Hospital Costs > In Louisiana > East Jefferson General Hospital, 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 | 15 | 76 / 9 | $21.519,10 | 359 / 6 | $6.782,00 | 212 / 8 | $4.963,73 | 212 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 12 | $31.190,70 | 482 / 7 | $9.867,15 | 439 / 12 | $8.862,25 | 439 / 12 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 17 | 36 / 4 | $24.865,90 | 448 / 6 | $5.306,35 | 499 / 6 | $4.289,41 | 496 / 8 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 3 | $18.888,70 | 75 / 1 | $6.664,50 | 257 / 3 | $5.437,95 | 257 / 6 |
| Bronchitis & Asthma W Cc/Mcc | 24 | 52 / 5 | $15.006,20 | 191 / 3 | $5.797,42 | 259 / 13 | $4.242,33 | 256 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 46 | 115 / 8 | $15.666,00 | 587 / 11 | $5.205,13 | 767 / 19 | $4.083,63 | 764 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 7 | $19.171,00 | 291 / 6 | $7.553,26 | 318 / 16 | $6.069,62 | 317 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 11 | $10.419,10 | 386 / 9 | $3.834,08 | 417 / 14 | $2.371,18 | 414 / 7 |
| Cellulitis W Mcc | 13 | 45 / 8 | $20.623,60 | 138 / 3 | $8.226,77 | 132 / 3 | $7.176,23 | 132 / 3 |
| Cellulitis W/O Mcc | 63 | 126 / 7 | $14.076,20 | 739 / 23 | $5.780,78 | 416 / 38 | $3.810,56 | 413 / 10 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 13 | $69.448,10 | 570 / 14 | $13.300,40 | 424 / 7 | $12.255,90 | 423 / 13 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 12 | 79 / 6 | $41.061,80 | 262 / 6 | $6.895,83 | 100 / 4 | $6.657,25 | 100 / 3 |
| Chest Pain | 13 | 138 / 19 | $13.117,80 | 322 / 10 | $3.965,85 | 636 / 9 | $3.064,23 | 632 / 15 |
| Chronic Obstructive Pulmonary Disease W Cc | 54 | 125 / 8 | $16.983,30 | 701 / 15 | $6.075,06 | 550 / 29 | $4.598,24 | 548 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 18 | $21.983,30 | 899 / 16 | $7.265,16 | 839 / 29 | $6.087,84 | 834 / 22 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 19 | $12.028,30 | 449 / 15 | $4.609,10 | 831 / 15 | $3.601,86 | 827 / 20 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 21 | $27.751,60 | 412 / 10 | $6.739,37 | 623 / 11 | $5.617,21 | 621 / 20 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 13 | $71.842,90 | 81 / 3 | $26.908,30 | 1 / 14 | $13.298,50 | 1 / 1 |
| Diabetes W Cc | 13 | 79 / 16 | $19.261,50 | 641 / 13 | $5.212,69 | 492 / 7 | $4.270,54 | 492 / 10 |
| Diabetes W Mcc | 13 | 44 / 9 | $28.962,80 | 262 / 6 | $8.022,85 | 73 / 3 | $6.787,15 | 73 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 7 | $24.419,30 | 453 / 6 | $6.035,00 | 295 / 5 | $4.732,58 | 294 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 13 | $16.698,10 | 107 / 2 | $7.299,67 | 345 / 9 | $6.330,93 | 343 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 65 | 210 / 11 | $13.885,40 | 609 / 18 | $5.083,85 | 651 / 31 | $3.528,63 | 647 / 15 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 8 | $59.408,10 | 35 / 1 | $24.931,90 | 51 / 1 | $23.769,10 | 51 / 3 |
| Extracranial Procedures W Cc | 19 | 27 / 4 | $30.793,60 | 87 / 4 | $10.556,50 | 23 / 8 | $7.306,58 | 23 / 3 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 6 | $14.603,50 | 270 / 3 | $4.480,31 | 87 / 3 | $2.887,85 | 88 / 1 |
| G.I. Hemorrhage W Cc | 98 | 120 / 4 | $15.973,30 | 387 / 7 | $6.239,49 | 594 / 18 | $4.994,11 | 593 / 17 |
| G.I. Hemorrhage W Mcc | 39 | 82 / 7 | $26.322,40 | 207 / 5 | $10.018,70 | 257 / 10 | $9.031,64 | 257 / 11 |
| G.I. Obstruction W Cc | 34 | 58 / 4 | $13.691,00 | 203 / 3 | $5.718,41 | 651 / 15 | $4.638,32 | 650 / 13 |
| G.I. Obstruction W Mcc | 13 | 29 / 4 | $27.996,20 | 107 / 5 | $9.458,23 | 113 / 4 | $8.576,23 | 113 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 13 | $9.821,62 | 127 / 2 | $4.067,54 | 532 / 7 | $3.002,23 | 531 / 11 |
| Heart Failure & Shock W Cc | 99 | 179 / 11 | $16.591,20 | 758 / 24 | $6.308,72 | 528 / 32 | $4.916,48 | 528 / 18 |
| Heart Failure & Shock W Mcc | 98 | 186 / 13 | $24.088,60 | 671 / 14 | $9.003,27 | 473 / 33 | $7.656,47 | 473 / 12 |
| Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 17 | $10.684,20 | 339 / 8 | $4.423,09 | 283 / 19 | $3.072,09 | 281 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 71 | 72 / 2 | $35.980,60 | 450 / 2 | $11.589,20 | 647 / 19 | $10.343,50 | 644 / 19 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 10 | $27.735,10 | 146 / 2 | $10.098,00 | 91 / 13 | $7.651,75 | 91 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 3 | $28.050,60 | 19 / 1 | $12.900,00 | 22 / 1 | $11.668,00 | 22 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 9 | $90.858,10 | 381 / 9 | $27.386,00 | 122 / 6 | $25.950,50 | 122 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 73 | 109 / 9 | $16.018,40 | 213 / 3 | $6.637,95 | 262 / 18 | $4.924,19 | 262 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 32 | 136 / 10 | $32.296,50 | 418 / 9 | $10.438,70 | 116 / 12 | $8.154,34 | 115 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 12 | $14.741,90 | 237 / 5 | $4.809,23 | 469 / 9 | $3.592,32 | 466 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 50 | 94 / 7 | $15.207,40 | 258 / 5 | $6.557,80 | 291 / 11 | $5.411,80 | 290 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 99 | 134 / 10 | $12.688,40 | 609 / 21 | $5.026,92 | 627 / 26 | $3.707,82 | 625 / 13 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 7 | $35.153,90 | 171 / 3 | $9.922,00 | 263 / 5 | $8.569,31 | 263 / 9 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 6 | $42.155,20 | 174 / 3 | $11.811,50 | 241 / 3 | $10.848,90 | 241 / 5 |
| Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 9 | $92.308,50 | 513 / 9 | $24.130,60 | 564 / 16 | $20.928,90 | 564 / 17 |
| Major Chest Procedures W Cc | 24 | 50 / 1 | $37.925,10 | 38 / 1 | $16.953,30 | 6 / 5 | $10.897,50 | 6 / 1 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 6 | $28.591,20 | 177 / 7 | $9.696,54 | 19 / 10 | $5.300,08 | 19 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 10 | $51.848,50 | 142 / 2 | $17.577,50 | 147 / 2 | $16.362,50 | 147 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 251 | 313 / 4 | $43.133,90 | 935 / 15 | $13.445,00 | 237 / 37 | $9.807,27 | 237 / 14 |
| Major Male Pelvic Procedures W Cc/Mcc | 13 | 17 / 1 | $33.942,80 | 10 / 1 | $12.019,50 | 10 / 1 | $8.881,85 | 10 / 1 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 6 | $24.478,30 | 38 / 1 | $9.010,58 | 2 / 5 | $4.356,00 | 2 / 1 |
| Major Small & Large Bowel Procedures W Cc | 34 | 74 / 4 | $38.993,60 | 172 / 2 | $15.747,50 | 37 / 16 | $11.272,50 | 37 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 10 | $80.999,00 | 202 / 2 | $29.116,70 | 148 / 9 | $25.767,50 | 148 / 6 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 20 | 44 / 5 | $26.374,20 | 73 / 2 | $10.276,70 | 218 / 7 | $8.146,00 | 218 / 10 |
| Medical Back Problems W/O Mcc | 14 | 107 / 9 | $17.791,30 | 377 / 6 | $5.785,71 | 12 / 13 | $3.208,36 | 12 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 14 | $17.580,90 | 283 / 7 | $6.630,62 | 396 / 9 | $5.865,35 | 393 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 19 | $13.184,20 | 710 / 21 | $4.604,33 | 545 / 19 | $3.337,30 | 543 / 11 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 12 | $30.572,00 | 228 / 3 | $10.848,70 | 259 / 10 | $9.843,24 | 259 / 10 |
| Other Circulatory System O.R. Procedures | 12 | 43 / 7 | $37.901,90 | 45 / 3 | $15.058,10 | 48 / 2 | $13.958,20 | 48 / 3 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 10 | $16.303,20 | 207 / 4 | $6.056,24 | 463 / 9 | $5.144,29 | 460 / 10 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 9 | $19.765,30 | 237 / 4 | $6.188,27 | 280 / 2 | $5.409,00 | 280 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 31 | 70 / 6 | $21.131,10 | 149 / 4 | $9.467,32 | 99 / 8 | $7.560,94 | 99 / 1 |
| Other Vascular Procedures W Cc | 24 | 78 / 11 | $82.513,10 | 680 / 13 | $18.009,40 | 596 / 15 | $15.536,70 | 593 / 17 |
| Other Vascular Procedures W Mcc | 20 | 77 / 11 | $102.401,00 | 618 / 15 | $23.004,40 | 410 / 17 | $19.733,20 | 408 / 14 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 22 | $70.569,40 | 697 / 16 | $12.884,40 | 229 / 14 | $9.925,48 | 229 / 12 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 10 | $25.401,50 | 656 / 15 | $6.004,13 | 320 / 8 | $4.909,53 | 318 / 9 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 6 | $26.329,10 | 134 / 3 | $8.158,55 | 93 / 5 | $6.978,91 | 93 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 5 | $80.160,10 | 624 / 5 | $16.612,30 | 409 / 7 | $15.229,00 | 408 / 7 |
| Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 2 | $66.122,10 | 117 / 2 | $20.398,60 | 71 / 4 | $19.111,70 | 71 / 3 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 8 | $63.114,40 | 440 / 8 | $12.548,10 | 180 / 6 | $11.225,90 | 179 / 7 |
| Pulmonary Edema & Respiratory Failure | 46 | 157 / 12 | $23.874,60 | 657 / 9 | $7.806,70 | 654 / 20 | $6.523,50 | 654 / 13 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 11 | $25.711,40 | 678 / 9 | $6.447,17 | 308 / 10 | $4.817,75 | 308 / 7 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 11 | $21.708,20 | 198 / 6 | $7.671,44 | 184 / 5 | $6.477,19 | 184 / 5 |
| Red Blood Cell Disorders W/O Mcc | 55 | 88 / 10 | $13.432,60 | 305 / 13 | $5.807,49 | 349 / 34 | $3.815,25 | 348 / 10 |
| Renal Failure W Cc | 82 | 139 / 11 | $15.629,40 | 520 / 9 | $6.109,84 | 433 / 16 | $4.681,21 | 430 / 9 |
| Renal Failure W Mcc | 61 | 134 / 13 | $22.366,00 | 336 / 7 | $9.128,07 | 337 / 17 | $7.803,46 | 337 / 7 |
| Respiratory Infections & Inflammations W Cc | 29 | 59 / 5 | $20.356,40 | 275 / 3 | $8.135,90 | 460 / 13 | $7.255,31 | 457 / 13 |
| Respiratory Infections & Inflammations W Mcc | 25 | 111 / 11 | $29.800,70 | 380 / 6 | $11.106,60 | 360 / 12 | $10.168,10 | 360 / 11 |
| Respiratory Neoplasms W Cc | 13 | 34 / 6 | $18.622,40 | 53 / 1 | $7.564,77 | 65 / 5 | $5.848,54 | 64 / 2 |
| Respiratory Neoplasms W Mcc | 16 | 36 / 3 | $25.560,70 | 71 / 3 | $10.185,20 | 121 / 3 | $9.037,56 | 121 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 16 | $44.853,20 | 479 / 12 | $13.825,40 | 140 / 21 | $11.360,40 | 140 / 8 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 7 | $81.785,10 | 125 / 4 | $31.666,40 | 127 / 14 | $26.867,70 | 127 / 12 |
| Revision Of Hip Or Knee Replacement W Cc | 27 | 59 / 2 | $72.273,60 | 237 / 4 | $21.554,80 | 76 / 4 | $16.566,90 | 76 / 2 |
| Seizures W/O Mcc | 21 | 87 / 10 | $12.725,60 | 163 / 4 | $4.889,14 | 171 / 9 | $3.491,29 | 170 / 3 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 11 | $103.335,00 | 201 / 4 | $34.585,10 | 282 / 10 | $32.910,60 | 281 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 320 | 198 / 5 | $28.648,30 | 724 / 17 | $10.812,00 | 533 / 21 | $9.563,12 | 532 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 93 | 114 / 8 | $16.189,40 | 457 / 9 | $6.686,28 | 632 / 21 | $5.341,75 | 630 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 17 | $17.784,30 | 887 / 21 | $6.364,75 | 462 / 35 | $4.615,85 | 459 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 41 | 164 / 17 | $22.974,90 | 564 / 6 | $9.045,51 | 433 / 31 | $7.228,10 | 433 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 21 | $13.585,40 | 562 / 14 | $4.709,84 | 325 / 19 | $3.071,84 | 323 / 8 |
| Spinal Fusion Except Cervical W/O Mcc | 47 | 147 / 9 | $101.668,00 | 753 / 13 | $24.401,10 | 157 / 15 | $19.477,30 | 156 / 9 |
| Syncope & Collapse | 21 | 148 / 17 | $12.018,60 | 199 / 4 | $4.691,86 | 905 / 12 | $3.943,19 | 900 / 19 |
| Transient Ischemia | 17 | 108 / 13 | $19.815,80 | 656 / 16 | $4.567,53 | 626 / 9 | $3.499,41 | 622 / 10 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 15 | 51 / 4 | $14.380,80 | 20 / 1 | $6.850,33 | 100 / 5 | $5.658,00 | 100 / 3 | Total 95 procedures | 3.293 | 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.