Hospital Costs > In Oklahoma > Choctaw Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 28 | 161 / 13 | $8.061,68 | 97 / 5 | $5.211,43 | 1205 / 22 | $4.433,14 | 1199 / 32 |
Chest Pain | 14 | 137 / 17 | $10.764,10 | 180 / 7 | $3.923,21 | 776 / 12 | $3.235,21 | 771 / 16 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 13 | $13.185,20 | 343 / 16 | $5.743,83 | 1085 / 19 | $5.040,72 | 1081 / 33 |
Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 19 | $16.101,10 | 400 / 14 | $7.009,45 | 929 / 21 | $6.181,37 | 924 / 28 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 14 | $11.677,70 | 415 / 15 | $4.533,46 | 840 / 16 | $3.606,61 | 835 / 18 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 52 | 223 / 15 | $8.761,71 | 138 / 12 | $4.730,69 | 1103 / 22 | $3.828,48 | 1095 / 33 |
Heart Failure & Shock W Cc | 56 | 222 / 11 | $14.131,20 | 486 / 17 | $6.065,89 | 963 / 19 | $5.266,46 | 962 / 25 |
Heart Failure & Shock W Mcc | 22 | 262 / 25 | $15.258,80 | 152 / 6 | $8.739,23 | 831 / 20 | $8.086,14 | 831 / 28 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 20 | $11.139,20 | 374 / 10 | $4.260,27 | 852 / 14 | $3.602,82 | 848 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 24 | $11.201,50 | 44 / 2 | $6.448,45 | 965 / 13 | $5.785,18 | 962 / 21 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 14 | $9.709,06 | 41 / 1 | $6.757,31 | 739 / 14 | $6.007,31 | 738 / 17 |
Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 11 | $9.095,05 | 205 / 11 | $4.828,64 | 864 / 22 | $3.867,50 | 858 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 24 | $8.862,53 | 217 / 13 | $4.464,41 | 1315 / 25 | $3.895,94 | 1311 / 41 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 19 | $13.944,70 | 347 / 6 | $5.063,33 | 553 / 11 | $4.037,00 | 551 / 9 |
Renal Failure W Cc | 16 | 205 / 27 | $10.632,50 | 131 / 5 | $5.916,38 | 942 / 18 | $5.124,38 | 934 / 24 |
Signs & Symptoms W/O Mcc | 11 | 80 / 9 | $6.511,73 | 19 / 1 | $4.421,00 | 331 / 5 | $3.434,82 | 330 / 6 |
Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 22 | $16.494,00 | 736 / 25 | $5.972,67 | 1158 / 27 | $5.200,22 | 1154 / 36 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 22 | $9.205,00 | 161 / 9 | $4.458,58 | 844 / 16 | $3.546,58 | 840 / 26 | Total 18 procedures | 472 | 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.