Hospital Costs > In Ohio > Community Hospitals And Wellness Centers, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 66 | 498 / 66 | $41.213,20 | 827 / 45 | $16.761,30 | 1777 / 109 | $12.794,80 | 1737 / 103 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 45 | $12.280,40 | 275 / 12 | $6.884,61 | 1773 / 83 | $5.822,12 | 1765 / 95 |
| Heart Failure & Shock W Cc | 27 | 251 / 72 | $12.606,40 | 331 / 23 | $7.010,89 | 1581 / 83 | $5.852,89 | 1576 / 86 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 57 | $12.361,30 | 268 / 18 | $6.545,25 | 1529 / 76 | $5.561,25 | 1523 / 87 |
| G.I. Hemorrhage W Cc | 21 | 197 / 57 | $15.072,00 | 313 / 17 | $7.017,62 | 1524 / 76 | $6.003,43 | 1520 / 86 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 20 | 496 / 88 | $16.542,40 | 115 / 5 | $12.890,00 | 1784 / 85 | $11.697,50 | 1749 / 92 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 35 | $31.211,50 | 265 / 20 | $13.879,70 | 1483 / 76 | $12.696,30 | 1465 / 78 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 62 | $11.226,30 | 85 / 4 | $8.214,71 | 1678 / 80 | $7.158,59 | 1670 / 89 |
| Heart Failure & Shock W Mcc | 15 | 269 / 79 | $16.278,50 | 211 / 11 | $10.397,20 | 1721 / 83 | $9.520,67 | 1716 / 91 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 43 | $16.168,10 | 77 / 4 | $12.615,40 | 914 / 64 | $10.042,90 | 913 / 57 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 54 | $10.649,00 | 79 / 4 | $7.451,08 | 1654 / 65 | $6.504,15 | 1647 / 84 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 52 | $11.427,50 | 200 / 14 | $5.867,50 | 771 / 75 | $4.087,75 | 768 / 53 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 74 | $8.235,42 | 106 / 3 | $5.213,42 | 1125 / 70 | $3.842,17 | 1117 / 70 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 34 | $9.084,58 | 188 / 9 | $4.737,58 | 1108 / 56 | $3.851,42 | 1099 / 65 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 69 | $11.228,50 | 425 / 26 | $5.462,00 | 1245 / 78 | $4.119,33 | 1236 / 74 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 17 | $43.524,80 | 82 / 6 | $18.794,20 | 374 / 18 | $17.613,50 | 374 / 22 |
| Renal Failure W Cc | 11 | 210 / 66 | $11.132,10 | 154 / 9 | $6.766,45 | 1574 / 73 | $5.877,55 | 1565 / 86 | Total 17 procedures | 339 | 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.