Hospital Costs > In Ohio > Alliance Community 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 | 108 | 456 / 47 | $30.336,30 | 238 / 7 | $12.538,70 | 804 / 27 | $10.765,50 | 790 / 54 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 50 | 466 / 75 | $17.775,40 | 165 / 8 | $10.056,20 | 139 / 15 | $8.768,34 | 139 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 39 | $14.624,60 | 110 / 9 | $8.343,42 | 322 / 26 | $7.066,77 | 322 / 26 |
| Pulmonary Edema & Respiratory Failure | 37 | 166 / 44 | $17.457,70 | 252 / 14 | $7.553,35 | 616 / 34 | $6.465,89 | 616 / 45 |
| Cellulitis W/O Mcc | 30 | 159 / 49 | $9.234,50 | 177 / 9 | $5.583,80 | 169 / 59 | $3.512,37 | 169 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 50 | $10.593,00 | 144 / 7 | $6.008,44 | 140 / 40 | $4.215,67 | 140 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 58 | $9.377,08 | 224 / 11 | $4.930,54 | 380 / 48 | $3.523,12 | 380 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 57 | $12.831,40 | 171 / 8 | $7.091,55 | 527 / 36 | $5.803,64 | 526 / 39 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 48 | $15.832,80 | 418 / 25 | $7.207,65 | 155 / 62 | $4.768,05 | 155 / 9 |
| Heart Failure & Shock W Mcc | 19 | 265 / 76 | $12.761,80 | 70 / 3 | $8.662,16 | 268 / 30 | $7.361,89 | 268 / 13 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 17 | $7.878,28 | 39 / 3 | $4.523,89 | 272 / 22 | $3.345,06 | 271 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 48 | $10.567,20 | 382 / 19 | $4.589,38 | 538 / 50 | $3.334,69 | 536 / 32 |
| Heart Failure & Shock W Cc | 16 | 262 / 78 | $10.334,90 | 143 / 7 | $5.942,75 | 245 / 33 | $4.613,12 | 245 / 16 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 41 | $31.523,80 | 273 / 22 | $11.542,20 | 609 / 35 | $10.257,40 | 606 / 43 |
| Renal Failure W Cc | 13 | 208 / 65 | $13.832,60 | 370 / 19 | $6.023,15 | 625 / 40 | $4.858,23 | 619 / 38 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 42 | $11.877,00 | 101 / 8 | $6.654,33 | 675 / 33 | $5.907,08 | 674 / 54 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 48 | $14.836,80 | 116 / 11 | $7.540,92 | 442 / 30 | $6.274,17 | 439 / 36 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 43 | $13.391,60 | 302 / 16 | $5.104,73 | 612 / 38 | $4.099,27 | 608 / 45 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 43 | $31.047,70 | 142 / 11 | $13.069,60 | 214 / 13 | $11.604,80 | 212 / 13 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 17 | $6.760,82 | 15 / 3 | $4.917,73 | 128 / 11 | $3.407,09 | 128 / 9 | Total 20 procedures | 510 | 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.