Hospital Costs > In Oklahoma > Duncan Regional Hospital, Inc, 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 | 17 | 144 / 19 | $17.212,80 | 777 / 17 | $4.319,47 | 200 / 4 | $3.470,53 | 200 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 14 | $28.669,90 | 895 / 14 | $6.635,33 | 153 / 4 | $5.752,13 | 153 / 6 |
| Cellulitis W/O Mcc | 24 | 165 / 15 | $16.161,60 | 1017 / 27 | $4.618,96 | 274 / 6 | $3.657,62 | 272 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 11 | $17.854,00 | 789 / 26 | $5.270,71 | 292 / 9 | $4.307,39 | 291 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 26 | $18.274,60 | 587 / 22 | $6.418,33 | 415 / 5 | $5.701,30 | 414 / 12 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 15 | $12.588,30 | 505 / 19 | $3.919,00 | 116 / 1 | $2.856,33 | 116 / 2 |
| Diabetes W Cc | 11 | 81 / 16 | $11.248,50 | 124 / 1 | $4.519,82 | 72 / 1 | $3.536,55 | 72 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 27 | $15.835,30 | 855 / 30 | $4.067,26 | 207 / 3 | $3.125,35 | 207 / 7 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 7 | $10.614,00 | 102 / 1 | $3.897,91 | 157 / 1 | $3.127,00 | 158 / 3 |
| G.I. Hemorrhage W Cc | 31 | 187 / 18 | $16.280,50 | 419 / 11 | $5.521,97 | 105 / 4 | $4.374,35 | 105 / 4 |
| Heart Failure & Shock W Cc | 28 | 250 / 26 | $14.775,60 | 554 / 19 | $5.441,82 | 369 / 6 | $4.750,39 | 369 / 11 |
| Heart Failure & Shock W Mcc | 20 | 264 / 27 | $22.490,40 | 564 / 15 | $8.220,35 | 317 / 9 | $7.437,95 | 317 / 10 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 14 | $14.011,40 | 725 / 20 | $3.715,18 | 75 / 5 | $2.715,65 | 74 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 13 | $39.332,50 | 603 / 13 | $10.796,60 | 339 / 8 | $9.810,45 | 338 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 16 | $20.065,70 | 480 / 11 | $5.894,20 | 376 / 3 | $5.073,72 | 375 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 17 | $17.034,40 | 366 / 7 | $6.185,25 | 270 / 3 | $5.377,25 | 270 / 5 |
| Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 12 | $13.994,00 | 798 / 33 | $4.227,40 | 233 / 5 | $3.344,33 | 233 / 10 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 10 | $69.974,30 | 256 / 5 | $19.470,30 | 268 / 5 | $18.341,70 | 268 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 159 | 405 / 15 | $50.658,90 | 1322 / 26 | $12.343,40 | 419 / 17 | $10.205,00 | 417 / 15 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 13 | $68.030,30 | 115 / 2 | $29.025,70 | 76 / 4 | $24.583,90 | 76 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 18 | $12.332,80 | 587 / 26 | $3.946,08 | 147 / 5 | $2.918,52 | 147 / 5 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $14.699,60 | 285 / 6 | $3.806,35 | 27 / 3 | $2.531,82 | 27 / 1 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 19 | $20.502,40 | 436 / 12 | $6.787,39 | 76 / 3 | $5.608,17 | 76 / 4 |
| Renal Failure W Cc | 15 | 206 / 28 | $13.682,50 | 356 / 11 | $5.582,47 | 54 / 9 | $4.061,53 | 54 / 3 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 13 | $20.755,40 | 288 / 5 | $7.607,00 | 312 / 3 | $7.001,67 | 310 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 25 | $40.664,30 | 346 / 10 | $12.492,60 | 244 / 8 | $11.721,70 | 242 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 126 | 390 / 20 | $26.739,40 | 637 / 28 | $10.318,80 | 371 / 12 | $9.299,34 | 371 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 11 | $20.793,40 | 860 / 30 | $5.867,70 | 296 / 4 | $4.987,70 | 295 / 8 |
| Simple Pneumonia & Pleurisy W Cc | 78 | 125 / 7 | $19.012,80 | 1029 / 34 | $5.559,17 | 151 / 13 | $4.230,36 | 151 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 24 | $22.239,90 | 523 / 9 | $7.966,50 | 362 / 8 | $7.130,81 | 362 / 14 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 14 | $12.809,20 | 492 / 19 | $4.112,10 | 51 / 8 | $2.580,29 | 51 / 2 | Total 31 procedures | 1.010 | 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.