Hospital Costs > In Oklahoma > Eastern Oklahoma Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Kidney & Urinary Tract Infections W/O Mcc | 83 | 150 / 8 | $11.017,40 | 389 / 17 | $5.205,48 | 1635 / 41 | $4.477,58 | 1624 / 49 |
| Simple Pneumonia & Pleurisy W Cc | 65 | 138 / 11 | $14.558,90 | 505 / 19 | $6.307,22 | 1431 / 40 | $5.450,11 | 1425 / 48 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 44 | 76 / 7 | $12.044,00 | 450 / 17 | $4.907,05 | 1266 / 29 | $4.027,05 | 1256 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 20 | $12.466,70 | 451 / 21 | $5.055,86 | 1577 / 40 | $4.196,43 | 1564 / 46 |
| Heart Failure & Shock W Cc | 32 | 246 / 22 | $16.036,80 | 693 / 25 | $6.496,84 | 1181 / 38 | $5.433,22 | 1178 / 33 |
| Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 7 | $9.472,23 | 216 / 5 | $4.703,68 | 1042 / 24 | $3.777,26 | 1034 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 41 | $23.842,20 | 470 / 22 | $10.898,50 | 839 / 25 | $9.979,26 | 838 / 30 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 21 | $13.469,80 | 365 / 17 | $6.030,23 | 1185 / 26 | $5.138,85 | 1181 / 35 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 29 | $17.565,60 | 524 / 19 | $7.232,36 | 1118 / 29 | $6.356,73 | 1113 / 37 |
| Heart Failure & Shock W Mcc | 22 | 262 / 25 | $23.811,00 | 652 / 19 | $9.144,36 | 1294 / 32 | $8.708,00 | 1291 / 38 |
| Cellulitis W/O Mcc | 20 | 169 / 17 | $10.460,50 | 294 / 14 | $5.602,35 | 1525 / 32 | $4.755,95 | 1518 / 38 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 16 | $12.852,00 | 497 / 20 | $4.841,44 | 1197 / 37 | $3.902,78 | 1191 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 26 | $14.189,50 | 290 / 14 | $6.753,33 | 1356 / 32 | $6.050,22 | 1351 / 39 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 21 | $13.370,70 | 355 / 7 | $5.242,00 | 893 / 24 | $4.194,53 | 890 / 24 |
| Renal Failure W Cc | 15 | 206 / 28 | $15.406,50 | 500 / 16 | $6.276,93 | 1479 / 29 | $5.718,00 | 1470 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 18 | $10.426,90 | 387 / 7 | $4.145,71 | 1052 / 16 | $2.864,36 | 1047 / 18 |
| Atherosclerosis W/O Mcc | 14 | 44 / 5 | $11.662,90 | 81 / 2 | $4.313,71 | / 7 | $3.618,86 | / |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 28 | $8.455,85 | 183 / 10 | $4.836,62 | 1428 / 39 | $3.997,23 | 1423 / 44 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 17 | $20.383,20 | 599 / 12 | $7.103,33 | 943 / 20 | $6.300,67 | 940 / 23 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 29 | $15.895,10 | 188 / 5 | $7.647,00 | 1184 / 19 | $7.207,73 | 1182 / 31 |
| Transient Ischemia | 11 | 114 / 18 | $7.451,18 | 25 / 2 | $4.782,27 | 920 / 12 | $3.900,82 | 915 / 14 | Total 21 procedures | 552 | 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.