Hospital Costs > In Oklahoma > Integris Bass Baptist 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 | 87 | 429 / 26 | $61.805,10 | 2124 / 50 | $13.796,00 | 2087 / 51 | $12.706,90 | 2050 / 51 |
Pulmonary Edema & Respiratory Failure | 55 | 148 / 8 | $43.582,20 | 1624 / 33 | $10.094,80 | 1845 / 35 | $9.090,85 | 1840 / 37 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 36 | $58.800,70 | 1646 / 36 | $15.647,20 | 2070 / 47 | $13.878,50 | 2028 / 45 |
Heart Failure & Shock W Cc | 38 | 240 / 19 | $33.017,20 | 2100 / 45 | $8.714,42 | 2408 / 46 | $7.823,92 | 2402 / 48 |
Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 20 | $40.666,60 | 1942 / 47 | $10.281,40 | 2125 / 50 | $8.398,97 | 2117 / 49 |
Renal Failure W Cc | 34 | 187 / 21 | $26.243,60 | 1506 / 30 | $8.478,00 | 2063 / 36 | $7.312,12 | 2053 / 37 |
Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 17 | $34.114,10 | 1885 / 44 | $8.323,94 | 2179 / 44 | $7.496,84 | 2172 / 45 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 29 | $39.979,10 | 2325 / 65 | $8.664,93 | 2467 / 63 | $7.530,93 | 2458 / 64 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 18 | $37.149,70 | 1938 / 45 | $9.048,48 | 2208 / 46 | $8.062,41 | 2199 / 48 |
Extracranial Procedures W/O Cc/Mcc | 26 | 72 / 9 | $39.352,30 | 623 / 9 | $9.018,85 | 840 / 9 | $7.903,77 | 837 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 19 | $46.206,20 | 891 / 18 | $14.011,00 | 1517 / 28 | $12.856,20 | 1499 / 29 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 28 | $26.680,20 | 1977 / 50 | $7.320,36 | 2401 / 50 | $5.917,77 | 2386 / 51 |
G.I. Hemorrhage W Cc | 21 | 197 / 22 | $42.076,00 | 2009 / 37 | $8.907,10 | 2022 / 35 | $7.346,86 | 2018 / 36 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 17 | $76.186,10 | 802 / 15 | $14.732,40 | 1165 / 18 | $13.638,30 | 1158 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 19 | $42.620,70 | 1577 / 27 | $9.159,10 | 1775 / 28 | $8.069,50 | 1771 / 28 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 27 | $49.556,90 | 1906 / 34 | $11.089,60 | 2045 / 35 | $10.328,30 | 2044 / 38 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 19 | $58.306,50 | 1363 / 23 | $9.565,44 | 1432 / 23 | $8.495,22 | 1429 / 25 |
Heart Failure & Shock W Mcc | 18 | 266 / 28 | $45.246,80 | 1853 / 42 | $11.507,90 | 2047 / 44 | $10.567,50 | 2038 / 45 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 9 | $111.618,00 | 320 / 9 | $24.197,20 | 379 / 8 | $23.201,50 | 378 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 24 | $31.011,10 | 2166 / 51 | $7.027,12 | 2275 / 50 | $5.940,06 | 2267 / 50 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 23 | $26.375,40 | 1592 / 41 | $7.179,81 | 1872 / 42 | $5.683,50 | 1861 / 43 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 18 | $18.373,90 | 1298 / 20 | $6.181,86 | 1865 / 24 | $5.055,00 | 1859 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 41 | $23.384,00 | 1880 / 52 | $7.407,00 | 2476 / 56 | $6.545,29 | 2465 / 57 |
G.I. Obstruction W Cc | 14 | 78 / 15 | $37.862,10 | 1415 / 19 | $8.099,86 | 1570 / 18 | $7.149,00 | 1565 / 18 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 23 | $65.680,50 | 1055 / 20 | $18.959,40 | 357 / 31 | $12.040,90 | 353 / 17 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 13 | $73.722,50 | 910 / 15 | $17.465,50 | 1097 / 18 | $16.542,50 | 1084 / 18 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 18 | $87.272,20 | 1565 / 21 | $13.978,60 | 1368 / 20 | $13.375,90 | 1353 / 21 |
Cellulitis W/O Mcc | 12 | 177 / 25 | $24.796,00 | 1861 / 40 | $7.953,83 | 2226 / 46 | $6.213,83 | 2218 / 47 |
Transient Ischemia | 12 | 113 / 17 | $30.425,50 | 1192 / 14 | $7.118,17 | 1434 / 17 | $5.412,17 | 1426 / 17 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 19 | $24.061,20 | 1510 / 32 | $6.871,17 | 1849 / 34 | $5.961,83 | 1836 / 35 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 14 | $44.540,60 | 1050 / 15 | $10.684,90 | 1261 / 18 | $10.135,10 | 1256 / 19 |
Renal Failure W Mcc | 11 | 184 / 22 | $53.703,50 | 1651 / 27 | $11.784,00 | 1671 / 25 | $11.016,00 | 1669 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 25 | $26.215,00 | 1464 / 28 | $7.530,45 | 1930 / 32 | $6.439,55 | 1925 / 32 | Total 33 procedures | 766 | 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.