Hospital Costs > In Oklahoma > Integris Baptist Regional Health Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 81 | 435 / 28 | $26.190,70 | 597 / 26 | $10.333,20 | 503 / 13 | $9.522,19 | 503 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 13 | $19.444,30 | 1073 / 35 | $5.703,58 | 550 / 18 | $4.686,85 | 547 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 10 | $16.562,30 | 482 / 18 | $6.090,96 | 456 / 7 | $5.153,71 | 454 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 35 | 529 / 37 | $33.588,50 | 379 / 7 | $11.889,10 | 794 / 12 | $10.747,20 | 780 / 30 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 27 | $22.173,90 | 917 / 30 | $6.658,85 | 491 / 9 | $5.776,38 | 490 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 27 | $17.128,80 | 1017 / 34 | $4.424,52 | 466 / 12 | $3.374,09 | 464 / 13 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 25 | $25.858,50 | 756 / 13 | $8.025,57 | 439 / 9 | $7.239,48 | 439 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 18 | $38.234,90 | 287 / 8 | $12.638,90 | 104 / 9 | $11.191,10 | 104 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 15 | $13.829,80 | 597 / 23 | $4.203,65 | 503 / 10 | $3.238,85 | 501 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 22 | $11.905,20 | 536 / 22 | $4.138,11 | 350 / 12 | $3.186,53 | 350 / 15 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 38 | $14.204,00 | 821 / 34 | $4.873,65 | 206 / 24 | $3.315,65 | 206 / 7 |
| Cellulitis W/O Mcc | 17 | 172 / 20 | $15.515,10 | 920 / 24 | $5.704,24 | 351 / 35 | $3.747,71 | 348 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 28 | $15.230,50 | 532 / 21 | $5.402,20 | 549 / 11 | $4.597,93 | 547 / 18 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 24 | $28.871,40 | 190 / 3 | $10.474,70 | 181 / 4 | $9.439,29 | 180 / 5 |
| Heart Failure & Shock W Cc | 14 | 264 / 35 | $16.681,90 | 768 / 26 | $5.660,71 | 483 / 10 | $4.883,57 | 483 / 15 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 27 | $16.778,90 | 1003 / 26 | $4.275,67 | 550 / 6 | $3.366,33 | 549 / 13 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 20 | $13.858,10 | 339 / 5 | $4.734,45 | 391 / 4 | $3.855,91 | 390 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 24 | $18.210,80 | 367 / 8 | $6.219,36 | 516 / 9 | $5.233,18 | 515 / 15 | Total 18 procedures | 459 | 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.