Hospital Costs > In Colorado > Delta County Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 12 | 177 / 22 | $13.523,30 | 664 / 2 | $4.674,17 | 206 / 3 | $3.564,83 | 205 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 20 | $13.618,20 | 577 / 1 | $4.128,61 | 249 / 2 | $3.177,79 | 249 / 4 |
| G.I. Hemorrhage W Cc | 14 | 204 / 24 | $15.008,50 | 309 / 2 | $5.496,07 | 311 / 2 | $4.721,21 | 311 / 5 |
| Heart Failure & Shock W Cc | 21 | 257 / 20 | $14.788,30 | 556 / 4 | $5.469,29 | 141 / 1 | $4.433,10 | 141 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 9 | $10.377,50 | 298 / 1 | $3.742,93 | 72 / 1 | $2.707,50 | 71 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 5 | $23.790,50 | 68 / 1 | $8.978,54 | 129 / 1 | $7.863,46 | 129 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 12 | $13.678,80 | 161 / 2 | $4.125,77 | 142 / 1 | $3.104,23 | 140 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 21 | $11.127,40 | 410 / 3 | $4.229,69 | 215 / 2 | $3.323,69 | 215 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 101 | 463 / 23 | $36.078,70 | 525 / 2 | $11.823,20 | 721 / 2 | $10.656,70 | 711 / 11 |
| Medical Back Problems W/O Mcc | 12 | 109 / 17 | $15.080,50 | 231 / 1 | $4.690,83 | 80 / 1 | $3.482,83 | 80 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 17 | $9.951,67 | 308 / 2 | $3.890,39 | 208 / 1 | $3.015,72 | 208 / 3 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 27 | $22.497,20 | 565 / 4 | $6.766,17 | 135 / 2 | $5.758,17 | 135 / 1 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 13 | $16.207,20 | 201 / 2 | $5.439,00 | 132 / 1 | $4.433,67 | 132 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 12 | $53.290,70 | 718 / 1 | $14.627,70 | 892 / 6 | $13.697,30 | 884 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 31 | $27.620,00 | 675 / 3 | $10.295,90 | 481 / 3 | $9.480,42 | 481 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 21 | $15.690,80 | 405 / 1 | $5.763,83 | 243 / 1 | $4.923,48 | 242 / 3 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 9 | $11.394,10 | 156 / 1 | $3.795,93 | 111 / 2 | $3.016,50 | 111 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 13 | $13.849,10 | 427 / 2 | $5.338,63 | 196 / 4 | $4.316,02 | 196 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 27 | $35.413,30 | 1376 / 11 | $10.032,20 | 1661 / 21 | $9.054,73 | 1661 / 25 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 6 | $13.882,10 | 605 / 5 | $3.896,58 | 154 / 2 | $2.828,27 | 153 / 3 | Total 20 procedures | 455 | 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.