Hospital Costs > In Indiana > Saint Joseph Regional Medical Center, procedure costs
| 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 Mcc | 495 | 126 / 3 | $49.534,00 | 1262 / 32 | $14.038,80 | 756 / 48 | $10.706,30 | 746 / 26 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 257 | 259 / 13 | $38.153,50 | 1221 / 37 | $12.626,10 | 801 / 59 | $9.921,28 | 800 / 25 |
| Heart Failure & Shock W Mcc | 110 | 174 / 17 | $31.172,00 | 1166 / 43 | $9.964,13 | 983 / 54 | $8.273,49 | 982 / 38 |
| Simple Pneumonia & Pleurisy W Cc | 110 | 93 / 4 | $21.850,10 | 1333 / 47 | $6.548,67 | 960 / 49 | $5.048,60 | 957 / 36 |
| Renal Failure W Cc | 105 | 116 / 8 | $19.811,40 | 969 / 29 | $6.423,94 | 706 / 46 | $4.922,46 | 699 / 24 |
| Heart Failure & Shock W Cc | 100 | 178 / 16 | $22.308,70 | 1428 / 51 | $6.467,83 | 1042 / 49 | $5.319,60 | 1040 / 40 |
| Chronic Obstructive Pulmonary Disease W Mcc | 97 | 105 / 14 | $22.893,50 | 963 / 31 | $7.740,71 | 747 / 47 | $6.008,17 | 742 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 93 | 112 / 15 | $28.204,10 | 919 / 32 | $9.499,10 | 738 / 47 | $7.601,32 | 738 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 85 | 190 / 15 | $19.659,40 | 1341 / 43 | $5.061,68 | 1077 / 42 | $3.808,39 | 1069 / 43 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 83 | 99 / 9 | $24.749,00 | 776 / 28 | $6.819,45 | 788 / 33 | $5.532,43 | 786 / 38 |
| Kidney & Urinary Tract Infections W/O Mcc | 82 | 151 / 10 | $17.111,40 | 1238 / 41 | $5.406,20 | 536 / 54 | $3.645,05 | 535 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 81 | 126 / 8 | $23.001,10 | 1065 / 32 | $6.956,94 | 949 / 40 | $5.622,49 | 946 / 38 |
| Cellulitis W/O Mcc | 77 | 112 / 9 | $19.027,30 | 1370 / 47 | $5.870,83 | 801 / 52 | $4.126,36 | 796 / 28 |
| Renal Failure W Mcc | 63 | 132 / 18 | $30.096,10 | 774 / 21 | $9.494,00 | 838 / 26 | $8.608,48 | 838 / 26 |
| Hip & Femur Procedures Except Major Joint W Cc | 61 | 82 / 7 | $49.794,20 | 1033 / 34 | $12.208,50 | 585 / 40 | $10.219,50 | 582 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 58 | 108 / 13 | $15.614,10 | 1032 / 36 | $4.811,21 | 747 / 44 | $3.483,83 | 745 / 26 |
| G.I. Hemorrhage W Cc | 58 | 160 / 21 | $20.541,90 | 796 / 20 | $6.473,31 | 843 / 35 | $5.209,62 | 841 / 26 |
| Red Blood Cell Disorders W/O Mcc | 55 | 88 / 6 | $18.863,90 | 792 / 20 | $5.335,98 | 717 / 29 | $4.201,56 | 712 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 50 | 73 / 10 | $27.697,90 | 834 / 29 | $8.118,70 | 676 / 32 | $6.630,64 | 673 / 29 |
| Respiratory Infections & Inflammations W Mcc | 48 | 88 / 10 | $37.732,70 | 682 / 27 | $12.638,70 | 501 / 35 | $10.482,70 | 496 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 47 | 103 / 15 | $16.581,40 | 1158 / 45 | $4.758,77 | 612 / 49 | $2.527,45 | 608 / 25 |
| Medical Back Problems W/O Mcc | 47 | 74 / 5 | $18.095,40 | 396 / 11 | $5.624,17 | 514 / 19 | $4.244,04 | 512 / 20 |
| G.I. Hemorrhage W Mcc | 44 | 77 / 6 | $38.563,10 | 640 / 24 | $12.516,10 | 270 / 37 | $9.076,43 | 270 / 9 |
| Spinal Fusion Except Cervical W/O Mcc | 44 | 150 / 18 | $119.645,00 | 933 / 27 | $31.128,20 | 924 / 34 | $25.327,70 | 919 / 32 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 43 | 58 / 5 | $28.893,20 | 353 / 14 | $9.867,86 | 341 / 17 | $8.528,19 | 341 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 42 | 126 / 14 | $38.880,50 | 659 / 26 | $11.639,50 | 566 / 33 | $9.511,14 | 565 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 28 | $16.279,70 | 638 / 19 | $6.038,05 | 1067 / 39 | $5.025,65 | 1063 / 42 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 36 | $29.359,70 | 1005 / 40 | $9.072,75 | 1438 / 58 | $7.696,08 | 1433 / 55 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 39 | 57 / 4 | $50.979,00 | 353 / 8 | $14.309,70 | 344 / 13 | $11.822,90 | 341 / 13 |
| Kidney & Urinary Tract Infections W Mcc | 39 | 105 / 17 | $23.531,20 | 822 / 31 | $7.546,44 | 743 / 41 | $6.018,95 | 742 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 17 | $19.931,70 | 1054 / 42 | $5.458,89 | 802 / 41 | $4.109,81 | 799 / 28 |
| Syncope & Collapse | 35 | 134 / 19 | $21.162,20 | 957 / 34 | $5.704,91 | 1090 / 43 | $4.223,37 | 1083 / 41 |
| Signs & Symptoms W/O Mcc | 34 | 57 / 4 | $15.796,10 | 392 / 8 | $4.736,24 | 376 / 17 | $3.489,68 | 375 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 6 | $15.161,70 | 751 / 19 | $4.663,06 | 684 / 25 | $3.401,44 | 681 / 23 |
| Transient Ischemia | 33 | 92 / 16 | $19.017,30 | 578 / 26 | $4.651,52 | 658 / 26 | $3.537,52 | 654 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 15 | $13.642,40 | 109 / 3 | $6.966,22 | 484 / 17 | $5.994,94 | 481 / 14 |
| Diabetes W Cc | 31 | 61 / 8 | $24.016,60 | 943 / 35 | $5.298,29 | 519 / 16 | $4.304,16 | 519 / 20 |
| Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 18 | $15.077,00 | 860 / 34 | $4.525,23 | 927 / 36 | $3.665,57 | 920 / 36 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 26 | $55.171,10 | 344 / 11 | $13.162,00 | 600 / 19 | $10.947,60 | 596 / 22 |
| Other Circulatory System Diagnoses W Mcc | 28 | 88 / 10 | $45.502,90 | 639 / 23 | $12.845,90 | 336 / 27 | $10.113,40 | 335 / 13 |
| Chest Pain | 28 | 123 / 12 | $19.967,30 | 919 / 32 | $4.108,14 | 494 / 22 | $2.914,11 | 491 / 18 |
| Seizures W/O Mcc | 27 | 81 / 10 | $17.425,60 | 390 / 12 | $5.199,85 | 393 / 17 | $3.897,85 | 391 / 15 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 27 | 76 / 7 | $17.968,60 | 185 / 4 | $6.226,85 | 231 / 11 | $5.294,04 | 231 / 11 |
| Respiratory Infections & Inflammations W Cc | 26 | 62 / 8 | $31.010,20 | 723 / 27 | $8.629,31 | 613 / 25 | $7.592,23 | 610 / 24 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 17 | $35.883,00 | 652 / 17 | $11.398,80 | 656 / 32 | $9.322,15 | 655 / 24 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 24 | $57.951,00 | 865 / 39 | $15.461,00 | 822 / 39 | $13.389,50 | 814 / 31 |
| G.I. Obstruction W Cc | 24 | 68 / 14 | $19.066,90 | 589 / 20 | $6.080,42 | 530 / 33 | $4.512,04 | 529 / 19 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 24 | 38 / 3 | $14.312,20 | 165 / 4 | $5.259,29 | 102 / 10 | $3.305,46 | 102 / 3 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 17 | $60.654,70 | 653 / 23 | $15.781,80 | 767 / 23 | $14.609,70 | 759 / 31 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 5 | $33.448,30 | 352 / 7 | $7.682,36 | 294 / 8 | $5.567,00 | 293 / 9 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 21 | 48 / 6 | $59.069,80 | 181 / 6 | $16.371,10 | 160 / 5 | $14.378,30 | 160 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 16 | $32.736,30 | 730 / 24 | $9.655,05 | 730 / 29 | $7.206,65 | 725 / 24 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 14 | $25.373,90 | 696 / 26 | $6.347,00 | 510 / 17 | $5.218,10 | 507 / 21 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 29 | $16.496,60 | 965 / 40 | $4.766,85 | 990 / 31 | $3.721,15 | 981 / 43 |
| Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 9 | $62.662,70 | 333 / 11 | $18.233,10 | 314 / 12 | $16.676,70 | 311 / 13 |
| Other Resp System O.R. Procedures W Mcc | 19 | 44 / 6 | $57.883,10 | 95 / 5 | $23.044,70 | 37 / 7 | $17.794,10 | 37 / 2 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 12 | $21.832,70 | 490 / 18 | $6.474,95 | 321 / 21 | $4.915,11 | 319 / 14 |
| Red Blood Cell Disorders W Mcc | 18 | 53 / 10 | $25.166,70 | 319 / 11 | $8.607,33 | 213 / 18 | $6.591,28 | 213 / 8 |
| Peripheral Vascular Disorders W Mcc | 18 | 31 / 6 | $27.099,30 | 149 / 6 | $8.952,50 | 94 / 7 | $6.987,56 | 94 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 23 | $88.875,20 | 351 / 12 | $31.463,10 | 311 / 12 | $28.070,70 | 311 / 8 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 18 | 35 / 4 | $22.151,50 | 92 / 3 | $7.582,61 | 149 / 4 | $6.611,17 | 149 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 9 | $65.892,90 | 324 / 10 | $20.654,90 | 191 / 15 | $16.750,20 | 191 / 5 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 8 | $171.589,00 | 429 / 16 | $51.153,40 | 413 / 17 | $29.093,90 | 413 / 15 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 13 | $24.143,40 | 612 / 19 | $6.591,89 | 418 / 22 | $5.027,83 | 417 / 14 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 8 | $15.942,60 | 341 / 19 | $4.305,94 | 211 / 14 | $3.149,94 | 210 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 9 | $25.178,10 | 486 / 11 | $8.370,00 | 115 / 24 | $5.625,72 | 115 / 3 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 17 | 51 / 8 | $23.201,40 | 301 / 13 | $5.838,76 | 257 / 10 | $4.884,76 | 257 / 15 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 8 | $41.343,80 | 438 / 13 | $10.024,70 | 375 / 14 | $8.732,71 | 373 / 18 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 13 | $14.748,20 | 512 / 19 | $4.431,82 | 337 / 24 | $2.746,88 | 337 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 23 | $19.369,70 | 532 / 21 | $4.948,47 | 495 / 22 | $3.628,00 | 491 / 22 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 10 | $32.091,40 | 670 / 22 | $7.260,59 | 396 / 22 | $5.003,41 | 395 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 33 | $30.147,80 | 524 / 18 | $7.830,82 | 352 / 39 | $5.230,12 | 351 / 15 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 18 | $28.434,40 | 674 / 19 | $6.682,47 | 530 / 19 | $5.520,00 | 529 / 17 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 19 | $30.193,70 | 452 / 16 | $6.620,69 | 475 / 14 | $5.665,81 | 474 / 19 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 14 | $43.246,60 | 120 / 6 | $17.604,60 | 189 / 20 | $13.988,90 | 189 / 8 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 7 | $22.958,60 | 388 / 11 | $5.011,56 | 360 / 13 | $3.896,44 | 357 / 14 |
| Other Circulatory System Diagnoses W Cc | 16 | 50 / 7 | $28.148,80 | 380 / 9 | $6.967,19 | 291 / 11 | $5.494,12 | 290 / 7 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 19 | $84.014,20 | 228 / 9 | $29.675,00 | 395 / 9 | $28.467,20 | 393 / 10 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 5 | $18.057,50 | 436 / 9 | $4.811,25 | 302 / 11 | $3.480,00 | 303 / 8 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 10 | $46.675,60 | 412 / 10 | $9.997,13 | 344 / 3 | $8.809,93 | 344 / 13 |
| Cellulitis W Mcc | 15 | 43 / 11 | $28.750,70 | 347 / 12 | $9.663,67 | 221 / 20 | $7.522,67 | 220 / 12 |
| Other Circulatory System O.R. Procedures | 15 | 40 / 6 | $41.887,70 | 66 / 2 | $15.938,30 | 38 / 3 | $13.656,10 | 38 / 4 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 15 | 27 / 2 | $20.063,10 | 137 / 6 | $5.483,40 | 102 / 4 | $4.256,20 | 102 / 5 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 11 | $27.870,40 | 458 / 12 | $7.130,21 | 480 / 14 | $5.985,93 | 480 / 15 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 10 | $12.809,00 | 262 / 4 | $4.235,07 | 396 / 11 | $3.311,07 | 395 / 14 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 15 | $20.093,60 | 113 / 3 | $9.728,36 | 103 / 19 | $6.844,71 | 103 / 5 |
| Disorders Of The Biliary Tract W Cc | 13 | 41 / 7 | $26.898,10 | 161 / 2 | $7.370,08 | 57 / 5 | $5.152,46 | 57 / 2 |
| Seizures W Mcc | 13 | 53 / 10 | $28.433,50 | 142 / 4 | $9.487,46 | 238 / 7 | $8.529,31 | 238 / 6 |
| G.I. Obstruction W Mcc | 13 | 29 / 9 | $29.815,70 | 125 / 4 | $9.923,85 | 157 / 7 | $8.927,85 | 157 / 7 |
| Other Vascular Procedures W Cc | 13 | 89 / 22 | $66.949,80 | 472 / 18 | $18.281,50 | 770 / 26 | $17.000,60 | 765 / 30 |
| Diabetes W Mcc | 13 | 44 / 11 | $23.028,80 | 132 / 4 | $8.683,92 | 241 / 12 | $7.770,69 | 241 / 11 |
| Major Chest Procedures W Cc | 13 | 61 / 6 | $92.918,20 | 378 / 10 | $18.533,20 | 349 / 8 | $17.304,20 | 347 / 10 |
| Other Resp System O.R. Procedures W Cc | 13 | 34 / 4 | $48.010,50 | 145 / 3 | $12.251,80 | 124 / 2 | $10.939,00 | 124 / 3 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 9 | $84.549,50 | 331 / 8 | $24.495,80 | 181 / 12 | $17.784,80 | 181 / 7 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 13 | $37.106,00 | 108 / 5 | $13.010,30 | 297 / 8 | $11.913,00 | 296 / 11 |
| Hypertension W/O Mcc | 12 | 53 / 9 | $16.761,80 | 288 / 8 | $4.626,92 | 126 / 9 | $2.731,92 | 126 / 1 |
| Other Disorders Of Nervous System W Mcc | 12 | 28 / 6 | $21.890,40 | 23 / 2 | $9.467,00 | 68 / 4 | $8.408,17 | 68 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 20 | $90.831,80 | 502 / 18 | $24.483,50 | 746 / 27 | $23.332,50 | 745 / 27 |
| Medical Back Problems W Mcc | 12 | 27 / 6 | $25.983,20 | 46 / 2 | $9.892,58 | 91 / 5 | $8.776,25 | 91 / 5 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 13 | $24.208,10 | 561 / 15 | $5.572,55 | 322 / 7 | $4.374,36 | 318 / 7 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 8 | $52.022,80 | 148 / 6 | $16.037,50 | 238 / 7 | $14.854,30 | 238 / 8 |
| Pulmonary Embolism W Mcc | 11 | 32 / 10 | $33.323,30 | 224 / 10 | $11.602,10 | 16 / 19 | $6.762,82 | 16 / 2 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 20 | $140.289,00 | 455 / 20 | $43.053,50 | 467 / 26 | $36.087,80 | 466 / 17 |
| Major Chest Procedures W Mcc | 11 | 38 / 7 | $135.593,00 | 188 / 6 | $35.042,40 | 202 / 6 | $33.382,40 | 201 / 8 |
| Other Vascular Procedures W Mcc | 11 | 86 / 18 | $69.585,70 | 256 / 5 | $21.295,40 | 58 / 12 | $16.459,50 | 58 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 11 | 107 / 14 | $195.545,00 | 402 / 13 | $52.214,30 | 460 / 16 | $41.739,40 | 460 / 16 |
| Pelvic Evisceration, Rad Hysterectomy & Rad Vulvectomy W/O Cc/Mcc | 11 | 6 / 1 | $33.668,80 | 3 / 1 | $7.495,55 | 2 / 1 | $6.218,45 | 2 / 1 |
| Endocrine Disorders W Cc | 11 | 27 / 6 | $18.081,00 | 49 / 1 | $6.584,45 | 71 / 2 | $5.432,27 | 71 / 3 | Total 108 procedures | 4.046 | 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.