Hospital Costs > In Indiana > Community Westview Hospital, 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 | 24 | 540 / 61 | $55.550,80 | 1530 / 41 | $15.627,80 | 1653 / 68 | $12.440,50 | 1616 / 62 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 33 | $16.736,70 | 994 / 41 | $5.962,07 | 578 / 58 | $3.389,87 | 577 / 25 |
Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 52 | $16.802,30 | 1198 / 39 | $5.143,13 | 1554 / 45 | $4.399,67 | 1543 / 57 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 15 | 501 / 63 | $34.392,90 | 1022 / 26 | $11.430,40 | 1276 / 33 | $10.589,20 | 1255 / 43 |
Heart Failure & Shock W Cc | 12 | 266 / 55 | $25.003,20 | 1666 / 60 | $7.325,08 | 211 / 67 | $4.558,08 | 211 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 46 | $19.642,80 | 1339 / 42 | $4.830,50 | 1285 / 27 | $3.957,00 | 1274 / 47 |
Rehabilitation W Cc/Mcc | 12 | 23 / 1 | $46.810,40 | 22 / 1 | $11.340,10 | 7 / 1 | $7.791,08 | 7 / 1 | Total 7 procedures | 105 | 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.