Hospital Costs > In Kentucky > Flaget Memorial Hospital (Member Of Saint Joseph H, 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 | 155 | 361 / 19 | $24.459,20 | 503 / 10 | $9.969,14 | 226 / 10 | $8.988,94 | 226 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 77 | 487 / 23 | $41.074,40 | 814 / 12 | $12.849,30 | 770 / 25 | $10.724,50 | 759 / 20 |
| Pulmonary Edema & Respiratory Failure | 35 | 168 / 27 | $19.307,10 | 366 / 9 | $7.291,03 | 379 / 21 | $6.193,49 | 379 / 12 |
| Heart Failure & Shock W Mcc | 33 | 251 / 33 | $22.582,20 | 571 / 16 | $8.164,45 | 205 / 5 | $7.249,06 | 205 / 9 |
| Renal Failure W Mcc | 25 | 170 / 27 | $24.674,00 | 440 / 17 | $8.262,64 | 223 / 5 | $7.584,24 | 223 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 34 | $21.370,10 | 464 / 12 | $8.113,71 | 92 / 10 | $6.562,04 | 92 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 27 | $19.473,40 | 736 / 19 | $6.028,82 | 246 / 6 | $4.930,64 | 245 / 10 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 10 | $49.947,80 | 156 / 4 | $16.519,10 | 131 / 2 | $15.344,50 | 131 / 4 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 11 | $29.776,40 | 212 / 10 | $10.085,30 | 201 / 4 | $9.584,59 | 201 / 11 |
| Heart Failure & Shock W Cc | 17 | 261 / 39 | $20.206,50 | 1208 / 35 | $5.566,24 | 261 / 7 | $4.638,24 | 261 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 23 | $21.624,10 | 192 / 5 | $7.615,69 | 10 / 1 | $6.785,69 | 10 / 1 |
| Renal Failure W Cc | 15 | 206 / 38 | $16.347,10 | 597 / 16 | $5.571,33 | 285 / 9 | $4.519,60 | 283 / 9 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 15 | 54 / 6 | $51.133,90 | 141 / 4 | $15.305,70 | 191 / 3 | $14.181,50 | 191 / 6 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 22 | $23.617,60 | 186 / 5 | $9.984,71 | 121 / 2 | $9.468,14 | 121 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 45 | $17.808,20 | 893 / 31 | $5.943,00 | 318 / 23 | $4.477,38 | 316 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 33 | $16.258,90 | 661 / 24 | $4.800,62 | 553 / 11 | $3.865,23 | 551 / 18 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 15 | $44.221,20 | 73 / 3 | $15.327,00 | 15 / 1 | $14.121,70 | 15 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 24 | $20.069,90 | 342 / 8 | $6.517,33 | 222 / 2 | $5.912,00 | 222 / 4 |
| G.I. Hemorrhage W Cc | 11 | 207 / 40 | $22.997,80 | 1032 / 34 | $6.160,55 | 167 / 24 | $4.498,82 | 167 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 30 | $43.135,50 | 420 / 16 | $13.028,30 | 314 / 14 | $11.931,50 | 310 / 11 | Total 20 procedures | 554 | 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.