Hospital Costs > In Kentucky > Baptist Health Richmond, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Pulmonary Edema & Respiratory Failure | 86 | 117 / 15 | $32.332,00 | 1160 / 38 | $8.781,58 | 1508 / 46 | $7.852,70 | 1503 / 48 |
Simple Pneumonia & Pleurisy W Mcc | 39 | 166 / 29 | $27.313,00 | 852 / 27 | $9.445,03 | 1313 / 45 | $8.338,72 | 1313 / 46 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 34 | 482 / 39 | $35.182,60 | 1065 / 31 | $12.564,60 | 1791 / 52 | $11.717,50 | 1756 / 54 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 36 | $17.986,30 | 911 / 33 | $6.713,18 | 1611 / 52 | $5.620,64 | 1604 / 54 |
Renal Failure W Cc | 29 | 192 / 30 | $20.998,10 | 1076 / 37 | $7.451,83 | 1779 / 44 | $6.365,83 | 1769 / 45 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 35 | $22.725,40 | 1687 / 48 | $6.580,89 | 2273 / 55 | $5.437,11 | 2258 / 55 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 17 | $35.544,60 | 605 / 24 | $13.091,50 | 1096 / 35 | $12.048,90 | 1082 / 35 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 26 | $13.335,40 | 735 / 34 | $5.197,38 | 1641 / 52 | $4.237,04 | 1636 / 52 |
Cellulitis W/O Mcc | 22 | 167 / 27 | $22.662,00 | 1700 / 49 | $6.743,18 | 2073 / 55 | $5.742,86 | 2065 / 56 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 35 | $56.394,50 | 1559 / 35 | $14.236,10 | 1630 / 41 | $12.388,00 | 1593 / 43 |
Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 37 | $17.449,10 | 1282 / 41 | $5.516,00 | 1759 / 47 | $4.631,90 | 1748 / 53 |
Renal Failure W/O Cc/Mcc | 19 | 37 / 7 | $15.578,20 | 396 / 18 | $4.684,89 | 435 / 18 | $3.417,58 | 434 / 18 |
G.I. Hemorrhage W Cc | 18 | 200 / 34 | $32.128,80 | 1667 / 47 | $7.120,67 | 1460 / 44 | $5.904,61 | 1456 / 45 |
Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 38 | $15.513,80 | 354 / 11 | $7.598,94 | 1273 / 42 | $6.550,83 | 1267 / 48 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 26 | $45.511,70 | 499 / 19 | $14.046,20 | 758 / 22 | $13.161,70 | 750 / 27 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 30 | $25.964,60 | 1331 / 35 | $7.392,71 | 1416 / 42 | $6.129,43 | 1411 / 41 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 27 | $19.992,10 | 1390 / 38 | $4.516,29 | 1474 / 39 | $3.464,86 | 1468 / 38 |
Heart Failure & Shock W Mcc | 14 | 270 / 43 | $24.765,30 | 721 / 20 | $10.047,90 | 1473 / 49 | $8.986,00 | 1469 / 50 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 26 | $13.768,30 | 589 / 25 | $4.999,93 | 1091 / 45 | $3.772,93 | 1085 / 43 |
Renal Failure W Mcc | 14 | 181 / 36 | $26.322,70 | 538 / 20 | $9.511,86 | 803 / 29 | $8.549,71 | 803 / 30 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 14 | $32.020,20 | 511 / 16 | $8.159,85 | 510 / 13 | $7.538,00 | 508 / 15 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 18 | $115.981,00 | 640 / 18 | $30.496,30 | 959 / 22 | $29.236,80 | 954 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 21 | $25.816,30 | 754 / 21 | $8.085,69 | 1064 / 23 | $7.262,23 | 1061 / 26 |
Heart Failure & Shock W Cc | 13 | 265 / 42 | $20.131,10 | 1198 / 33 | $6.761,85 | 1582 / 45 | $5.853,38 | 1577 / 49 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 21 | $19.935,80 | 283 / 6 | $7.207,75 | 777 / 23 | $6.070,58 | 775 / 23 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 37 | $13.270,60 | 580 / 26 | $5.279,50 | 1427 / 48 | $4.286,83 | 1416 / 52 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 18 | $35.108,80 | 112 / 1 | $15.863,40 | 752 / 18 | $14.559,90 | 744 / 23 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 28 | $47.267,10 | 945 / 22 | $12.574,50 | 541 / 29 | $10.135,50 | 539 / 19 | Total 28 procedures | 601 | 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.