Hospital Costs > In Oklahoma > Clinton Regional Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 29 | $17.989,50 | 566 / 21 | $7.362,23 | 1123 / 36 | $6.368,77 | 1118 / 38 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 33 | $14.910,90 | 742 / 29 | $4.943,93 | 1444 / 34 | $4.082,21 | 1433 / 40 |
| Heart Failure & Shock W Mcc | 28 | 256 / 23 | $20.520,70 | 450 / 11 | $8.919,14 | 691 / 28 | $7.917,54 | 691 / 24 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 40 | $13.548,50 | 722 / 30 | $5.100,33 | 1263 / 39 | $4.136,07 | 1254 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 27 | $9.001,00 | 223 / 14 | $4.713,36 | 1038 / 35 | $3.677,93 | 1035 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 29 | 487 / 42 | $25.844,50 | 578 / 25 | $10.276,90 | 560 / 10 | $9.610,38 | 559 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 28 | $18.791,60 | 665 / 25 | $6.441,31 | 767 / 17 | $5.453,31 | 765 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 16 | $21.385,80 | 1289 / 41 | $6.325,66 | 827 / 42 | $4.933,64 | 824 / 28 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 30 | $19.250,70 | 343 / 5 | $7.859,27 | 269 / 6 | $6.969,67 | 269 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 9 | $17.924,20 | 1017 / 34 | $4.669,43 | 1049 / 30 | $3.720,86 | 1043 / 39 | Total 10 procedures | 225 | 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.