Hospital Costs > In Ohio > Bellevue Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 35 | $14.591,00 | 509 / 26 | $6.077,51 | 867 / 45 | $4.967,00 | 864 / 58 |
Heart Failure & Shock W Cc | 22 | 256 / 75 | $13.601,30 | 423 / 27 | $5.927,55 | 771 / 29 | $5.121,73 | 770 / 49 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 19 | 545 / 90 | $55.403,80 | 1519 / 89 | $15.485,20 | 2132 / 98 | $14.174,30 | 2089 / 115 |
Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 64 | $11.629,20 | 471 / 30 | $4.743,28 | 647 / 32 | $3.722,33 | 643 / 42 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 62 | $14.000,20 | 252 / 15 | $6.800,94 | 55 / 20 | $5.006,76 | 55 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 47 | $10.780,40 | 403 / 20 | $4.418,76 | 725 / 33 | $3.472,12 | 723 / 46 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 37 | $11.078,10 | 359 / 24 | $4.633,12 | 939 / 36 | $3.684,47 | 930 / 67 |
Heart Failure & Shock W Mcc | 16 | 268 / 78 | $16.486,20 | 219 / 13 | $8.025,44 | 306 / 6 | $7.420,38 | 306 / 20 |
Renal Failure W Cc | 16 | 205 / 63 | $11.289,10 | 166 / 10 | $5.672,12 | 500 / 20 | $4.758,81 | 496 / 32 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 52 | $15.963,70 | 434 / 26 | $6.409,13 | 721 / 24 | $5.407,07 | 719 / 43 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 73 | $11.916,70 | 376 / 19 | $4.748,21 | 964 / 38 | $3.740,29 | 956 / 62 |
Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 59 | $23.620,10 | 607 / 43 | $8.309,67 | 536 / 24 | $7.364,67 | 536 / 49 |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 67 | $11.968,60 | 228 / 15 | $5.631,25 | 281 / 30 | $4.295,50 | 280 / 17 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 15 | $9.269,75 | 28 / 3 | $5.514,50 | 374 / 13 | $5.312,33 | 374 / 25 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 45 | $10.697,90 | 415 / 28 | $3.735,27 | 1109 / 41 | $2.916,73 | 1104 / 71 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 30 | $16.775,70 | 148 / 8 | $8.979,27 | 82 / 38 | $6.408,09 | 82 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 51 | $22.300,40 | 623 / 33 | $6.404,18 | 651 / 30 | $5.382,55 | 650 / 46 | Total 17 procedures | 285 | 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.