Hospital Costs > In Wyoming > Evanston Regional Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 3 | $15.549,60 | 848 / 3 | $5.726,18 | 1706 / 1 | $4.958,18 | 1695 / 2 |
Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 6 | $16.647,80 | 1170 / 5 | $6.152,93 | 2208 / 2 | $5.462,64 | 2197 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 29 | 535 / 8 | $66.890,30 | 1911 / 7 | $17.693,70 | 2229 / 3 | $14.833,90 | 2185 / 4 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 6 | $16.162,20 | 705 / 3 | $7.863,95 | 2026 / 3 | $6.216,84 | 2018 / 3 | Total 4 procedures | 73 | 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.