Hospital Costs > In Kentucky > Frankfort Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 21 | $33.939,60 | 875 / 25 | $6.047,75 | 422 / 7 | $5.338,42 | 421 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 25 | $24.802,40 | 1391 / 37 | $4.978,74 | 836 / 18 | $4.138,39 | 833 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 20 | $43.117,40 | 1399 / 34 | $8.652,67 | 1112 / 30 | $7.379,39 | 1109 / 29 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 26 | $14.539,50 | 931 / 29 | $3.839,47 | 920 / 21 | $2.761,73 | 915 / 23 |
Cellulitis W/O Mcc | 24 | 165 / 25 | $24.729,80 | 1857 / 52 | $5.219,12 | 848 / 19 | $4.161,79 | 842 / 29 |
Chest Pain | 31 | 120 / 16 | $22.042,50 | 1058 / 33 | $4.276,90 | 731 / 22 | $3.181,68 | 726 / 26 |
Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 25 | $31.515,50 | 1793 / 56 | $5.908,58 | 865 / 31 | $4.849,67 | 862 / 33 |
Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 32 | $31.558,80 | 1559 / 52 | $7.698,47 | 529 / 44 | $5.805,50 | 528 / 18 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 42 | 78 / 16 | $21.429,80 | 1365 / 51 | $4.659,36 | 1133 / 22 | $3.855,55 | 1124 / 45 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 21 | $39.710,50 | 941 / 25 | $7.372,95 | 452 / 21 | $5.365,86 | 450 / 15 |
Diabetes W Cc | 11 | 81 / 25 | $23.187,30 | 902 / 25 | $5.298,73 | 435 / 12 | $4.199,09 | 435 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 22 | $27.430,90 | 2032 / 54 | $5.043,85 | 881 / 36 | $3.680,17 | 876 / 30 |
G.I. Hemorrhage W Cc | 25 | 193 / 28 | $29.239,20 | 1518 / 46 | $6.159,28 | 1025 / 23 | $5.387,44 | 1023 / 40 |
G.I. Obstruction W Cc | 12 | 80 / 21 | $32.775,40 | 1287 / 35 | $5.636,25 | 554 / 17 | $4.532,25 | 553 / 19 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 14 | $26.389,90 | 1041 / 21 | $6.775,00 | 172 / 21 | $2.482,08 | 172 / 6 |
Heart Failure & Shock W Cc | 34 | 244 / 28 | $25.454,20 | 1701 / 46 | $6.520,09 | 668 / 42 | $5.040,03 | 667 / 19 |
Heart Failure & Shock W Mcc | 32 | 252 / 34 | $38.210,90 | 1567 / 49 | $8.779,84 | 880 / 22 | $8.140,84 | 880 / 35 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 18 | $18.414,20 | 1188 / 38 | $4.439,30 | 791 / 20 | $3.546,09 | 787 / 24 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 22 | $52.562,90 | 1138 / 29 | $11.674,70 | 796 / 17 | $10.608,00 | 787 / 25 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 29 | $49.518,20 | 1680 / 37 | $7.869,00 | 1357 / 33 | $7.165,00 | 1353 / 36 |
Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 30 | $21.935,70 | 1757 / 51 | $4.772,03 | 686 / 22 | $3.745,12 | 682 / 24 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 47 | 517 / 28 | $56.545,40 | 1563 / 36 | $12.506,90 | 1096 / 17 | $11.217,20 | 1072 / 31 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 26 | $21.295,60 | 1675 / 52 | $4.587,33 | 1159 / 30 | $3.782,00 | 1156 / 40 |
Organic Disturbances & Mental Retardation | 11 | 48 / 8 | $23.826,30 | 260 / 7 | $6.315,36 | 105 / 4 | $5.116,82 | 105 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 22 | $86.448,30 | 992 / 21 | $16.086,80 | 11 / 22 | $8.379,23 | 11 / 1 |
Pulmonary Edema & Respiratory Failure | 45 | 158 / 25 | $37.879,20 | 1426 / 47 | $7.624,71 | 552 / 28 | $6.397,82 | 552 / 22 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 15 | $28.733,10 | 422 / 13 | $7.404,08 | 281 / 8 | $6.770,75 | 281 / 12 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 25 | $23.199,30 | 1135 / 37 | $5.148,00 | 644 / 23 | $4.134,67 | 640 / 18 |
Renal Failure W Cc | 31 | 190 / 28 | $29.866,90 | 1688 / 45 | $6.369,65 | 831 / 34 | $5.030,55 | 824 / 25 |
Renal Failure W Mcc | 20 | 175 / 31 | $40.946,10 | 1316 / 38 | $9.014,15 | 616 / 14 | $8.233,35 | 616 / 25 |
Renal Failure W/O Cc/Mcc | 14 | 42 / 11 | $17.807,10 | 480 / 20 | $4.152,00 | 389 / 11 | $3.292,57 | 388 / 16 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 25 | $73.012,60 | 1199 / 39 | $14.562,20 | 920 / 30 | $13.808,20 | 912 / 34 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 72 | 444 / 31 | $57.515,60 | 2020 / 55 | $11.492,40 | 1036 / 42 | $10.239,70 | 1024 / 42 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 27 | $31.078,60 | 1682 / 43 | $6.640,73 | 1067 / 28 | $5.725,09 | 1064 / 37 |
Signs & Symptoms W/O Mcc | 12 | 79 / 16 | $24.227,70 | 863 / 21 | $4.534,25 | 536 / 13 | $3.731,58 | 535 / 17 |
Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 43 | $27.260,20 | 1792 / 55 | $6.074,59 | 1356 / 31 | $5.364,94 | 1351 / 49 |
Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 31 | $37.053,00 | 1454 / 49 | $8.668,32 | 883 / 26 | $7.744,26 | 883 / 31 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 20 | $28.708,90 | 1583 / 52 | $4.596,25 | 811 / 26 | $3.511,45 | 807 / 33 |
Syncope & Collapse | 31 | 138 / 17 | $26.884,10 | 1306 / 35 | $4.722,90 | 699 / 16 | $3.748,45 | 696 / 22 |
Transient Ischemia | 16 | 109 / 19 | $24.187,90 | 925 / 24 | $5.532,12 | 252 / 27 | $3.092,38 | 252 / 10 | Total 40 procedures | 984 | 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.