Hospital Costs > In Alaska > Alaska Native Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 88 | 476 / 3 | $88.189,60 | 2333 / 6 | $25.806,60 | 2662 / 5 | $23.355,60 | 2616 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 61 | 455 / 3 | $81.049,60 | 2444 / 6 | $24.404,60 | 2793 / 5 | $23.194,60 | 2748 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 2 | $30.990,20 | 2003 / 4 | $12.613,60 | 2784 / 4 | $11.703,40 | 2775 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 1 | $73.621,10 | 1608 / 2 | $23.230,20 | 2037 / 3 | $22.173,20 | 2015 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 31 | 151 / 2 | $32.889,50 | 1275 / 2 | $13.844,00 | 2042 / 3 | $12.169,90 | 2037 / 4 |
| G.I. Hemorrhage W Cc | 30 | 188 / 2 | $37.225,20 | 1864 / 3 | $12.881,20 | 2403 / 4 | $12.195,40 | 2399 / 4 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 1 | $124.199,00 | 1363 / 5 | $31.366,50 | 1505 / 4 | $25.353,80 | 1491 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 2 | $19.692,90 | 1526 / 1 | $9.869,74 | 2471 / 6 | $8.101,65 | 2462 / 5 |
| Renal Failure W Cc | 21 | 200 / 3 | $35.454,60 | 1916 / 4 | $12.568,00 | 2398 / 5 | $11.393,30 | 2388 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 3 | $22.974,80 | 1300 / 1 | $12.146,00 | 2421 / 3 | $11.421,20 | 2414 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 2 | $88.844,40 | 1405 / 1 | $26.286,60 | 1818 / 3 | $25.461,40 | 1804 / 3 |
| Heart Failure & Shock W Cc | 19 | 259 / 3 | $29.140,20 | 1915 / 2 | $12.834,40 | 2712 / 5 | $11.500,80 | 2706 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 4 | $28.945,40 | 1403 / 2 | $14.624,20 | 2543 / 5 | $13.539,50 | 2535 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 4 | $32.795,00 | 1762 / 3 | $13.223,60 | 2529 / 4 | $12.156,40 | 2519 / 4 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 1 | $87.739,20 | 700 / 2 | $19.505,20 | 740 / 2 | $18.443,60 | 740 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 2 | $49.373,40 | 949 / 2 | $20.619,40 | 1590 / 3 | $19.693,20 | 1583 / 3 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 1 | $256.242,00 | 913 / 1 | $77.857,40 | 1098 / 2 | $76.976,30 | 1097 / 2 |
| Cellulitis W/O Mcc | 13 | 176 / 5 | $31.514,50 | 2181 / 5 | $11.780,30 | 2555 / 5 | $9.252,00 | 2547 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 5 | $23.092,70 | 1726 / 2 | $10.117,70 | 2676 / 7 | $9.010,00 | 2661 / 6 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 2 | $21.185,50 | 1007 / 1 | $10.744,70 | 1955 / 3 | $9.725,62 | 1946 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 2 | $32.506,80 | 1679 / 3 | $9.711,08 | 1947 / 3 | $8.508,42 | 1939 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 2 | $60.272,00 | 706 / 2 | $19.408,00 | 907 / 2 | $18.210,70 | 904 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 3 | $21.957,80 | 1400 / 1 | $10.671,60 | 2060 / 3 | $8.020,92 | 2048 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 3 | $31.401,20 | 1128 / 1 | $17.601,80 | 2494 / 4 | $16.593,80 | 2488 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 3 | $22.869,50 | 1269 / 1 | $10.627,30 | 2139 / 2 | $9.853,45 | 2134 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 3 | $57.836,30 | 648 / 3 | $17.043,00 | 758 / 3 | $11.426,00 | 757 / 3 |
| Heart Failure & Shock W Mcc | 11 | 273 / 4 | $81.800,60 | 2469 / 4 | $21.500,70 | 2619 / 4 | $20.729,90 | 2608 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 4 | $132.407,00 | 1016 / 3 | $48.705,80 | 1352 / 4 | $47.495,60 | 1347 / 4 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 1 | $443.772,00 | 473 / 1 | $144.232,00 | 565 / 1 | $143.578,00 | 564 / 1 | Total 29 procedures | 642 | 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.