Hospital Costs > In Colorado > Valley View Hospital Association, 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 | 65 | 499 / 29 | $60.768,70 | 1720 / 19 | $22.667,30 | 2478 / 43 | $17.180,70 | 2432 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 45 | 471 / 29 | $37.586,60 | 1188 / 11 | $17.177,50 | 2614 / 38 | $16.426,50 | 2569 / 39 |
| Spinal Fusion Except Cervical W/O Mcc | 27 | 167 / 20 | $95.235,10 | 684 / 5 | $39.846,30 | 1290 / 27 | $35.214,30 | 1285 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 19 | $23.049,50 | 1074 / 8 | $9.931,36 | 2243 / 32 | $8.278,04 | 2234 / 33 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 23 | $34.686,00 | 1282 / 13 | $11.792,90 | 2074 / 32 | $10.925,90 | 2068 / 35 |
| G.I. Hemorrhage W Cc | 17 | 201 / 22 | $25.659,40 | 1260 / 9 | $9.035,41 | 2119 / 30 | $7.841,18 | 2115 / 31 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 4 | $64.192,50 | 298 / 1 | $20.341,40 | 525 / 6 | $15.346,50 | 523 / 5 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 9 | $40.666,70 | 476 / 6 | $9.885,73 | 696 / 11 | $8.761,47 | 695 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 31 | $26.442,70 | 1970 / 13 | $7.558,53 | 2296 / 29 | $5.511,53 | 2281 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 14 | $16.904,30 | 1191 / 6 | $7.067,85 | 1560 / 22 | $3.648,54 | 1554 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 21 | $20.655,40 | 1618 / 10 | $6.424,62 | 2130 / 28 | $5.307,08 | 2122 / 28 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 27 | $24.595,80 | 1593 / 15 | $8.905,42 | 2528 / 32 | $7.894,75 | 2519 / 33 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 14 | $65.065,30 | 534 / 11 | $21.021,00 | 791 / 17 | $19.805,10 | 787 / 17 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 17 | $77.931,20 | 976 / 12 | $27.066,70 | 1511 / 26 | $25.969,90 | 1497 / 26 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 12 | $28.064,70 | 983 / 12 | $6.229,18 | 1102 / 18 | $5.458,27 | 1099 / 18 | Total 15 procedures | 316 | 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.