Hospital Costs > In Indiana > Daviess Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 25 | $11.948,80 | 252 / 2 | $5.891,31 | 980 / 17 | $5.061,98 | 977 / 38 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 33 | 483 / 57 | $14.870,30 | 71 / 1 | $10.460,90 | 465 / 7 | $9.458,91 | 465 / 9 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 38 | $14.287,40 | 112 / 3 | $7.324,09 | 802 / 12 | $6.709,84 | 802 / 30 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 10 | $10.126,60 | 233 / 1 | $4.365,18 | 698 / 10 | $3.415,46 | 694 / 24 |
| Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 41 | $9.850,37 | 280 / 1 | $4.798,33 | 930 / 24 | $3.905,89 | 923 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 36 | $10.608,80 | 260 / 1 | $4.728,80 | 785 / 21 | $3.615,20 | 780 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 33 | $9.053,39 | 227 / 3 | $4.442,52 | 1083 / 24 | $3.707,91 | 1080 / 40 |
| Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 45 | $17.919,40 | 261 / 6 | $8.386,05 | 702 / 13 | $7.561,32 | 702 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 47 | $16.796,10 | 462 / 9 | $7.102,38 | 1053 / 21 | $6.294,76 | 1048 / 38 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 29 | $10.075,40 | 252 / 6 | $4.965,10 | 561 / 40 | $3.374,45 | 560 / 23 |
| Renal Failure W Cc | 19 | 202 / 43 | $9.691,47 | 77 / 1 | $5.779,37 | 1022 / 13 | $5.208,42 | 1014 / 36 |
| Heart Failure & Shock W Cc | 18 | 260 / 51 | $13.233,80 | 389 / 7 | $6.128,11 | 1275 / 32 | $5.527,22 | 1271 / 48 |
| Cellulitis W/O Mcc | 17 | 172 / 37 | $10.956,60 | 354 / 4 | $5.208,47 | 1021 / 19 | $4.284,24 | 1015 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 42 | $13.176,90 | 226 / 1 | $6.314,35 | 963 / 17 | $5.630,12 | 960 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 24 | $11.491,50 | 84 / 1 | $4.722,81 | 522 / 12 | $3.662,81 | 518 / 24 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 67 | $39.611,30 | 735 / 11 | $14.781,50 | 399 / 57 | $10.165,50 | 398 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 46 | $11.691,60 | 206 / 1 | $5.789,14 | 961 / 23 | $4.927,43 | 958 / 39 |
| Heart Failure & Shock W Mcc | 14 | 270 / 53 | $12.856,30 | 72 / 1 | $8.585,29 | 743 / 8 | $7.984,14 | 743 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 38 | $13.066,80 | 79 / 2 | $6.538,08 | 736 / 21 | $5.469,77 | 735 / 33 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 18 | $8.588,83 | 70 / 1 | $3.801,08 | 376 / 7 | $2.798,42 | 376 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 36 | $15.744,40 | 142 / 4 | $7.427,83 | 665 / 21 | $6.617,17 | 662 / 28 |
| G.I. Hemorrhage W Cc | 11 | 207 / 42 | $13.448,70 | 189 / 2 | $5.783,36 | 497 / 4 | $4.907,73 | 496 / 9 | Total 22 procedures | 457 | 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.