Hospital Costs > In Arkansas > Arkansas Surgical 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 | 936 | 21 / 1 | $37.986,10 | 640 / 16 | $11.301,70 | 52 / 4 | $9.065,07 | 52 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 122 | 73 / 2 | $45.933,70 | 81 / 4 | $20.951,10 | 68 / 4 | $18.541,00 | 68 / 3 |
Cervical Spinal Fusion W/O Cc/Mcc | 98 | 17 / 1 | $29.823,10 | 59 / 5 | $11.896,70 | 15 / 3 | $9.117,45 | 15 / 1 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 65 | 27 / 1 | $14.571,90 | 32 / 2 | $5.973,37 | 12 / 2 | $4.057,68 | 12 / 2 |
Revision Of Hip Or Knee Replacement W Cc | 50 | 38 / 2 | $66.423,60 | 193 / 4 | $17.414,70 | 16 / 2 | $14.867,30 | 16 / 1 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 40 | 29 / 2 | $51.070,20 | 139 / 2 | $13.776,50 | 43 / 2 | $12.214,80 | 43 / 1 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 33 | 33 / 1 | $23.477,10 | 27 / 1 | $9.778,64 | 13 / 1 | $8.171,33 | 13 / 1 |
Cervical Spinal Fusion W Cc | 26 | 27 / 1 | $30.789,80 | 9 / 1 | $15.467,80 | 4 / 1 | $12.357,60 | 4 / 1 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 22 | 74 / 6 | $48.603,00 | 308 / 10 | $11.567,60 | 82 / 3 | $10.315,20 | 82 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 7 | $42.068,00 | 59 / 2 | $13.790,10 | 2 / 1 | $11.259,10 | 2 / 1 | Total 10 procedures | 1.408 | 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.