Hospital Costs > In Kentucky > Ephraim Mcdowell Regional Medical Center, 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 | 138 | 378 / 23 | $32.276,10 | 901 / 25 | $11.048,50 | 835 / 29 | $9.966,60 | 834 / 35 |
| Heart Failure & Shock W Mcc | 120 | 164 / 10 | $22.265,50 | 551 / 15 | $8.499,03 | 466 / 14 | $7.639,41 | 466 / 18 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 103 | 461 / 17 | $35.046,80 | 464 / 5 | $13.063,80 | 561 / 29 | $10.415,70 | 556 / 13 |
| Simple Pneumonia & Pleurisy W Mcc | 101 | 104 / 11 | $24.015,60 | 634 / 19 | $8.615,09 | 572 / 24 | $7.408,05 | 572 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 82 | 121 / 12 | $15.005,70 | 565 / 14 | $5.921,15 | 651 / 21 | $4.778,26 | 648 / 23 |
| Renal Failure W Cc | 72 | 149 / 15 | $17.046,50 | 671 / 19 | $5.904,78 | 693 / 16 | $4.910,64 | 686 / 21 |
| Psychoses | 60 | 221 / 12 | $11.717,10 | 109 / 7 | $6.181,40 | 69 / 3 | $4.923,13 | 69 / 3 |
| Renal Failure W Mcc | 57 | 138 / 14 | $26.888,10 | 570 / 21 | $9.202,54 | 463 / 22 | $8.019,18 | 463 / 19 |
| Pulmonary Edema & Respiratory Failure | 57 | 146 / 20 | $26.728,10 | 841 / 30 | $7.849,32 | 477 / 34 | $6.314,07 | 477 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 57 | 145 / 20 | $15.499,80 | 352 / 10 | $6.769,07 | 713 / 12 | $5.982,72 | 708 / 30 |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 19 | $14.965,20 | 509 / 16 | $5.581,10 | 753 / 11 | $4.758,57 | 751 / 26 |
| Heart Failure & Shock W Cc | 49 | 229 / 22 | $13.215,10 | 387 / 7 | $5.930,08 | 762 / 19 | $5.113,51 | 761 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 49 | 226 / 24 | $12.870,20 | 491 / 12 | $4.636,25 | 798 / 19 | $3.628,45 | 793 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 23 | $12.787,70 | 621 / 13 | $4.886,28 | 524 / 25 | $3.636,13 | 523 / 19 |
| G.I. Hemorrhage W Cc | 44 | 174 / 18 | $13.444,00 | 187 / 4 | $5.926,11 | 442 / 13 | $4.859,61 | 441 / 16 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 42 | 154 / 18 | $55.788,00 | 362 / 9 | $11.629,10 | 426 / 2 | $10.468,50 | 425 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 42 | 83 / 10 | $26.168,80 | 317 / 9 | $9.126,57 | 203 / 7 | $8.310,05 | 203 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 42 | 89 / 14 | $49.946,30 | 614 / 26 | $14.012,90 | 708 / 21 | $12.992,90 | 700 / 25 |
| Respiratory Infections & Inflammations W Mcc | 38 | 98 / 11 | $25.741,70 | 258 / 6 | $10.953,60 | 259 / 11 | $9.926,34 | 259 / 12 |
| Red Blood Cell Disorders W Mcc | 34 | 37 / 2 | $18.845,30 | 131 / 4 | $8.563,09 | 176 / 15 | $6.432,15 | 176 / 8 |
| Cellulitis W/O Mcc | 33 | 156 / 21 | $12.902,60 | 572 / 19 | $5.169,21 | 689 / 15 | $4.037,64 | 685 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 19 | $8.331,39 | 173 / 4 | $4.326,21 | 638 / 15 | $3.408,94 | 636 / 18 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 15 | $28.274,00 | 174 / 1 | $11.188,70 | 507 / 15 | $10.073,80 | 506 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 15 | $21.806,50 | 442 / 12 | $8.564,94 | 347 / 29 | $6.130,71 | 346 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 12 | $15.591,60 | 174 / 5 | $6.550,61 | 447 / 8 | $5.954,68 | 444 / 13 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 23 | $14.145,40 | 680 / 29 | $4.511,83 | 641 / 19 | $3.436,86 | 640 / 25 |
| Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 14 | $20.515,20 | 604 / 17 | $6.693,31 | 392 / 15 | $5.556,07 | 391 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 22 | $17.754,30 | 587 / 13 | $6.449,62 | 789 / 21 | $5.465,79 | 787 / 23 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 27 | 161 / 19 | $27.207,60 | 386 / 11 | $6.338,78 | 418 / 5 | $5.327,74 | 416 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 22 | $13.754,30 | 397 / 11 | $4.902,78 | 590 / 16 | $3.901,67 | 588 / 19 |
| G.I. Hemorrhage W Mcc | 26 | 95 / 14 | $28.915,50 | 293 / 7 | $10.160,10 | 356 / 8 | $9.293,65 | 356 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 17 | $14.887,70 | 841 / 32 | $4.247,52 | 708 / 16 | $3.478,80 | 704 / 18 |
| Hip & Femur Procedures Except Major Joint W Mcc | 25 | 37 / 5 | $44.251,10 | 81 / 3 | $16.775,20 | 152 / 3 | $15.512,30 | 152 / 5 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 18 | $13.059,70 | 281 / 8 | $4.967,14 | 655 / 17 | $4.145,86 | 651 / 19 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 21 | 44 / 9 | $56.778,80 | 204 / 8 | $20.689,50 | 303 / 15 | $17.616,00 | 301 / 14 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 7 | $20.437,80 | 403 / 5 | $7.229,15 | 331 / 12 | $4.862,85 | 331 / 6 |
| Syncope & Collapse | 20 | 149 / 23 | $15.668,80 | 457 / 15 | $4.543,90 | 554 / 13 | $3.603,10 | 551 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 16 | $18.489,50 | 236 / 5 | $5.686,11 | 52 / 2 | $4.512,00 | 52 / 1 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 19 | 28 / 2 | $85.824,70 | 16 / 1 | $34.552,30 | 37 / 1 | $33.234,60 | 37 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 23 | $11.384,10 | 509 / 15 | $3.600,50 | 705 / 13 | $2.589,72 | 701 / 16 |
| Respiratory Neoplasms W Mcc | 18 | 34 / 6 | $28.048,10 | 94 / 2 | $9.964,72 | 116 / 2 | $8.985,61 | 116 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 11 | $79.181,60 | 109 / 6 | $27.477,60 | 87 / 3 | $26.209,90 | 87 / 4 |
| Respiratory Infections & Inflammations W Cc | 18 | 70 / 13 | $27.355,70 | 584 / 22 | $8.301,67 | 491 / 17 | $7.317,56 | 488 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 12 | $18.440,30 | 151 / 2 | $7.115,89 | 292 / 9 | $6.228,33 | 290 / 12 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 11 | $26.042,50 | 134 / 5 | $10.469,30 | 171 / 7 | $9.501,06 | 171 / 9 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 18 | $50.228,50 | 52 / 1 | $27.003,70 | 124 / 2 | $25.954,70 | 124 / 2 |
| Pulmonary Embolism W Mcc | 15 | 28 / 5 | $30.886,30 | 176 / 5 | $8.898,47 | 126 / 5 | $7.841,20 | 126 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 11 | $14.814,60 | 113 / 3 | $7.118,27 | 108 / 7 | $5.610,20 | 108 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 11 | $45.959,80 | 283 / 8 | $15.254,90 | 144 / 12 | $10.689,50 | 144 / 4 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 12 | $13.155,60 | 95 / 1 | $5.862,60 | 155 / 8 | $4.555,40 | 153 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 25 | $12.005,80 | 417 / 16 | $4.439,53 | 464 / 20 | $3.204,87 | 462 / 22 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 14 | $83.460,70 | 218 / 5 | $28.425,90 | 219 / 7 | $26.615,90 | 217 / 5 |
| Diabetes W Mcc | 14 | 43 / 6 | $15.603,90 | 37 / 1 | $7.874,29 | 121 / 4 | $7.103,29 | 121 / 6 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 10 | $21.049,00 | 133 / 4 | $8.281,79 | 239 / 6 | $7.449,36 | 238 / 8 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 11 | $9.494,79 | 98 / 3 | $4.030,21 | 94 / 7 | $2.671,36 | 93 / 3 |
| Other Resp System O.R. Procedures W Mcc | 14 | 49 / 10 | $46.497,80 | 44 / 1 | $19.173,00 | 57 / 1 | $18.219,10 | 57 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 12 | $10.541,10 | 173 / 5 | $4.612,64 | 96 / 16 | $2.318,93 | 96 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 23 | $15.954,30 | 210 / 3 | $6.476,29 | 529 / 12 | $5.248,71 | 528 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 18 | $75.618,20 | 226 / 8 | $20.117,00 | 211 / 10 | $17.280,50 | 210 / 7 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 11 | $85.999,40 | 113 / 4 | $31.772,80 | 124 / 3 | $30.464,90 | 124 / 4 |
| Chest Pain | 13 | 138 / 25 | $14.341,20 | 440 / 14 | $4.555,31 | 279 / 31 | $2.657,69 | 278 / 9 |
| Diabetes W Cc | 13 | 79 / 23 | $14.995,90 | 339 / 12 | $5.029,00 | 463 / 9 | $4.234,23 | 463 / 14 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 9 | $16.473,90 | 163 / 7 | $5.621,46 | 299 / 8 | $4.745,85 | 298 / 10 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 9 | $21.748,90 | 123 / 3 | $7.664,23 | 130 / 8 | $4.911,77 | 130 / 3 |
| Medical Back Problems W/O Mcc | 13 | 108 / 19 | $18.423,20 | 416 / 12 | $5.216,77 | 442 / 10 | $4.144,15 | 442 / 13 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 4 | $15.441,20 | 87 / 1 | $4.281,42 | 95 / 1 | $3.245,42 | 95 / 2 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 14 | $16.743,90 | 259 / 10 | $5.638,92 | 142 / 4 | $4.507,33 | 142 / 6 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 18 | $49.013,10 | 393 / 12 | $14.649,40 | 428 / 4 | $13.343,90 | 425 / 12 |
| Major Cardiovasc Procedures W Mcc | 11 | 57 / 10 | $66.634,70 | 23 / 1 | $22.982,80 | 6 / 1 | $21.952,70 | 6 / 1 | Total 69 procedures | 2.217 | 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.