Hospital Costs > In Kentucky > Hardin Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 226 | 338 / 10 | $28.622,50 | 175 / 1 | $12.166,50 | 616 / 11 | $10.484,50 | 609 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 225 | 291 / 10 | $23.907,90 | 473 / 7 | $10.663,30 | 639 / 20 | $9.723,59 | 638 / 24 |
Simple Pneumonia & Pleurisy W Mcc | 177 | 36 / 5 | $16.561,90 | 197 / 3 | $8.350,99 | 456 / 15 | $7.263,26 | 456 / 17 |
Chronic Obstructive Pulmonary Disease W Mcc | 177 | 34 / 5 | $13.382,00 | 209 / 3 | $6.810,38 | 449 / 15 | $5.738,68 | 448 / 16 |
Heart Failure & Shock W Mcc | 175 | 109 / 7 | $19.418,20 | 397 / 8 | $8.716,96 | 731 / 20 | $7.970,20 | 731 / 29 |
Heart Failure & Shock W Cc | 157 | 121 / 6 | $13.516,20 | 415 / 9 | $5.841,00 | 584 / 15 | $4.973,24 | 584 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 151 | 124 / 5 | $11.695,20 | 349 / 6 | $4.562,12 | 697 / 15 | $3.565,42 | 693 / 21 |
Simple Pneumonia & Pleurisy W Cc | 145 | 59 / 4 | $12.608,40 | 313 / 4 | $5.786,81 | 460 / 14 | $4.613,94 | 457 / 15 |
Kidney & Urinary Tract Infections W/O Mcc | 120 | 113 / 5 | $10.647,50 | 354 / 7 | $4.646,77 | 564 / 13 | $3.672,24 | 563 / 20 |
Renal Failure W Cc | 112 | 109 / 7 | $11.891,10 | 202 / 2 | $5.754,27 | 419 / 13 | $4.667,96 | 416 / 11 |
Chronic Obstructive Pulmonary Disease W Cc | 97 | 82 / 6 | $11.873,80 | 222 / 4 | $5.626,77 | 382 / 13 | $4.406,33 | 381 / 13 |
Pulmonary Edema & Respiratory Failure | 95 | 108 / 12 | $17.389,30 | 246 / 3 | $7.108,28 | 490 / 15 | $6.326,37 | 490 / 19 |
Kidney & Urinary Tract Infections W Mcc | 92 | 52 / 3 | $13.144,50 | 155 / 1 | $6.553,08 | 564 / 11 | $5.789,25 | 563 / 16 |
Renal Failure W Mcc | 87 | 108 / 8 | $15.255,10 | 72 / 1 | $8.445,45 | 264 / 7 | $7.655,20 | 264 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 76 | 55 / 7 | $26.476,30 | 79 / 2 | $12.853,20 | 359 / 11 | $12.043,10 | 355 / 15 |
Heart Failure & Shock W/O Cc/Mcc | 74 | 36 / 2 | $7.273,51 | 72 / 3 | $4.203,58 | 382 / 13 | $3.196,57 | 380 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 73 | 134 / 8 | $14.215,50 | 294 / 2 | $6.282,45 | 499 / 15 | $5.207,30 | 497 / 18 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 69 | 51 / 7 | $10.162,50 | 261 / 8 | $4.581,58 | 304 / 20 | $3.144,12 | 304 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 69 | 113 / 10 | $16.752,70 | 259 / 6 | $6.310,19 | 343 / 9 | $5.027,19 | 342 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 69 | 54 / 5 | $16.096,10 | 159 / 3 | $7.528,06 | 312 / 17 | $6.060,39 | 311 / 9 |
Syncope & Collapse | 67 | 102 / 5 | $11.552,70 | 176 / 6 | $4.447,81 | 307 / 9 | $3.346,24 | 305 / 7 |
G.I. Hemorrhage W Cc | 66 | 152 / 12 | $14.161,90 | 237 / 6 | $5.857,12 | 340 / 10 | $4.753,21 | 340 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 58 | 110 / 8 | $25.026,30 | 204 / 3 | $10.659,30 | 385 / 12 | $9.050,79 | 384 / 11 |
Cellulitis W/O Mcc | 55 | 134 / 9 | $12.190,00 | 495 / 13 | $5.158,07 | 579 / 14 | $3.950,93 | 576 / 18 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 52 | 73 / 6 | $20.881,80 | 171 / 3 | $9.772,58 | 309 / 13 | $8.560,35 | 309 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 51 | 145 / 16 | $34.361,90 | 41 / 2 | $11.847,90 | 159 / 5 | $9.663,33 | 159 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 12 | $10.515,70 | 373 / 13 | $4.342,07 | 438 / 17 | $3.270,91 | 438 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 9 | $28.653,40 | 188 / 2 | $10.901,90 | 358 / 7 | $9.846,09 | 357 / 12 |
G.I. Hemorrhage W Mcc | 44 | 77 / 8 | $20.007,50 | 71 / 1 | $9.425,39 | 155 / 2 | $8.699,23 | 155 / 6 |
Transient Ischemia | 44 | 81 / 9 | $14.679,40 | 277 / 9 | $4.271,91 | 365 / 6 | $3.221,80 | 364 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 41 | 120 / 17 | $9.660,90 | 95 / 1 | $4.885,41 | 541 / 15 | $3.851,51 | 539 / 15 |
Respiratory Infections & Inflammations W Mcc | 41 | 95 / 10 | $22.448,30 | 157 / 3 | $10.973,50 | 335 / 12 | $10.099,60 | 335 / 19 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 40 | 53 / 6 | $9.864,47 | 202 / 3 | $4.313,77 | 351 / 14 | $3.092,90 | 349 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 39 | 87 / 8 | $10.393,90 | 33 / 1 | $6.306,59 | 190 / 3 | $5.517,38 | 188 / 4 |
Chest Pain | 37 | 114 / 12 | $8.612,57 | 87 / 3 | $3.748,27 | 389 / 8 | $2.808,92 | 388 / 12 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 15 | $6.066,97 | 39 / 1 | $3.532,47 | 411 / 10 | $2.364,41 | 408 / 9 |
G.I. Obstruction W/O Cc/Mcc | 33 | 38 / 2 | $10.832,50 | 195 / 7 | $3.843,45 | 298 / 7 | $2.691,76 | 298 / 10 |
G.I. Obstruction W Cc | 32 | 60 / 7 | $12.239,40 | 129 / 3 | $5.654,19 | 226 / 18 | $4.092,12 | 225 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 32 | 64 / 5 | $16.138,50 | 93 / 1 | $6.896,16 | 203 / 4 | $6.004,41 | 202 / 8 |
Respiratory Infections & Inflammations W Cc | 32 | 56 / 6 | $16.250,00 | 136 / 3 | $7.957,12 | 385 / 8 | $7.137,09 | 382 / 13 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 31 | 157 / 17 | $14.831,50 | 28 / 1 | $6.298,55 | 378 / 4 | $5.281,42 | 376 / 11 |
Medical Back Problems W/O Mcc | 31 | 90 / 9 | $11.168,20 | 79 / 3 | $4.979,42 | 419 / 7 | $4.116,90 | 419 / 12 |
Renal Failure W/O Cc/Mcc | 30 | 26 / 3 | $7.245,97 | 35 / 1 | $3.857,00 | 193 / 3 | $2.918,17 | 192 / 7 |
Diabetes W Cc | 29 | 63 / 10 | $8.600,31 | 40 / 2 | $5.141,31 | 188 / 11 | $3.806,34 | 188 / 6 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 29 | 72 / 3 | $19.141,00 | 103 / 1 | $9.639,72 | 422 / 8 | $8.828,41 | 421 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 14 | $13.963,10 | 191 / 2 | $4.607,45 | 359 / 4 | $3.442,48 | 356 / 10 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 29 | 24 / 4 | $11.784,10 | 70 / 1 | $4.859,79 | 91 / 7 | $3.295,17 | 91 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 28 | 45 / 6 | $12.552,80 | 60 / 1 | $6.449,00 | 113 / 3 | $5.621,21 | 113 / 4 |
Peripheral Vascular Disorders W Cc | 27 | 57 / 7 | $11.065,40 | 57 / 1 | $5.721,15 | 151 / 6 | $4.527,81 | 151 / 7 |
Extracranial Procedures W/O Cc/Mcc | 26 | 72 / 10 | $15.399,70 | 56 / 1 | $6.124,81 | 209 / 4 | $4.997,50 | 209 / 8 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 26 | 45 / 8 | $54.391,00 | 39 / 1 | $27.185,70 | 102 / 2 | $26.503,50 | 102 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 13 | $61.701,80 | 117 / 4 | $30.728,60 | 206 / 12 | $26.976,60 | 206 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 25 | 40 / 8 | $39.085,30 | 36 / 2 | $16.364,30 | 53 / 3 | $15.264,40 | 53 / 5 |
Seizures W/O Mcc | 23 | 85 / 13 | $11.400,80 | 117 / 1 | $4.570,26 | 237 / 5 | $3.636,39 | 236 / 8 |
Dysequilibrium | 22 | 43 / 3 | $10.259,40 | 49 / 1 | $3.859,59 | 103 / 2 | $2.786,86 | 103 / 2 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 18 | $12.258,10 | 228 / 7 | $4.907,23 | 172 / 13 | $3.580,91 | 172 / 10 |
Major Small & Large Bowel Procedures W Cc | 22 | 86 / 13 | $38.595,70 | 161 / 5 | $14.734,50 | 220 / 6 | $12.568,00 | 218 / 5 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 21 | 35 / 4 | $25.107,00 | 89 / 3 | $9.404,57 | 120 / 6 | $7.816,00 | 120 / 5 |
Peripheral Vascular Disorders W/O Cc/Mcc | 21 | 24 / 2 | $7.198,95 | 11 / 2 | $4.100,38 | 89 / 2 | $3.188,14 | 89 / 3 |
Pulmonary Embolism W/O Mcc | 20 | 54 / 7 | $13.240,50 | 102 / 1 | $5.869,75 | 357 / 5 | $4.902,30 | 357 / 8 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 15 | $14.892,00 | 111 / 1 | $5.983,30 | 258 / 4 | $5.063,15 | 258 / 9 |
Cellulitis W Mcc | 20 | 38 / 5 | $16.696,20 | 70 / 1 | $8.177,40 | 81 / 4 | $6.905,10 | 81 / 4 |
Other Vascular Procedures W Cc | 19 | 83 / 13 | $39.143,70 | 83 / 1 | $14.060,60 | 192 / 2 | $13.328,40 | 192 / 6 |
Other Circulatory System Diagnoses W Mcc | 19 | 97 / 9 | $18.684,70 | 36 / 2 | $10.068,90 | 148 / 3 | $9.359,84 | 148 / 7 |
Diabetes W/O Cc/Mcc | 19 | 19 / 3 | $5.892,79 | 10 / 1 | $3.509,68 | 41 / 2 | $2.709,32 | 41 / 2 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 19 | 34 / 3 | $26.969,60 | 157 / 2 | $7.562,47 | 193 / 3 | $6.938,84 | 193 / 3 |
Permanent Cardiac Pacemaker Implant W Mcc | 19 | 33 / 4 | $35.072,20 | 5 / 1 | $19.438,20 | 45 / 1 | $18.535,80 | 45 / 1 |
Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 7 | $11.462,20 | 42 / 1 | $5.854,28 | 158 / 2 | $5.050,44 | 158 / 4 |
Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 12 | $42.751,10 | 33 / 1 | $18.502,20 | 147 / 2 | $17.315,50 | 147 / 6 |
Seizures W Mcc | 16 | 50 / 6 | $18.155,60 | 39 / 2 | $8.402,94 | 104 / 2 | $7.772,94 | 104 / 4 |
Hypertension W/O Mcc | 16 | 49 / 8 | $6.717,56 | 28 / 2 | $3.849,69 | 177 / 5 | $2.842,75 | 175 / 6 |
Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 5 | $9.915,44 | 48 / 1 | $5.254,94 | 149 / 3 | $3.932,62 | 146 / 2 |
Nonspecific Cerebrovascular Disorders W Mcc | 16 | 35 / 4 | $19.643,20 | 22 / 1 | $9.043,94 | 44 / 2 | $8.210,50 | 44 / 3 |
Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 7 | $16.006,30 | 152 / 6 | $5.612,75 | 71 / 7 | $4.033,25 | 71 / 4 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 11 | $41.230,90 | 64 / 1 | $17.298,50 | 46 / 6 | $14.563,90 | 46 / 2 |
Transurethral Prostatectomy W Cc/Mcc | 15 | 9 / 1 | $21.655,70 | 7 / 1 | $8.027,53 | 7 / 1 | $6.547,13 | 7 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 9 | $18.002,30 | 71 / 1 | $8.037,93 | 200 / 4 | $7.250,40 | 199 / 7 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 12 | $13.609,00 | 114 / 2 | $5.735,53 | 269 / 7 | $4.796,93 | 266 / 10 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 10 | $8.850,67 | 68 / 1 | $4.269,40 | 134 / 3 | $3.025,80 | 134 / 2 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 15 | 15 / 4 | $26.164,10 | 17 / 1 | $11.347,50 | 60 / 1 | $10.435,80 | 59 / 3 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 9 | $62.483,10 | 44 / 1 | $30.576,90 | 88 / 2 | $29.668,30 | 88 / 3 |
G.I. Obstruction W Mcc | 15 | 27 / 3 | $19.854,60 | 30 / 2 | $9.061,80 | 86 / 2 | $8.334,40 | 86 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 17 | $51.013,50 | 39 / 2 | $17.363,90 | 106 / 1 | $16.388,10 | 106 / 2 |
Tendonitis, Myositis & Bursitis W/O Mcc | 14 | 28 / 4 | $10.868,10 | 33 / 2 | $4.686,79 | 30 / 2 | $3.528,57 | 30 / 2 |
Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 9 | $25.796,20 | 408 / 8 | $7.065,71 | 544 / 10 | $6.338,86 | 544 / 13 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 6 | $15.615,90 | 15 / 1 | $10.404,80 | 120 / 2 | $9.976,14 | 120 / 5 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 9 | $29.393,60 | 125 / 2 | $10.697,10 | 90 / 8 | $7.494,29 | 90 / 3 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 14 | $18.027,00 | 114 / 2 | $7.261,31 | 128 / 7 | $6.265,31 | 128 / 5 |
Respiratory Neoplasms W Mcc | 13 | 39 / 10 | $31.540,00 | 127 / 5 | $10.487,20 | 191 / 8 | $9.451,00 | 191 / 8 |
Transurethral Procedures W Cc | 13 | 28 / 6 | $18.295,10 | 15 / 1 | $7.342,38 | 74 / 2 | $6.326,69 | 74 / 3 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 16 | $52.475,60 | 39 / 1 | $27.484,80 | 212 / 4 | $26.516,30 | 210 / 4 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 9 | $9.935,83 | 81 / 1 | $4.260,00 | 225 / 5 | $3.295,75 | 226 / 5 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 8 | $15.970,90 | 15 / 1 | $9.000,42 | 50 / 1 | $8.309,50 | 50 / 2 |
Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 13 | $21.238,50 | 13 / 1 | $12.532,60 | 240 / 2 | $11.321,40 | 240 / 8 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 8 | $31.697,70 | 55 / 1 | $11.152,70 | 133 / 1 | $10.074,20 | 133 / 3 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 8 | $7.834,08 | 29 / 1 | $4.594,92 | 216 / 5 | $3.637,17 | 216 / 8 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 12 | 17 / 2 | $12.395,00 | 17 / 2 | $4.859,42 | 22 / 2 | $3.986,33 | 22 / 2 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 7 | $12.693,80 | 44 / 1 | $5.545,00 | 120 / 2 | $4.928,18 | 120 / 3 |
Signs & Symptoms W/O Mcc | 11 | 80 / 17 | $12.422,70 | 199 / 7 | $4.177,55 | 288 / 6 | $3.362,27 | 287 / 11 | Total 99 procedures | 4.457 | 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.