Hospital Costs > In Oklahoma > Elkview General Hospital, 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 | 31 | 485 / 41 | $10.120,20 | 10 / 4 | $11.034,60 | 1116 / 32 | $10.344,80 | 1100 / 39 |
| Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 26 | $7.459,03 | 70 / 6 | $4.911,07 | 1125 / 28 | $4.037,28 | 1117 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 25 | $5.946,70 | 16 / 4 | $4.743,52 | 1095 / 24 | $3.821,00 | 1087 / 32 |
| Heart Failure & Shock W Cc | 24 | 254 / 27 | $7.506,92 | 18 / 2 | $6.070,29 | 877 / 20 | $5.191,88 | 876 / 22 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 25 | $6.597,10 | 6 / 3 | $5.854,60 | 502 / 22 | $4.546,95 | 500 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 25 | $8.328,00 | 24 / 7 | $6.535,58 | 1064 / 22 | $5.720,42 | 1061 / 29 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 21 | $6.540,72 | 26 / 4 | $4.594,94 | 928 / 20 | $3.674,50 | 920 / 26 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 41 | $8.828,00 | 52 / 6 | $5.899,59 | 798 / 23 | $4.906,18 | 795 / 26 |
| Heart Failure & Shock W Mcc | 13 | 271 / 32 | $9.158,23 | 9 / 2 | $8.868,00 | 1110 / 25 | $8.440,92 | 1107 / 34 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 37 | $7.026,17 | 3 / 2 | $6.978,08 | 377 / 19 | $5.652,25 | 376 / 10 | Total 10 procedures | 210 | 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.