Hospital Costs > In Oklahoma > Integris Mayes County Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 31 | $17.022,10 | 479 / 17 | $8.154,90 | 1243 / 43 | $6.509,75 | 1237 / 40 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 15 | $16.537,50 | 972 / 25 | $5.261,75 | 1453 / 37 | $4.330,17 | 1442 / 38 |
Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 31 | $12.953,90 | 638 / 25 | $5.339,12 | 1460 / 46 | $4.314,29 | 1451 / 44 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 45 | $35.400,70 | 490 / 14 | $13.692,80 | 1340 / 39 | $11.679,90 | 1308 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 22 | 494 / 46 | $18.819,10 | 218 / 15 | $11.787,00 | 1484 / 44 | $10.994,00 | 1454 / 44 |
Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 42 | $19.981,60 | 1131 / 37 | $6.697,12 | 1605 / 51 | $5.612,12 | 1598 / 53 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 20 | $18.612,40 | 1090 / 35 | $5.150,86 | 1128 / 42 | $3.806,57 | 1122 / 42 | Total 7 procedures | 135 | 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.