Hospital Costs > In Colorado > Arkansas Valley Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 7 | $14.190,20 | 462 / 3 | $6.780,55 | 1781 / 17 | $5.825,71 | 1773 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 38 | 167 / 14 | $19.092,60 | 330 / 1 | $9.527,92 | 1485 / 16 | $8.643,92 | 1485 / 23 |
| Heart Failure & Shock W Cc | 23 | 255 / 18 | $12.184,30 | 283 / 1 | $6.845,48 | 1573 / 17 | $5.846,52 | 1568 / 21 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 42 | $41.090,60 | 816 / 3 | $15.143,80 | 1662 / 27 | $12.462,20 | 1625 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 35 | $28.031,00 | 696 / 4 | $12.994,60 | 1900 / 22 | $12.041,40 | 1865 / 27 |
| Heart Failure & Shock W Mcc | 16 | 268 / 21 | $17.097,50 | 246 / 1 | $9.807,06 | 1416 / 15 | $8.899,06 | 1412 / 19 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 14 | $29.116,60 | 358 / 1 | $13.947,70 | 860 / 17 | $11.293,90 | 850 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 21 | $8.770,46 | 210 / 1 | $5.061,46 | 1553 / 14 | $4.128,54 | 1548 / 20 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 21 | $15.247,20 | 334 / 2 | $7.942,00 | 1564 / 12 | $6.931,33 | 1556 / 18 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 8 | $15.784,90 | 121 / 1 | $8.960,83 | 882 / 9 | $8.262,17 | 877 / 9 |
| Cellulitis W/O Mcc | 12 | 177 / 22 | $9.507,08 | 205 / 1 | $5.801,25 | 1562 / 16 | $4.793,25 | 1555 / 20 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 11 | $11.469,50 | 388 / 1 | $5.146,55 | 1287 / 7 | $4.049,82 | 1276 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 24 | $27.304,10 | 138 / 1 | $13.056,70 | 1326 / 19 | $12.073,50 | 1308 / 23 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 25 | $9.920,00 | 288 / 1 | $5.508,36 | 1672 / 19 | $4.522,18 | 1661 / 22 | Total 14 procedures | 275 | 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.