Hospital Costs > In Mississippi > Baptist Mem Hosp/ Golden Triangle Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 15 | $41.213,60 | 862 / 11 | $9.715,93 | 358 / 2 | $8.680,50 | 358 / 3 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 13 | 21 / 4 | $36.925,70 | 6 / 2 | $21.134,10 | 2 / 2 | $16.890,80 | 2 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 10 | $13.025,40 | 322 / 4 | $5.035,63 | 619 / 12 | $3.935,80 | 616 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 9 | $30.743,70 | 998 / 16 | $7.580,45 | 825 / 9 | $6.843,39 | 822 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 17 | $9.881,45 | 339 / 6 | $3.704,15 | 888 / 7 | $2.736,15 | 884 / 14 |
| Cellulitis W Mcc | 11 | 47 / 8 | $19.782,70 | 119 / 1 | $8.207,18 | 200 / 3 | $7.439,18 | 199 / 6 |
| Cellulitis W/O Mcc | 35 | 154 / 13 | $13.313,00 | 632 / 19 | $5.136,46 | 695 / 13 | $4.045,89 | 691 / 13 |
| Cervical Spinal Fusion W Cc | 13 | 40 / 4 | $51.917,00 | 89 / 4 | $16.216,30 | 86 / 1 | $15.285,80 | 86 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 31 | 73 / 5 | $39.523,10 | 185 / 6 | $13.121,20 | 100 / 6 | $10.391,10 | 100 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 23 | $16.654,90 | 672 / 13 | $5.686,13 | 933 / 16 | $4.904,22 | 930 / 25 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 31 | $16.687,60 | 451 / 14 | $5.871,00 | 28 / 2 | $4.832,07 | 28 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 11 | $44.730,80 | 233 / 7 | $12.960,40 | 47 / 10 | $10.077,20 | 47 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 16 | $27.417,50 | 392 / 7 | $6.599,06 | 383 / 9 | $5.287,53 | 381 / 7 |
| Diabetes W Cc | 12 | 80 / 20 | $13.452,70 | 231 / 5 | $5.147,00 | 387 / 11 | $4.133,67 | 387 / 9 |
| Diabetes W Mcc | 17 | 40 / 8 | $14.728,60 | 30 / 1 | $7.471,06 | 77 / 2 | $6.834,82 | 77 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 7 | $14.666,40 | 109 / 1 | $5.627,43 | 220 / 6 | $4.550,86 | 220 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 13 | $29.204,10 | 601 / 11 | $7.099,59 | 269 / 7 | $6.169,71 | 267 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 24 | $14.525,10 | 693 / 21 | $4.828,17 | 611 / 20 | $3.491,78 | 608 / 11 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 11 | $35.959,80 | 571 / 9 | $6.745,57 | 243 / 10 | $5.072,00 | 243 / 5 |
| G.I. Hemorrhage W Cc | 41 | 177 / 16 | $22.464,10 | 977 / 19 | $6.010,20 | 710 / 12 | $5.098,59 | 709 / 15 |
| G.I. Hemorrhage W Mcc | 38 | 83 / 8 | $35.499,90 | 530 / 9 | $10.976,70 | 685 / 17 | $10.180,90 | 686 / 18 |
| G.I. Obstruction W Cc | 13 | 79 / 12 | $20.905,00 | 714 / 9 | $5.458,23 | 711 / 9 | $4.714,85 | 710 / 12 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 8 | $11.971,90 | 278 / 7 | $3.982,94 | 626 / 7 | $3.132,12 | 625 / 12 |
| Heart Failure & Shock W Cc | 49 | 229 / 18 | $17.084,00 | 814 / 26 | $5.773,86 | 572 / 10 | $4.961,45 | 572 / 11 |
| Heart Failure & Shock W Mcc | 62 | 222 / 15 | $25.340,60 | 768 / 20 | $8.478,66 | 151 / 10 | $7.116,68 | 151 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 23 | $12.005,50 | 470 / 13 | $4.346,73 | 332 / 14 | $3.139,45 | 330 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 49 | 94 / 9 | $29.361,10 | 205 / 4 | $10.928,80 | 347 / 8 | $9.821,25 | 346 / 8 |
| Hip & Femur Procedures Except Major Joint W Mcc | 24 | 38 / 3 | $42.921,40 | 72 / 2 | $16.035,00 | 100 / 1 | $15.177,70 | 100 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 12 | $27.125,30 | 131 / 3 | $9.653,55 | 72 / 13 | $7.547,09 | 72 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 9 | $64.804,70 | 144 / 3 | $24.191,00 | 13 / 1 | $22.077,80 | 13 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 49 | 133 / 10 | $23.774,80 | 707 / 15 | $6.177,49 | 468 / 6 | $5.191,37 | 467 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 40 | 128 / 8 | $36.889,20 | 580 / 7 | $9.808,17 | 331 / 4 | $8.874,60 | 330 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 11 | $22.207,80 | 730 / 11 | $4.687,42 | 498 / 8 | $3.630,08 | 494 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 13 | $18.431,90 | 465 / 12 | $6.400,07 | 289 / 7 | $5.408,07 | 288 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 36 | $11.316,30 | 432 / 19 | $4.815,68 | 559 / 14 | $3.667,05 | 558 / 7 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 7 | $31.583,80 | 51 / 2 | $12.541,30 | 268 / 5 | $11.407,30 | 265 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 7 | $43.362,70 | 67 / 1 | $15.434,30 | 25 / 1 | $14.386,80 | 25 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 229 | 335 / 7 | $32.968,10 | 352 / 2 | $12.299,40 | 687 / 10 | $10.608,40 | 677 / 14 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 16 | $49.524,00 | 406 / 12 | $14.282,30 | 404 / 10 | $13.246,90 | 401 / 14 |
| Major Small & Large Bowel Procedures W Mcc | 31 | 54 / 5 | $82.129,50 | 211 / 4 | $25.182,50 | 63 / 1 | $24.288,60 | 63 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 8 | $15.411,10 | 167 / 3 | $6.539,97 | 323 / 5 | $5.751,66 | 320 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 23 | $13.860,00 | 814 / 26 | $4.438,21 | 829 / 13 | $3.532,88 | 826 / 16 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 12 | $31.787,60 | 259 / 6 | $10.520,00 | 251 / 6 | $9.821,11 | 251 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 5 | $30.844,10 | 408 / 6 | $9.263,33 | 288 / 6 | $8.328,86 | 288 / 6 |
| Other Vascular Procedures W Mcc | 12 | 85 / 11 | $59.885,30 | 156 / 4 | $17.287,50 | 59 / 2 | $16.476,80 | 59 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 9 | $105.889,00 | 554 / 9 | $21.518,60 | 184 / 10 | $17.037,40 | 183 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 36 | 160 / 11 | $85.384,90 | 971 / 11 | $14.901,40 | 641 / 14 | $11.069,20 | 637 / 13 |
| Pulmonary Edema & Respiratory Failure | 100 | 103 / 4 | $23.498,70 | 626 / 13 | $7.213,06 | 530 / 11 | $6.366,98 | 530 / 10 |
| Red Blood Cell Disorders W Mcc | 22 | 49 / 8 | $23.686,60 | 254 / 5 | $7.322,91 | 186 / 4 | $6.498,18 | 186 / 4 |
| Red Blood Cell Disorders W/O Mcc | 52 | 91 / 6 | $16.891,80 | 615 / 18 | $4.998,08 | 909 / 14 | $4.417,15 | 904 / 21 |
| Renal Failure W Cc | 69 | 152 / 12 | $17.079,00 | 677 / 15 | $5.654,87 | 588 / 6 | $4.833,54 | 582 / 8 |
| Renal Failure W Mcc | 92 | 103 / 6 | $21.909,80 | 316 / 9 | $8.472,52 | 308 / 3 | $7.748,70 | 308 / 4 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 10 | $11.136,90 | 164 / 7 | $3.968,15 | 354 / 5 | $3.224,77 | 353 / 10 |
| Respiratory Infections & Inflammations W Cc | 28 | 60 / 7 | $25.518,20 | 495 / 10 | $7.904,36 | 152 / 9 | $6.653,54 | 152 / 2 |
| Respiratory Infections & Inflammations W Mcc | 86 | 51 / 2 | $30.114,70 | 388 / 5 | $10.874,10 | 149 / 4 | $9.581,69 | 149 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 15 | $47.689,70 | 557 / 10 | $13.184,70 | 498 / 9 | $12.428,60 | 491 / 13 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 10 | $103.109,00 | 200 / 4 | $33.041,90 | 23 / 6 | $27.260,50 | 23 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 284 | 234 / 8 | $33.625,10 | 980 / 23 | $10.334,10 | 502 / 9 | $9.517,74 | 502 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 11 | $18.476,40 | 628 / 10 | $6.360,15 | 288 / 12 | $4.974,72 | 287 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 27 | $18.037,90 | 916 / 23 | $5.811,25 | 681 / 11 | $4.803,25 | 678 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 38 | 167 / 14 | $27.166,00 | 845 / 21 | $7.955,37 | 223 / 5 | $6.876,63 | 223 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 24 | $14.056,20 | 621 / 18 | $4.490,69 | 557 / 15 | $3.284,54 | 555 / 10 |
| Spinal Fusion Except Cervical W/O Mcc | 92 | 102 / 3 | $76.491,60 | 471 / 7 | $22.518,50 | 183 / 6 | $19.766,50 | 182 / 6 |
| Syncope & Collapse | 15 | 154 / 18 | $13.881,30 | 321 / 5 | $4.604,00 | 744 / 10 | $3.795,47 | 741 / 16 |
| Transient Ischemia | 18 | 107 / 14 | $22.501,70 | 827 / 15 | $4.462,22 | 510 / 7 | $3.384,89 | 508 / 9 | Total 65 procedures | 2.392 | 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.