Hospital Costs > In Oklahoma > Hillcrest Hospital Claremore, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 12 | $35.312,30 | 2195 / 62 | $6.255,52 | 1289 / 36 | $5.291,38 | 1285 / 42 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 51 | 513 / 34 | $58.186,00 | 1632 / 33 | $13.178,80 | 703 / 32 | $10.629,20 | 693 / 24 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 49 | 71 / 6 | $21.310,30 | 1357 / 35 | $4.765,29 | 866 / 27 | $3.623,84 | 861 / 22 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 3 | $19.444,80 | 1157 / 38 | $4.602,41 | 973 / 23 | $3.654,51 | 968 / 34 |
| Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 14 | $30.820,70 | 1757 / 41 | $6.058,29 | 1025 / 32 | $4.979,44 | 1022 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 13 | $18.997,80 | 1452 / 42 | $4.693,56 | 932 / 34 | $3.604,56 | 929 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 25 | $21.125,40 | 1682 / 47 | $4.887,35 | 1108 / 26 | $4.027,48 | 1100 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 23 | $21.711,10 | 1584 / 43 | $4.868,00 | 941 / 32 | $3.727,23 | 935 / 26 |
| Heart Failure & Shock W Cc | 31 | 247 / 23 | $28.325,90 | 1872 / 40 | $6.205,10 | 1195 / 29 | $5.444,32 | 1192 / 35 |
| Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 24 | $33.107,60 | 1651 / 43 | $7.159,41 | 1096 / 25 | $6.329,62 | 1091 / 36 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 29 | 95 / 4 | $11.256,60 | 172 / 3 | $4.620,66 | 136 / 7 | $3.344,14 | 136 / 5 |
| Heart Failure & Shock W Mcc | 28 | 256 / 23 | $34.386,20 | 1360 / 31 | $9.160,71 | 1157 / 33 | $8.513,86 | 1154 / 35 |
| Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 22 | $45.322,40 | 1766 / 29 | $9.000,64 | 1250 / 28 | $8.222,39 | 1250 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 23 | 493 / 45 | $26.610,80 | 624 / 27 | $10.599,20 | 683 / 21 | $9.760,26 | 682 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 15 | $15.327,20 | 1031 / 15 | $3.795,71 | 967 / 12 | $2.796,18 | 962 / 16 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 16 | $19.769,90 | 1278 / 26 | $4.353,80 | 1122 / 18 | $3.871,67 | 1113 / 26 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 18 | $20.755,00 | 961 / 16 | $5.316,00 | 557 / 17 | $4.044,57 | 555 / 10 |
| Cellulitis W/O Mcc | 14 | 175 / 23 | $16.557,60 | 1059 / 29 | $5.616,36 | 555 / 33 | $3.934,71 | 552 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 22 | $19.338,60 | 992 / 21 | $5.132,43 | 673 / 22 | $3.981,00 | 670 / 20 |
| Chest Pain | 13 | 138 / 18 | $15.488,80 | 540 / 13 | $4.070,00 | 518 / 15 | $2.950,00 | 515 / 13 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 6 | $32.805,20 | 381 / 4 | $5.979,55 | 106 / 3 | $5.128,64 | 106 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 25 | $49.517,30 | 599 / 16 | $11.733,10 | 102 / 1 | $11.180,40 | 102 / 5 |
| Atherosclerosis W/O Mcc | 11 | 47 / 7 | $18.564,40 | 282 / 4 | $4.091,27 | / 5 | $3.102,18 | / | Total 23 procedures | 613 | 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.