Hospital Costs > In Alaska > Alaska Regional Hospital, 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 | 209 | 355 / 2 | $96.035,30 | 2424 / 7 | $18.777,10 | 2195 / 2 | $14.657,20 | 2151 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 84 | 110 / 1 | $178.787,00 | 1217 / 4 | $38.588,10 | 1168 / 2 | $29.764,30 | 1163 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 49 | 49 / 1 | $49.174,10 | 759 / 2 | $8.814,84 | 829 / 1 | $7.776,47 | 826 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 45 | 471 / 5 | $92.238,20 | 2569 / 7 | $16.581,60 | 2502 / 1 | $15.219,60 | 2458 / 1 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 34 | 55 / 1 | $57.098,30 | 643 / 2 | $9.155,71 | 649 / 1 | $7.946,29 | 648 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 2 | $121.510,00 | 1326 / 3 | $16.735,00 | 1285 / 1 | $15.138,30 | 1278 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 23 | 81 / 2 | $104.156,00 | 783 / 2 | $17.867,70 | 746 / 1 | $16.078,90 | 743 / 1 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 23 | 40 / 1 | $133.900,00 | 209 / 2 | $82.318,00 | 197 / 2 | $24.256,00 | 196 / 1 |
| Cervical Spinal Fusion W Cc | 22 | 31 / 1 | $121.667,00 | 325 / 2 | $36.058,00 | 287 / 2 | $20.036,30 | 286 / 1 |
| Extracranial Procedures W Cc | 20 | 26 / 1 | $55.389,20 | 267 / 1 | $13.833,80 | 320 / 1 | $11.533,80 | 320 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 1 | $163.127,00 | 915 / 2 | $28.768,70 | 897 / 1 | $27.685,70 | 896 / 2 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 18 | 48 / 2 | $76.303,70 | 450 / 2 | $23.379,10 | 347 / 2 | $11.761,30 | 345 / 1 |
| Renal Failure W Cc | 18 | 203 / 4 | $23.794,90 | 1334 / 1 | $8.203,00 | 2045 / 2 | $7.196,78 | 2035 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 4 | $36.651,40 | 2395 / 7 | $6.283,33 | 2275 / 1 | $5.441,89 | 2260 / 1 |
| G.I. Hemorrhage W Cc | 18 | 200 / 4 | $40.850,40 | 1976 / 5 | $9.200,56 | 1984 / 1 | $7.208,06 | 1980 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 4 | $66.177,40 | 1952 / 5 | $11.590,40 | 1908 / 2 | $9.056,11 | 1904 / 1 |
| Heart Failure & Shock W Mcc | 17 | 267 / 3 | $52.083,10 | 2040 / 2 | $15.004,90 | 1961 / 1 | $10.228,10 | 1954 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 2 | $101.860,00 | 424 / 2 | $22.075,10 | 418 / 1 | $19.544,50 | 417 / 1 |
| Renal Failure W Mcc | 16 | 179 / 2 | $76.412,90 | 1971 / 3 | $13.041,60 | 1495 / 1 | $10.269,10 | 1494 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 2 | $93.584,40 | 727 / 2 | $18.707,20 | 690 / 1 | $15.580,90 | 686 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 1 | $114.867,00 | 522 / 2 | $29.485,70 | 441 / 1 | $21.448,20 | 439 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 2 | $158.859,00 | 862 / 2 | $45.277,10 | 740 / 2 | $22.622,50 | 735 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 2 | $82.121,90 | 1576 / 1 | $14.159,50 | 1531 / 1 | $13.195,30 | 1518 / 1 |
| Heart Failure & Shock W Cc | 15 | 263 / 4 | $40.699,30 | 2346 / 4 | $8.319,33 | 2346 / 1 | $7.531,07 | 2340 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 2 | $229.991,00 | 1362 / 2 | $47.387,30 | 1421 / 1 | $46.243,30 | 1411 / 1 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 1 | $36.582,20 | 1700 / 2 | $6.912,50 | 1726 / 1 | $6.482,79 | 1717 / 1 |
| Cellulitis W/O Mcc | 14 | 175 / 4 | $31.286,10 | 2170 / 4 | $7.441,79 | 2151 / 2 | $5.943,86 | 2143 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 2 | $185.468,00 | 999 / 2 | $57.210,20 | 635 / 3 | $31.277,60 | 633 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 6 | $45.979,40 | 2093 / 6 | $9.772,64 | 2218 / 1 | $8.910,93 | 2210 / 1 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 4 | $89.093,20 | 1102 / 2 | $20.667,80 | 1334 / 1 | $19.459,20 | 1320 / 1 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 3 | $46.362,60 | 1675 / 1 | $10.356,50 | 1566 / 1 | $8.009,67 | 1561 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 12 | 104 / 2 | $468.417,00 | 459 / 2 | $81.128,20 | 468 / 1 | $80.322,80 | 468 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 3 | $49.862,80 | 1914 / 2 | $11.948,80 | 2178 / 1 | $11.146,10 | 2173 / 1 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 2 | $55.045,50 | 1174 / 1 | $15.397,80 | 1546 / 1 | $14.592,40 | 1530 / 1 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 3 | $28.859,00 | 1004 / 2 | $6.082,42 | 1106 / 1 | $5.482,42 | 1103 / 1 |
| Medical Back Problems W/O Mcc | 11 | 110 / 2 | $27.364,80 | 926 / 1 | $8.179,27 | 1097 / 1 | $5.553,55 | 1093 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 4 | $79.388,50 | 1365 / 3 | $14.252,50 | 1351 / 1 | $13.478,90 | 1345 / 1 | Total 37 procedures | 932 | 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.