Hospital Costs > In Colorado > Colorado Plains Medical Center, 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 Cc | 14 | 165 / 14 | $23.943,10 | 1380 / 7 | $9.097,36 | 1639 / 19 | $5.739,43 | 1632 / 17 |
Heart Failure & Shock W Cc | 18 | 260 / 22 | $19.280,60 | 1088 / 8 | $7.631,72 | 2213 / 31 | $7.027,28 | 2207 / 34 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 38 | 526 / 36 | $83.823,20 | 2273 / 37 | $16.600,30 | 2314 / 35 | $15.454,20 | 2269 / 40 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 19 | $17.496,50 | 1264 / 8 | $5.400,80 | 1907 / 19 | $4.677,60 | 1901 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 22 | 494 / 34 | $28.969,00 | 735 / 7 | $14.069,80 | 2226 / 32 | $13.245,10 | 2186 / 34 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 24 | $23.921,40 | 1537 / 14 | $7.534,73 | 2149 / 28 | $6.483,00 | 2141 / 30 | Total 6 procedures | 122 | 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.