Hospital Costs > In Louisiana > Central Louisiana Surgical 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 | 308 | 262 / 3 | $71.287,40 | 2026 / 39 | $10.725,60 | 41 / 3 | $8.937,49 | 41 / 6 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 65 | 12 / 1 | $89.557,90 | 149 / 3 | $18.091,60 | 7 / 2 | $15.116,50 | 7 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 49 | 145 / 8 | $101.508,00 | 750 / 12 | $21.569,10 | 87 / 4 | $18.817,40 | 86 / 8 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 36 | 60 / 1 | $70.028,50 | 589 / 8 | $11.019,70 | 31 / 1 | $9.660,06 | 31 / 1 |
Cervical Spinal Fusion W/O Cc/Mcc | 35 | 69 / 5 | $62.876,60 | 498 / 12 | $11.064,30 | 38 / 1 | $9.825,89 | 38 / 5 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 18 | 51 / 2 | $69.113,10 | 273 / 6 | $12.841,70 | 16 / 1 | $11.453,70 | 16 / 1 |
O.R. Procedures For Obesity W/O Cc/Mcc | 11 | 66 / 8 | $43.233,10 | 205 / 4 | $8.391,91 | 2 / 1 | $5.368,09 | 2 / 1 | Total 7 procedures | 522 | 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.