Hospital Costs > In Oklahoma > Bailey Medical Center, Llc, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 33 | $21.632,90 | 1573 / 41 | $4.485,86 | 789 / 14 | $3.619,57 | 784 / 21 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 12 | 552 / 46 | $55.163,20 | 1515 / 31 | $11.769,20 | 653 / 10 | $10.555,90 | 645 / 22 |
O.R. Procedures For Obesity W/O Cc/Mcc | 44 | 33 / 2 | $49.659,50 | 261 / 3 | $8.822,82 | 75 / 2 | $7.694,82 | 75 / 3 |
Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 45 | $22.029,90 | 1351 / 43 | $5.427,67 | 261 / 9 | $4.419,67 | 261 / 11 | Total 4 procedures | 82 | 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.