Hospital Costs > In Ohio > Clinton Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 35 | $11.036,70 | 15 / 1 | $9.054,80 | 865 / 60 | $7.730,63 | 865 / 67 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 45 | 519 / 79 | $35.092,20 | 467 / 25 | $13.549,20 | 1130 / 60 | $11.264,50 | 1104 / 79 |
| Heart Failure & Shock W Mcc | 43 | 241 / 61 | $10.616,90 | 15 / 1 | $8.998,70 | 427 / 42 | $7.588,23 | 427 / 32 |
| Renal Failure W Cc | 37 | 184 / 51 | $7.874,24 | 15 / 2 | $6.264,65 | 852 / 60 | $5.040,62 | 845 / 57 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 83 | $19.819,70 | 261 / 14 | $12.025,90 | 1103 / 72 | $10.331,80 | 1089 / 70 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 51 | $9.267,26 | 9 / 1 | $7.892,78 | 805 / 49 | $6.713,37 | 805 / 56 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 54 | $8.257,50 | 9 / 1 | $7.263,31 | 765 / 47 | $6.021,50 | 760 / 51 |
| G.I. Hemorrhage W Cc | 25 | 193 / 54 | $10.060,80 | 46 / 2 | $6.333,32 | 683 / 46 | $5.074,48 | 682 / 49 |
| Heart Failure & Shock W Cc | 24 | 254 / 74 | $8.468,12 | 54 / 3 | $6.440,88 | 833 / 58 | $5.162,54 | 832 / 55 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 61 | $7.611,52 | 83 / 2 | $5.445,19 | 1491 / 77 | $4.343,71 | 1481 / 87 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 69 | $6.752,45 | 42 / 2 | $5.141,55 | 1130 / 66 | $3.846,65 | 1122 / 71 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 61 | $9.595,05 | 80 / 3 | $6.287,74 | 1087 / 68 | $5.041,95 | 1083 / 71 |
| Renal Failure W Mcc | 19 | 176 / 58 | $11.817,00 | 14 / 2 | $9.456,68 | 397 / 46 | $7.918,53 | 397 / 33 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 36 | $9.720,39 | 42 / 3 | $7.460,72 | 734 / 60 | $6.004,50 | 733 / 57 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 43 | $15.551,00 | 26 / 3 | $11.353,50 | 234 / 31 | $9.854,47 | 234 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 61 | $8.955,40 | 58 / 3 | $6.112,87 | 1144 / 48 | $5.189,07 | 1140 / 74 |
| Diabetes W Cc | 14 | 78 / 26 | $6.903,86 | 15 / 1 | $5.514,14 | 406 / 31 | $4.156,00 | 406 / 33 |
| Cellulitis W/O Mcc | 13 | 176 / 64 | $8.601,38 | 140 / 6 | $5.839,62 | 594 / 75 | $3.965,54 | 591 / 36 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 52 | $5.793,00 | 24 / 3 | $4.953,67 | 1031 / 71 | $3.673,00 | 1028 / 63 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 42 | $21.869,80 | 25 / 1 | $12.869,90 | 259 / 10 | $11.764,20 | 257 / 16 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 42 | $7.970,09 | 93 / 3 | $4.999,00 | 912 / 66 | $3.663,27 | 904 / 63 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 23 | $6.366,55 | 2 / 1 | $6.047,82 | 317 / 22 | $4.894,73 | 315 / 19 | Total 22 procedures | 504 | 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.