Hospital Costs > In Kentucky > Bourbon Community Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 40 | $14.306,50 | 454 / 11 | $5.969,33 | 924 / 34 | $4.891,67 | 921 / 34 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 41 | $22.907,60 | 966 / 39 | $7.969,08 | 1630 / 50 | $7.045,54 | 1622 / 55 |
Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 41 | $16.178,80 | 1101 / 32 | $5.805,85 | 1873 / 52 | $4.780,00 | 1862 / 54 |
Pulmonary Edema & Respiratory Failure | 14 | 189 / 38 | $27.946,90 | 911 / 34 | $8.227,50 | 961 / 41 | $6.873,50 | 960 / 42 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 15 | 501 / 50 | $30.211,60 | 790 / 20 | $11.558,50 | 1323 / 43 | $10.678,70 | 1300 / 49 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 42 | $18.614,10 | 983 / 36 | $7.048,11 | 1787 / 59 | $5.828,00 | 1779 / 60 | Total 6 procedures | 85 | 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.