Hospital Costs > In Indiana > Elkhart General Hospital, procedure costs

Elkhart General Hospital, procedure costs

600 E Blvd, Elkhart, IN 46514,

Procedure Costs @ Elkhart General Hospital
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc268298 / 14$67.108,301916 / 56$16.738,70667 / 70$10.576,20658 / 22
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc246270 / 15$42.152,301423 / 45$11.570,901197 / 40$10.475,501178 / 36
Pulmonary Edema & Respiratory Failure15156 / 3$28.819,10965 / 37$7.984,87898 / 42$6.806,70898 / 36
Heart Failure & Shock W Cc135143 / 8$20.422,901228 / 38$6.171,74818 / 39$5.155,47817 / 29
Heart Failure & Shock W Mcc106178 / 18$31.426,901181 / 44$9.263,28858 / 39$8.117,84858 / 32
Chronic Obstructive Pulmonary Disease W Mcc93109 / 16$18.983,10644 / 15$7.180,60658 / 24$5.935,26654 / 22
Simple Pneumonia & Pleurisy W Cc83120 / 13$18.883,201010 / 26$6.318,40806 / 39$4.915,01803 / 29
Kidney & Urinary Tract Infections W/O Mcc82151 / 10$17.401,601274 / 43$4.860,61953 / 28$3.923,93946 / 36
Chronic Obstructive Pulmonary Disease W Cc8198 / 12$18.880,50884 / 31$5.813,68824 / 26$4.818,83821 / 27
Simple Pneumonia & Pleurisy W Mcc74131 / 20$30.541,501072 / 39$9.429,37626 / 45$7.461,53626 / 18
G.I. Hemorrhage W Cc73145 / 13$27.374,101393 / 45$6.342,881224 / 28$5.602,561222 / 42
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc66209 / 19$17.389,001046 / 28$4.865,59931 / 29$3.717,06925 / 33
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc6684 / 8$13.133,40731 / 27$4.132,53530 / 41$2.470,79526 / 16
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc62145 / 16$23.591,601127 / 36$6.537,53665 / 21$5.366,31663 / 24
Renal Failure W Cc58163 / 25$21.851,601166 / 40$6.020,71515 / 27$4.773,34511 / 14
Kidney & Urinary Tract Infections W Mcc5787 / 8$23.838,50846 / 32$6.573,23489 / 12$5.693,32488 / 17
Respiratory System Diagnosis W Ventilator Support <96 Hours5378 / 10$58.092,70870 / 40$14.682,20616 / 31$12.744,30608 / 22
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc51115 / 18$15.812,801063 / 38$4.643,10886 / 39$3.564,73883 / 35
Heart Failure & Shock W/O Cc/Mcc5159 / 8$14.446,60786 / 25$4.267,25649 / 20$3.429,73647 / 23
Cellulitis W/O Mcc49140 / 19$16.523,301055 / 34$5.211,90906 / 20$4.206,75900 / 30
Cardiac Arrhythmia & Conduction Disorders W Cc48113 / 13$18.451,90897 / 32$4.952,92726 / 20$4.037,08723 / 22
Renal Failure W Mcc46149 / 23$32.228,80902 / 26$9.124,15774 / 16$8.501,04774 / 25
Hip & Femur Procedures Except Major Joint W Cc4598 / 11$52.578,301140 / 39$11.401,40675 / 19$10.394,10672 / 22
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc45151 / 18$66.896,50616 / 20$13.604,70607 / 23$10.961,70603 / 24
Circulatory Disorders Except Ami, W Card Cath W/O Mcc45143 / 20$30.279,80531 / 19$7.322,42586 / 28$5.569,22584 / 29
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc4278 / 15$13.479,20605 / 16$4.832,45423 / 35$3.253,64422 / 15
Red Blood Cell Disorders W/O Mcc37106 / 14$19.078,00814 / 22$5.591,30476 / 34$3.959,86475 / 12
Coronary Bypass W Cardiac Cath W/O Mcc3541 / 2$118.896,00219 / 5$34.462,20184 / 12$24.638,50184 / 5
Cardiac Arrhythmia & Conduction Disorders W Mcc3588 / 17$27.231,30801 / 28$9.626,03496 / 46$6.372,00493 / 21
Transient Ischemia3491 / 15$13.651,90219 / 3$4.444,71497 / 15$3.373,71495 / 21
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs32150 / 29$20.108,20486 / 14$7.058,53443 / 38$5.152,12442 / 15
Syncope & Collapse31138 / 21$19.624,80818 / 29$4.578,16551 / 12$3.598,00548 / 16
Major Small & Large Bowel Procedures W Cc3078 / 13$55.401,70540 / 18$19.838,20312 / 41$12.937,90310 / 7
Diabetes W Cc2963 / 10$20.526,40732 / 25$5.164,10573 / 8$4.360,28573 / 21
Extracranial Procedures W/O Cc/Mcc2969 / 11$30.270,10454 / 17$8.193,55103 / 27$4.673,28103 / 2
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc2888 / 5$187.171,00188 / 7$60.237,00240 / 10$51.563,20240 / 7
Acute Myocardial Infarction, Discharged Alive W Mcc2897 / 16$34.438,40597 / 16$10.651,90428 / 24$8.836,89428 / 11
Disorders Of Pancreas Except Malignancy W Cc2833 / 5$19.619,00290 / 9$5.636,54313 / 5$4.808,39312 / 8
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc2799 / 18$32.112,501055 / 36$6.953,67638 / 16$6.267,52635 / 23
Intracranial Hemorrhage Or Cerebral Infarction W Mcc27141 / 21$34.549,30509 / 20$9.671,19234 / 5$8.581,96233 / 7
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2676 / 16$18.442,00465 / 14$5.001,31525 / 24$3.665,85521 / 25
Spinal Fusion Except Cervical W/O Mcc25169 / 25$197.066,001268 / 42$57.353,301346 / 42$43.234,501341 / 42
G.I. Hemorrhage W Mcc2596 / 16$41.319,00743 / 27$10.202,70480 / 10$9.607,04481 / 18
G.I. Obstruction W Cc2567 / 13$18.669,90561 / 18$5.376,76556 / 9$4.534,04555 / 21
Infectious & Parasitic Diseases W O.R. Procedure W Mcc24100 / 21$100.647,00498 / 14$32.221,80652 / 13$31.017,60646 / 18
Simple Pneumonia & Pleurisy W/O Cc/Mcc2469 / 13$15.316,50766 / 21$5.078,88395 / 39$3.137,71393 / 11
Respiratory Infections & Inflammations W Mcc23113 / 26$44.497,90922 / 35$12.886,00943 / 36$11.546,60933 / 33
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc2373 / 12$74.653,20630 / 16$12.975,90335 / 6$11.761,30332 / 12
Acute Myocardial Infarction, Discharged Alive W Cc2368 / 13$21.665,40364 / 8$6.344,74521 / 12$5.498,91520 / 15
Other Kidney & Urinary Tract Diagnoses W Mcc2279 / 14$30.400,50398 / 16$9.272,27305 / 10$8.377,45305 / 11
Other Digestive System Diagnoses W Cc2275 / 13$23.769,80606 / 20$5.901,55487 / 8$5.176,86484 / 18
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2175 / 15$28.449,00580 / 18$7.182,29455 / 6$6.535,62452 / 11
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc2132 / 3$36.987,40292 / 10$8.696,10292 / 11$7.988,62292 / 10
Red Blood Cell Disorders W Mcc2051 / 9$28.764,60423 / 16$11.569,00245 / 24$6.690,40245 / 10
Pulmonary Embolism W/O Mcc2054 / 11$18.775,20327 / 6$6.655,50366 / 23$4.926,20366 / 10
Peripheral Vascular Disorders W Cc1965 / 12$23.701,80578 / 20$6.037,16245 / 13$4.737,26244 / 6
Respiratory Infections & Inflammations W Cc1969 / 13$28.910,70646 / 23$7.934,32334 / 13$7.033,53331 / 11
Medical Back Problems W/O Mcc18103 / 18$21.172,10614 / 18$6.036,94344 / 27$4.023,72344 / 13
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1783 / 19$99.853,80485 / 19$23.011,20686 / 25$21.858,30682 / 30
Diabetes W Mcc1740 / 7$32.279,90321 / 12$8.668,53245 / 11$7.804,18245 / 12
Cellulitis W Mcc1741 / 9$31.348,90408 / 16$10.486,1063 / 24$6.783,3563 / 2
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1647 / 11$126.103,00372 / 17$42.064,50305 / 22$28.813,40305 / 14
Revision Of Hip Or Knee Replacement W/O Cc/Mcc1653 / 8$71.492,90269 / 8$21.489,90149 / 14$14.293,30149 / 7
Signs & Symptoms W/O Mcc1675 / 12$18.134,10550 / 15$4.328,81204 / 5$3.244,62204 / 4
Poisoning & Toxic Effects Of Drugs W Mcc1557 / 14$24.070,10204 / 10$8.320,13255 / 7$7.501,20254 / 12
Major Small & Large Bowel Procedures W Mcc1570 / 20$93.959,50328 / 13$28.310,50302 / 6$27.478,90300 / 7
Coronary Bypass W/O Cardiac Cath W/O Mcc1573 / 14$106.435,00294 / 10$23.309,90324 / 6$22.162,10323 / 11
Nonspecific Cerebrovascular Disorders W Mcc1437 / 7$24.838,5063 / 3$9.024,7158 / 2$8.405,2958 / 2
Nonspecific Cerebrovascular Disorders W Cc1442 / 5$23.306,00187 / 7$7.150,1448 / 12$4.571,3648 / 1
Circulatory Disorders Except Ami, W Card Cath W Mcc1380 / 16$41.573,70180 / 7$12.250,60217 / 9$11.119,50212 / 10
Other Vascular Procedures W Cc1389 / 22$54.811,20275 / 9$15.835,50149 / 11$13.057,50149 / 5
Seizures W/O Mcc1395 / 16$14.052,00213 / 7$4.786,08356 / 11$3.853,38354 / 14
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc13105 / 12$150.828,00290 / 11$41.374,30290 / 14$33.180,20290 / 10
Respiratory Neoplasms W Mcc1339 / 12$38.754,40249 / 8$11.623,5062 / 14$8.581,2362 / 2
Poisoning & Toxic Effects Of Drugs W/O Mcc1249 / 14$12.664,50202 / 11$4.061,83307 / 10$3.349,17306 / 15
Respiratory System Diagnosis W Ventilator Support 96+ Hours1259 / 16$92.590,40196 / 5$29.248,70253 / 6$28.515,40253 / 12
Septicemia Or Severe Sepsis W Mv 96+ Hours1280 / 19$137.849,00438 / 19$40.946,20615 / 22$38.910,20614 / 25
Peripheral Vascular Disorders W Mcc1237 / 10$27.226,90152 / 7$8.274,08182 / 4$7.552,50182 / 8
G.I. Hemorrhage W/O Cc/Mcc1256 / 12$19.770,20539 / 16$5.411,00162 / 20$3.104,00162 / 3
Major Small & Large Bowel Procedures W/O Cc/Mcc1252 / 13$50.629,80466 / 14$12.290,30142 / 17$7.781,67142 / 4
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc1234 / 6$25.164,1086 / 2$6.075,1769 / 1$4.959,1769 / 3
Other Circulatory System Diagnoses W Mcc12104 / 20$33.169,60293 / 12$10.911,30396 / 8$10.347,60395 / 15
Chest Pain11140 / 26$19.973,50921 / 33$3.930,18693 / 15$3.129,91688 / 22
Craniotomy & Endovascular Intracranial Procedures W Mcc1187 / 5$122.067,00271 / 7$34.902,60142 / 9$25.208,50142 / 6
Other Vascular Procedures W/O Cc/Mcc1145 / 12$47.718,90268 / 6$11.097,60297 / 9$9.884,18296 / 10
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc1158 / 5$220.355,00101 / 4$63.191,70143 / 6$61.944,80143 / 7
Bronchitis & Asthma W Cc/Mcc1165 / 13$20.072,20382 / 10$6.407,45143 / 14$3.915,91141 / 3
G.I. Obstruction W/O Cc/Mcc1160 / 19$14.792,20515 / 20$3.942,55656 / 12$3.168,18654 / 26
Total 88 procedures3.405discharges

DATA

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.