Hospital Costs > In Oklahoma > Integris Health Edmond, 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 | 72 | 492 / 26 | $63.874,80 | 1831 / 39 | $12.935,40 | 32 / 26 | $8.863,96 | 32 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 36 | 480 / 39 | $55.331,60 | 1961 / 48 | $12.684,70 | 108 / 49 | $8.670,06 | 108 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 42 | $22.126,80 | 1363 / 44 | $7.116,75 | 21 / 56 | $3.847,12 | 21 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 29 | $30.061,50 | 1619 / 41 | $7.694,40 | 7 / 42 | $3.948,80 | 7 / 1 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 27 | $36.338,20 | 1355 / 28 | $8.780,92 | 20 / 33 | $5.272,62 | 20 / 1 |
| G.I. Hemorrhage W Cc | 12 | 206 / 26 | $24.118,90 | 1133 / 20 | $6.653,08 | 19 / 28 | $4.035,08 | 19 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 35 | $18.046,70 | 1136 / 36 | $4.857,42 | 41 / 30 | $2.795,42 | 41 / 3 | Total 7 procedures | 176 | 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.