Hospital Costs > In Indiana > Fayette Regional 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 | 33 | 483 / 57 | $23.741,50 | 462 / 10 | $10.626,60 | 669 / 14 | $9.749,06 | 668 / 20 |
| Heart Failure & Shock W Cc | 30 | 248 / 45 | $15.802,80 | 663 / 14 | $6.248,67 | 1235 / 45 | $5.482,80 | 1231 / 46 |
| Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 39 | $15.450,40 | 614 / 10 | $6.156,00 | 1394 / 33 | $5.416,31 | 1388 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 46 | $20.736,10 | 436 / 10 | $8.558,75 | 676 / 19 | $7.533,15 | 676 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 40 | $20.003,90 | 782 / 20 | $6.610,00 | 913 / 25 | $5.589,37 | 911 / 35 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 46 | $19.046,40 | 346 / 11 | $7.588,79 | 914 / 23 | $6.827,53 | 914 / 37 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 44 | $14.475,20 | 461 / 11 | $5.929,17 | 867 / 34 | $4.850,06 | 864 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 39 | $14.114,10 | 852 / 26 | $4.632,56 | 1105 / 37 | $3.726,56 | 1102 / 42 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 22 | $15.500,40 | 786 / 22 | $4.641,75 | 717 / 23 | $3.433,75 | 713 / 27 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 32 | $26.601,90 | 81 / 3 | $12.614,30 | 189 / 2 | $11.505,00 | 188 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 55 | $13.948,70 | 789 / 20 | $5.001,00 | 909 / 37 | $3.894,33 | 902 / 31 |
| G.I. Obstruction W Cc | 11 | 81 / 25 | $13.102,30 | 165 / 3 | $5.223,73 | 480 / 5 | $4.449,91 | 479 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 47 | $14.035,80 | 625 / 10 | $4.868,45 | 1324 / 30 | $3.987,00 | 1313 / 49 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 21 | $22.641,70 | 375 / 12 | $8.086,36 | 541 / 16 | $7.434,73 | 538 / 19 | Total 14 procedures | 250 | 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.