Hospital Costs > In Oklahoma > Integris Seminole Medical 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/O Mcc | 40 | 167 / 13 | $15.143,50 | 363 / 15 | $7.058,00 | 1241 / 37 | $5.921,05 | 1236 / 34 |
| Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 22 | $12.060,70 | 521 / 24 | $5.292,23 | 1762 / 45 | $4.635,77 | 1751 / 50 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 12 | $12.766,60 | 518 / 20 | $5.010,13 | 915 / 33 | $3.664,58 | 907 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 41 | $17.911,10 | 170 / 12 | $11.912,90 | 1494 / 45 | $11.011,70 | 1464 / 46 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 32 | $16.372,30 | 421 / 16 | $7.362,74 | 1207 / 37 | $6.471,79 | 1201 / 39 |
| Heart Failure & Shock W Mcc | 17 | 267 / 29 | $16.150,40 | 201 / 8 | $9.143,24 | 1098 / 31 | $8.427,94 | 1095 / 33 |
| Heart Failure & Shock W Cc | 14 | 264 / 35 | $14.766,90 | 551 / 18 | $6.455,50 | 1494 / 36 | $5.760,64 | 1489 / 40 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 18 | $11.198,20 | 379 / 11 | $4.791,69 | 820 / 27 | $3.570,15 | 816 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 45 | $13.838,90 | 426 / 18 | $5.727,17 | 925 / 19 | $5.023,17 | 922 / 31 |
| Chest Pain | 11 | 140 / 20 | $8.851,73 | 100 / 3 | $4.282,73 | 905 / 17 | $3.404,18 | 900 / 18 | Total 10 procedures | 223 | 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.