Hospital Costs > In Arizona > Fort Defiance Indian 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/O Cc/Mcc | 50 | 43 / 3 | $7.655,20 | 76 / 2 | $11.186,60 | 1962 / 25 | $10.169,60 | 1954 / 25 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 18 | $9.089,71 | 64 / 1 | $13.766,90 | 2806 / 48 | $12.723,00 | 2797 / 48 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 30 | $7.466,86 | 69 / 1 | $11.630,30 | 2712 / 46 | $10.650,40 | 2697 / 46 |
| Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 20 | $7.052,70 | 54 / 3 | $11.891,50 | 2695 / 43 | $10.914,20 | 2684 / 43 |
| Cellulitis W/O Mcc | 34 | 155 / 24 | $9.895,35 | 231 / 4 | $12.554,40 | 2615 / 45 | $11.520,90 | 2607 / 45 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 19 | $4.760,59 | 1 / 1 | $13.904,60 | 1930 / 33 | $12.982,20 | 1926 / 33 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 14 | $6.697,73 | 45 / 1 | $10.747,40 | 2004 / 22 | $10.194,60 | 1991 / 22 |
| Diabetes W Cc | 11 | 81 / 14 | $7.551,00 | 24 / 1 | $12.182,10 | 1605 / 26 | $11.414,10 | 1600 / 26 | Total 8 procedures | 242 | 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.