Hospital Costs > In Indiana > Saint Joseph Regional Medical Center - Plymouth, procedure costs

Saint Joseph Regional Medical Center - Plymouth, procedure costs

1915 Lake Ave, Plymouth, IN 46563,

Procedure Costs @ Saint Joseph Regional Medical Center - Plymouth
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc82434 / 44$21.280,40328 / 3$10.906,20575 / 18$9.624,83574 / 15
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc38169 / 28$16.125,90450 / 8$6.708,92483 / 29$5.180,26481 / 13
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc26538 / 60$45.418,101053 / 22$12.953,201373 / 24$11.747,001340 / 53
Heart Failure & Shock W Mcc26258 / 44$18.363,30333 / 6$9.169,85722 / 34$7.963,46722 / 21
Heart Failure & Shock W Cc22256 / 47$13.336,20401 / 8$6.214,32885 / 41$5.194,68884 / 33
Renal Failure W Cc20201 / 42$13.238,20312 / 4$6.282,001133 / 37$5.315,601125 / 40
Hip & Femur Procedures Except Major Joint W Cc18125 / 31$45.559,60868 / 26$11.737,70789 / 26$10.596,40781 / 27
Pulmonary Edema & Respiratory Failure16187 / 47$17.240,20242 / 6$7.775,561013 / 38$6.983,561012 / 44
Simple Pneumonia & Pleurisy W Cc15188 / 45$17.104,20811 / 20$7.068,00165 / 59$4.258,87165 / 3
G.I. Hemorrhage W Cc14204 / 40$18.913,20653 / 17$6.153,211174 / 18$5.549,791172 / 38
Kidney & Urinary Tract Infections W/O Mcc14219 / 53$13.839,40774 / 19$5.096,071021 / 42$3.976,071013 / 40
Cellulitis W/O Mcc13176 / 41$11.944,20463 / 9$5.468,621094 / 34$4.346,151088 / 44
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc11155 / 44$13.608,90779 / 24$4.385,09472 / 19$3.291,27472 / 14
Simple Pneumonia & Pleurisy W Mcc11194 / 52$19.164,50335 / 7$9.161,731153 / 40$8.059,181153 / 46
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs11171 / 40$18.786,20402 / 11$6.471,36911 / 18$5.700,45908 / 40
Total 15 procedures337discharges

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.