Hospital Costs > In Utah > American Fork Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| G.I. Hemorrhage W Cc | 22 | 196 / 8 | $17.200,40 | 501 / 6 | $6.788,18 | 1298 / 5 | $5.690,00 | 1295 / 10 |
| Heart Failure & Shock W Cc | 15 | 263 / 12 | $15.678,00 | 651 / 4 | $7.062,20 | 1033 / 11 | $5.315,07 | 1031 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 63 | 501 / 20 | $35.460,50 | 492 / 8 | $13.107,20 | 1041 / 3 | $11.133,50 | 1018 / 14 |
| Medical Back Problems W/O Mcc | 11 | 110 / 8 | $15.023,00 | 227 / 1 | $5.897,91 | 668 / 3 | $4.513,00 | 666 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 6 | $18.848,40 | 85 / 1 | $8.379,18 | 314 / 1 | $7.721,73 | 313 / 3 |
| Renal Failure W Cc | 16 | 205 / 11 | $13.297,20 | 319 / 2 | $6.601,50 | 880 / 7 | $5.063,12 | 872 / 2 |
| Renal Failure W Mcc | 23 | 172 / 6 | $17.268,80 | 136 / 1 | $9.025,26 | 620 / 2 | $8.236,39 | 620 / 3 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 6 | $23.306,20 | 181 / 1 | $12.075,10 | 464 / 2 | $10.417,20 | 460 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 121 | 395 / 6 | $23.650,30 | 456 / 7 | $10.956,20 | 511 / 3 | $9.531,99 | 511 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 10 | $19.589,60 | 746 / 7 | $7.057,39 | 1277 / 5 | $5.952,70 | 1272 / 10 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 13 | $21.889,50 | 500 / 6 | $9.734,00 | 308 / 11 | $7.033,86 | 308 / 3 | Total 11 procedures | 333 | 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.