Hospital Costs > In Minnesota > Winona Health Services, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 14 | $12.626,60 | 317 / 5 | $7.445,49 | 2155 / 31 | $6.489,21 | 2147 / 35 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 42 | 474 / 26 | $23.945,70 | 475 / 12 | $14.861,40 | 2377 / 35 | $14.115,50 | 2335 / 38 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 31 | 533 / 45 | $39.298,00 | 717 / 31 | $16.355,40 | 2281 / 32 | $15.220,90 | 2237 / 41 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 9 | $15.119,60 | 106 / 3 | $10.598,60 | 1218 / 17 | $9.859,78 | 1213 / 19 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 22 | $13.138,50 | 190 / 2 | $8.928,23 | 1989 / 29 | $7.937,68 | 1981 / 31 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 26 | $10.887,20 | 374 / 6 | $5.939,86 | 1823 / 28 | $4.720,67 | 1812 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 19 | $11.191,00 | 451 / 8 | $5.334,95 | 1762 / 23 | $4.411,52 | 1757 / 25 |
| Heart Failure & Shock W Mcc | 19 | 265 / 31 | $16.862,50 | 236 / 3 | $11.398,20 | 2084 / 28 | $10.697,60 | 2075 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 28 | $20.193,60 | 799 / 27 | $8.138,26 | 1961 / 31 | $7.183,32 | 1953 / 36 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 10 | $11.111,60 | 327 / 7 | $5.481,33 | 1256 / 18 | $3.976,50 | 1249 / 12 |
| Heart Failure & Shock W Cc | 17 | 261 / 35 | $18.495,40 | 988 / 25 | $7.571,41 | 2253 / 30 | $7.144,12 | 2247 / 38 |
| Cellulitis W/O Mcc | 15 | 174 / 27 | $11.068,60 | 365 / 7 | $6.410,40 | 1910 / 23 | $5.362,93 | 1902 / 27 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 28 | $20.130,10 | 398 / 7 | $11.828,50 | 2108 / 31 | $10.685,50 | 2103 / 33 |
| G.I. Hemorrhage W Cc | 14 | 204 / 30 | $14.654,30 | 273 / 7 | $7.802,29 | 1512 / 29 | $5.984,43 | 1508 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 36 | $11.258,60 | 309 / 3 | $5.636,38 | 2005 / 22 | $4.797,00 | 1991 / 34 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 19 | $10.585,50 | 331 / 4 | $5.134,46 | 1388 / 17 | $4.204,00 | 1377 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 18 | $20.552,00 | 101 / 3 | $13.182,00 | 1217 / 14 | $12.249,10 | 1211 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 19 | $7.801,50 | 131 / 2 | $4.889,50 | 1019 / 21 | $2.846,58 | 1014 / 7 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 27 | $25.266,30 | 747 / 17 | $10.763,60 | 1978 / 30 | $9.958,25 | 1972 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 25 | $8.067,27 | 41 / 1 | $6.008,55 | 1461 / 20 | $4.911,82 | 1456 / 24 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 12 | $9.751,64 | 219 / 5 | $5.415,55 | 1500 / 9 | $4.423,55 | 1489 / 17 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 16 | $16.417,60 | 208 / 5 | $7.538,64 | 1001 / 17 | $6.555,36 | 998 / 20 | Total 22 procedures | 416 | 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.