Hospital Costs > In Oklahoma > Craig General Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 25 | $10.288,30 | 125 / 2 | $4.919,00 | 509 / 18 | $3.825,18 | 507 / 15 |
Cellulitis W/O Mcc | 28 | 161 / 13 | $7.361,11 | 61 / 3 | $5.160,00 | 743 / 21 | $4.082,29 | 739 / 23 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 24 | $13.123,40 | 334 / 15 | $5.759,10 | 839 / 20 | $4.834,14 | 836 / 25 |
Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 21 | $11.153,60 | 82 / 8 | $6.977,97 | 733 / 18 | $5.997,32 | 728 / 21 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 15 | $8.239,62 | 106 / 5 | $4.400,08 | 890 / 9 | $3.645,42 | 883 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 22 | $8.032,38 | 96 / 10 | $4.584,31 | 875 / 15 | $3.677,31 | 870 / 24 |
G.I. Hemorrhage W Cc | 11 | 207 / 27 | $9.901,36 | 43 / 3 | $5.993,45 | 724 / 14 | $5.112,00 | 723 / 20 |
Heart Failure & Shock W Cc | 13 | 265 / 36 | $8.102,08 | 44 / 4 | $6.013,69 | 965 / 18 | $5.267,85 | 964 / 26 |
Heart Failure & Shock W Mcc | 18 | 266 / 28 | $11.881,90 | 46 / 4 | $8.654,83 | 579 / 18 | $7.785,50 | 579 / 21 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 27 | $7.744,25 | 97 / 8 | $4.764,46 | 729 / 21 | $3.773,61 | 724 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 21 | $6.356,05 | 47 / 5 | $4.358,38 | 971 / 20 | $3.636,10 | 968 / 30 |
Renal Failure W Cc | 11 | 210 / 31 | $7.515,55 | 10 / 1 | $5.618,82 | 483 / 11 | $4.734,45 | 479 / 14 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 10 | $16.198,20 | 135 / 2 | $8.399,07 | 777 / 12 | $7.916,93 | 772 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 24 | 492 / 44 | $11.071,40 | 14 / 5 | $10.552,00 | 745 / 19 | $9.844,00 | 744 / 29 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 23 | $8.889,43 | 33 / 8 | $6.400,76 | 593 / 14 | $5.309,71 | 591 / 17 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 20 | $12.161,60 | 264 / 12 | $5.923,28 | 1093 / 25 | $5.152,00 | 1089 / 34 |
Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 31 | $11.431,70 | 23 / 1 | $8.259,15 | 747 / 15 | $7.604,38 | 747 / 20 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 22 | $8.759,33 | 127 / 7 | $4.418,75 | 595 / 14 | $3.312,08 | 593 / 18 | Total 18 procedures | 376 | 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.