Hospital Costs > In Ohio > Crystal Clinic Orthopaedic Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 29 | 37 / 4 | $18.057,90 | 9 / 1 | $9.980,17 | 52 / 1 | $8.969,62 | 52 / 3 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 55 | 36 / 3 | $15.889,20 | 45 / 3 | $5.951,05 | 45 / 2 | $4.501,24 | 45 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 19 | $41.230,70 | 218 / 5 | $12.062,40 | 162 / 2 | $10.837,40 | 162 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 29 | $25.528,80 | 88 / 5 | $10.621,50 | 16 / 9 | $8.607,23 | 16 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 7 | $24.507,70 | 79 / 6 | $8.455,79 | 52 / 1 | $7.416,43 | 52 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 67 | 31 / 4 | $37.301,30 | 133 / 6 | $12.705,40 | 41 / 7 | $9.829,24 | 41 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 437 | 162 / 6 | $27.629,90 | 144 / 3 | $12.469,70 | 66 / 25 | $9.131,19 | 66 / 5 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 32 | 37 / 5 | $41.442,50 | 70 / 5 | $14.213,90 | 109 / 3 | $13.077,10 | 109 / 7 |
| Revision Of Hip Or Knee Replacement W Cc | 24 | 62 / 7 | $53.008,90 | 87 / 4 | $17.590,30 | 86 / 1 | $16.769,10 | 86 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 99 | 95 / 7 | $47.065,30 | 89 / 6 | $22.435,10 | 92 / 12 | $18.908,70 | 91 / 4 | Total 10 procedures | 797 | 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.