Hospital Costs > In Ohio > Bay Park Community Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 71 | 493 / 62 | $65.013,90 | 1861 / 108 | $13.047,50 | 757 / 47 | $10.708,70 | 747 / 51 |
Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 48 | $39.450,60 | 1897 / 103 | $7.232,36 | 791 / 46 | $6.037,64 | 786 / 52 |
Heart Failure & Shock W Cc | 27 | 251 / 72 | $37.184,00 | 2243 / 110 | $6.248,04 | 1342 / 52 | $5.591,74 | 1338 / 79 |
Heart Failure & Shock W Mcc | 22 | 262 / 73 | $52.410,90 | 2049 / 100 | $9.408,77 | 519 / 56 | $7.709,32 | 519 / 37 |
Renal Failure W Mcc | 21 | 174 / 56 | $57.462,50 | 1717 / 90 | $9.734,14 | 312 / 53 | $7.754,90 | 312 / 27 |
Cellulitis W/O Mcc | 20 | 169 / 57 | $30.936,80 | 2160 / 111 | $5.587,30 | 668 / 60 | $4.021,75 | 664 / 43 |
Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 57 | $25.702,90 | 1675 / 95 | $6.047,25 | 873 / 42 | $4.969,75 | 870 / 61 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 62 | $20.172,80 | 1594 / 88 | $5.011,65 | 980 / 52 | $3.949,05 | 972 / 62 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 60 | $31.459,20 | 1790 / 103 | $6.172,50 | 422 / 61 | $4.450,10 | 421 / 27 |
Pulmonary Edema & Respiratory Failure | 19 | 184 / 59 | $55.418,80 | 1856 / 92 | $8.013,95 | 1112 / 56 | $7.124,58 | 1110 / 67 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 18 | 498 / 89 | $83.366,40 | 2472 / 112 | $11.983,80 | 1361 / 70 | $10.746,20 | 1334 / 77 |
Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 54 | $62.145,80 | 2128 / 110 | $8.436,61 | 899 / 31 | $7.759,06 | 899 / 69 |
G.I. Hemorrhage W Cc | 17 | 201 / 60 | $33.020,80 | 1713 / 87 | $6.228,41 | 978 / 40 | $5.342,65 | 976 / 67 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 71 | $24.385,80 | 1834 / 95 | $4.863,38 | 1145 / 51 | $3.854,38 | 1137 / 73 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 48 | $19.158,40 | 1466 / 83 | $4.568,56 | 1167 / 48 | $3.787,06 | 1164 / 73 |
Renal Failure W Cc | 16 | 205 / 63 | $27.021,40 | 1549 / 83 | $5.958,00 | 1054 / 37 | $5.239,88 | 1046 / 67 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 38 | $23.091,80 | 1456 / 95 | $4.742,94 | 695 / 47 | $3.485,06 | 693 / 49 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 43 | $26.952,90 | 1683 / 91 | $3.854,14 | 725 / 49 | $2.607,00 | 721 / 45 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 42 | $34.286,40 | 1642 / 87 | $5.193,92 | 927 / 43 | $4.440,25 | 921 / 59 | Total 19 procedures | 419 | 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.