Hospital Costs > In Ohio > Berger 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 | 59 | 505 / 71 | $46.010,10 | 1088 / 70 | $14.393,30 | 1496 / 79 | $12.036,90 | 1462 / 92 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 83 | $17.151,70 | 142 / 6 | $9.287,10 | 66 / 5 | $8.514,19 | 66 / 8 |
| Heart Failure & Shock W Mcc | 25 | 259 / 71 | $16.918,40 | 238 / 15 | $8.618,44 | 884 / 27 | $8.143,52 | 884 / 60 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 50 | $18.838,00 | 318 / 23 | $8.877,22 | 422 / 50 | $7.211,35 | 422 / 36 |
| Cellulitis W/O Mcc | 22 | 167 / 55 | $10.292,00 | 272 / 19 | $5.654,68 | 1317 / 65 | $4.550,27 | 1311 / 79 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 58 | $14.676,60 | 294 / 17 | $7.761,57 | 1099 / 69 | $6.333,71 | 1094 / 73 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 58 | $15.003,90 | 564 / 33 | $6.613,68 | 1510 / 76 | $5.528,32 | 1504 / 89 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 61 | $20.621,70 | 441 / 26 | $7.888,76 | 1053 / 48 | $7.022,47 | 1051 / 65 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 66 | $10.948,70 | 377 / 22 | $5.234,00 | 1518 / 67 | $4.365,38 | 1507 / 88 |
| G.I. Hemorrhage W Cc | 16 | 202 / 61 | $15.862,00 | 375 / 18 | $6.461,25 | 556 / 54 | $4.957,38 | 555 / 37 |
| Heart Failure & Shock W Cc | 15 | 263 / 79 | $12.311,80 | 296 / 18 | $6.145,20 | 1120 / 45 | $5.385,00 | 1118 / 69 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 40 | $11.627,90 | 94 / 7 | $6.817,43 | 819 / 43 | $6.114,57 | 818 / 58 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 27 | $17.955,30 | 188 / 15 | $9.180,64 | 528 / 42 | $7.405,71 | 525 / 29 |
| Renal Failure W Mcc | 13 | 182 / 63 | $16.288,70 | 101 / 5 | $7.894,38 | 156 / 3 | $7.450,00 | 156 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 66 | $11.231,80 | 166 / 8 | $5.856,08 | 952 / 47 | $4.917,92 | 949 / 61 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 41 | $8.420,83 | 116 / 7 | $4.862,83 | 914 / 55 | $3.664,33 | 906 / 64 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 43 | $46.107,00 | 886 / 55 | $14.720,10 | 1624 / 78 | $13.477,50 | 1605 / 83 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 75 | $11.321,20 | 319 / 14 | $5.272,55 | 1824 / 72 | $4.520,45 | 1811 / 95 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 55 | $16.078,30 | 444 / 27 | $7.097,27 | 1267 / 59 | $5.947,45 | 1262 / 72 | Total 19 procedures | 363 | 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.