Hospital Costs > In Indiana > Henry County 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 | 138 | 426 / 31 | $45.395,60 | 1049 / 20 | $16.062,30 | 1882 / 69 | $13.153,00 | 1840 / 68 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 72 | 444 / 46 | $35.541,10 | 1078 / 30 | $12.481,60 | 1797 / 54 | $11.738,20 | 1762 / 63 |
| Pulmonary Edema & Respiratory Failure | 53 | 150 / 31 | $21.739,10 | 520 / 20 | $8.319,06 | 1119 / 50 | $7.132,08 | 1117 / 48 |
| Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 35 | $27.628,60 | 877 / 28 | $10.104,20 | 1121 / 56 | $8.019,45 | 1121 / 44 |
| Heart Failure & Shock W Mcc | 25 | 259 / 45 | $28.131,20 | 983 / 37 | $10.236,60 | 1665 / 61 | $9.403,92 | 1660 / 61 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 26 | $16.458,60 | 682 / 20 | $5.381,75 | 1256 / 37 | $4.576,42 | 1251 / 46 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 29 | $20.540,20 | 605 / 21 | $8.219,14 | 845 / 49 | $6.153,55 | 843 / 29 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 41 | $17.905,90 | 904 / 21 | $6.643,82 | 1686 / 53 | $5.708,55 | 1679 / 62 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 40 | $17.698,20 | 1086 / 31 | $5.522,70 | 998 / 52 | $3.762,70 | 990 / 39 |
| Heart Failure & Shock W Cc | 19 | 259 / 50 | $18.332,20 | 968 / 27 | $6.755,95 | 1638 / 59 | $5.925,63 | 1633 / 66 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 31 | $36.105,30 | 457 / 8 | $13.303,10 | 1379 / 48 | $12.296,80 | 1361 / 51 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 41 | $20.127,70 | 793 / 21 | $7.202,00 | 1579 / 50 | $6.398,44 | 1572 / 59 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 49 | $22.580,60 | 941 / 28 | $7.863,39 | 1520 / 48 | $6.862,50 | 1513 / 60 |
| G.I. Hemorrhage W Cc | 13 | 205 / 41 | $20.006,50 | 749 / 19 | $6.807,00 | 1378 / 43 | $5.790,38 | 1375 / 46 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 31 | $13.721,70 | 694 / 17 | $4.945,46 | 792 / 46 | $3.547,31 | 788 / 33 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 33 | $48.556,20 | 1034 / 39 | $13.323,20 | 1318 / 42 | $13.042,60 | 1303 / 46 |
| Renal Failure W Cc | 12 | 209 / 47 | $15.877,20 | 550 / 16 | $6.564,67 | 1431 / 49 | $5.658,00 | 1422 / 52 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 37 | $22.122,90 | 466 / 16 | $8.265,00 | 1013 / 36 | $7.165,36 | 1010 / 39 |
| Cellulitis W/O Mcc | 11 | 178 / 42 | $25.223,30 | 1878 / 65 | $5.754,82 | 1438 / 48 | $4.658,09 | 1431 / 57 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 33 | $37.431,60 | 261 / 10 | $15.289,40 | 1134 / 36 | $14.739,50 | 1121 / 43 | Total 20 procedures | 573 | 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.