Hospital Costs > In Oklahoma > Eastar Health System, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 155 | 361 / 15 | $35.718,40 | 1088 / 37 | $10.103,60 | 201 / 7 | $8.935,59 | 201 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 127 | 437 / 18 | $34.012,20 | 395 / 9 | $11.799,70 | 463 / 11 | $10.260,10 | 460 / 17 |
| Chronic Obstructive Pulmonary Disease W Mcc | 118 | 84 / 3 | $25.088,60 | 1131 / 34 | $6.659,86 | 396 / 10 | $5.676,73 | 395 / 11 |
| Heart Failure & Shock W Cc | 97 | 181 / 8 | $18.576,80 | 1002 / 29 | $5.773,58 | 636 / 13 | $5.015,97 | 635 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 90 | 113 / 5 | $22.948,40 | 1447 / 46 | $5.605,62 | 638 / 15 | $4.766,51 | 635 / 24 |
| Chronic Obstructive Pulmonary Disease W Cc | 86 | 93 / 5 | $21.222,20 | 1136 / 30 | $5.488,45 | 596 / 13 | $4.633,20 | 594 / 19 |
| Renal Failure W Cc | 84 | 137 / 8 | $21.496,90 | 1120 / 25 | $5.802,11 | 699 / 17 | $4.915,08 | 692 / 18 |
| Simple Pneumonia & Pleurisy W Mcc | 82 | 123 / 6 | $32.725,60 | 1207 / 22 | $8.250,71 | 228 / 14 | $6.883,17 | 228 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 10 | $18.753,00 | 1244 / 39 | $4.449,49 | 442 / 13 | $3.354,95 | 440 / 12 |
| Heart Failure & Shock W Mcc | 71 | 213 / 8 | $30.026,10 | 1084 / 28 | $8.513,49 | 513 / 15 | $7.705,94 | 513 / 19 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 62 | 58 / 3 | $15.169,10 | 799 / 24 | $4.408,79 | 549 / 10 | $3.366,29 | 548 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 6 | $24.882,90 | 1243 / 37 | $6.205,25 | 508 / 10 | $5.213,61 | 506 / 13 |
| Renal Failure W Mcc | 58 | 137 / 9 | $27.450,00 | 606 / 12 | $8.287,78 | 152 / 4 | $7.445,45 | 152 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 56 | 105 / 6 | $18.071,30 | 857 / 19 | $4.709,46 | 369 / 13 | $3.695,18 | 369 / 13 |
| G.I. Hemorrhage W Cc | 52 | 166 / 8 | $26.059,20 | 1292 / 23 | $5.807,62 | 310 / 10 | $4.719,29 | 310 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 13 | $16.638,20 | 1168 / 40 | $4.975,75 | 231 / 31 | $3.343,31 | 231 / 9 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 49 | 43 / 3 | $76.732,00 | 73 / 2 | $27.182,40 | 4 / 1 | $25.321,10 | 4 / 1 |
| Red Blood Cell Disorders W/O Mcc | 44 | 99 / 5 | $18.059,70 | 721 / 14 | $4.785,59 | 484 / 5 | $3.968,50 | 483 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 10 | $24.378,50 | 751 / 18 | $6.131,33 | 440 / 7 | $5.150,72 | 439 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 10 | $15.808,40 | 1062 / 35 | $4.227,57 | 322 / 15 | $3.160,90 | 322 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 6 | $12.947,70 | 704 / 10 | $3.539,33 | 588 / 8 | $2.508,12 | 584 / 13 |
| Chest Pain | 39 | 112 / 6 | $16.954,10 | 688 / 14 | $3.750,54 | 314 / 7 | $2.698,82 | 313 / 8 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 39 | 32 / 3 | $77.902,00 | 103 / 1 | $26.294,30 | 41 / 2 | $24.868,00 | 41 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 38 | 150 / 13 | $29.421,10 | 485 / 8 | $6.257,50 | 206 / 10 | $4.987,66 | 206 / 6 |
| Cellulitis W/O Mcc | 37 | 152 / 9 | $17.339,40 | 1163 / 31 | $4.977,46 | 599 / 15 | $3.972,05 | 596 / 17 |
| Syncope & Collapse | 37 | 132 / 8 | $15.923,60 | 475 / 6 | $4.398,49 | 313 / 5 | $3.355,46 | 311 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 8 | $37.611,70 | 727 / 12 | $9.358,22 | 345 / 4 | $8.650,67 | 345 / 7 |
| Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 5 | $13.887,00 | 716 / 19 | $4.132,65 | 514 / 10 | $3.317,59 | 512 / 14 |
| Transient Ischemia | 32 | 93 / 10 | $19.555,10 | 631 / 9 | $4.252,34 | 400 / 4 | $3.269,34 | 399 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 14 | $39.967,30 | 327 / 9 | $12.843,80 | 178 / 10 | $11.486,30 | 178 / 9 |
| Renal Failure W/O Cc/Mcc | 31 | 25 / 3 | $15.626,50 | 400 / 6 | $3.868,00 | 272 / 1 | $3.086,58 | 271 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 8 | $15.259,40 | 760 / 28 | $4.276,17 | 638 / 12 | $3.354,79 | 635 / 19 |
| Seizures W/O Mcc | 27 | 81 / 6 | $19.313,40 | 512 / 6 | $4.572,22 | 234 / 3 | $3.631,19 | 233 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 10 | $24.512,00 | 887 / 17 | $6.195,96 | 281 / 4 | $5.394,12 | 280 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 11 | $76.830,90 | 229 / 4 | $25.581,30 | 15 / 1 | $22.254,60 | 15 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 9 | $25.678,30 | 697 / 11 | $6.869,69 | 140 / 9 | $5.724,19 | 140 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 11 | $38.989,60 | 662 / 8 | $9.220,72 | 137 / 1 | $8.258,16 | 136 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 18 | $32.753,80 | 325 / 7 | $10.749,00 | 256 / 7 | $9.636,68 | 255 / 11 |
| Pulmonary Edema & Respiratory Failure | 25 | 178 / 18 | $29.361,10 | 1006 / 26 | $7.681,24 | 98 / 25 | $5.674,28 | 98 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 15 | $66.622,60 | 608 / 12 | $11.477,40 | 347 / 3 | $10.264,00 | 347 / 7 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 7 | $91.274,00 | 305 / 6 | $26.333,90 | 132 / 2 | $25.547,90 | 132 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 8 | $29.081,40 | 702 / 9 | $5.863,04 | 166 / 4 | $4.865,48 | 166 / 3 |
| G.I. Obstruction W Cc | 21 | 71 / 10 | $21.991,90 | 800 / 10 | $5.297,76 | 210 / 7 | $4.068,95 | 209 / 5 |
| Respiratory Infections & Inflammations W Cc | 19 | 69 / 7 | $28.423,60 | 622 / 11 | $7.613,84 | 338 / 4 | $7.046,26 | 335 / 8 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 8 | $32.930,90 | 531 / 7 | $8.380,62 | 543 / 10 | $7.628,62 | 541 / 10 |
| Respiratory Infections & Inflammations W Mcc | 16 | 120 / 17 | $40.069,90 | 789 / 10 | $10.973,40 | 173 / 7 | $9.651,38 | 173 / 4 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 16 | 48 / 8 | $135.182,00 | 40 / 1 | $52.129,10 | 72 / 2 | $50.862,10 | 72 / 2 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 16 | 30 / 1 | $16.214,60 | 27 / 1 | $5.783,50 | 48 / 2 | $4.649,50 | 48 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 11 | $24.010,90 | 201 / 4 | $9.491,40 | 64 / 9 | $6.614,33 | 64 / 3 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 10 | $13.451,60 | 239 / 4 | $3.911,00 | 91 / 5 | $2.874,20 | 91 / 5 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 11 | $29.365,60 | 307 / 3 | $9.775,93 | 179 / 4 | $8.805,27 | 179 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 14 | $27.659,80 | 841 / 12 | $6.244,67 | 330 / 5 | $5.758,27 | 327 / 8 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 9 | $29.292,60 | 177 / 3 | $9.742,50 | 63 / 8 | $7.490,86 | 63 / 1 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 7 | $21.570,70 | 349 / 6 | $5.230,79 | 42 / 7 | $3.022,14 | 42 / 3 |
| Diabetes W Cc | 14 | 78 / 14 | $20.872,00 | 755 / 12 | $4.925,93 | 287 / 8 | $3.977,36 | 287 / 7 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 8 | $12.514,30 | 202 / 4 | $4.267,46 | 50 / 3 | $2.813,85 | 50 / 1 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 10 | $41.125,50 | 512 / 6 | $9.869,38 | 51 / 1 | $8.802,31 | 51 / 2 |
| Diabetes W Mcc | 13 | 44 / 6 | $30.319,50 | 285 / 2 | $7.808,38 | 130 / 1 | $7.161,00 | 130 / 2 |
| Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 7 | $21.302,50 | 432 / 3 | $5.568,77 | 51 / 4 | $3.638,00 | 51 / 2 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 13 | $41.416,10 | 224 / 4 | $13.719,90 | 279 / 4 | $12.789,50 | 277 / 8 |
| Seizures W Mcc | 13 | 53 / 6 | $29.639,50 | 160 / 2 | $8.513,77 | 60 / 1 | $7.393,77 | 60 / 2 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 8 | $21.178,20 | 469 / 3 | $5.477,23 | 332 / 1 | $4.916,00 | 329 / 4 |
| Atherosclerosis W/O Mcc | 12 | 46 / 6 | $19.918,50 | 305 / 5 | $3.941,00 | / 3 | $2.566,33 | / |
| O.R. Procedures For Obesity W/O Cc/Mcc | 12 | 65 / 4 | $36.006,70 | 143 / 2 | $8.820,00 | 67 / 1 | $7.606,67 | 67 / 2 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 8 | $23.435,80 | 25 / 2 | $10.409,00 | 81 / 5 | $9.209,00 | 81 / 6 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 11 | $18.977,60 | 359 / 4 | $5.456,18 | 126 / 4 | $4.472,91 | 126 / 4 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 12 | $16.408,50 | 49 / 1 | $6.294,82 | 198 / 6 | $5.198,09 | 198 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 13 | $18.518,40 | 472 / 7 | $4.429,55 | 356 / 3 | $3.440,45 | 353 / 8 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 7 | $25.472,60 | 51 / 2 | $8.449,64 | 157 / 2 | $7.574,00 | 157 / 6 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 12 | $20.996,20 | 440 / 5 | $5.776,45 | 239 / 5 | $4.682,64 | 239 / 4 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 5 | $14.579,50 | 177 / 2 | $4.553,91 | 50 / 2 | $3.057,55 | 50 / 1 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 5 | $20.182,70 | 61 / 1 | $6.800,64 | 128 / 1 | $6.474,82 | 128 / 3 | Total 72 procedures | 2.587 | 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.