Hospital Costs > In Kentucky > Crittenden Health System, 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 Mcc | 18 | 184 / 38 | $13.554,50 | 222 / 4 | $6.983,00 | 347 / 18 | $5.607,56 | 346 / 11 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 35 | $9.565,07 | 199 / 5 | $4.387,29 | 534 / 13 | $3.354,71 | 533 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 34 | $10.387,00 | 242 / 4 | $4.527,48 | 670 / 13 | $3.545,48 | 666 / 20 |
| G.I. Hemorrhage W Cc | 14 | 204 / 38 | $17.265,10 | 509 / 11 | $5.938,79 | 790 / 15 | $5.172,29 | 788 / 30 |
| Heart Failure & Shock W Cc | 13 | 265 / 42 | $10.708,90 | 166 / 4 | $5.875,54 | 812 / 17 | $5.150,54 | 811 / 27 |
| Heart Failure & Shock W Mcc | 11 | 273 / 46 | $16.158,00 | 204 / 5 | $8.683,91 | 712 / 19 | $7.943,36 | 712 / 27 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 26 | $9.484,67 | 218 / 7 | $4.130,13 | 846 / 11 | $3.593,80 | 842 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 28 | $8.399,47 | 178 / 5 | $4.258,05 | 653 / 12 | $3.421,58 | 651 / 19 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 40 | $17.929,50 | 283 / 5 | $7.266,67 | 594 / 18 | $6.443,83 | 594 / 24 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 25 | $16.662,30 | 41 / 1 | $10.731,50 | 168 / 8 | $9.630,27 | 168 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 20 | 496 / 47 | $17.774,70 | 163 / 1 | $10.780,40 | 800 / 25 | $9.920,05 | 799 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 29 | $9.795,56 | 59 / 1 | $6.376,06 | 595 / 16 | $5.312,31 | 593 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 41 | $10.980,50 | 174 / 2 | $5.803,37 | 656 / 15 | $4.780,89 | 653 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 39 | $18.655,80 | 303 / 6 | $8.446,17 | 789 / 16 | $7.643,25 | 789 / 28 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 24 | $9.906,56 | 206 / 4 | $4.316,75 | 370 / 16 | $3.108,50 | 368 / 12 |
| Syncope & Collapse | 15 | 154 / 26 | $8.141,20 | 49 / 2 | $4.380,80 | 388 / 7 | $3.435,47 | 386 / 11 | Total 16 procedures | 254 | 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.