Hospital Costs > In Minnesota > Cambridge Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 19 | 58 / 2 | $54.163,80 | 81 / 3 | $8.687,05 | 45 / 2 | $7.621,79 | 45 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 23 | $13.358,60 | 354 / 6 | $6.935,53 | 1360 / 28 | $4.746,40 | 1355 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 19 | $11.012,00 | 459 / 9 | $4.536,50 | 1495 / 19 | $3.533,83 | 1489 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 18 | $13.793,80 | 389 / 9 | $7.153,56 | 703 / 27 | $4.729,88 | 701 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 28 | $16.002,80 | 390 / 8 | $8.164,23 | 1670 / 19 | $7.140,23 | 1662 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 31 | $13.026,20 | 506 / 13 | $6.080,11 | 1916 / 34 | $4.627,17 | 1902 / 30 |
| G.I. Hemorrhage W Cc | 20 | 198 / 25 | $14.144,30 | 236 / 5 | $7.820,55 | 1532 / 30 | $6.022,05 | 1528 / 21 |
| G.I. Obstruction W Cc | 13 | 79 / 23 | $13.804,50 | 215 / 6 | $6.312,62 | 1045 / 13 | $5.190,15 | 1042 / 14 |
| Heart Failure & Shock W Cc | 30 | 248 / 25 | $17.517,10 | 879 / 22 | $7.057,43 | 1924 / 21 | $6.371,57 | 1919 / 27 |
| Heart Failure & Shock W Mcc | 22 | 262 / 29 | $22.691,40 | 580 / 14 | $9.142,86 | 1167 / 5 | $8.537,77 | 1164 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 27 | $36.136,30 | 459 / 17 | $13.258,80 | 1431 / 15 | $12.490,80 | 1413 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 25 | $17.946,70 | 344 / 7 | $7.218,36 | 1346 / 10 | $6.450,36 | 1343 / 20 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 64 | 500 / 39 | $39.759,40 | 743 / 32 | $15.622,80 | 1887 / 23 | $13.185,20 | 1845 / 25 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 21 | $20.255,40 | 418 / 6 | $8.856,81 | 1595 / 16 | $8.105,57 | 1590 / 22 |
| Renal Failure W Cc | 17 | 204 / 23 | $13.343,10 | 323 / 7 | $7.859,82 | 1409 / 29 | $5.631,00 | 1400 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 113 | 403 / 18 | $22.675,20 | 394 / 8 | $11.426,90 | 1190 / 5 | $10.465,50 | 1171 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 20 | $16.910,10 | 508 / 14 | $7.371,69 | 1561 / 17 | $6.364,58 | 1554 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 29 | $14.386,30 | 492 / 11 | $7.230,33 | 2061 / 28 | $6.284,56 | 2053 / 32 | Total 18 procedures | 469 | 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.