Hospital Costs > In Indiana > Bluffton Regional Medical Center, 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 | 11 | 150 / 37 | $19.025,00 | 966 / 36 | $4.926,45 | 862 / 19 | $4.158,45 | 859 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 36 | $15.505,50 | 1053 / 39 | $3.601,00 | 534 / 18 | $2.474,14 | 530 / 18 |
| Cellulitis W/O Mcc | 35 | 154 / 28 | $17.219,40 | 1153 / 39 | $5.269,91 | 1027 / 22 | $4.286,14 | 1021 / 41 |
| Chronic Obstructive Pulmonary Disease W Cc | 54 | 125 / 22 | $22.930,00 | 1295 / 54 | $5.805,17 | 1080 / 24 | $5.038,63 | 1076 / 45 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 48 | $32.923,10 | 1644 / 64 | $7.497,15 | 486 / 41 | $5.769,85 | 485 / 16 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 19 | $21.525,80 | 1375 / 55 | $4.927,03 | 575 / 38 | $3.387,91 | 574 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 45 | $20.111,80 | 1405 / 48 | $4.685,69 | 1134 / 15 | $3.848,77 | 1126 / 44 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 13 | $23.288,40 | 664 / 22 | $4.354,91 | 464 / 7 | $3.697,45 | 460 / 16 |
| Heart Failure & Shock W Cc | 17 | 261 / 52 | $25.241,60 | 1688 / 63 | $6.151,29 | 1338 / 34 | $5.586,59 | 1334 / 50 |
| Heart Failure & Shock W Mcc | 23 | 261 / 46 | $25.684,30 | 795 / 24 | $8.842,35 | 681 / 21 | $7.897,65 | 681 / 20 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 30 | $18.783,80 | 1208 / 48 | $4.302,14 | 371 / 23 | $3.184,43 | 369 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 44 | $16.769,90 | 1193 / 38 | $4.859,70 | 937 / 27 | $3.916,39 | 930 / 34 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 21 | 543 / 64 | $77.840,70 | 2163 / 65 | $12.832,10 | 1315 / 19 | $11.622,20 | 1283 / 50 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 40 | $20.541,00 | 1607 / 58 | $4.538,40 | 664 / 29 | $3.427,87 | 662 / 22 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 47 | $32.601,00 | 1180 / 48 | $7.451,81 | 933 / 16 | $6.849,81 | 933 / 39 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 29 | $20.542,30 | 946 / 27 | $5.020,93 | 938 / 14 | $4.455,60 | 932 / 29 |
| Renal Failure W Cc | 11 | 210 / 48 | $21.372,80 | 1109 / 34 | $5.651,73 | 1236 / 6 | $5.430,64 | 1228 / 46 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 30 | 486 / 59 | $38.865,50 | 1267 / 39 | $9.990,27 | 415 / 3 | $9.368,93 | 415 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 42 | $26.009,50 | 1334 / 46 | $6.191,06 | 874 / 8 | $5.551,06 | 872 / 34 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 36 | $31.249,80 | 2022 / 69 | $6.061,80 | 1071 / 25 | $5.135,93 | 1068 / 40 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 14 | $22.074,00 | 1312 / 45 | $4.490,55 | 578 / 16 | $3.298,27 | 576 / 19 | Total 21 procedures | 445 | 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.