Hospital Costs > In Kentucky > Fleming County Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 25 | $14.050,10 | 449 / 10 | $6.110,16 | 1282 / 35 | $5.283,19 | 1278 / 46 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 36 | $10.033,80 | 217 / 3 | $4.781,72 | 800 / 25 | $3.630,32 | 795 / 26 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 27 | $10.754,60 | 327 / 12 | $4.624,00 | 735 / 21 | $3.519,78 | 732 / 29 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 35 | $14.616,50 | 109 / 2 | $8.613,22 | 998 / 23 | $7.870,39 | 998 / 38 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 18 | $10.205,70 | 240 / 5 | $4.505,00 | 931 / 23 | $3.621,82 | 926 / 38 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 36 | $15.069,50 | 316 / 8 | $7.206,41 | 1041 / 29 | $6.281,18 | 1036 / 43 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 39 | $10.960,30 | 379 / 9 | $4.921,47 | 834 / 27 | $3.845,74 | 829 / 29 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 37 | $11.711,00 | 207 / 3 | $5.889,71 | 1098 / 28 | $5.055,82 | 1094 / 42 |
| Heart Failure & Shock W Cc | 16 | 262 / 40 | $9.849,31 | 123 / 2 | $6.110,31 | 1040 / 27 | $5.317,19 | 1038 / 35 |
| G.I. Hemorrhage W Cc | 16 | 202 / 36 | $10.853,90 | 80 / 2 | $6.230,94 | 586 / 26 | $4.987,75 | 585 / 21 |
| Respiratory Infections & Inflammations W Cc | 15 | 73 / 16 | $20.225,10 | 267 / 8 | $9.538,07 | 967 / 32 | $8.547,47 | 962 / 34 |
| Transient Ischemia | 15 | 110 / 20 | $11.103,10 | 104 / 2 | $4.496,80 | 687 / 12 | $3.569,80 | 683 / 19 |
| Renal Failure W Cc | 14 | 207 / 39 | $13.139,90 | 294 / 6 | $6.081,71 | 974 / 24 | $5.159,00 | 966 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 32 | $9.242,86 | 241 / 6 | $4.467,14 | 1110 / 23 | $3.729,93 | 1107 / 36 |
| Cellulitis W/O Mcc | 14 | 175 / 35 | $10.407,20 | 286 / 5 | $5.343,36 | 748 / 25 | $4.085,29 | 744 / 22 |
| Heart Failure & Shock W Mcc | 14 | 270 / 43 | $12.160,80 | 56 / 2 | $8.666,29 | 928 / 18 | $8.181,36 | 927 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 23 | $14.520,30 | 125 / 2 | $6.783,14 | 901 / 20 | $5.685,86 | 899 / 23 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 12 | 552 / 40 | $42.436,10 | 890 / 17 | $13.058,30 | 1402 / 28 | $11.806,20 | 1369 / 41 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 30 | $6.359,73 | 48 / 2 | $3.632,36 | 1143 / 15 | $2.950,00 | 1138 / 33 | Total 19 procedures | 363 | 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.