Hospital Costs > In Kentucky > Greenview Regional Hospital, 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/O Cc/Mcc | 12 | 41 / 12 | $33.750,80 | 643 / 18 | $4.320,83 | 74 / 3 | $3.214,17 | 74 / 3 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 6 | $48.137,80 | 253 / 5 | $10.441,50 | 90 / 1 | $9.302,65 | 90 / 1 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 18 | 71 / 7 | $31.933,10 | 328 / 6 | $6.361,11 | 109 / 2 | $4.821,17 | 109 / 2 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 29 | 34 / 1 | $72.716,70 | 103 / 1 | $20.897,90 | 42 / 2 | $16.857,20 | 42 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 27 | $26.075,50 | 1460 / 39 | $4.694,80 | 150 / 10 | $3.402,90 | 150 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 22 | $40.295,70 | 1339 / 30 | $7.200,36 | 59 / 8 | $5.452,00 | 59 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 18 | $21.366,80 | 1467 / 39 | $3.406,42 | 176 / 7 | $2.087,00 | 175 / 3 |
Cellulitis W/O Mcc | 33 | 156 / 21 | $23.092,90 | 1747 / 50 | $5.571,73 | 89 / 39 | $3.372,85 | 89 / 2 |
Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 13 | $52.901,20 | 378 / 10 | $13.177,20 | 91 / 6 | $10.342,10 | 91 / 2 |
Chest Pain | 24 | 127 / 18 | $26.377,50 | 1269 / 37 | $3.612,21 | 180 / 6 | $2.521,79 | 179 / 5 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 27 | $31.474,90 | 1791 / 55 | $5.709,83 | 340 / 22 | $4.364,66 | 339 / 10 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 29 | $34.937,20 | 1732 / 56 | $7.906,09 | 157 / 47 | $5.298,17 | 157 / 5 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 19 | $24.351,80 | 1509 / 53 | $4.244,45 | 372 / 8 | $3.210,95 | 371 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 68 | 207 / 19 | $25.969,00 | 1944 / 51 | $4.375,49 | 283 / 5 | $3.215,07 | 283 / 8 |
G.I. Hemorrhage W Cc | 32 | 186 / 23 | $32.851,50 | 1704 / 48 | $5.664,50 | 388 / 5 | $4.794,50 | 388 / 14 |
Heart Failure & Shock W Cc | 45 | 233 / 23 | $28.237,60 | 1866 / 51 | $5.683,71 | 400 / 10 | $4.788,44 | 400 / 12 |
Heart Failure & Shock W Mcc | 18 | 266 / 41 | $56.910,90 | 2145 / 54 | $8.952,00 | 240 / 28 | $7.310,33 | 240 / 10 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 22 | $20.866,90 | 1350 / 42 | $3.920,05 | 194 / 6 | $2.961,74 | 192 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 18 | $48.950,40 | 1012 / 24 | $10.723,70 | 288 / 5 | $9.707,36 | 287 / 9 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 19 | 37 / 5 | $40.920,40 | 430 / 11 | $8.852,79 | 134 / 3 | $7.894,47 | 134 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 18 | $38.444,70 | 1469 / 31 | $6.003,11 | 518 / 4 | $5.239,85 | 517 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 20 | $57.039,90 | 1088 / 21 | $8.873,45 | 56 / 1 | $7.896,00 | 56 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 17 | $34.373,40 | 1220 / 23 | $4.328,18 | 235 / 3 | $3.260,88 | 233 / 7 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 29 | $43.705,90 | 1581 / 36 | $6.336,00 | 608 / 5 | $5.832,00 | 607 / 20 |
Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 17 | $27.827,70 | 2121 / 57 | $4.485,88 | 362 / 8 | $3.503,77 | 362 / 9 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 19 | 28 / 4 | $42.232,70 | 244 / 8 | $9.069,63 | 43 / 4 | $6.637,47 | 43 / 3 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 32 | 64 / 4 | $50.895,80 | 352 / 2 | $12.297,20 | 212 / 2 | $11.125,20 | 210 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 311 | 259 / 7 | $46.659,30 | 1122 / 25 | $12.433,80 | 378 / 16 | $10.134,70 | 377 / 7 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 17 | $65.340,60 | 755 / 24 | $16.004,50 | 23 / 20 | $11.070,80 | 23 / 2 |
Medical Back Problems W/O Mcc | 13 | 108 / 19 | $18.803,70 | 440 / 14 | $4.837,08 | 230 / 3 | $3.820,46 | 230 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 17 | $26.866,30 | 1990 / 58 | $4.348,28 | 252 / 18 | $3.073,78 | 252 / 6 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 13 | $32.399,40 | 948 / 24 | $5.496,71 | 117 / 4 | $4.459,00 | 116 / 5 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 12 | 28 / 5 | $45.011,80 | 64 / 2 | $11.146,20 | 32 / 2 | $10.143,50 | 32 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 23 | $69.985,80 | 682 / 17 | $11.795,00 | 307 / 3 | $10.153,80 | 307 / 7 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 37 | $39.957,70 | 1500 / 49 | $6.865,44 | 36 / 4 | $5.427,44 | 36 / 2 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 21 | $27.439,50 | 1383 / 42 | $4.672,69 | 127 / 6 | $3.479,81 | 127 / 7 |
Renal Failure W Cc | 30 | 191 / 29 | $29.116,70 | 1661 / 44 | $5.496,20 | 293 / 6 | $4.527,67 | 291 / 10 |
Renal Failure W Mcc | 14 | 181 / 36 | $38.920,80 | 1241 / 35 | $8.045,86 | 240 / 3 | $7.613,86 | 240 / 9 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 19 | $40.159,10 | 962 / 35 | $7.794,67 | 573 / 7 | $7.490,67 | 570 / 21 |
Revision Of Hip Or Knee Replacement W Cc | 23 | 63 / 6 | $64.878,40 | 176 / 5 | $19.513,70 | 36 / 3 | $15.880,90 | 36 / 2 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 18 | 51 / 5 | $59.718,30 | 186 / 1 | $15.437,70 | 158 / 1 | $14.362,20 | 158 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 26 | 490 / 44 | $48.245,90 | 1722 / 49 | $10.160,00 | 413 / 11 | $9.367,38 | 413 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 27 | $33.299,70 | 1779 / 45 | $6.244,86 | 104 / 13 | $4.645,59 | 104 / 6 |
Signs & Symptoms W/O Mcc | 17 | 74 / 11 | $29.928,80 | 1029 / 23 | $3.961,82 | 150 / 1 | $3.111,00 | 150 / 4 |
Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 30 | $37.159,10 | 2254 / 60 | $5.502,76 | 446 / 5 | $4.604,62 | 443 / 13 |
Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 39 | $45.751,50 | 1784 / 51 | $8.125,50 | 497 / 11 | $7.317,50 | 497 / 18 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 23 | $22.140,50 | 1314 / 50 | $4.271,65 | 122 / 11 | $2.768,06 | 121 / 4 |
Spinal Fusion Except Cervical W/O Mcc | 42 | 152 / 8 | $70.005,00 | 375 / 3 | $22.598,80 | 272 / 2 | $20.344,60 | 271 / 3 |
Syncope & Collapse | 20 | 149 / 23 | $35.169,80 | 1589 / 38 | $4.616,45 | 471 / 14 | $3.527,55 | 469 / 13 | Total 49 procedures | 1.452 | 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.