Hospital Costs > In Oklahoma > Integris Canadian Valley Hospital, 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 | 61 | 503 / 30 | $70.504,40 | 2006 / 42 | $12.757,60 | 1046 / 23 | $11.144,50 | 1023 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 39 | 477 / 38 | $41.389,40 | 1380 / 40 | $10.951,90 | 847 / 28 | $9.985,97 | 846 / 31 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 25 | $33.022,80 | 2105 / 60 | $6.226,85 | 1312 / 35 | $5.312,42 | 1307 / 45 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 13 | $23.968,20 | 1405 / 42 | $4.762,82 | 989 / 35 | $3.666,09 | 984 / 36 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 20 | $21.262,90 | 1353 / 34 | $4.765,16 | 1018 / 26 | $3.751,26 | 1009 / 28 |
| Renal Failure W Cc | 18 | 203 / 26 | $24.158,90 | 1361 / 27 | $6.182,06 | 1247 / 28 | $5.442,50 | 1239 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 31 | $24.864,30 | 1878 / 47 | $5.320,50 | 1176 / 44 | $3.874,06 | 1167 / 35 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 7 | $52.498,50 | 622 / 11 | $9.627,41 | 361 / 6 | $8.703,18 | 360 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 39 | $22.523,90 | 1807 / 49 | $5.442,62 | 526 / 47 | $3.637,88 | 525 / 17 |
| G.I. Hemorrhage W Cc | 16 | 202 / 24 | $26.629,00 | 1335 / 24 | $6.439,50 | 1225 / 26 | $5.603,50 | 1223 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 27 | $23.189,90 | 1315 / 33 | $6.180,06 | 423 / 35 | $4.450,25 | 422 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 23 | $58.271,20 | 1311 / 25 | $11.339,30 | 667 / 16 | $10.379,30 | 664 / 20 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 26 | $37.903,10 | 1427 / 30 | $7.593,27 | 999 / 18 | $6.946,87 | 998 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 30 | $32.559,70 | 1756 / 42 | $6.791,43 | 1324 / 33 | $6.016,57 | 1319 / 37 |
| Heart Failure & Shock W Mcc | 11 | 273 / 33 | $37.056,40 | 1509 / 36 | $8.871,91 | 753 / 26 | $7.996,27 | 753 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 33 | $52.820,90 | 1985 / 35 | $8.440,45 | 812 / 18 | $7.669,55 | 812 / 24 | Total 16 procedures | 341 | 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.