Hospital Costs > In Oklahoma > Hillcrest Hospital South, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 84 | 104 / 5 | $39.651,50 | 936 / 17 | $7.275,51 | 610 / 19 | $5.595,35 | 608 / 17 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 65 | 499 / 28 | $67.221,20 | 1922 / 41 | $12.750,60 | 906 / 22 | $10.901,60 | 887 / 32 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 52 | 464 / 33 | $62.429,40 | 2145 / 51 | $11.725,10 | 1256 / 43 | $10.564,20 | 1235 / 43 |
Heart Failure & Shock W Cc | 52 | 226 / 13 | $28.545,10 | 1879 / 41 | $6.699,63 | 1186 / 40 | $5.438,35 | 1183 / 34 |
Renal Failure W Cc | 49 | 172 / 16 | $28.062,80 | 1605 / 34 | $6.374,25 | 1264 / 31 | $5.458,65 | 1256 / 31 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 17 | $43.584,50 | 2034 / 48 | $7.733,69 | 963 / 41 | $6.207,07 | 958 / 29 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 43 | 232 / 17 | $21.936,60 | 1617 / 45 | $5.285,26 | 1394 / 43 | $4.043,44 | 1383 / 39 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 40 | 156 / 12 | $89.253,60 | 1040 / 17 | $14.384,20 | 360 / 17 | $10.300,50 | 360 / 8 |
Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 19 | $24.831,40 | 1613 / 50 | $6.427,15 | 1231 / 47 | $5.250,42 | 1227 / 40 |
Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 21 | $22.549,30 | 1810 / 50 | $5.256,86 | 1469 / 44 | $4.321,75 | 1460 / 45 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 20 | $47.659,80 | 1837 / 33 | $8.966,75 | 1191 / 27 | $8.124,97 | 1191 / 29 |
G.I. Hemorrhage W Cc | 35 | 183 / 15 | $25.617,00 | 1255 / 21 | $6.591,54 | 1328 / 27 | $5.725,71 | 1325 / 32 |
Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 14 | $27.228,30 | 1582 / 36 | $6.228,50 | 1294 / 37 | $5.267,56 | 1289 / 38 |
Renal Failure W Mcc | 33 | 162 / 13 | $48.612,20 | 1546 / 24 | $9.619,18 | 996 / 19 | $8.922,97 | 996 / 22 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 10 | $59.055,10 | 1313 / 20 | $10.545,00 | 805 / 15 | $9.725,45 | 804 / 19 |
Cellulitis W/O Mcc | 30 | 159 / 12 | $22.864,90 | 1718 / 36 | $5.834,87 | 1619 / 37 | $4.867,43 | 1612 / 41 |
Heart Failure & Shock W Mcc | 30 | 254 / 22 | $65.002,90 | 2268 / 46 | $10.606,00 | 1892 / 39 | $10.002,20 | 1887 / 40 |
Pulmonary Edema & Respiratory Failure | 26 | 177 / 17 | $45.996,80 | 1667 / 35 | $7.729,27 | 995 / 26 | $6.940,35 | 994 / 29 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 18 | $18.589,60 | 1394 / 41 | $5.182,12 | 1282 / 44 | $3.871,24 | 1278 / 38 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 12 | $26.880,90 | 1356 / 21 | $5.508,22 | 1297 / 21 | $4.982,30 | 1288 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 16 | $22.942,30 | 1278 / 25 | $5.469,64 | 1149 / 26 | $4.444,32 | 1145 / 27 |
Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 9 | $95.082,20 | 753 / 15 | $14.286,70 | 529 / 14 | $13.077,00 | 526 / 14 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 12 | $23.699,00 | 1497 / 30 | $4.795,55 | 1444 / 28 | $4.309,15 | 1432 / 31 |
Diabetes W Cc | 19 | 73 / 10 | $27.872,40 | 1108 / 19 | $5.646,53 | 1002 / 15 | $5.137,89 | 998 / 18 |
Chest Pain | 19 | 132 / 14 | $20.623,50 | 967 / 20 | $4.615,11 | 943 / 20 | $3.458,37 | 938 / 20 |
Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 10 | $38.070,30 | 984 / 15 | $6.836,17 | 759 / 12 | $6.030,83 | 757 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 13 | $32.991,90 | 1097 / 14 | $7.125,29 | 446 / 13 | $5.952,59 | 443 / 11 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 21 | $56.204,60 | 1247 / 21 | $11.929,10 | 404 / 23 | $9.928,88 | 403 / 15 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 8 | $72.062,00 | 603 / 9 | $12.960,90 | 380 / 5 | $12.031,10 | 375 / 7 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 9 | $46.740,90 | 558 / 10 | $7.094,29 | 279 / 11 | $5.506,47 | 278 / 10 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 17 | $23.075,60 | 1361 / 41 | $5.053,00 | 801 / 41 | $3.504,88 | 797 / 23 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 22 | $26.191,50 | 1584 / 40 | $5.151,24 | 1358 / 35 | $4.181,06 | 1347 / 37 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 15 | $21.600,60 | 1483 / 24 | $4.208,24 | 1399 / 17 | $3.284,00 | 1393 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 28 | $36.350,90 | 1909 / 44 | $6.958,38 | 1463 / 36 | $6.200,31 | 1457 / 42 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 11 | $71.980,50 | 891 / 14 | $14.368,30 | 465 / 6 | $13.480,90 | 461 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 14 | $33.437,20 | 1106 / 16 | $7.645,13 | 818 / 18 | $6.836,60 | 815 / 20 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 16 | $155.773,00 | 1058 / 13 | $43.508,60 | 243 / 19 | $27.333,10 | 243 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 22 | $68.594,70 | 1115 / 24 | $13.668,40 | 217 / 18 | $11.623,80 | 215 / 12 |
G.I. Obstruction W Cc | 13 | 79 / 16 | $25.487,60 | 1018 / 13 | $5.968,46 | 1009 / 13 | $5.134,00 | 1006 / 15 |
Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 16 | $40.204,80 | 1509 / 25 | $7.127,15 | 822 / 21 | $6.121,62 | 821 / 19 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 7 | $137.269,00 | 429 / 6 | $27.255,30 | 144 / 1 | $26.057,90 | 144 / 1 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 10 | $106.052,00 | 293 / 8 | $21.066,20 | 179 / 4 | $19.852,80 | 178 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 11 | $127.424,00 | 714 / 10 | $19.477,10 | 385 / 7 | $18.578,40 | 383 / 9 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 9 | $78.478,20 | 407 / 8 | $10.917,50 | 239 / 5 | $10.013,50 | 239 / 9 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 6 | $49.560,80 | 451 / 10 | $10.226,70 | 221 / 7 | $8.371,75 | 221 / 6 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 11 | $40.665,20 | 669 / 9 | $6.700,00 | 54 / 5 | $4.611,73 | 54 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 18 | $65.339,10 | 289 / 3 | $19.792,30 | 75 / 2 | $18.576,30 | 74 / 6 |
Atherosclerosis W/O Mcc | 11 | 47 / 7 | $26.649,00 | 410 / 9 | $5.159,00 | / 9 | $3.109,36 | / |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 10 | $34.772,40 | 661 / 11 | $5.854,09 | 318 / 10 | $3.827,27 | 315 / 9 | Total 49 procedures | 1.250 | 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.