Hospital Costs > In Nevada > Carson Tahoe Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 2 | $32.409,20 | 827 / 2 | $8.069,81 | 1120 / 8 | $7.182,42 | 1118 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 55 | 70 / 1 | $44.702,30 | 982 / 3 | $13.324,50 | 1416 / 10 | $12.184,90 | 1404 / 11 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 4 | $25.971,60 | 482 / 1 | $6.158,00 | 283 / 2 | $3.738,00 | 281 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 46 | 78 / 2 | $22.009,90 | 539 / 1 | $5.624,61 | 402 / 1 | $4.102,00 | 402 / 1 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 4 | $43.751,80 | 519 / 3 | $9.036,24 | 461 / 6 | $6.291,12 | 460 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 50 | 111 / 4 | $21.322,70 | 1151 / 2 | $6.147,98 | 1471 / 11 | $4.931,76 | 1466 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 52 | 71 / 3 | $29.876,40 | 947 / 2 | $9.234,10 | 1438 / 9 | $8.445,17 | 1435 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 5 | $15.837,20 | 1088 / 2 | $4.225,13 | 1281 / 7 | $3.142,18 | 1276 / 9 |
| Cellulitis W Mcc | 14 | 44 / 5 | $35.083,60 | 487 / 2 | $11.146,60 | 735 / 4 | $10.282,60 | 733 / 5 |
| Cellulitis W/O Mcc | 60 | 129 / 4 | $20.961,90 | 1574 / 3 | $6.435,60 | 1943 / 12 | $5.443,00 | 1935 / 13 |
| Cervical Spinal Fusion W Cc | 12 | 41 / 4 | $87.206,00 | 250 / 2 | $22.692,20 | 304 / 4 | $21.585,50 | 303 / 6 |
| Chest Pain | 31 | 120 / 6 | $16.646,20 | 655 / 2 | $4.570,13 | 973 / 5 | $3.507,52 | 967 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 5 | $22.839,70 | 1285 / 4 | $7.132,67 | 1920 / 10 | $6.437,48 | 1913 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 76 | 126 / 4 | $29.966,30 | 1478 / 2 | $8.981,08 | 1967 / 15 | $7.870,05 | 1959 / 15 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 5 | $17.831,60 | 1095 / 1 | $5.447,76 | 1547 / 6 | $4.538,52 | 1536 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 7 | $41.484,30 | 991 / 4 | $8.305,94 | 1270 / 13 | $7.325,94 | 1267 / 14 |
| Coronary Bypass W Cardiac Cath W Mcc | 14 | 42 / 2 | $172.535,00 | 170 / 2 | $55.951,30 | 363 / 5 | $55.005,00 | 363 / 6 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 19 | 57 / 2 | $142.640,00 | 323 / 2 | $36.718,00 | 549 / 3 | $35.572,70 | 549 / 5 |
| Diabetes W Cc | 33 | 59 / 3 | $23.295,80 | 909 / 2 | $6.309,61 | 1054 / 6 | $5.281,73 | 1050 / 8 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 4 | $28.751,50 | 82 / 1 | $16.619,30 | 311 / 5 | $12.322,10 | 311 / 4 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 4 | $33.922,30 | 702 / 3 | $7.004,47 | 691 / 4 | $6.119,13 | 688 / 7 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 1 | $35.931,00 | 280 / 1 | $8.365,17 | 230 / 1 | $6.337,58 | 230 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 34 | 62 / 4 | $43.698,00 | 1043 / 3 | $10.532,80 | 1241 / 10 | $9.688,09 | 1236 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 86 | 189 / 5 | $23.367,50 | 1751 / 6 | $5.713,85 | 1866 / 12 | $4.572,56 | 1852 / 12 |
| Extracranial Procedures W/O Cc/Mcc | 24 | 74 / 2 | $41.804,80 | 663 / 2 | $8.480,79 | 746 / 6 | $6.945,58 | 743 / 5 |
| Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 1 | $20.945,60 | 546 / 2 | $5.427,67 | 663 / 4 | $4.425,00 | 662 / 4 |
| G.I. Hemorrhage W Cc | 84 | 134 / 4 | $23.386,80 | 1070 / 2 | $7.657,63 | 1835 / 13 | $6.728,56 | 1831 / 15 |
| G.I. Hemorrhage W Mcc | 34 | 87 / 5 | $43.253,10 | 815 / 2 | $13.438,90 | 1294 / 10 | $12.871,40 | 1284 / 11 |
| G.I. Obstruction W Cc | 17 | 75 / 6 | $28.411,60 | 1141 / 3 | $7.211,76 | 1401 / 9 | $6.217,82 | 1396 / 11 |
| G.I. Obstruction W Mcc | 14 | 28 / 2 | $60.120,10 | 409 / 1 | $13.565,20 | 445 / 2 | $12.703,50 | 445 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 3 | $16.531,70 | 628 / 1 | $4.633,39 | 824 / 6 | $3.488,50 | 821 / 8 |
| Heart Failure & Shock W Cc | 57 | 221 / 7 | $23.954,50 | 1583 / 3 | $7.586,44 | 2140 / 13 | $6.824,61 | 2134 / 16 |
| Heart Failure & Shock W Mcc | 89 | 195 / 4 | $33.078,40 | 1290 / 2 | $11.449,10 | 2088 / 13 | $10.714,50 | 2079 / 14 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 9 | $16.488,50 | 1014 / 1 | $5.089,41 | 1427 / 7 | $4.286,00 | 1416 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 3 | $60.332,40 | 1359 / 3 | $15.053,00 | 1693 / 13 | $13.970,80 | 1674 / 14 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 5 | $74.619,50 | 469 / 2 | $23.342,10 | 799 / 7 | $22.380,00 | 796 / 7 |
| Hypertension W/O Mcc | 12 | 53 / 4 | $16.937,90 | 299 / 2 | $4.727,75 | 512 / 3 | $3.821,08 | 510 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 6 | $111.635,00 | 635 / 2 | $40.427,50 | 1078 / 9 | $36.631,00 | 1071 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 54 | 128 / 3 | $23.568,90 | 694 / 1 | $8.249,78 | 1505 / 9 | $6.894,61 | 1502 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 38 | 130 / 6 | $36.356,50 | 560 / 1 | $13.232,80 | 1239 / 8 | $12.373,90 | 1233 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 4 | $19.622,40 | 547 / 1 | $5.788,79 | 1144 / 3 | $4.682,12 | 1140 / 4 |
| Kidney & Urinary Tract Infections W Mcc | 61 | 83 / 1 | $26.922,30 | 1034 / 3 | $8.765,51 | 1555 / 10 | $7.837,51 | 1551 / 11 |
| Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 4 | $17.493,90 | 1287 / 2 | $5.874,77 | 1968 / 13 | $4.952,27 | 1957 / 14 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 25 | 31 / 1 | $49.647,00 | 454 / 2 | $12.682,00 | 730 / 5 | $11.485,60 | 727 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 2 | $42.117,60 | 337 / 1 | $9.357,73 | 466 / 3 | $8.150,45 | 465 / 3 |
| Major Cardiovasc Procedures W Mcc | 16 | 52 / 4 | $112.612,00 | 175 / 2 | $38.884,10 | 444 / 4 | $37.809,10 | 443 / 4 |
| Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 3 | $85.294,90 | 442 / 2 | $26.726,90 | 839 / 6 | $25.617,10 | 838 / 9 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 5 | $25.390,50 | 492 / 1 | $9.175,82 | 786 / 5 | $7.700,91 | 784 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 4 | $42.443,90 | 332 / 1 | $14.525,10 | 516 / 2 | $13.754,20 | 515 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 4 | $82.746,90 | 510 / 3 | $26.075,80 | 819 / 8 | $25.122,50 | 816 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 183 | 381 / 6 | $65.788,80 | 1887 / 6 | $16.432,00 | 2246 / 16 | $14.933,60 | 2202 / 20 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 6 | $74.581,50 | 933 / 3 | $21.039,10 | 1189 / 9 | $17.393,20 | 1175 / 9 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 6 | $116.065,00 | 528 / 2 | $39.063,10 | 1024 / 8 | $38.274,30 | 1022 / 9 |
| Medical Back Problems W/O Mcc | 26 | 95 / 6 | $21.992,10 | 673 / 1 | $6.699,19 | 1011 / 9 | $5.281,50 | 1008 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 10 | $17.955,20 | 303 / 1 | $8.626,40 | 997 / 12 | $7.067,80 | 994 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 5 | $18.466,50 | 1373 / 3 | $5.341,51 | 1810 / 11 | $4.493,08 | 1805 / 12 |
| Nonspecific Cerebrovascular Disorders W Mcc | 20 | 31 / 2 | $31.377,80 | 125 / 2 | $12.633,30 | 303 / 5 | $11.849,30 | 303 / 5 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 7 | $38.405,60 | 441 / 2 | $14.461,40 | 989 / 8 | $13.507,00 | 982 / 9 |
| Other Digestive System Diagnoses W Cc | 23 | 74 / 4 | $21.279,00 | 472 / 2 | $7.380,22 | 987 / 6 | $6.436,91 | 983 / 8 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 17 | 23 / 1 | $59.086,30 | 124 / 1 | $15.368,10 | 175 / 1 | $14.300,80 | 175 / 1 |
| Other Resp System O.R. Procedures W Mcc | 19 | 44 / 1 | $82.361,30 | 235 / 1 | $27.896,20 | 463 / 4 | $27.133,20 | 462 / 4 |
| Other Vascular Procedures W Cc | 15 | 87 / 5 | $74.985,00 | 595 / 2 | $19.346,80 | 870 / 8 | $18.218,30 | 865 / 9 |
| Other Vascular Procedures W Mcc | 12 | 85 / 7 | $70.289,20 | 266 / 1 | $24.020,00 | 673 / 5 | $23.214,70 | 670 / 8 |
| Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 3 | $48.931,90 | 280 / 2 | $12.993,20 | 434 / 2 | $11.993,20 | 433 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 38 | 62 / 1 | $107.323,00 | 568 / 2 | $27.820,60 | 676 / 9 | $21.641,00 | 672 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 78 | 118 / 1 | $77.683,30 | 829 / 3 | $15.527,60 | 1206 / 13 | $14.143,40 | 1199 / 13 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 6 | $31.851,10 | 859 / 3 | $9.061,64 | 742 / 9 | $5.984,29 | 739 / 5 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 6 | $22.652,50 | 85 / 1 | $10.387,20 | 430 / 5 | $9.837,36 | 430 / 7 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 3 | $15.501,50 | 140 / 1 | $5.103,09 | 272 / 2 | $4.332,18 | 272 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 5 | $80.388,00 | 626 / 2 | $20.388,70 | 805 / 7 | $19.611,60 | 801 / 8 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 3 | $71.296,90 | 516 / 3 | $17.469,60 | 632 / 4 | $16.336,40 | 631 / 6 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 5 | $33.715,00 | 440 / 2 | $10.742,20 | 682 / 5 | $9.701,43 | 680 / 8 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 4 | $14.016,50 | 261 / 1 | $4.889,71 | 538 / 3 | $4.000,53 | 537 / 4 |
| Pulmonary Edema & Respiratory Failure | 101 | 102 / 3 | $27.212,30 | 868 / 2 | $9.362,58 | 1633 / 12 | $8.229,80 | 1628 / 13 |
| Pulmonary Embolism W Mcc | 15 | 28 / 3 | $47.875,30 | 399 / 2 | $12.897,30 | 523 / 6 | $12.250,90 | 522 / 6 |
| Pulmonary Embolism W/O Mcc | 22 | 52 / 2 | $23.314,20 | 567 / 1 | $7.560,14 | 1030 / 3 | $6.683,05 | 1027 / 5 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 12 | $17.716,50 | 693 / 2 | $6.109,61 | 1359 / 8 | $5.099,83 | 1350 / 9 |
| Renal Failure W Cc | 63 | 158 / 5 | $21.418,00 | 1111 / 2 | $7.366,21 | 1840 / 13 | $6.501,70 | 1830 / 15 |
| Renal Failure W Mcc | 74 | 121 / 3 | $33.359,40 | 969 / 2 | $11.731,60 | 1652 / 11 | $10.901,40 | 1650 / 14 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 1 | $30.391,10 | 703 / 1 | $10.620,10 | 1195 / 3 | $9.670,79 | 1190 / 4 |
| Respiratory Infections & Inflammations W Mcc | 53 | 83 / 1 | $38.833,70 | 739 / 1 | $15.138,50 | 1526 / 8 | $14.443,90 | 1510 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 10 | $65.645,20 | 1053 / 2 | $17.449,30 | 1426 / 13 | $16.711,30 | 1412 / 15 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 10 | $146.468,00 | 539 / 1 | $40.077,10 | 766 / 9 | $39.173,10 | 765 / 11 |
| Revision Of Hip Or Knee Replacement W Cc | 28 | 58 / 4 | $101.867,00 | 459 / 2 | $26.443,60 | 536 / 5 | $24.172,90 | 534 / 6 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 20 | 49 / 3 | $89.263,00 | 376 / 2 | $21.486,00 | 408 / 5 | $18.950,80 | 407 / 5 |
| Seizures W/O Mcc | 18 | 90 / 6 | $16.205,10 | 313 / 1 | $5.742,06 | 749 / 5 | $4.594,94 | 746 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 267 | 251 / 4 | $40.621,10 | 1346 / 3 | $14.241,50 | 2231 / 15 | $13.265,40 | 2191 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 62 | 145 / 2 | $26.322,30 | 1364 / 3 | $8.175,10 | 1936 / 11 | $7.112,06 | 1928 / 14 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 13 | $14.338,50 | 291 / 1 | $7.126,09 | 688 / 13 | $4.012,82 | 685 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 4 | $25.358,80 | 1649 / 3 | $7.494,08 | 2105 / 11 | $6.384,96 | 2097 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 154 | 53 / 2 | $35.316,50 | 1370 / 3 | $11.348,00 | 2064 / 14 | $10.444,50 | 2062 / 16 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 10 | $20.157,80 | 1211 / 3 | $5.354,00 | 1503 / 5 | $4.450,00 | 1495 / 10 |
| Spinal Fusion Except Cervical W/O Mcc | 38 | 156 / 8 | $76.672,50 | 474 / 3 | $30.306,10 | 1100 / 12 | $28.166,30 | 1095 / 15 |
| Syncope & Collapse | 39 | 130 / 5 | $19.233,60 | 784 / 2 | $5.531,85 | 1296 / 9 | $4.581,74 | 1289 / 10 |
| Transient Ischemia | 30 | 95 / 5 | $19.014,30 | 577 / 1 | $5.360,77 | 1092 / 5 | $4.228,97 | 1087 / 8 | Total 95 procedures | 3.468 | 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.