Hospital Costs > In Indiana > Hancock Regional Hospital, 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 | 132 | 384 / 29 | $20.316,00 | 275 / 2 | $10.244,60 | 442 / 5 | $9.409,68 | 442 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 87 | 477 / 43 | $43.585,90 | 957 / 18 | $13.900,40 | 1261 / 45 | $11.494,90 | 1230 / 48 |
| Pulmonary Edema & Respiratory Failure | 64 | 139 / 24 | $18.894,00 | 334 / 10 | $7.984,17 | 735 / 41 | $6.638,48 | 735 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 21 | $15.146,20 | 364 / 4 | $6.417,50 | 152 / 19 | $4.764,77 | 152 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 39 | $14.022,70 | 448 / 6 | $5.690,77 | 461 / 9 | $4.614,08 | 458 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 34 | $16.071,50 | 218 / 6 | $5.952,75 | 237 / 6 | $4.888,33 | 237 / 4 |
| Heart Failure & Shock W Cc | 22 | 256 / 47 | $16.805,80 | 775 / 21 | $6.228,73 | 1252 / 42 | $5.503,00 | 1248 / 47 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 45 | $13.630,90 | 740 / 17 | $4.846,18 | 1001 / 26 | $3.961,95 | 993 / 38 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 39 | $17.881,30 | 1110 / 33 | $5.172,38 | 313 / 46 | $3.244,95 | 312 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 46 | $17.566,80 | 242 / 5 | $8.564,85 | 632 / 20 | $7.473,10 | 632 / 19 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 28 | $27.700,10 | 321 / 9 | $11.056,90 | 339 / 11 | $10.106,90 | 339 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 49 | $18.149,50 | 575 / 14 | $7.040,50 | 677 / 15 | $5.959,17 | 673 / 23 |
| Heart Failure & Shock W Mcc | 16 | 268 / 51 | $20.275,00 | 438 / 8 | $8.599,44 | 168 / 11 | $7.171,75 | 168 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 24 | $28.138,10 | 374 / 10 | $9.307,94 | 183 / 5 | $8.239,62 | 183 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 34 | $33.489,80 | 356 / 5 | $11.733,60 | 845 / 25 | $10.689,30 | 834 / 32 |
| G.I. Hemorrhage W Cc | 14 | 204 / 40 | $27.055,60 | 1373 / 44 | $7.859,21 | 1895 / 55 | $6.905,57 | 1891 / 56 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 25 | $50.122,00 | 423 / 12 | $15.608,70 | 124 / 20 | $12.042,90 | 124 / 1 |
| Cellulitis W/O Mcc | 13 | 176 / 41 | $10.981,00 | 355 / 5 | $5.150,46 | 798 / 15 | $4.124,23 | 793 / 27 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 32 | $15.195,00 | 866 / 36 | $4.293,25 | 361 / 22 | $3.171,00 | 359 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 43 | $14.056,20 | 841 / 25 | $4.445,08 | 818 / 25 | $3.527,25 | 815 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 48 | $14.102,20 | 427 / 9 | $5.767,33 | 887 / 21 | $4.858,00 | 884 / 33 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 22 | $27.303,10 | 623 / 18 | $5.813,33 | 226 / 4 | $5.005,42 | 226 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 33 | $40.379,90 | 337 / 14 | $13.589,90 | 648 / 13 | $12.813,90 | 640 / 24 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 14 | $25.169,00 | 91 / 1 | $11.025,60 | 202 / 23 | $8.151,27 | 202 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 29 | $15.931,80 | 307 / 9 | $4.781,09 | 647 / 15 | $3.791,55 | 643 / 30 | Total 25 procedures | 670 | 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.