Hospital Costs > In Kentucky > Clinton County Hospital, Inc, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 9 | $12.320,20 | 108 / 3 | $6.277,09 | 592 / 10 | $5.058,36 | 588 / 10 |
Bronchitis & Asthma W/O Cc/Mcc | 16 | 29 / 2 | $7.764,25 | 26 / 1 | $4.965,38 | 208 / 2 | $3.620,75 | 208 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 30 | $7.876,82 | 135 / 6 | $4.356,82 | 1521 / 35 | $3.574,82 | 1515 / 40 |
Cellulitis W/O Mcc | 20 | 169 / 29 | $11.154,00 | 375 / 9 | $6.099,40 | 1839 / 49 | $5.217,50 | 1831 / 54 |
Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 33 | $13.324,00 | 355 / 7 | $6.572,23 | 1553 / 50 | $5.602,00 | 1547 / 52 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 41 | $20.293,30 | 747 / 28 | $7.953,77 | 1552 / 48 | $6.915,31 | 1545 / 52 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 28 | $10.508,00 | 290 / 10 | $5.305,91 | 1390 / 49 | $4.230,09 | 1379 / 51 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 36 | $12.254,70 | 425 / 10 | $5.482,64 | 1674 / 49 | $4.308,48 | 1661 / 49 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 28 | $10.262,80 | 282 / 11 | $5.013,00 | 1407 / 40 | $4.247,46 | 1396 / 41 |
Kidney & Urinary Tract Infections W/O Mcc | 49 | 184 / 22 | $9.721,43 | 269 / 5 | $5.682,59 | 1711 / 49 | $4.569,86 | 1700 / 51 |
Medical Back Problems W/O Mcc | 21 | 100 / 14 | $9.368,29 | 43 / 1 | $6.131,67 | 975 / 19 | $5.173,29 | 972 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 49 | 117 / 11 | $9.267,45 | 243 / 7 | $5.232,02 | 1704 / 53 | $4.323,37 | 1699 / 54 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 26 | $17.166,50 | 640 / 23 | $5.859,64 | 1190 / 38 | $4.774,91 | 1182 / 39 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 14 | $20.211,40 | 266 / 7 | $9.198,18 | 845 / 31 | $8.121,47 | 840 / 31 |
Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 45 | $13.997,30 | 444 / 9 | $6.870,77 | 1662 / 55 | $5.680,15 | 1655 / 57 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 23 | $10.930,30 | 304 / 8 | $5.331,18 | 1281 / 50 | $4.021,76 | 1274 / 51 |
Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 5 | $8.504,15 | 16 / 1 | $6.024,85 | 202 / 4 | $5.037,62 | 202 / 5 | Total 17 procedures | 343 | 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.