Hospital Costs > In Arkansas > Five Rivers Medical Center, 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 Mcc | 17 | 185 / 26 | $10.708,10 | 62 / 5 | $6.919,53 | 589 / 23 | $5.857,88 | 588 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 29 | $5.914,36 | 14 / 3 | $4.586,64 | 803 / 20 | $3.631,21 | 798 / 24 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 18 | $6.882,31 | 52 / 3 | $4.152,38 | 700 / 16 | $3.470,38 | 696 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 28 | $5.079,08 | 9 / 2 | $4.258,00 | 703 / 18 | $3.452,67 | 701 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 34 | $9.630,79 | 88 / 4 | $5.807,79 | 758 / 22 | $4.868,36 | 755 / 27 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 18 | $9.264,41 | 166 / 7 | $4.356,06 | 630 / 14 | $3.348,06 | 627 / 21 | Total 6 procedures | 90 | 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.