Hospital Costs > In Indiana > Saint Joseph Regional Medical Center - Plymouth, 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 | $11.944,20 | 463 / 9 | $5.468,62 | 1094 / 34 | $4.346,15 | 1088 / 44 |
| G.I. Hemorrhage W Cc | 14 | 204 / 40 | $18.913,20 | 653 / 17 | $6.153,21 | 1174 / 18 | $5.549,79 | 1172 / 38 |
| Heart Failure & Shock W Cc | 22 | 256 / 47 | $13.336,20 | 401 / 8 | $6.214,32 | 885 / 41 | $5.194,68 | 884 / 33 |
| Heart Failure & Shock W Mcc | 26 | 258 / 44 | $18.363,30 | 333 / 6 | $9.169,85 | 722 / 34 | $7.963,46 | 722 / 21 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 31 | $45.559,60 | 868 / 26 | $11.737,70 | 789 / 26 | $10.596,40 | 781 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 40 | $18.786,20 | 402 / 11 | $6.471,36 | 911 / 18 | $5.700,45 | 908 / 40 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 53 | $13.839,40 | 774 / 19 | $5.096,07 | 1021 / 42 | $3.976,07 | 1013 / 40 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 26 | 538 / 60 | $45.418,10 | 1053 / 22 | $12.953,20 | 1373 / 24 | $11.747,00 | 1340 / 53 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 44 | $13.608,90 | 779 / 24 | $4.385,09 | 472 / 19 | $3.291,27 | 472 / 14 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 47 | $17.240,20 | 242 / 6 | $7.775,56 | 1013 / 38 | $6.983,56 | 1012 / 44 |
| Renal Failure W Cc | 20 | 201 / 42 | $13.238,20 | 312 / 4 | $6.282,00 | 1133 / 37 | $5.315,60 | 1125 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 82 | 434 / 44 | $21.280,40 | 328 / 3 | $10.906,20 | 575 / 18 | $9.624,83 | 574 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 28 | $16.125,90 | 450 / 8 | $6.708,92 | 483 / 29 | $5.180,26 | 481 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 45 | $17.104,20 | 811 / 20 | $7.068,00 | 165 / 59 | $4.258,87 | 165 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 52 | $19.164,50 | 335 / 7 | $9.161,73 | 1153 / 40 | $8.059,18 | 1153 / 46 | Total 15 procedures | 337 | 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.