 / 1 | $10.328,00 | 186 / 1 |
| Medical Back Problems W/O Mcc | 32 | 89 / 3 | $21.876,10 | 663 / 7 | $6.631,25 | 785 / 6 | $4.719,19 | 782 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 4 | $50.265,70 | 1492 / 6 | $17.287,00 | 1710 / 6 | $13.511,60 | 1706 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 5 | $16.911,20 | 1193 / 10 | $8.217,60 | 1660 / 12 | $4.255,10 | 1655 / 9 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 3 | $24.548,80 | 291 / 2 | $7.775,42 | 515 / 1 | $6.959,75 | 514 / 2 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 4 | $41.418,90 | 520 / 2 | $13.641,40 | 449 / 3 | $10.557,60 | 448 / 1 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 4 | $21.498,40 | 482 / 5 | $8.156,06 | 439 / 5 | $5.106,61 | 436 / 4 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 2 | $41.295,20 | 334 / 4 | $12.486,30 | 480 / 3 | $11.579,50 | 479 / 3 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 3 | $31.674,50 | 400 / 3 | $9.803,18 | 600 / 2 | $8.886,82 | 599 / 3 |
| Other Disorders Of Nervous System W Mcc | 11 | 29 / 3 | $46.919,20 | 187 / 4 | $15.804,00 | 258 / 4 | $12.715,90 | 258 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 4 | $32.761,80 | 466 / 5 | $10.110,70 | 474 / 3 | $9.012,60 | 473 / 4 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 1 | $60.434,10 | 108 / 1 | $25.752,60 | 378 / 1 | $24.409,60 | 377 / 1 |
| Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 2 | $16.651,70 | 83 / 2 | $6.151,25 | 172 / 2 | $4.973,92 | 172 / 3 |
| Other Vascular Procedures W Cc | 22 | 80 / 3 | $45.092,20 | 139 / 2 | $16.291,80 | 553 / 1 | $15.275,20 | 550 / 2 |
| Other Vascular Procedures W Mcc | 17 | 80 / 2 | $88.264,10 | 478 / 3 | $34.176,90 | 875 / 3 | $27.978,60 | 872 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 51 | 49 / 1 | $72.688,30 | 194 / 4 | $25.952,30 | 635 / 5 | $21.105,20 | 631 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 92 | 104 / 2 | $45.786,50 | 146 / 3 | $13.456,90 | 948 / 1 | $12.246,00 | 941 / 9 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 2 | $35.672,50 | 31 / 1 | $14.626,80 | 19 / 2 | $8.008,73 | 19 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 14 | 81 / 2 | $56.145,90 | 146 / 2 | $17.072,60 | 132 / 2 | $10.347,70 | 130 / 1 |
| Peritoneal Adhesiolysis W Cc | 12 | 27 / 3 | $41.002,40 | 43 / 2 | $16.940,90 | 48 / 2 | $11.720,30 | 48 / 3 |
| Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 2 | $53.084,90 | 251 / 3 | $18.536,10 | 377 / 3 | $15.026,30 | 376 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 21 | 36 / 2 | $47.188,30 | 250 / 3 | $15.952,60 | 452 / 4 | $13.195,30 | 451 / 4 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 5 | $30.128,00 | 352 / 6 | $11.998,40 | 373 / 7 | $8.017,57 | 372 / 5 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 4 | $14.894,20 | 294 / 2 | $5.176,92 | 652 / 4 | $4.477,23 | 651 / 4 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 9 | $26.774,70 | 843 / 8 | $11.514,70 | 818 / 9 | $6.731,12 | 818 / 3 |
| Pulmonary Embolism W/O Mcc | 42 | 32 / 3 | $18.142,30 | 299 / 6 | $7.783,88 | 697 / 9 | $5.555,17 | 694 / 7 |
| Renal Failure W Cc | 69 | 152 / 2 | $17.792,30 | 762 / 9 | $7.506,43 | 1628 / 14 | $5.981,45 | 1619 / 16 |
| Renal Failure W Mcc | 59 | 136 / 2 | $29.272,80 | 717 / 10 | $11.153,70 | 1366 / 11 | $9.835,75 | 1366 / 11 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 3 | $30.213,40 | 697 / 6 | $9.284,50 | 929 / 4 | $8.388,50 | 924 / 4 |
| Respiratory Infections & Inflammations W Mcc | 16 | 120 / 5 | $40.934,60 | 819 / 5 | $12.475,60 | 952 / 3 | $11.562,20 | 942 / 5 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 2 | $51.835,20 | 672 / 4 | $17.724,80 | 986 / 4 | $14.068,80 | 976 / 4 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 1 | $104.608,00 | 283 / 1 | $34.834,50 | 363 / 1 | $30.092,20 | 363 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 6 | $57.247,50 | 123 / 4 | $21.946,80 | 87 / 4 | $16.778,50 | 87 / 2 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 31 | 38 / 3 | $44.273,20 | 67 / 3 | $18.295,20 | 269 / 5 | $15.555,60 | 268 / 8 |
| Seizures W/O Mcc | 12 | 96 / 4 | $16.408,80 | 333 / 1 | $6.477,00 | 705 / 2 | $4.505,67 | 702 / 3 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 3 | $129.660,00 | 385 / 4 | $42.701,60 | 728 / 2 | $41.719,80 | 727 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 222 | 294 / 5 | $44.778,30 | 1561 / 23 | $13.835,30 | 1852 / 23 | $11.885,40 | 1817 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 54 | 153 / 5 | $25.430,10 | 1287 / 15 | $8.678,78 | 1489 / 16 | $6.246,78 | 1483 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 3 | $18.008,90 | 913 / 15 | $7.791,48 | 1633 / 20 | $5.652,56 | 1626 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 4 | $31.135,80 | 1109 / 15 | $10.378,30 | 1284 / 13 | $8.290,80 | 1284 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 6 | $13.142,20 | 522 / 7 | $5.625,00 | 1520 / 15 | $4.497,00 | 1512 / 16 |
| Spinal Fusion Except Cervical W/O Mcc | 115 | 79 / 1 | $61.861,60 | 242 / 4 | $27.829,30 | 321 / 12 | $20.705,60 | 320 / 7 |
| Syncope & Collapse | 13 | 156 / 5 | $15.321,00 | 419 / 2 | $6.186,62 | 810 / 4 | $3.862,23 | 806 / 2 |
| Transient Ischemia | 12 | 113 / 3 | $15.168,40 | 310 / 2 | $5.581,50 | 1168 / 3 | $4.418,50 | 1162 / 4 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 18 | 48 / 2 | $30.358,80 | 251 / 3 | $8.124,22 | 249 / 2 | $6.500,78 | 249 / 2 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 13 | 38 / 3 | $30.580,20 | 42 / 1 | $13.043,80 | 149 / 1 | $12.090,20 | 149 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 14 | 40 / 2 | $19.422,10 | 151 / 2 | $7.755,57 | 194 / 2 | $4.285,79 | 194 / 2 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 1 | $19.386,80 | 41 / 1 | $8.221,92 | 53 / 1 | $4.738,54 | 53 / 1 | Total 106 procedures | 3.063 | 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.