Hospital Costs > In Ohio > Grady Memorial Hospital Delaware, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 47 | $12.324,70 | 256 / 20 | $5.169,94 | 1027 / 45 | $4.324,72 | 1023 / 66 |
Cellulitis W/O Mcc | 18 | 171 / 59 | $13.285,10 | 629 / 39 | $5.418,33 | 415 / 44 | $3.809,61 | 412 / 29 |
Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 64 | $17.921,40 | 796 / 53 | $5.560,00 | 481 / 22 | $4.520,12 | 480 / 32 |
Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 56 | $20.234,30 | 737 / 48 | $7.752,50 | 464 / 68 | $5.752,75 | 463 / 34 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 70 | $13.316,40 | 546 / 37 | $4.900,71 | 1169 / 53 | $3.869,47 | 1160 / 76 |
G.I. Hemorrhage W Cc | 22 | 196 / 56 | $16.576,10 | 446 / 24 | $6.268,32 | 895 / 44 | $5.268,73 | 893 / 60 |
Heart Failure & Shock W Cc | 15 | 263 / 79 | $15.319,40 | 612 / 37 | $6.105,27 | 708 / 39 | $5.072,00 | 707 / 44 |
Heart Failure & Shock W Mcc | 30 | 254 / 66 | $26.977,40 | 893 / 53 | $9.430,43 | 1111 / 58 | $8.440,93 | 1108 / 70 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 39 | $46.473,30 | 908 / 58 | $11.975,40 | 825 / 43 | $10.653,70 | 815 / 55 |
Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 61 | $12.655,80 | 602 / 38 | $5.094,43 | 1216 / 57 | $4.098,14 | 1207 / 72 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 11 | 553 / 93 | $61.189,20 | 1731 / 100 | $12.941,10 | 1301 / 43 | $11.592,50 | 1269 / 82 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 29 | $67.616,30 | 812 / 40 | $18.982,80 | 488 / 52 | $13.577,70 | 484 / 39 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 56 | $26.223,60 | 809 / 47 | $9.263,68 | 965 / 78 | $6.883,73 | 964 / 62 |
Renal Failure W Cc | 17 | 204 / 62 | $13.181,90 | 300 / 16 | $5.884,53 | 216 / 33 | $4.403,41 | 215 / 15 |
Renal Failure W Mcc | 15 | 180 / 61 | $27.577,10 | 616 / 37 | $9.072,00 | 592 / 36 | $8.190,33 | 592 / 48 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 41 | $37.664,60 | 677 / 43 | $12.686,00 | 1003 / 55 | $11.707,60 | 990 / 63 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 38 | 478 / 79 | $30.545,90 | 807 / 41 | $10.739,30 | 748 / 35 | $9.847,79 | 747 / 54 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 61 | $20.627,90 | 1197 / 74 | $7.003,67 | 213 / 86 | $4.342,40 | 213 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 51 | $27.218,90 | 847 / 54 | $8.918,48 | 136 / 54 | $6.676,19 | 136 / 15 | Total 19 procedures | 365 | 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.