Hospital Costs > In Ohio > St Luke's Hospital Maumee, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 22 | $22.509,30 | 396 / 26 | $6.026,73 | 181 / 13 | $4.889,80 | 181 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 24 | $27.217,10 | 340 / 23 | $9.759,91 | 167 / 28 | $8.187,70 | 167 / 13 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 17 | 36 / 9 | $16.722,60 | 192 / 8 | $4.378,06 | 34 / 6 | $2.976,06 | 34 / 4 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 13 | $34.186,40 | 99 / 6 | $10.775,10 | 120 / 4 | $9.549,67 | 120 / 6 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 20 | 69 / 12 | $18.563,50 | 69 / 6 | $6.395,55 | 54 / 5 | $4.537,85 | 54 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 27 | 49 / 4 | $13.441,00 | 141 / 8 | $5.095,15 | 46 / 7 | $3.618,93 | 46 / 5 |
| Bronchitis & Asthma W/O Cc/Mcc | 14 | 31 / 1 | $13.797,40 | 108 / 5 | $3.773,79 | 49 / 2 | $2.607,64 | 49 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 49 | 112 / 22 | $13.514,00 | 372 / 29 | $4.618,00 | 161 / 17 | $3.421,08 | 161 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 28 | $21.655,30 | 430 / 28 | $7.041,88 | 266 / 17 | $5.982,42 | 265 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 28 | $11.276,90 | 494 / 31 | $3.202,18 | 132 / 10 | $2.009,39 | 132 / 11 |
| Cellulitis W Mcc | 14 | 44 / 16 | $20.504,20 | 134 / 11 | $8.206,86 | 70 / 11 | $6.845,50 | 70 / 9 |
| Cellulitis W/O Mcc | 74 | 115 / 18 | $13.550,80 | 667 / 47 | $4.896,28 | 341 / 15 | $3.742,19 | 338 / 24 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 19 | $29.357,20 | 55 / 1 | $12.130,00 | 32 / 3 | $9.672,64 | 32 / 2 |
| Chest Pain | 35 | 116 / 17 | $11.370,00 | 212 / 9 | $3.602,94 | 109 / 8 | $2.369,89 | 109 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 86 | 93 / 11 | $16.049,50 | 612 / 46 | $5.476,06 | 320 / 17 | $4.343,83 | 319 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 61 | 141 / 33 | $18.490,00 | 605 / 43 | $6.836,66 | 191 / 22 | $5.390,41 | 191 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 51 | 69 / 11 | $12.208,80 | 468 / 41 | $4.257,41 | 153 / 12 | $2.929,49 | 153 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 52 | 136 / 18 | $23.191,60 | 207 / 11 | $6.330,79 | 73 / 7 | $4.670,52 | 73 / 4 |
| Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 12 | $131.155,00 | 67 / 4 | $37.553,40 | 62 / 2 | $36.021,20 | 62 / 6 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 15 | 61 / 15 | $116.320,00 | 209 / 8 | $27.643,10 | 266 / 4 | $26.124,50 | 266 / 15 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 13 | $99.811,50 | 249 / 6 | $21.196,10 | 166 / 4 | $19.706,60 | 165 / 8 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 8 | $13.838,40 | 87 / 7 | $5.108,21 | 80 / 5 | $4.112,53 | 80 / 8 |
| Diabetes W Cc | 16 | 76 / 24 | $16.077,60 | 407 / 24 | $4.634,06 | 57 / 6 | $3.489,75 | 57 / 6 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 9 | $21.890,90 | 228 / 13 | $5.491,79 | 29 / 1 | $4.208,00 | 29 / 1 |
| Dysequilibrium | 13 | 52 / 12 | $11.955,70 | 66 / 2 | $3.557,46 | 38 / 6 | $2.329,69 | 38 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 27 | $30.559,30 | 654 / 45 | $7.100,73 | 141 / 13 | $5.799,55 | 141 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 96 | 179 / 21 | $13.434,80 | 561 / 41 | $4.357,86 | 220 / 14 | $3.132,90 | 220 / 11 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 10 | $9.894,15 | 78 / 5 | $4.133,31 | 68 / 6 | $2.831,69 | 68 / 5 |
| G.I. Hemorrhage W Cc | 69 | 149 / 23 | $16.144,00 | 408 / 23 | $5.726,70 | 132 / 12 | $4.434,64 | 132 / 9 |
| G.I. Hemorrhage W Mcc | 16 | 105 / 35 | $35.301,40 | 519 / 33 | $9.571,19 | 93 / 7 | $8.437,62 | 93 / 9 |
| G.I. Obstruction W Cc | 38 | 54 / 8 | $13.279,90 | 180 / 13 | $5.128,92 | 228 / 9 | $4.092,37 | 227 / 18 |
| G.I. Obstruction W Mcc | 11 | 31 / 10 | $16.822,50 | 14 / 1 | $8.713,91 | 26 / 4 | $7.705,36 | 26 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 9 | $11.086,50 | 206 / 15 | $3.514,58 | 110 / 7 | $2.354,12 | 110 / 10 |
| Heart Failure & Shock W Cc | 87 | 191 / 34 | $17.886,00 | 916 / 49 | $5.783,67 | 270 / 21 | $4.649,75 | 270 / 18 |
| Heart Failure & Shock W Mcc | 53 | 231 / 53 | $25.485,30 | 783 / 44 | $8.701,57 | 421 / 31 | $7.583,57 | 421 / 31 |
| Heart Failure & Shock W/O Cc/Mcc | 35 | 75 / 14 | $11.001,10 | 362 / 21 | $3.914,03 | 104 / 9 | $2.775,83 | 103 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 24 | $34.100,30 | 382 / 28 | $10.884,10 | 290 / 17 | $9.712,81 | 289 / 21 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 8 | $29.547,20 | 182 / 8 | $9.182,31 | 144 / 3 | $7.950,38 | 144 / 3 |
| Hypertension W/O Mcc | 13 | 52 / 12 | $11.055,50 | 87 / 3 | $3.577,92 | 55 / 5 | $2.417,23 | 55 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 36 | $94.079,80 | 421 / 29 | $32.666,10 | 654 / 36 | $31.054,90 | 648 / 45 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 43 | $17.832,80 | 335 / 16 | $6.210,40 | 336 / 21 | $5.020,70 | 335 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 34 | $21.560,50 | 128 / 6 | $8.859,06 | 70 / 4 | $7.989,06 | 70 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 29 | $15.386,10 | 280 / 11 | $4.338,93 | 176 / 7 | $3.166,33 | 174 / 13 |
| Kidney & Urinary Tract Infections W Mcc | 39 | 105 / 20 | $16.577,50 | 342 / 25 | $6.212,72 | 121 / 15 | $5.071,64 | 121 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 89 | 144 / 18 | $12.940,50 | 635 / 39 | $4.463,21 | 184 / 13 | $3.274,04 | 184 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 16 | $15.859,00 | 140 / 8 | $6.275,65 | 101 / 2 | $5.588,24 | 101 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 136 | 428 / 39 | $33.711,10 | 384 / 19 | $12.325,50 | 383 / 19 | $10.138,90 | 382 / 31 |
| Major Small & Large Bowel Procedures W Cc | 28 | 80 / 15 | $40.733,40 | 201 / 9 | $14.789,40 | 138 / 23 | $12.127,90 | 138 / 14 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 21 | $92.892,90 | 320 / 16 | $32.264,80 | 217 / 34 | $26.586,70 | 215 / 23 |
| Medical Back Problems W/O Mcc | 22 | 99 / 25 | $18.830,30 | 443 / 31 | $5.079,32 | 124 / 17 | $3.601,00 | 124 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 24 | $15.573,00 | 173 / 11 | $6.374,54 | 110 / 12 | $5.306,77 | 109 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 54 | 112 / 17 | $11.355,20 | 471 / 24 | $4.182,33 | 35 / 15 | $2.642,06 | 35 / 3 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 13 | $19.767,70 | 184 / 21 | $5.542,27 | 100 / 4 | $4.712,40 | 100 / 7 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 32 | $31.566,20 | 254 / 19 | $10.106,10 | 82 / 8 | $9.030,06 | 82 / 9 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 23 | $13.156,50 | 96 / 6 | $5.425,89 | 72 / 4 | $4.294,11 | 71 / 8 |
| Other Disorders Of Nervous System W Cc | 13 | 43 / 10 | $13.325,10 | 54 / 2 | $5.130,85 | 35 / 3 | $3.941,69 | 35 / 2 |
| Other Disorders Of Nervous System W Mcc | 12 | 28 / 8 | $24.466,70 | 37 / 1 | $8.909,92 | 39 / 3 | $7.948,42 | 39 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 14 | $15.141,90 | 102 / 4 | $5.727,31 | 14 / 6 | $4.222,44 | 14 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 23 | $27.657,10 | 322 / 21 | $8.879,81 | 185 / 15 | $7.928,81 | 185 / 18 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 23 | $67.349,80 | 139 / 8 | $18.585,80 | 232 / 7 | $17.406,90 | 231 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 62 | 134 / 21 | $48.791,70 | 201 / 9 | $12.403,30 | 66 / 16 | $9.215,05 | 66 / 5 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 15 | $41.111,60 | 67 / 3 | $10.255,50 | 108 / 3 | $9.027,36 | 108 / 9 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 18 | $18.188,90 | 328 / 26 | $5.463,56 | 164 / 8 | $4.559,75 | 164 / 14 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 10 | $10.508,10 | 58 / 5 | $3.793,64 | 18 / 3 | $2.637,91 | 18 / 3 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 15 | $39.452,70 | 76 / 4 | $15.072,90 | 174 / 9 | $13.887,80 | 174 / 10 |
| Pulmonary Edema & Respiratory Failure | 29 | 174 / 49 | $23.938,10 | 661 / 38 | $7.065,83 | 371 / 14 | $6.178,55 | 371 / 26 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 17 | $14.954,90 | 151 / 7 | $5.675,50 | 276 / 9 | $4.754,72 | 276 / 23 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 18 | $21.718,40 | 199 / 9 | $7.506,83 | 44 / 14 | $5.828,33 | 44 / 3 |
| Red Blood Cell Disorders W/O Mcc | 37 | 106 / 18 | $14.689,10 | 428 / 25 | $4.641,97 | 96 / 14 | $3.411,08 | 96 / 7 |
| Renal Failure W Cc | 90 | 131 / 19 | $18.254,30 | 804 / 44 | $5.709,94 | 257 / 23 | $4.486,93 | 256 / 18 |
| Renal Failure W Mcc | 60 | 135 / 28 | $24.823,60 | 448 / 26 | $8.560,75 | 185 / 16 | $7.513,30 | 185 / 14 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 10 | $10.706,20 | 146 / 7 | $3.626,80 | 55 / 6 | $2.493,93 | 54 / 8 |
| Respiratory Infections & Inflammations W Cc | 28 | 60 / 14 | $18.542,50 | 210 / 19 | $7.924,21 | 204 / 18 | $6.767,71 | 203 / 17 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 36 | $30.497,00 | 397 / 26 | $11.030,90 | 238 / 19 | $9.861,18 | 238 / 22 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 10 | $50.305,80 | 385 / 17 | $9.947,85 | 97 / 5 | $8.791,62 | 97 / 7 |
| Respiratory Signs & Symptoms | 14 | 32 / 4 | $12.152,00 | 27 / 1 | $3.891,93 | 16 / 1 | $2.741,86 | 16 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 31 | $41.212,90 | 358 / 25 | $13.231,40 | 415 / 17 | $12.212,20 | 410 / 29 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 23 | $81.320,80 | 121 / 16 | $29.545,00 | 179 / 13 | $27.647,10 | 179 / 15 |
| Seizures W/O Mcc | 12 | 96 / 28 | $12.315,90 | 145 / 9 | $4.291,08 | 182 / 5 | $3.518,33 | 181 / 13 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 20 | 72 / 15 | $92.350,90 | 137 / 12 | $30.404,70 | 68 / 4 | $29.134,40 | 68 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 82 | 434 / 64 | $31.776,60 | 874 / 46 | $10.872,10 | 577 / 39 | $9.630,49 | 576 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 43 | $17.165,40 | 526 / 30 | $6.109,20 | 522 / 16 | $5.230,56 | 520 / 33 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 13 | 34 / 7 | $13.497,90 | 65 / 4 | $4.100,92 | 27 / 1 | $3.182,15 | 27 / 1 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 17 | $10.281,70 | 99 / 6 | $4.058,00 | 104 / 9 | $2.997,11 | 104 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 63 | 140 / 21 | $14.716,30 | 523 / 28 | $5.622,52 | 299 / 18 | $4.466,51 | 297 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 31 | $22.832,50 | 560 / 39 | $8.312,53 | 482 / 25 | $7.296,59 | 482 / 40 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 20 | $10.617,60 | 280 / 15 | $4.117,00 | 83 / 9 | $2.673,43 | 83 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 36 | 158 / 26 | $53.135,50 | 139 / 8 | $22.471,30 | 368 / 13 | $21.071,20 | 367 / 27 |
| Syncope & Collapse | 43 | 126 / 22 | $15.500,50 | 441 / 28 | $4.348,56 | 60 / 17 | $2.904,19 | 60 / 6 |
| Transient Ischemia | 27 | 98 / 25 | $15.948,00 | 354 / 17 | $4.078,89 | 31 / 9 | $2.598,37 | 31 / 3 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 7 | $12.780,70 | 48 / 4 | $3.936,54 | 20 / 3 | $2.627,92 | 20 / 3 | Total 91 procedures | 2.782 | 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.