Hospital Costs > In Louisiana > Acadia General Hospital, 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 | 27 | 162 / 26 | $10.877,10 | 343 / 15 | $5.652,67 | 1449 / 32 | $4.672,52 | 1442 / 40 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 32 | $11.138,50 | 158 / 9 | $6.169,62 | 1612 / 32 | $5.701,92 | 1605 / 42 |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 26 | $11.643,00 | 106 / 3 | $7.347,71 | 1252 / 32 | $6.529,43 | 1246 / 32 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 10 | $7.258,19 | 58 / 2 | $5.037,94 | 1204 / 33 | $3.948,28 | 1195 / 31 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 35 | $6.950,53 | 50 / 4 | $5.147,18 | 1438 / 35 | $4.076,12 | 1427 / 37 |
| G.I. Hemorrhage W Cc | 15 | 203 / 30 | $14.383,50 | 256 / 2 | $6.513,33 | 1099 / 28 | $5.463,73 | 1097 / 29 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 21 | $20.971,30 | 83 / 1 | $10.432,20 | 555 / 13 | $9.799,55 | 556 / 17 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 12 | $12.378,20 | 187 / 1 | $4.901,31 | 578 / 13 | $3.970,85 | 574 / 15 |
| Heart Failure & Shock W Cc | 26 | 252 / 41 | $11.153,00 | 207 / 9 | $6.402,15 | 1201 / 35 | $5.451,38 | 1198 / 36 |
| Heart Failure & Shock W Mcc | 28 | 256 / 35 | $14.228,20 | 119 / 4 | $8.884,61 | 935 / 25 | $8.198,89 | 934 / 33 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 20 | $7.857,26 | 103 / 2 | $4.784,16 | 1244 / 31 | $4.024,58 | 1234 / 32 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 22 | $16.844,30 | 355 / 8 | $7.196,95 | 891 / 26 | $6.215,05 | 889 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 27 | $8.690,09 | 171 / 9 | $5.294,81 | 1614 / 38 | $4.455,37 | 1603 / 41 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 11 | $12.974,70 | 70 / 1 | $7.232,27 | 427 / 10 | $6.464,27 | 426 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 27 | $7.865,87 | 131 / 8 | $4.836,43 | 1426 / 32 | $3.993,30 | 1421 / 36 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 13 | $11.077,20 | 18 / 1 | $7.716,69 | 268 / 7 | $6.754,00 | 268 / 7 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 33 | $9.681,83 | 93 / 4 | $5.461,83 | 847 / 26 | $4.349,83 | 842 / 22 |
| Renal Failure W Cc | 18 | 203 / 36 | $10.645,70 | 132 / 4 | $6.285,44 | 1398 / 24 | $5.613,44 | 1389 / 31 |
| Renal Failure W Mcc | 20 | 175 / 30 | $15.847,10 | 91 / 4 | $9.390,80 | 881 / 22 | $8.696,40 | 881 / 30 |
| Renal Failure W/O Cc/Mcc | 17 | 39 / 8 | $6.411,88 | 23 / 1 | $4.476,53 | 519 / 13 | $3.627,59 | 518 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 21 | $21.210,80 | 19 / 1 | $12.690,10 | 324 / 9 | $11.946,10 | 320 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 29 | 487 / 41 | $14.404,70 | 57 / 2 | $10.962,70 | 1120 / 29 | $10.349,80 | 1104 / 34 |
| Simple Pneumonia & Pleurisy W Cc | 63 | 140 / 15 | $12.618,90 | 315 / 9 | $6.962,65 | 1353 / 50 | $5.361,30 | 1348 / 34 |
| Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 27 | $15.954,30 | 165 / 3 | $8.656,45 | 1201 / 20 | $8.135,73 | 1201 / 34 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 35 | 58 / 12 | $7.730,54 | 80 / 1 | $4.905,71 | 1136 / 28 | $3.823,54 | 1130 / 27 | Total 25 procedures | 570 | 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.