Hospital Costs > In Oklahoma > Community Hospital, Llc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Spinal Fusion Except Cervical W/O Mcc | 101 | 93 / 4 | $86.744,30 | 598 / 10 | $22.868,00 | 74 / 10 | $18.571,20 | 73 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 94 | 470 / 24 | $53.189,30 | 1430 / 29 | $11.663,50 | 224 / 8 | $9.781,69 | 224 / 11 |
| Rehabilitation W/O Cc/Mcc | 60 | 15 / 1 | $9.375,03 | 1 / 1 | $4.858,87 | 1 / 1 | $3.854,20 | 1 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 41 | 55 / 1 | $54.642,90 | 413 / 9 | $11.838,00 | 80 / 4 | $10.284,90 | 80 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 36 | 68 / 4 | $45.855,30 | 282 / 8 | $11.925,70 | 41 / 5 | $9.860,44 | 41 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 18 | 71 / 8 | $37.380,90 | 421 / 9 | $5.736,00 | 76 / 2 | $4.662,22 | 76 / 4 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 5 | $56.451,20 | 325 / 8 | $11.830,20 | 36 / 7 | $8.702,76 | 36 / 4 |
| Rehabilitation W Cc/Mcc | 16 | 22 / 1 | $20.309,70 | 10 / 1 | $6.173,25 | 1 / 1 | $4.326,88 | 1 / 1 | Total 8 procedures | 383 | 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.