Hospital Costs > In Kentucky > Hazard Arh Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 204 | 21 / 3 | $29.826,80 | 1465 / 50 | $7.723,78 | 1260 / 45 | $6.535,08 | 1254 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 167 | 349 / 17 | $44.864,50 | 1565 / 48 | $11.417,80 | 1156 / 40 | $10.412,70 | 1139 / 44 |
| Chronic Obstructive Pulmonary Disease W Cc | 166 | 27 / 2 | $24.839,50 | 1438 / 49 | $6.201,83 | 1142 / 44 | $5.089,53 | 1138 / 45 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 140 | 6 / 1 | $16.770,00 | 1000 / 44 | $5.074,98 | 924 / 44 | $3.670,72 | 916 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 137 | 138 / 6 | $19.757,90 | 1357 / 43 | $5.174,20 | 1335 / 44 | $3.999,26 | 1324 / 43 |
| Simple Pneumonia & Pleurisy W Cc | 108 | 95 / 7 | $28.831,10 | 1887 / 57 | $6.513,40 | 1352 / 50 | $5.361,05 | 1347 / 48 |
| Chest Pain | 104 | 51 / 1 | $16.679,50 | 661 / 26 | $4.536,15 | 948 / 30 | $3.462,82 | 943 / 32 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 101 | 87 / 5 | $34.094,10 | 710 / 18 | $7.349,78 | 657 / 20 | $5.671,98 | 655 / 21 |
| Heart Failure & Shock W Mcc | 94 | 190 / 15 | $36.576,80 | 1485 / 47 | $9.560,23 | 1256 / 41 | $8.657,51 | 1253 / 47 |
| Heart Failure & Shock W Cc | 94 | 184 / 11 | $22.198,80 | 1417 / 43 | $7.217,64 | 1069 / 52 | $5.342,23 | 1067 / 38 |
| Cellulitis W/O Mcc | 82 | 107 / 6 | $14.806,30 | 833 / 27 | $5.760,96 | 1069 / 42 | $4.323,44 | 1063 / 38 |
| Kidney & Urinary Tract Infections W/O Mcc | 80 | 153 / 9 | $17.699,00 | 1311 / 42 | $5.324,73 | 1190 / 44 | $4.080,04 | 1182 / 41 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 76 | 55 / 7 | $55.209,90 | 773 / 30 | $14.137,20 | 489 / 23 | $12.407,40 | 482 / 18 |
| Syncope & Collapse | 69 | 100 / 4 | $19.824,50 | 842 / 28 | $5.106,09 | 769 / 27 | $3.818,28 | 766 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 66 | 139 / 20 | $35.359,80 | 1373 / 46 | $9.150,48 | 1163 / 38 | $8.076,89 | 1163 / 42 |
| G.I. Hemorrhage W Cc | 64 | 154 / 13 | $23.670,50 | 1093 / 38 | $6.544,92 | 1198 / 38 | $5.575,11 | 1196 / 43 |
| Renal Failure W Cc | 60 | 161 / 17 | $18.709,00 | 852 / 29 | $6.335,60 | 1156 / 33 | $5.333,28 | 1148 / 39 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 57 | 139 / 12 | $64.599,70 | 556 / 15 | $12.644,80 | 711 / 11 | $11.271,30 | 707 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 56 | 508 / 26 | $53.416,60 | 1442 / 32 | $14.856,70 | 294 / 43 | $9.949,27 | 294 / 5 |
| Renal Failure W Mcc | 53 | 142 / 17 | $28.984,60 | 698 / 26 | $9.450,40 | 771 / 28 | $8.493,40 | 771 / 28 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 48 | 113 / 12 | $18.489,90 | 903 / 29 | $5.505,54 | 986 / 31 | $4.283,75 | 983 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 47 | 103 / 13 | $12.373,20 | 641 / 19 | $4.191,51 | 934 / 33 | $2.772,68 | 929 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 15 | $25.306,70 | 1280 / 34 | $6.981,72 | 1286 / 38 | $5.964,17 | 1281 / 39 |
| Respiratory Infections & Inflammations W Cc | 44 | 44 / 4 | $45.896,70 | 1074 / 37 | $9.068,80 | 692 / 29 | $7.743,52 | 687 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 13 | $14.121,40 | 854 / 36 | $4.947,59 | 1307 / 48 | $3.890,23 | 1303 / 45 |
| Signs & Symptoms W/O Mcc | 40 | 51 / 4 | $18.484,80 | 573 / 17 | $4.805,52 | 567 / 18 | $3.797,12 | 566 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 40 | 53 / 6 | $16.416,80 | 874 / 38 | $4.878,15 | 1138 / 37 | $3.825,43 | 1132 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 39 | 84 / 13 | $37.546,70 | 1244 / 29 | $7.984,59 | 673 / 21 | $6.626,10 | 670 / 20 |
| G.I. Hemorrhage W/O Cc/Mcc | 34 | 34 / 1 | $17.153,40 | 431 / 11 | $4.828,21 | 506 / 10 | $3.788,71 | 502 / 11 |
| Transient Ischemia | 34 | 91 / 13 | $22.256,40 | 816 / 21 | $5.005,88 | 798 / 22 | $3.704,82 | 794 / 22 |
| Diabetes W Cc | 32 | 60 / 8 | $19.238,80 | 639 / 21 | $5.634,62 | 607 / 21 | $4.399,72 | 606 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 11 | $27.734,90 | 846 / 23 | $7.152,56 | 628 / 14 | $6.244,84 | 625 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 17 | $25.617,90 | 837 / 19 | $6.874,09 | 659 / 24 | $5.388,25 | 658 / 15 |
| Other Circulatory System Diagnoses W Mcc | 31 | 85 / 6 | $40.000,60 | 485 / 15 | $11.308,70 | 363 / 11 | $10.212,30 | 362 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 31 | 65 / 6 | $26.366,50 | 500 / 16 | $7.765,23 | 582 / 18 | $6.828,23 | 577 / 20 |
| Seizures W/O Mcc | 30 | 78 / 9 | $18.106,70 | 435 / 13 | $5.220,73 | 510 / 13 | $4.074,40 | 507 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 14 | $16.225,60 | 981 / 37 | $4.718,50 | 1083 / 32 | $3.823,43 | 1075 / 33 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 12 | $47.288,10 | 927 / 21 | $10.465,20 | 307 / 14 | $9.164,28 | 307 / 9 |
| Pulmonary Edema & Respiratory Failure | 29 | 174 / 30 | $33.379,20 | 1220 / 40 | $7.860,45 | 778 / 35 | $6.684,48 | 778 / 36 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 28 | 64 / 5 | $122.470,00 | 337 / 10 | $32.881,50 | 126 / 5 | $30.556,70 | 126 / 5 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 27 | 44 / 7 | $139.772,00 | 506 / 18 | $32.823,60 | 280 / 13 | $28.943,50 | 280 / 12 |
| Permanent Cardiac Pacemaker Implant W Cc | 26 | 51 / 4 | $59.509,20 | 338 / 4 | $15.784,00 | 330 / 4 | $14.748,20 | 329 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 17 | $24.702,80 | 901 / 28 | $7.159,68 | 945 / 25 | $6.303,36 | 942 / 29 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 16 | $16.966,70 | 619 / 22 | $5.392,84 | 979 / 31 | $4.496,40 | 973 / 34 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 18 | $45.883,60 | 1017 / 28 | $10.264,80 | 517 / 17 | $9.037,80 | 516 / 16 |
| Hypertension W/O Mcc | 24 | 41 / 3 | $15.557,00 | 245 / 11 | $4.392,42 | 366 / 11 | $3.319,04 | 364 / 12 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 15 | $96.129,60 | 448 / 11 | $32.355,80 | 141 / 14 | $26.164,30 | 141 / 3 |
| Renal Failure W/O Cc/Mcc | 23 | 33 / 6 | $19.283,30 | 533 / 22 | $4.866,91 | 529 / 20 | $3.662,70 | 528 / 21 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 21 | 36 / 5 | $50.270,80 | 291 / 3 | $14.028,80 | 177 / 7 | $11.215,00 | 176 / 4 |
| Medical Back Problems W/O Mcc | 21 | 100 / 14 | $19.601,70 | 491 / 16 | $5.870,19 | 447 / 18 | $4.155,33 | 447 / 15 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 14 | $27.914,00 | 645 / 20 | $6.717,24 | 705 / 20 | $5.870,90 | 703 / 21 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 21 | $51.062,90 | 1084 / 27 | $12.402,00 | 922 / 28 | $10.833,60 | 909 / 29 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 19 | $64.324,60 | 1339 / 37 | $13.056,70 | 935 / 34 | $11.525,60 | 925 / 33 |
| Red Blood Cell Disorders W Mcc | 18 | 53 / 10 | $31.937,40 | 508 / 15 | $7.645,67 | 110 / 10 | $6.189,44 | 110 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 15 | $90.158,20 | 380 / 13 | $19.787,80 | 99 / 8 | $16.365,90 | 99 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 17 | 107 / 11 | $13.070,40 | 251 / 9 | $4.751,00 | 175 / 8 | $3.464,88 | 175 / 4 |
| Signs & Symptoms W Mcc | 17 | 24 / 3 | $21.411,70 | 66 / 2 | $6.875,47 | 44 / 1 | $5.947,12 | 44 / 2 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 17 | 46 / 6 | $114.954,00 | 320 / 7 | $28.812,00 | 204 / 5 | $27.264,20 | 204 / 5 |
| Other Circulatory System Diagnoses W Cc | 17 | 49 / 7 | $19.967,20 | 190 / 4 | $6.634,82 | 221 / 7 | $5.205,82 | 220 / 6 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 17 | 13 / 2 | $37.797,20 | 45 / 2 | $11.888,80 | 57 / 2 | $10.410,00 | 56 / 2 |
| Other Vascular Procedures W Cc | 15 | 87 / 15 | $83.171,60 | 684 / 14 | $16.046,20 | 116 / 9 | $12.830,90 | 116 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 17 | $28.773,10 | 304 / 7 | $10.141,80 | 413 / 8 | $9.116,73 | 412 / 12 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 11 | $27.902,80 | 531 / 16 | $5.115,64 | 505 / 11 | $4.305,50 | 502 / 16 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 10 | $44.761,70 | 637 / 14 | $9.456,00 | 479 / 11 | $8.455,43 | 477 / 13 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 15 | $136.783,00 | 712 / 18 | $29.395,20 | 305 / 9 | $27.493,90 | 303 / 10 |
| G.I. Obstruction W Cc | 13 | 79 / 20 | $15.819,20 | 351 / 16 | $5.917,00 | 795 / 23 | $4.808,62 | 793 / 27 |
| Diabetes W Mcc | 13 | 44 / 7 | $37.471,20 | 420 / 10 | $8.767,23 | 108 / 9 | $7.060,23 | 108 / 5 |
| Atherosclerosis W/O Mcc | 13 | 45 / 11 | $13.891,20 | 136 / 4 | $4.306,08 | / 10 | $3.454,23 | / |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 13 | $36.876,00 | 956 / 21 | $6.278,15 | 469 / 15 | $5.240,00 | 467 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 20 | $17.547,80 | 396 / 9 | $5.191,58 | 758 / 16 | $3.941,33 | 754 / 16 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 11 | $28.943,80 | 593 / 19 | $6.140,64 | 367 / 13 | $4.929,73 | 366 / 15 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 10 | $33.456,90 | 153 / 5 | $9.145,09 | 50 / 6 | $6.750,09 | 50 / 4 | Total 72 procedures | 3.273 | 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.