Hospital Costs > In Kentucky > Clark Regional Medical Center, 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 | 39 | 525 / 30 | $46.202,50 | 1097 / 23 | $12.587,10 | 773 / 21 | $10.725,70 | 762 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 35 | 481 / 38 | $29.536,30 | 760 / 19 | $10.481,90 | 380 / 16 | $9.315,57 | 380 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 35 | $16.876,40 | 782 / 23 | $6.227,86 | 737 / 41 | $4.848,66 | 734 / 27 |
| Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 32 | $18.327,50 | 281 / 5 | $8.646,77 | 698 / 25 | $7.555,58 | 698 / 23 |
| Pulmonary Edema & Respiratory Failure | 30 | 173 / 29 | $17.419,10 | 250 / 4 | $7.543,70 | 756 / 25 | $6.656,90 | 756 / 33 |
| Renal Failure W Mcc | 25 | 170 / 27 | $21.752,80 | 306 / 12 | $8.892,16 | 563 / 12 | $8.145,88 | 563 / 22 |
| Renal Failure W Cc | 22 | 199 / 34 | $20.205,90 | 1000 / 34 | $6.170,32 | 429 / 26 | $4.678,14 | 426 / 12 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 37 | $16.277,50 | 411 / 13 | $7.101,62 | 650 / 24 | $5.925,24 | 646 / 25 |
| Heart Failure & Shock W Mcc | 20 | 264 / 40 | $22.879,20 | 594 / 17 | $9.041,45 | 944 / 31 | $8.212,90 | 943 / 40 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 38 | $21.384,30 | 1715 / 50 | $6.584,70 | 2002 / 58 | $5.004,85 | 1991 / 57 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 28 | $16.005,50 | 625 / 23 | $5.144,37 | 911 / 22 | $4.205,05 | 908 / 27 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 17 | $20.383,60 | 297 / 7 | $6.522,59 | 367 / 13 | $5.258,47 | 366 / 12 |
| Heart Failure & Shock W Cc | 16 | 262 / 40 | $18.231,10 | 956 / 26 | $6.267,12 | 1325 / 33 | $5.570,56 | 1321 / 45 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 43 | $15.860,10 | 858 / 29 | $4.835,67 | 768 / 27 | $3.607,07 | 763 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 27 | $10.328,80 | 378 / 12 | $4.211,07 | 755 / 34 | $2.631,14 | 751 / 20 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 23 | $16.338,90 | 566 / 21 | $5.177,79 | 737 / 25 | $4.222,64 | 732 / 24 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 26 | $11.448,00 | 364 / 9 | $4.652,07 | 695 / 31 | $3.410,64 | 691 / 27 |
| Cellulitis W/O Mcc | 13 | 176 / 36 | $15.382,50 | 904 / 31 | $5.500,69 | 1182 / 35 | $4.415,69 | 1176 / 41 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 39 | $11.388,40 | 176 / 2 | $5.954,85 | 1065 / 32 | $5.024,77 | 1061 / 41 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 33 | $15.047,60 | 959 / 43 | $4.794,67 | 1181 / 39 | $3.796,67 | 1178 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 24 | $17.598,60 | 222 / 4 | $7.232,75 | 410 / 10 | $6.235,50 | 408 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 29 | $11.349,30 | 394 / 14 | $4.520,92 | 768 / 25 | $3.526,50 | 764 / 23 | Total 22 procedures | 449 | 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.