Hospital Costs > In Arizona > Yavapai Regional Medical Center, 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 | 117 | 447 / 27 | $72.018,20 | 2044 / 39 | $15.844,00 | 1113 / 32 | $11.235,40 | 1088 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 77 | 439 / 30 | $46.543,40 | 1653 / 13 | $11.311,20 | 1178 / 6 | $10.451,00 | 1160 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 74 | 122 / 4 | $79.335,50 | 859 / 16 | $14.695,00 | 891 / 17 | $12.045,90 | 884 / 20 |
Simple Pneumonia & Pleurisy W Mcc | 72 | 133 / 9 | $33.904,00 | 1275 / 13 | $8.602,50 | 846 / 4 | $7.712,26 | 846 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 70 | 205 / 18 | $18.106,70 | 1146 / 4 | $4.876,99 | 519 / 7 | $3.418,86 | 517 / 5 |
Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 10 | $19.335,40 | 1500 / 13 | $4.559,31 | 585 / 3 | $3.680,34 | 583 / 5 |
G.I. Hemorrhage W Cc | 61 | 157 / 10 | $21.319,60 | 875 / 1 | $6.010,36 | 638 / 3 | $5.043,02 | 637 / 5 |
Simple Pneumonia & Pleurisy W Cc | 54 | 149 / 15 | $22.016,60 | 1350 / 10 | $6.177,46 | 664 / 9 | $4.792,09 | 661 / 6 |
Pulmonary Edema & Respiratory Failure | 53 | 150 / 11 | $29.332,50 | 1001 / 5 | $9.051,70 | 584 / 18 | $6.434,43 | 584 / 4 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 50 | 100 / 6 | $14.484,90 | 920 / 5 | $3.334,76 | 362 / 5 | $2.321,00 | 360 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 9 | $20.373,80 | 1592 / 14 | $4.732,44 | 934 / 12 | $3.606,68 | 931 / 9 |
Heart Failure & Shock W Cc | 49 | 229 / 15 | $19.730,60 | 1149 / 5 | $5.865,49 | 741 / 5 | $5.098,80 | 740 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 47 | 55 / 4 | $22.949,70 | 783 / 5 | $4.892,45 | 307 / 4 | $3.383,81 | 304 / 4 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 45 | 44 / 2 | $29.063,30 | 280 / 5 | $7.943,27 | 208 / 13 | $5.230,64 | 208 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 7 | $18.081,20 | 860 / 3 | $4.768,16 | 522 / 3 | $3.834,34 | 520 / 7 |
Extracranial Procedures W/O Cc/Mcc | 43 | 55 / 3 | $34.191,00 | 532 / 5 | $6.306,40 | 300 / 4 | $5.212,44 | 300 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 42 | 140 / 14 | $23.840,50 | 711 / 2 | $6.996,57 | 285 / 10 | $4.952,43 | 284 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 13 | $46.848,20 | 927 / 4 | $11.396,30 | 663 / 3 | $10.366,90 | 660 / 6 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 39 | 149 / 4 | $36.887,50 | 834 / 10 | $8.343,46 | 382 / 22 | $5.285,79 | 380 / 6 |
Heart Failure & Shock W Mcc | 38 | 246 / 23 | $26.826,00 | 884 / 2 | $8.513,71 | 617 / 2 | $7.829,92 | 617 / 2 |
Pulmonary Embolism W/O Mcc | 37 | 37 / 4 | $17.831,40 | 281 / 1 | $5.887,81 | 177 / 5 | $4.551,70 | 177 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 25 | $20.895,80 | 876 / 1 | $6.384,03 | 831 / 4 | $5.502,73 | 829 / 7 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 16 | $28.696,60 | 1389 / 10 | $7.969,31 | 1606 / 17 | $7.002,91 | 1598 / 22 |
Renal Failure W Cc | 34 | 187 / 19 | $24.140,60 | 1359 / 13 | $5.693,12 | 605 / 3 | $4.844,18 | 599 / 6 |
Spinal Fusion Except Cervical W/O Mcc | 34 | 160 / 17 | $116.765,00 | 910 / 13 | $26.777,90 | 937 / 13 | $25.605,30 | 932 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 7 | $28.511,90 | 883 / 5 | $7.189,85 | 560 / 4 | $6.457,73 | 557 / 7 |
Acute Myocardial Infarction, Discharged Alive W Cc | 33 | 58 / 3 | $32.498,70 | 835 / 7 | $6.305,88 | 405 / 3 | $5.318,73 | 404 / 7 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 5 | $35.196,20 | 626 / 3 | $9.902,00 | 476 / 4 | $8.949,79 | 476 / 3 |
G.I. Hemorrhage W/O Cc/Mcc | 31 | 37 / 1 | $16.505,10 | 403 / 2 | $4.193,45 | 151 / 2 | $3.067,26 | 151 / 4 |
Major Small & Large Bowel Procedures W Cc | 30 | 78 / 9 | $77.579,70 | 972 / 12 | $20.122,90 | 772 / 25 | $14.625,20 | 764 / 17 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 29 | 89 / 6 | $154.658,00 | 298 / 4 | $34.627,90 | 303 / 7 | $33.546,50 | 303 / 11 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 10 | $17.063,40 | 934 / 7 | $4.093,52 | 259 / 2 | $3.006,62 | 257 / 5 |
Medical Back Problems W/O Mcc | 26 | 95 / 11 | $20.204,60 | 543 / 4 | $5.551,69 | 186 / 7 | $3.727,42 | 186 / 3 |
G.I. Obstruction W Cc | 26 | 66 / 11 | $22.271,00 | 816 / 3 | $5.339,62 | 519 / 3 | $4.501,46 | 518 / 6 |
G.I. Hemorrhage W Mcc | 26 | 95 / 11 | $39.006,00 | 659 / 2 | $10.379,50 | 476 / 2 | $9.597,88 | 477 / 4 |
Major Small & Large Bowel Procedures W Mcc | 26 | 59 / 7 | $106.563,00 | 450 / 3 | $33.492,40 | 348 / 12 | $28.058,00 | 346 / 7 |
G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 6 | $17.532,30 | 700 / 7 | $3.655,71 | 263 / 3 | $2.646,38 | 263 / 4 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 7 | $17.719,80 | 1087 / 3 | $4.298,74 | 602 / 3 | $3.405,52 | 601 / 4 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 23 | 33 / 3 | $35.600,20 | 315 / 1 | $9.630,91 | 289 / 4 | $8.427,43 | 288 / 4 |
Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 4 | $86.937,00 | 676 / 17 | $17.461,60 | 584 / 13 | $16.618,40 | 583 / 16 |
Fractures Of Hip & Pelvis W/O Mcc | 22 | 39 / 2 | $13.891,00 | 236 / 2 | $4.023,91 | 147 / 3 | $3.093,00 | 148 / 3 |
Transient Ischemia | 22 | 103 / 13 | $20.262,50 | 683 / 5 | $4.199,14 | 273 / 2 | $3.120,23 | 273 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 17 | $36.902,60 | 581 / 6 | $10.972,60 | 737 / 8 | $9.997,38 | 736 / 9 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 21 | 67 / 5 | $118.763,00 | 355 / 4 | $23.321,10 | 331 / 3 | $22.228,50 | 330 / 4 |
Respiratory Infections & Inflammations W Mcc | 21 | 115 / 19 | $31.527,40 | 436 / 1 | $11.803,30 | 167 / 8 | $9.624,33 | 167 / 1 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 11 | $20.666,00 | 445 / 1 | $5.691,70 | 428 / 4 | $5.086,90 | 425 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 21 | $108.575,00 | 592 / 5 | $31.971,80 | 259 / 8 | $27.470,20 | 259 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 9 | $93.432,90 | 417 / 5 | $25.339,10 | 499 / 19 | $19.637,20 | 495 / 14 |
Chest Pain | 20 | 131 / 11 | $14.553,40 | 455 / 2 | $3.623,20 | 233 / 4 | $2.596,00 | 232 / 3 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 3 | $23.743,90 | 415 / 3 | $4.538,05 | 177 / 3 | $3.522,47 | 176 / 4 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 7 | $41.017,70 | 287 / 3 | $9.964,32 | 353 / 4 | $8.881,37 | 353 / 7 |
Syncope & Collapse | 18 | 151 / 17 | $18.740,80 | 741 / 2 | $6.223,72 | 205 / 25 | $3.206,22 | 204 / 3 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 13 | $62.743,90 | 974 / 6 | $14.644,40 | 930 / 9 | $13.839,10 | 922 / 11 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 17 | 23 / 2 | $44.181,00 | 74 / 2 | $9.086,18 | 37 / 1 | $7.954,88 | 37 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 17 | 23 / 3 | $52.076,20 | 114 / 2 | $17.242,30 | 99 / 8 | $13.131,20 | 99 / 1 |
Cellulitis W/O Mcc | 16 | 173 / 34 | $18.072,90 | 1251 / 10 | $4.967,75 | 531 / 4 | $3.913,75 | 528 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 22 | $28.557,80 | 893 / 13 | $6.513,75 | 329 / 1 | $5.755,75 | 326 / 3 |
Coronary Bypass W Cardiac Cath W/O Mcc | 16 | 60 / 6 | $153.097,00 | 369 / 3 | $31.773,10 | 458 / 5 | $30.713,10 | 458 / 8 |
Pulmonary Embolism W Mcc | 16 | 27 / 6 | $28.455,30 | 141 / 2 | $8.253,38 | 58 / 1 | $7.421,38 | 58 / 1 |
Major Male Pelvic Procedures W/O Cc/Mcc | 15 | 58 / 6 | $35.257,70 | 143 / 1 | $7.797,73 | 155 / 1 | $6.590,27 | 155 / 5 |
Major Cardiovasc Procedures W Mcc | 15 | 53 / 7 | $148.491,00 | 346 / 9 | $35.196,00 | 348 / 11 | $34.227,50 | 347 / 12 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 4 | $25.293,00 | 79 / 1 | $8.769,20 | 138 / 8 | $5.839,60 | 138 / 2 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 23 | $17.819,10 | 782 / 2 | $6.213,67 | 78 / 13 | $3.946,93 | 78 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 4 | $51.729,40 | 335 / 4 | $9.125,40 | 214 / 1 | $7.998,93 | 214 / 3 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 20 | $26.478,00 | 1001 / 8 | $6.682,40 | 703 / 1 | $5.954,93 | 702 / 5 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 10 | $62.595,50 | 332 / 3 | $17.442,00 | 289 / 5 | $16.498,10 | 286 / 5 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 2 | $41.366,60 | 623 / 9 | $5.290,50 | 265 / 1 | $4.906,50 | 265 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 14 | $24.043,30 | 439 / 3 | $6.629,36 | 178 / 2 | $5.852,21 | 178 / 3 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 12 | $16.277,90 | 990 / 4 | $3.926,50 | 272 / 2 | $3.060,21 | 270 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 16 | $29.003,90 | 595 / 3 | $7.177,31 | 261 / 2 | $6.155,77 | 259 / 1 |
Major Chest Procedures W Mcc | 13 | 36 / 3 | $84.541,30 | 55 / 1 | $26.895,20 | 50 / 1 | $26.058,40 | 50 / 1 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 19 | $15.349,20 | 482 / 1 | $4.817,69 | 497 / 2 | $3.978,31 | 496 / 5 |
Peritoneal Adhesiolysis W Cc | 12 | 27 / 4 | $51.006,10 | 93 / 2 | $14.157,60 | 108 / 1 | $13.157,60 | 108 / 4 |
Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 12 | $74.883,90 | 629 / 9 | $14.768,70 | 602 / 8 | $13.667,40 | 599 / 13 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 3 | $24.207,20 | 151 / 2 | $4.454,64 | 35 / 1 | $3.355,00 | 35 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 9 | $40.668,90 | 311 / 7 | $11.149,70 | 214 / 3 | $10.707,50 | 214 / 4 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 13 | $30.372,50 | 532 / 16 | $5.734,91 | 74 / 2 | $4.740,00 | 74 / 2 |
Major Chest Procedures W Cc | 11 | 63 / 7 | $65.434,20 | 238 / 2 | $16.208,30 | 239 / 2 | $15.001,00 | 237 / 5 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 8 | $157.117,00 | 594 / 7 | $36.616,70 | 633 / 5 | $35.514,20 | 632 / 7 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 8 | $21.932,50 | 102 / 2 | $6.349,45 | 45 / 1 | $5.258,55 | 45 / 1 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 9 | $17.247,30 | 268 / 1 | $4.550,27 | 188 / 3 | $3.567,00 | 188 / 4 |
Signs & Symptoms W/O Mcc | 11 | 80 / 11 | $18.002,50 | 537 / 2 | $4.077,45 | 182 / 3 | $3.198,91 | 182 / 4 | Total 82 procedures | 2.377 | 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.