Hospital Costs > In Ohio > Ashtabula County Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Mcc | 73 | 129 / 25 | $20.759,40 | 787 / 50 | $7.640,47 | 1100 / 61 | $6.336,62 | 1095 / 74 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 62 | 454 / 70 | $26.683,60 | 632 / 36 | $11.910,90 | 1556 / 68 | $11.127,60 | 1524 / 85 |
Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 32 | $11.430,70 | 446 / 29 | $5.012,02 | 1174 / 53 | $4.067,35 | 1166 / 71 |
Heart Failure & Shock W Cc | 57 | 221 / 53 | $18.032,80 | 934 / 50 | $6.474,44 | 1385 / 63 | $5.629,12 | 1380 / 80 |
Simple Pneumonia & Pleurisy W Cc | 53 | 150 / 28 | $17.432,30 | 844 / 53 | $6.394,49 | 1219 / 66 | $5.239,17 | 1215 / 79 |
Simple Pneumonia & Pleurisy W Mcc | 53 | 152 / 29 | $24.958,40 | 697 / 48 | $9.470,68 | 1350 / 73 | $8.403,45 | 1350 / 86 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 52 | 223 / 46 | $11.526,10 | 332 / 15 | $4.861,42 | 1055 / 50 | $3.790,15 | 1047 / 66 |
Heart Failure & Shock W Mcc | 52 | 232 / 54 | $26.066,30 | 826 / 47 | $9.781,37 | 1362 / 68 | $8.822,31 | 1359 / 79 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 49 | 71 / 12 | $14.562,00 | 735 / 51 | $4.722,75 | 644 / 45 | $3.439,53 | 643 / 45 |
Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 36 | $17.856,40 | 791 / 52 | $6.166,84 | 874 / 60 | $4.853,67 | 871 / 57 |
G.I. Hemorrhage W Cc | 39 | 179 / 43 | $18.753,80 | 639 / 35 | $6.590,05 | 1268 / 59 | $5.659,31 | 1265 / 75 |
Renal Failure W Mcc | 34 | 161 / 45 | $24.453,80 | 430 / 23 | $9.983,91 | 1066 / 60 | $9.057,56 | 1066 / 72 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 84 | $38.636,40 | 681 / 37 | $13.779,40 | 1651 / 67 | $12.435,00 | 1614 / 97 |
Cellulitis W/O Mcc | 32 | 157 / 47 | $11.339,30 | 399 / 29 | $5.530,34 | 834 / 52 | $4.151,16 | 829 / 54 |
Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 24 | $14.519,10 | 215 / 17 | $7.276,16 | 1004 / 55 | $6.404,68 | 1001 / 64 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 39 | $15.521,90 | 1018 / 53 | $4.641,70 | 902 / 53 | $3.577,41 | 899 / 56 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 39 | $11.431,00 | 201 / 15 | $5.078,00 | 867 / 38 | $4.164,04 | 864 / 58 |
Renal Failure W Cc | 25 | 196 / 58 | $13.870,50 | 371 / 20 | $6.242,80 | 1124 / 56 | $5.309,84 | 1116 / 71 |
Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 23 | $12.007,20 | 471 / 30 | $4.395,29 | 640 / 36 | $3.424,75 | 638 / 36 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 20 | $19.931,50 | 566 / 27 | $4.908,96 | 620 / 28 | $3.761,25 | 616 / 39 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 35 | $10.243,00 | 372 / 27 | $3.663,87 | 674 / 32 | $2.571,22 | 670 / 37 |
Syncope & Collapse | 23 | 146 / 35 | $14.153,90 | 334 / 21 | $4.706,48 | 820 / 38 | $3.870,48 | 816 / 59 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 28 | $22.002,40 | 524 / 33 | $7.851,27 | 984 / 51 | $7.005,45 | 981 / 59 |
Chest Pain | 22 | 129 / 28 | $13.709,50 | 374 / 21 | $3.881,68 | 572 / 19 | $2.995,09 | 568 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 39 | $22.835,50 | 516 / 32 | $7.882,95 | 792 / 52 | $6.803,68 | 789 / 56 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 18 | $18.571,00 | 156 / 9 | $7.730,67 | 645 / 32 | $6.985,00 | 640 / 45 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 48 | $18.566,70 | 640 / 34 | $7.011,30 | 1213 / 55 | $5.894,05 | 1208 / 70 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 22 | $13.173,50 | 524 / 31 | $4.580,95 | 664 / 32 | $3.386,00 | 661 / 38 |
Transient Ischemia | 17 | 108 / 35 | $19.907,70 | 664 / 35 | $4.540,53 | 378 / 27 | $3.235,06 | 377 / 31 |
G.I. Hemorrhage W Mcc | 17 | 104 / 34 | $28.220,40 | 274 / 18 | $11.445,50 | 777 / 44 | $10.490,90 | 774 / 50 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 21 | $16.481,30 | 158 / 7 | $6.772,94 | 657 / 31 | $5.771,81 | 655 / 44 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 41 | $19.611,20 | 100 / 6 | $6.962,50 | 901 / 31 | $6.132,75 | 898 / 49 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 46 | $18.993,50 | 413 / 22 | $6.919,94 | 1102 / 50 | $5.998,75 | 1099 / 64 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 11 | $29.502,70 | 131 / 8 | $12.263,30 | 353 / 20 | $11.727,60 | 352 / 26 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 43 | $34.028,90 | 556 / 38 | $12.919,00 | 1048 / 57 | $11.831,30 | 1034 / 65 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 12 | $12.566,60 | 81 / 1 | $4.798,86 | 419 / 15 | $4.048,86 | 416 / 24 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 34 | $27.199,70 | 157 / 14 | $12.220,00 | 589 / 40 | $11.093,60 | 587 / 46 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 13 | $14.322,70 | 296 / 17 | $4.522,71 | 347 / 11 | $3.464,50 | 344 / 22 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 44 | $22.891,90 | 233 / 18 | $11.105,20 | 989 / 52 | $10.281,10 | 987 / 59 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 41 | $31.944,80 | 293 / 24 | $12.711,60 | 1107 / 57 | $11.324,40 | 1093 / 63 |
G.I. Obstruction W Cc | 12 | 80 / 31 | $15.639,60 | 335 / 23 | $5.813,75 | 947 / 37 | $5.019,92 | 944 / 57 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 16 | $13.660,40 | 147 / 10 | $4.946,25 | 265 / 12 | $3.796,25 | 265 / 18 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 9 | $29.662,80 | 183 / 9 | $10.500,50 | 516 / 14 | $9.355,33 | 514 / 17 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 42 | $10.408,20 | 121 / 6 | $5.126,67 | 855 / 39 | $4.365,83 | 850 / 57 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 19 | $11.349,00 | 236 / 17 | $3.997,33 | 485 / 18 | $2.947,92 | 484 / 31 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 15 | $8.002,67 | 38 / 1 | $4.116,08 | 297 / 5 | $3.324,50 | 296 / 15 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 28 | $29.617,60 | 373 / 26 | $10.238,70 | 565 / 34 | $9.402,36 | 563 / 41 |
Other Circulatory System O.R. Procedures | 11 | 44 / 9 | $36.788,00 | 39 / 3 | $17.423,00 | 182 / 5 | $16.633,20 | 182 / 7 | Total 48 procedures | 1.296 | 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.