Hospital Costs > In Arizona > Arizona Spine And Joint 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 | 272 | 295 / 17 | $43.744,30 | 966 / 7 | $12.415,10 | 1055 / 2 | $11.153,80 | 1032 / 13 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 17 | 79 / 11 | $47.140,80 | 284 / 6 | $12.993,10 | 210 / 2 | $11.120,60 | 208 / 3 |
Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 23 | $78.928,90 | 510 / 7 | $22.543,90 | 448 / 1 | $21.503,90 | 445 / 6 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 8 | $47.607,10 | 94 / 2 | $15.709,20 | 184 / 1 | $14.591,70 | 184 / 5 |
Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 12 | 11 / 2 | $30.479,20 | 17 / 1 | $7.359,50 | 12 / 1 | $6.148,83 | 12 / 1 | Total 5 procedures | 328 | 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.