Hospital Costs > In Oklahoma > Integris Grove Hospital, 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 | 128 | 388 / 19 | $28.695,70 | 725 / 31 | $9.483,05 | 94 / 2 | $8.617,49 | 94 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 10 | $17.093,00 | 522 / 20 | $5.809,44 | 175 / 2 | $4.819,36 | 175 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 19 | $18.045,20 | 917 / 33 | $5.232,85 | 238 / 6 | $4.386,45 | 238 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 18 | $14.062,70 | 628 / 26 | $4.200,34 | 109 / 5 | $2.965,63 | 109 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 28 | 536 / 40 | $45.976,00 | 1086 / 24 | $11.575,80 | 163 / 6 | $9.595,39 | 163 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 17 | $15.320,00 | 995 / 33 | $3.960,00 | 242 / 6 | $3.065,04 | 242 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 23 | $18.904,80 | 886 / 28 | $5.119,00 | 235 / 4 | $4.240,45 | 235 / 5 |
| Heart Failure & Shock W Cc | 21 | 257 / 29 | $14.122,30 | 485 / 16 | $5.111,67 | 64 / 3 | $4.249,19 | 64 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 35 | $13.140,50 | 664 / 29 | $4.268,05 | 286 / 6 | $3.420,05 | 286 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 16 | $14.488,40 | 671 / 25 | $4.001,17 | 175 / 4 | $2.858,44 | 173 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 28 | $27.573,50 | 876 / 15 | $7.673,44 | 220 / 3 | $6.868,11 | 220 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 19 | $48.684,30 | 199 / 2 | $10.667,00 | 135 / 1 | $9.596,78 | 135 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 19 | $27.753,20 | 413 / 7 | $5.929,89 | 60 / 2 | $4.611,11 | 60 / 4 |
| G.I. Obstruction W Cc | 18 | 74 / 11 | $14.704,80 | 271 / 4 | $4.989,67 | 136 / 2 | $3.902,89 | 135 / 3 |
| Heart Failure & Shock W Mcc | 17 | 267 / 29 | $28.411,50 | 995 / 24 | $8.098,88 | 283 / 6 | $7.393,00 | 283 / 9 |
| Cellulitis W/O Mcc | 16 | 173 / 21 | $16.654,60 | 1077 / 30 | $4.622,06 | 205 / 7 | $3.562,06 | 204 / 6 |
| G.I. Hemorrhage W Cc | 16 | 202 / 24 | $18.980,30 | 660 / 14 | $5.463,44 | 198 / 3 | $4.557,44 | 198 / 5 |
| Renal Failure W Cc | 15 | 206 / 28 | $15.852,10 | 547 / 18 | $5.185,33 | 114 / 5 | $4.223,20 | 114 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 35 | $19.218,30 | 652 / 25 | $6.311,36 | 144 / 3 | $5.275,93 | 144 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 12 | $13.737,90 | 169 / 2 | $4.147,08 | 260 / 2 | $3.310,15 | 258 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 25 | $39.843,90 | 632 / 14 | $10.052,80 | 51 / 1 | $8.943,42 | 51 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 24 | $14.574,50 | 476 / 14 | $4.340,75 | 119 / 5 | $3.338,08 | 119 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 24 | $54.319,10 | 749 / 17 | $12.865,10 | 430 / 11 | $12.259,80 | 425 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 23 | $19.876,20 | 466 / 10 | $5.804,08 | 143 / 2 | $4.694,75 | 143 / 3 | Total 24 procedures | 597 | 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.