Hospital Costs > In Indiana > St Vincent Anderson Regional Hospital Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 10 | $11.947,20 | 199 / 6 | $4.663,14 | 150 / 10 | $3.397,38 | 150 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 22 | $16.803,40 | 730 / 23 | $5.069,64 | 898 / 29 | $4.198,57 | 895 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 25 | $31.960,20 | 1047 / 40 | $7.992,36 | 948 / 28 | $7.061,72 | 945 / 35 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 17 | $13.342,50 | 766 / 29 | $4.187,09 | 921 / 44 | $2.761,95 | 916 / 35 |
| Cellulitis W/O Mcc | 31 | 158 / 30 | $21.533,90 | 1628 / 56 | $5.472,00 | 1297 / 35 | $4.530,52 | 1291 / 51 |
| Chest Pain | 13 | 138 / 24 | $18.488,40 | 804 / 27 | $4.057,31 | 760 / 18 | $3.219,31 | 755 / 26 |
| Chronic Obstructive Pulmonary Disease W Cc | 54 | 125 / 22 | $28.514,10 | 1655 / 63 | $6.563,33 | 1444 / 55 | $5.432,69 | 1439 / 54 |
| Chronic Obstructive Pulmonary Disease W Mcc | 57 | 145 / 25 | $31.054,60 | 1539 / 61 | $7.960,25 | 1418 / 52 | $6.732,47 | 1412 / 56 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 28 | $19.513,40 | 1227 / 51 | $4.748,10 | 727 / 30 | $3.515,00 | 725 / 34 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 37 | $36.301,60 | 810 / 35 | $6.936,62 | 754 / 20 | $5.818,00 | 752 / 35 |
| Diabetes W Cc | 13 | 79 / 21 | $18.948,80 | 618 / 22 | $5.257,77 | 619 / 15 | $4.414,08 | 618 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 30 | $19.723,70 | 1350 / 44 | $5.695,11 | 904 / 58 | $3.699,11 | 899 / 31 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 8 | $12.406,20 | 179 / 3 | $4.703,55 | 449 / 10 | $3.819,36 | 449 / 11 |
| G.I. Hemorrhage W Cc | 26 | 192 / 35 | $23.962,50 | 1117 / 32 | $6.356,77 | 1141 / 31 | $5.511,92 | 1139 / 35 |
| G.I. Hemorrhage W Mcc | 16 | 105 / 20 | $34.311,50 | 475 / 13 | $10.692,10 | 626 / 16 | $9.999,62 | 627 / 26 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 11 | $14.468,10 | 304 / 6 | $4.563,50 | 426 / 10 | $3.608,93 | 422 / 14 |
| G.I. Obstruction W Cc | 20 | 72 / 17 | $15.851,50 | 354 / 9 | $5.791,95 | 871 / 26 | $4.910,30 | 869 / 33 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 16 | $12.811,60 | 350 / 11 | $3.958,36 | 702 / 14 | $3.263,79 | 700 / 27 |
| Heart Failure & Shock W Cc | 33 | 245 / 43 | $22.928,30 | 1483 / 53 | $6.248,03 | 1295 / 44 | $5.545,85 | 1291 / 49 |
| Heart Failure & Shock W Mcc | 35 | 249 / 41 | $50.770,40 | 2005 / 66 | $12.601,50 | 2317 / 68 | $11.968,90 | 2307 / 68 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 32 | $16.419,20 | 1010 / 41 | $4.490,00 | 707 / 33 | $3.478,33 | 703 / 27 |
| Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 29 | $46.366,10 | 902 / 27 | $11.875,80 | 893 / 34 | $10.782,80 | 880 / 37 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 11 | $44.168,20 | 484 / 16 | $10.087,40 | 417 / 15 | $8.867,57 | 415 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 31 | $23.907,00 | 716 / 24 | $7.064,97 | 716 / 39 | $5.451,86 | 715 / 31 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 26 | $34.423,20 | 503 / 19 | $10.750,40 | 717 / 23 | $9.935,22 | 716 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 23 | $15.464,40 | 287 / 8 | $5.263,06 | 508 / 31 | $3.641,65 | 504 / 23 |
| Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 26 | $27.469,50 | 1064 / 41 | $7.512,73 | 1128 / 40 | $6.618,73 | 1124 / 43 |
| Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 21 | $19.052,20 | 1464 / 55 | $5.017,57 | 1204 / 38 | $4.089,09 | 1196 / 48 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 13 | $36.687,10 | 237 / 7 | $11.475,40 | 277 / 8 | $11.129,20 | 276 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 145 | 419 / 29 | $47.779,60 | 1178 / 26 | $13.668,80 | 1429 / 40 | $11.871,10 | 1396 / 58 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 23 | $113.650,00 | 509 / 19 | $35.184,20 | 828 / 25 | $34.146,60 | 826 / 28 |
| Medical Back Problems W/O Mcc | 20 | 101 / 16 | $16.082,90 | 279 / 8 | $5.476,90 | 662 / 16 | $4.503,40 | 660 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 21 | $34.993,30 | 1163 / 39 | $8.771,42 | 1288 / 37 | $8.054,71 | 1285 / 39 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 62 | 104 / 12 | $15.886,80 | 1073 / 39 | $4.625,90 | 1157 / 36 | $3.780,94 | 1154 / 44 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 20 | $50.164,20 | 742 / 28 | $15.545,40 | 1131 / 34 | $14.827,80 | 1123 / 34 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 19 | $19.353,20 | 372 / 12 | $6.200,25 | 496 / 15 | $5.188,42 | 493 / 19 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 17 | $28.249,90 | 484 / 20 | $7.710,75 | 612 / 22 | $6.994,08 | 612 / 23 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 18 | $47.501,40 | 761 / 26 | $12.465,10 | 876 / 27 | $11.684,90 | 872 / 29 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 17 | $16.746,70 | 260 / 6 | $6.206,09 | 456 / 16 | $5.215,55 | 454 / 17 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 16 | $32.917,70 | 419 / 19 | $10.356,50 | 564 / 22 | $8.822,62 | 562 / 20 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 12 | $18.184,40 | 448 / 21 | $4.662,57 | 378 / 19 | $3.536,14 | 377 / 18 |
| Psychoses | 91 | 200 / 11 | $14.665,00 | 175 / 5 | $6.443,31 | 193 / 5 | $5.496,96 | 193 / 6 |
| Pulmonary Edema & Respiratory Failure | 34 | 169 / 37 | $36.155,60 | 1338 / 52 | $8.746,71 | 1550 / 54 | $7.955,15 | 1545 / 56 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 16 | $52.511,40 | 874 / 25 | $9.287,09 | 750 / 21 | $8.609,64 | 746 / 24 |
| Red Blood Cell Disorders W/O Mcc | 21 | 122 / 23 | $21.132,20 | 1001 / 31 | $5.221,43 | 1005 / 22 | $4.524,38 | 999 / 32 |
| Renal Failure W Cc | 32 | 189 / 36 | $22.780,50 | 1258 / 43 | $6.219,56 | 1223 / 36 | $5.414,69 | 1215 / 43 |
| Renal Failure W Mcc | 37 | 158 / 26 | $42.212,30 | 1353 / 45 | $12.497,20 | 1607 / 52 | $10.697,10 | 1605 / 51 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 10 | $21.714,60 | 606 / 23 | $5.155,86 | 624 / 21 | $4.026,86 | 623 / 22 |
| Respiratory Infections & Inflammations W Cc | 30 | 58 / 5 | $40.418,10 | 971 / 36 | $11.707,40 | 1054 / 38 | $8.875,93 | 1049 / 36 |
| Respiratory Infections & Inflammations W Mcc | 63 | 73 / 4 | $66.877,30 | 1371 / 48 | $16.155,60 | 1608 / 47 | $15.435,10 | 1592 / 48 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 124 | 392 / 33 | $52.437,60 | 1869 / 61 | $13.904,10 | 2122 / 66 | $12.878,30 | 2085 / 67 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 41 | $32.119,60 | 1738 / 61 | $8.120,17 | 2014 / 63 | $7.359,11 | 2006 / 65 |
| Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 18 | $28.388,80 | 1858 / 66 | $6.440,64 | 1534 / 43 | $5.548,92 | 1528 / 57 |
| Simple Pneumonia & Pleurisy W Mcc | 62 | 143 / 25 | $42.383,00 | 1647 / 56 | $10.408,60 | 1737 / 59 | $9.226,76 | 1737 / 59 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 10 | $20.580,80 | 1240 / 41 | $4.845,11 | 980 / 31 | $3.660,32 | 975 / 37 |
| Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 29 | $80.353,40 | 528 / 15 | $25.116,60 | 801 / 16 | $24.103,80 | 797 / 26 |
| Syncope & Collapse | 23 | 146 / 26 | $15.424,70 | 436 / 12 | $5.711,39 | 417 / 44 | $3.472,96 | 415 / 13 |
| Transient Ischemia | 26 | 99 / 19 | $15.517,90 | 326 / 8 | $4.623,92 | 535 / 24 | $3.409,08 | 532 / 24 | Total 58 procedures | 1.773 | 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.