Hospital Costs > In Oklahoma > Hillcrest Hospital Cushing, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Atherosclerosis W/O Mcc | 11 | 47 / 7 | $12.508,90 | 105 / 3 | $4.599,36 | / 8 | $2.958,73 | / |
| Cellulitis W/O Mcc | 15 | 174 / 22 | $13.886,70 | 710 / 21 | $5.345,13 | 983 / 28 | $4.259,27 | 977 / 29 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 26 | $17.123,80 | 713 / 25 | $6.046,76 | 1034 / 30 | $4.983,24 | 1031 / 32 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 33 | $20.136,30 | 727 / 27 | $7.343,82 | 1284 / 35 | $6.558,88 | 1278 / 42 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 13 | $18.717,40 | 1171 / 29 | $4.796,17 | 1064 / 28 | $3.797,55 | 1055 / 31 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 28 | $13.229,80 | 530 / 24 | $5.221,50 | 778 / 41 | $3.611,45 | 773 / 20 |
| Heart Failure & Shock W Cc | 22 | 256 / 28 | $20.743,70 | 1265 / 32 | $6.486,55 | 1502 / 37 | $5.773,82 | 1497 / 41 |
| Heart Failure & Shock W Mcc | 13 | 271 / 32 | $25.840,20 | 806 / 22 | $9.293,00 | 1245 / 34 | $8.643,15 | 1242 / 37 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 20 | $14.435,40 | 783 / 21 | $4.553,27 | 1046 / 22 | $3.779,45 | 1038 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 24 | $17.098,10 | 291 / 6 | $6.993,64 | 1187 / 20 | $6.118,00 | 1184 / 22 |
| Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 15 | $14.883,90 | 914 / 36 | $5.099,43 | 1397 / 38 | $4.243,09 | 1388 / 41 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 15 | $12.960,50 | 671 / 27 | $4.739,45 | 993 / 37 | $3.647,68 | 990 / 32 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 29 | $28.651,80 | 950 / 25 | $7.681,18 | 897 / 24 | $6.805,55 | 897 / 25 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 20 | $18.025,20 | 715 / 13 | $5.316,55 | 828 / 18 | $4.327,45 | 823 / 16 |
| Renal Failure W Cc | 12 | 209 / 30 | $14.624,80 | 430 / 13 | $6.317,75 | 1308 / 30 | $5.512,42 | 1300 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 13 | 503 / 51 | $22.859,70 | 408 / 20 | $10.367,20 | 711 / 14 | $9.808,38 | 710 / 28 |
| Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 18 | $20.170,30 | 1146 / 38 | $6.371,85 | 1377 / 44 | $5.394,49 | 1372 / 47 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 10 | $16.421,00 | 875 / 30 | $4.822,78 | 749 / 36 | $3.450,96 | 745 / 21 | Total 18 procedures | 360 | 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.