Hospital Costs > In Indiana > Franciscan Healthcare - Munster, 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 | 13 | 176 / 41 | $14.558,40 | 797 / 22 | $6.995,23 | 93 / 68 | $3.389,31 | 93 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 44 | $19.124,10 | 916 / 32 | $5.420,33 | 327 / 6 | $4.350,11 | 326 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 51 | $26.289,00 | 1223 / 48 | $7.127,08 | 1048 / 22 | $6.292,69 | 1043 / 37 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 36 | $14.268,70 | 696 / 24 | $4.577,36 | 81 / 21 | $2.771,18 | 81 / 2 |
| Heart Failure & Shock W Mcc | 12 | 272 / 54 | $22.710,90 | 583 / 15 | $8.700,00 | 751 / 14 | $7.993,33 | 751 / 24 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 21 | $81.539,50 | 398 / 12 | $31.056,10 | 946 / 30 | $29.965,00 | 945 / 31 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 19 | 545 / 65 | $40.300,20 | 774 / 12 | $13.228,80 | 755 / 32 | $10.703,90 | 745 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 44 | $10.257,30 | 336 / 6 | $3.948,73 | 461 / 4 | $3.285,45 | 461 / 13 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 52 | $18.264,80 | 307 / 8 | $7.230,82 | 516 / 9 | $6.346,45 | 516 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 51 | $25.291,90 | 724 / 21 | $8.169,62 | 372 / 7 | $7.148,08 | 372 / 7 | Total 10 procedures | 132 | 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.