Hospital Costs > In Louisiana > Claiborne Memorial Medical Center, 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 | 20 | 169 / 32 | $9.986,80 | 242 / 11 | $5.515,85 | 1292 / 27 | $4.522,50 | 1286 / 35 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 34 | $15.568,50 | 569 / 12 | $6.120,91 | 1255 / 30 | $5.227,36 | 1250 / 33 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 20 | $12.834,20 | 528 / 17 | $5.082,65 | 763 / 35 | $3.542,80 | 760 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 33 | $9.052,40 | 150 / 12 | $5.076,10 | 1388 / 30 | $4.038,45 | 1377 / 35 |
| G.I. Hemorrhage W Cc | 14 | 204 / 31 | $15.498,10 | 336 / 5 | $6.402,07 | 1036 / 23 | $5.399,29 | 1034 / 27 |
| Heart Failure & Shock W Cc | 26 | 252 / 41 | $17.887,20 | 917 / 29 | $6.751,23 | 1730 / 48 | $6.039,27 | 1725 / 50 |
| Heart Failure & Shock W Mcc | 18 | 266 / 41 | $17.084,20 | 245 / 6 | $8.964,17 | 875 / 30 | $8.130,89 | 875 / 32 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 23 | $13.093,80 | 617 / 18 | $4.732,27 | 1021 / 28 | $3.755,60 | 1013 / 29 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 27 | $13.741,80 | 179 / 4 | $7.261,15 | 938 / 28 | $6.290,54 | 935 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 23 | $12.237,00 | 539 / 18 | $5.246,48 | 1541 / 36 | $4.384,96 | 1530 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 31 | $10.386,80 | 360 / 14 | $4.721,00 | 1084 / 28 | $3.708,21 | 1081 / 27 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 18 | $20.741,40 | 287 / 4 | $8.695,09 | 800 / 22 | $7.993,45 | 795 / 26 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 41 | 475 / 37 | $21.970,00 | 359 / 8 | $10.699,50 | 758 / 19 | $9.865,22 | 757 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 28 | $17.588,70 | 571 / 12 | $6.996,29 | 825 / 27 | $5.495,76 | 823 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 23 | $16.888,30 | 784 / 17 | $6.392,49 | 1590 / 37 | $5.598,87 | 1583 / 41 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 31 | $11.447,70 | 363 / 10 | $4.923,31 | 691 / 30 | $3.408,54 | 687 / 15 | Total 16 procedures | 361 | 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.