Hospital Costs > In Indiana > Indiana University Health Morgan Hospital Inc, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 39 | $28.358,10 | 1364 / 55 | $8.255,65 | 1745 / 61 | $7.312,08 | 1737 / 65 |
Heart Failure & Shock W Mcc | 26 | 258 / 44 | $27.886,40 | 967 / 36 | $10.434,50 | 1716 / 64 | $9.511,46 | 1711 / 63 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 42 | $18.099,60 | 1338 / 48 | $5.347,15 | 1916 / 59 | $4.702,23 | 1910 / 63 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 51 | $31.846,20 | 1136 / 46 | $9.052,50 | 1642 / 57 | $8.247,17 | 1637 / 60 |
Renal Failure W Cc | 11 | 210 / 48 | $18.211,50 | 797 / 24 | $7.148,91 | 1838 / 56 | $6.494,36 | 1828 / 60 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 28 | 488 / 60 | $23.441,10 | 446 / 8 | $11.678,10 | 1424 / 44 | $10.902,10 | 1397 / 50 |
Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 50 | $29.306,60 | 992 / 36 | $10.065,60 | 1578 / 54 | $8.856,43 | 1578 / 56 | Total 7 procedures | 141 | 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.