Hospital Costs > In Louisiana > Franklin Medical Center, 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 | 41 | 162 / 26 | $12.038,00 | 258 / 7 | $6.227,88 | 1411 / 24 | $5.428,66 | 1405 / 38 |
Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 30 | $7.944,70 | 108 / 4 | $5.047,68 | 1495 / 28 | $4.345,41 | 1484 / 38 |
Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 30 | $15.424,20 | 348 / 9 | $7.255,14 | 1263 / 27 | $6.538,05 | 1257 / 33 |
Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 27 | $13.508,60 | 70 / 1 | $8.974,68 | 1172 / 29 | $8.096,14 | 1172 / 32 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 16 | $16.209,20 | 35 / 1 | $12.070,50 | 730 / 21 | $10.989,20 | 722 / 19 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 18 | 498 / 45 | $14.801,20 | 67 / 3 | $11.201,10 | 1200 / 33 | $10.481,50 | 1181 / 40 |
Heart Failure & Shock W Cc | 14 | 264 / 52 | $10.735,80 | 168 / 6 | $6.361,57 | 1495 / 34 | $5.762,71 | 1490 / 43 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 30 | $8.988,07 | 141 / 2 | $4.994,50 | 1158 / 32 | $3.845,07 | 1152 / 29 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 39 | $6.564,00 | 35 / 2 | $4.963,92 | 1412 / 22 | $4.057,25 | 1401 / 36 |
Cellulitis W/O Mcc | 12 | 177 / 39 | $8.198,08 | 104 / 4 | $5.612,58 | 1490 / 30 | $4.708,58 | 1483 / 42 |
Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 34 | $9.889,64 | 94 / 5 | $5.991,45 | 1451 / 24 | $5.444,55 | 1446 / 40 | Total 11 procedures | 222 | 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.