Hospital Costs > In Iowa > Trinity Muscatine, 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 | 12 | 177 / 23 | $10.196,30 | 262 / 1 | $6.521,50 | 2062 / 30 | $5.706,92 | 2054 / 30 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 23 | $15.374,20 | 343 / 4 | $9.090,69 | 2134 / 27 | $8.429,62 | 2126 / 27 |
| G.I. Hemorrhage W Cc | 13 | 205 / 26 | $18.107,40 | 580 / 15 | $7.810,85 | 1940 / 30 | $7.060,46 | 1936 / 30 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 10 | $11.283,40 | 225 / 4 | $4.716,69 | 961 / 13 | $3.840,81 | 958 / 14 |
| Heart Failure & Shock W Cc | 15 | 263 / 22 | $11.432,70 | 231 / 2 | $7.712,80 | 2138 / 29 | $6.818,53 | 2132 / 29 |
| Heart Failure & Shock W Mcc | 14 | 270 / 25 | $17.461,50 | 274 / 3 | $11.836,90 | 1873 / 27 | $9.960,79 | 1868 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 25 | $12.472,70 | 572 / 13 | $6.001,25 | 1987 / 31 | $4.980,83 | 1976 / 31 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 20 | $15.338,30 | 163 / 2 | $9.475,43 | 1747 / 24 | $8.682,78 | 1742 / 25 |
| Renal Failure W Cc | 18 | 203 / 22 | $11.050,30 | 151 / 2 | $7.481,44 | 1862 / 24 | $6.581,56 | 1852 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 36 | 480 / 24 | $17.705,80 | 160 / 3 | $14.341,80 | 2247 / 29 | $13.362,70 | 2207 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 19 | $12.484,00 | 177 / 1 | $8.288,33 | 2024 / 27 | $7.385,74 | 2016 / 27 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 22 | $15.066,40 | 572 / 9 | $7.592,39 | 2307 / 30 | $6.908,11 | 2299 / 30 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 20 | $20.073,10 | 395 / 5 | $11.228,20 | 2048 / 27 | $10.344,20 | 2047 / 27 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 15 | $9.378,31 | 177 / 4 | $5.454,77 | 1462 / 24 | $4.334,38 | 1454 / 25 | Total 14 procedures | 248 | 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.