Hospital Costs > In Utah > Castleview 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 | 47 | 517 / 21 | $57.897,80 | 1619 / 26 | $15.019,10 | 1258 / 16 | $11.491,00 | 1227 / 18 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 5 | $17.940,40 | 907 / 14 | $7.059,82 | 898 / 13 | $4.995,38 | 895 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 35 | 481 / 15 | $30.103,60 | 784 / 13 | $11.246,50 | 1140 / 5 | $10.383,40 | 1124 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 7 | $21.343,70 | 907 / 12 | $7.026,33 | 1386 / 4 | $6.099,40 | 1381 / 11 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 8 | $19.302,60 | 345 / 4 | $9.038,52 | 914 / 4 | $7.773,76 | 914 / 7 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 4 | $15.809,10 | 814 / 11 | $5.332,68 | 878 / 10 | $3.573,32 | 874 / 4 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 8 | $21.607,20 | 510 / 3 | $8.776,22 | 690 / 5 | $6.578,06 | 690 / 1 |
Heart Failure & Shock W Cc | 17 | 261 / 10 | $17.819,50 | 909 / 8 | $6.295,94 | 926 / 2 | $5.232,41 | 925 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 8 | $18.614,40 | 1227 / 14 | $4.918,19 | 1447 / 3 | $4.084,19 | 1436 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 11 | $15.883,50 | 1059 / 9 | $5.263,36 | 1271 / 3 | $4.143,36 | 1262 / 3 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 10 | $22.902,20 | 964 / 6 | $11.513,00 | 575 / 9 | $5.846,38 | 574 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 11 | $18.608,20 | 1399 / 13 | $4.841,42 | 1236 / 2 | $3.836,08 | 1232 / 4 |
Renal Failure W Cc | 12 | 209 / 15 | $17.337,40 | 711 / 8 | $6.288,75 | 1288 / 1 | $5.483,42 | 1280 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 7 | $16.676,60 | 673 / 4 | $6.150,91 | 1483 / 3 | $5.493,45 | 1477 / 6 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 6 | $55.694,40 | 549 / 6 | $15.554,30 | 753 / 2 | $14.565,20 | 745 / 5 | Total 15 procedures | 315 | 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.