Hospital Costs > In Louisiana > Iberia General Hospital And Medical Center, 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 | 73 | 491 / 25 | $48.839,90 | 1235 / 20 | $11.222,50 | 240 / 9 | $9.812,08 | 240 / 15 |
Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 16 | $34.741,40 | 2170 / 52 | $5.297,29 | 367 / 2 | $4.532,13 | 365 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 60 | 456 / 31 | $50.202,60 | 1791 / 44 | $9.420,88 | 96 / 2 | $8.625,42 | 96 / 2 |
Heart Failure & Shock W Cc | 48 | 230 / 27 | $28.140,50 | 1862 / 55 | $5.390,48 | 314 / 5 | $4.697,81 | 314 / 10 |
Pulmonary Edema & Respiratory Failure | 48 | 155 / 11 | $43.017,40 | 1604 / 29 | $6.692,33 | 117 / 2 | $5.721,17 | 117 / 4 |
Renal Failure W Cc | 42 | 179 / 25 | $22.582,50 | 1235 / 23 | $5.383,69 | 51 / 4 | $4.056,29 | 51 / 1 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 39 | 54 / 8 | $25.292,90 | 1468 / 37 | $4.128,77 | 431 / 7 | $3.174,51 | 429 / 10 |
Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 31 | $24.876,40 | 1969 / 54 | $4.390,00 | 141 / 8 | $3.215,86 | 141 / 3 |
Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 11 | $20.876,50 | 1353 / 36 | $3.915,88 | 313 / 8 | $3.117,73 | 311 / 11 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 21 | $44.777,40 | 1752 / 32 | $7.547,13 | 174 / 4 | $6.763,58 | 174 / 3 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 11 | $21.239,50 | 1350 / 39 | $4.126,16 | 276 / 5 | $3.115,58 | 276 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 23 | $18.749,60 | 1426 / 39 | $4.118,52 | 266 / 5 | $3.089,00 | 266 / 6 |
Heart Failure & Shock W Mcc | 28 | 256 / 35 | $39.542,40 | 1631 / 41 | $7.965,64 | 166 / 3 | $7.160,07 | 166 / 3 |
Cellulitis W/O Mcc | 27 | 162 / 26 | $21.187,20 | 1597 / 44 | $4.756,22 | 118 / 7 | $3.443,07 | 118 / 3 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 26 | 38 / 3 | $42.341,20 | 333 / 7 | $8.282,42 | 50 / 3 | $7.180,35 | 50 / 4 |
Red Blood Cell Disorders W/O Mcc | 26 | 117 / 22 | $20.099,60 | 905 / 30 | $5.109,08 | 251 / 13 | $3.696,38 | 251 / 8 |
G.I. Hemorrhage W Cc | 25 | 193 / 23 | $25.762,40 | 1271 / 27 | $5.591,36 | 239 / 5 | $4.623,04 | 239 / 6 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 18 | $40.130,60 | 950 / 25 | $6.526,88 | 121 / 8 | $4.804,62 | 121 / 8 |
Renal Failure W Mcc | 24 | 171 / 27 | $39.450,20 | 1268 / 29 | $8.279,04 | 250 / 4 | $7.625,71 | 250 / 6 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 26 | $33.969,40 | 1815 / 39 | $5.709,70 | 120 / 3 | $4.687,43 | 120 / 4 |
Red Blood Cell Disorders W Mcc | 23 | 48 / 7 | $27.191,50 | 377 / 9 | $6.873,39 | 81 / 2 | $6.037,22 | 81 / 2 |
G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 7 | $20.044,40 | 549 / 11 | $4.096,00 | 261 / 4 | $3.292,95 | 259 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 27 | $25.022,40 | 1452 / 32 | $5.166,75 | 302 / 6 | $4.321,95 | 301 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 17 | $47.026,60 | 1477 / 29 | $6.787,25 | 342 / 5 | $6.121,65 | 341 / 9 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 19 | $16.769,60 | 1174 / 24 | $3.429,74 | 537 / 8 | $2.476,37 | 533 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 19 | $69.300,30 | 1131 / 29 | $12.066,40 | 111 / 6 | $11.241,20 | 111 / 6 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 22 | $45.971,20 | 876 / 12 | $10.150,90 | 95 / 2 | $9.208,67 | 95 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 25 | $67.154,90 | 623 / 14 | $10.918,00 | 70 / 3 | $9.228,11 | 70 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 34 | $23.077,00 | 1722 / 47 | $4.380,28 | 393 / 7 | $3.321,39 | 391 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 34 | $28.828,80 | 1396 / 32 | $6.484,94 | 296 / 9 | $5.560,71 | 295 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 27 | $26.957,10 | 923 / 17 | $5.608,18 | 199 / 3 | $4.827,00 | 199 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 13 | $25.028,40 | 901 / 22 | $4.371,35 | 258 / 3 | $3.307,82 | 256 / 6 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 4 | $71.023,40 | 356 / 5 | $9.774,06 | 81 / 3 | $8.868,06 | 81 / 3 |
G.I. Hemorrhage W Mcc | 16 | 105 / 17 | $43.199,40 | 812 / 18 | $8.758,50 | 14 / 1 | $7.774,50 | 14 / 1 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 5 | $30.757,10 | 587 / 7 | $4.395,73 | 115 / 2 | $3.352,53 | 115 / 2 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 17 | $53.791,60 | 1214 / 20 | $9.144,64 | 170 / 4 | $8.196,07 | 170 / 6 |
Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 17 | $30.092,90 | 449 / 9 | $6.154,31 | 56 / 5 | $4.476,92 | 56 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 22 | $25.918,50 | 1445 / 31 | $4.561,62 | 391 / 5 | $3.724,69 | 391 / 10 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 11 | $143.281,00 | 520 / 16 | $24.462,80 | 3 / 1 | $21.527,80 | 3 / 1 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 12 | $16.682,20 | 450 / 17 | $3.686,25 | 97 / 4 | $2.678,25 | 96 / 4 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 10 | $36.951,50 | 342 / 7 | $8.221,25 | 19 / 1 | $7.117,25 | 19 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 5 | $43.325,60 | 351 / 7 | $6.906,36 | 34 / 3 | $5.153,45 | 34 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 11 | $20.764,50 | 312 / 5 | $5.715,73 | 14 / 1 | $4.972,45 | 14 / 1 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 14 | $126.564,00 | 620 / 12 | $25.754,20 | 5 / 2 | $20.248,20 | 5 / 1 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 18 | $40.274,70 | 493 / 13 | $9.762,36 | 104 / 2 | $9.157,27 | 104 / 5 | Total 45 procedures | 1.129 | 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.