Hospital Costs > In Mississippi > Clay County 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 | 19 | 170 / 22 | $11.940,50 | 462 / 16 | $6.308,16 | 1537 / 44 | $4.765,21 | 1530 / 37 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 27 | $16.876,70 | 693 / 15 | $6.459,08 | 1622 / 34 | $5.720,62 | 1615 / 40 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 31 | $13.940,90 | 249 / 5 | $7.623,60 | 1424 / 31 | $6.740,40 | 1418 / 36 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 27 | $9.023,85 | 151 / 4 | $5.402,85 | 1194 / 39 | $3.940,31 | 1185 / 29 |
| Diabetes W Cc | 19 | 73 / 17 | $10.692,30 | 107 / 3 | $6.188,00 | 921 / 25 | $4.954,68 | 917 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 25 | $15.983,70 | 869 / 25 | $5.839,09 | 1571 / 48 | $4.193,94 | 1558 / 37 |
| G.I. Hemorrhage W Cc | 12 | 206 / 27 | $12.731,80 | 145 / 2 | $6.864,75 | 1495 / 31 | $5.958,08 | 1491 / 34 |
| Heart Failure & Shock W Cc | 19 | 259 / 35 | $12.630,90 | 335 / 13 | $6.686,89 | 1585 / 42 | $5.858,26 | 1580 / 44 |
| Heart Failure & Shock W Mcc | 28 | 256 / 24 | $20.994,50 | 478 / 11 | $9.597,46 | 1551 / 35 | $9.165,46 | 1547 / 40 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 21 | $9.047,31 | 185 / 6 | $5.034,92 | 1517 / 29 | $4.478,62 | 1505 / 36 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 21 | $14.632,60 | 135 / 2 | $7.838,29 | 1015 / 27 | $5.852,21 | 1012 / 23 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 18 | $18.451,50 | 467 / 14 | $7.769,24 | 1342 / 29 | $7.131,12 | 1338 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 25 | $11.139,80 | 415 / 18 | $5.510,78 | 1605 / 41 | $4.447,64 | 1594 / 39 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 12 | $10.503,70 | 37 / 2 | $7.360,62 | 812 / 19 | $6.608,62 | 809 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 21 | $9.420,65 | 256 / 10 | $5.193,27 | 1696 / 39 | $4.313,27 | 1691 / 42 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 10 | $11.516,10 | 67 / 2 | $6.627,31 | 740 / 18 | $5.979,92 | 737 / 19 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 22 | $12.508,10 | 54 / 1 | $7.451,21 | 1020 / 15 | $6.988,07 | 1019 / 27 |
| Red Blood Cell Disorders W/O Mcc | 27 | 116 / 19 | $13.444,70 | 307 / 11 | $6.024,56 | 1193 / 35 | $4.780,15 | 1185 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 38 | $26.627,50 | 626 / 15 | $11.848,70 | 1374 / 38 | $10.774,20 | 1347 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 28 | $13.345,70 | 382 / 9 | $6.533,26 | 1677 / 38 | $5.697,09 | 1670 / 42 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 23 | $18.022,90 | 267 / 8 | $9.199,26 | 1297 / 34 | $8.306,63 | 1297 / 35 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 22 | $11.240,40 | 341 / 9 | $5.197,53 | 1419 / 33 | $4.239,67 | 1411 / 35 |
| Syncope & Collapse | 13 | 156 / 19 | $7.975,77 | 42 / 1 | $5.327,00 | 1211 / 23 | $4.406,38 | 1204 / 25 | Total 23 procedures | 432 | 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.