Hospital Costs > In Louisiana > Abbeville General Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 34 | $14.320,70 | 657 / 20 | $5.290,39 | 1761 / 43 | $4.415,72 | 1748 / 46 |
Heart Failure & Shock W Cc | 24 | 254 / 43 | $22.867,90 | 1478 / 44 | $6.933,58 | 1847 / 51 | $6.226,96 | 1842 / 53 |
Heart Failure & Shock W Mcc | 17 | 267 / 42 | $36.923,10 | 1501 / 38 | $11.879,70 | 2244 / 49 | $11.521,90 | 2234 / 52 |
Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 16 | $13.009,60 | 599 / 15 | $4.853,88 | 1347 / 33 | $4.145,88 | 1336 / 35 |
Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 30 | $13.647,40 | 742 / 24 | $5.460,81 | 1769 / 44 | $4.645,24 | 1758 / 48 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 48 | $31.892,50 | 309 / 5 | $14.768,90 | 1243 / 49 | $11.471,40 | 1212 / 42 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 14 | $16.500,80 | 1131 / 32 | $5.071,07 | 1621 / 40 | $4.218,02 | 1616 / 41 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 51 | $44.944,40 | 1572 / 37 | $14.523,70 | 2343 / 50 | $13.869,20 | 2301 / 52 |
Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 43 | $31.204,10 | 2017 / 49 | $8.420,08 | 2530 / 57 | $7.918,75 | 2521 / 60 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 33 | $23.456,50 | 1387 / 36 | $6.227,09 | 1720 / 43 | $5.240,91 | 1712 / 44 | Total 10 procedures | 225 | 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.