Hospital Costs > In Oklahoma > Great Plains Regional Medical Center, 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 | 44 | 472 / 37 | $35.798,80 | 1091 / 38 | $11.034,30 | 121 / 31 | $8.701,73 | 121 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 34 | 530 / 38 | $58.587,10 | 1639 / 34 | $11.533,40 | 642 / 5 | $10.533,80 | 634 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 32 | $21.875,40 | 891 / 29 | $6.807,16 | 39 / 14 | $4.904,11 | 39 / 4 |
| Heart Failure & Shock W Mcc | 18 | 266 / 28 | $29.389,60 | 1044 / 26 | $8.418,06 | 132 / 11 | $7.064,33 | 132 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 27 | $19.702,40 | 754 / 29 | $5.815,88 | 276 / 3 | $4.961,29 | 275 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 41 | $25.530,20 | 1657 / 52 | $5.369,24 | 280 / 8 | $4.443,12 | 279 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 30 | $34.406,30 | 1310 / 26 | $7.883,33 | 328 / 7 | $7.074,80 | 328 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 42 | $16.713,60 | 1181 / 41 | $5.035,92 | 50 / 34 | $3.029,62 | 50 / 3 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 27 | $37.364,60 | 1402 / 29 | $7.404,85 | 844 / 13 | $6.764,92 | 844 / 22 |
| Renal Failure W Cc | 11 | 210 / 31 | $20.350,10 | 1012 / 24 | $5.081,64 | 160 / 4 | $4.310,73 | 160 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 25 | $14.540,00 | 472 / 13 | $4.494,55 | 146 / 6 | $3.394,91 | 146 / 5 | Total 11 procedures | 212 | 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.