Hospital Costs > In Iowa > Fort Madison Community Hospital, 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 | 66 | 450 / 21 | $21.167,80 | 317 / 5 | $11.426,70 | 1189 / 20 | $10.464,90 | 1170 / 21 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 62 | 502 / 24 | $38.538,70 | 677 / 14 | $14.384,90 | 1234 / 29 | $11.454,90 | 1203 / 20 |
Pulmonary Edema & Respiratory Failure | 57 | 146 / 11 | $20.743,60 | 447 / 11 | $7.963,33 | 1083 / 16 | $7.070,04 | 1081 / 20 |
Cellulitis W/O Mcc | 24 | 165 / 17 | $13.841,80 | 705 / 17 | $5.984,67 | 1230 / 25 | $4.455,54 | 1224 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 20 | $14.370,50 | 304 / 5 | $6.902,22 | 1315 / 19 | $6.004,65 | 1310 / 22 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 15 | $22.508,10 | 162 / 2 | $12.160,10 | 917 / 15 | $11.455,90 | 907 / 17 |
Heart Failure & Shock W Cc | 14 | 264 / 23 | $13.636,40 | 428 / 6 | $6.544,50 | 1648 / 20 | $5.935,21 | 1643 / 27 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 22 | $32.698,90 | 321 / 5 | $12.354,40 | 1050 / 20 | $11.144,30 | 1036 / 23 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 15 | $20.133,50 | 155 / 1 | $10.709,90 | 854 / 14 | $9.868,31 | 853 / 16 |
G.I. Hemorrhage W Cc | 12 | 206 / 27 | $12.941,60 | 161 / 2 | $6.385,25 | 1292 / 20 | $5.680,75 | 1289 / 24 |
Heart Failure & Shock W Mcc | 12 | 272 / 27 | $22.153,20 | 542 / 7 | $9.355,58 | 1032 / 17 | $8.337,25 | 1030 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 21 | $8.761,91 | 208 / 2 | $4.833,45 | 1376 / 19 | $3.952,27 | 1371 / 20 | Total 12 procedures | 327 | 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.