Hospital Costs > In Oklahoma > Integris Southwest 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 Mcc | 248 | 268 / 9 | $67.984,40 | 2256 / 52 | $12.112,10 | 1251 / 46 | $10.558,10 | 1230 / 42 |
Pulmonary Edema & Respiratory Failure | 90 | 113 / 3 | $46.849,40 | 1686 / 36 | $8.022,23 | 883 / 29 | $6.793,34 | 883 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 74 | 108 / 6 | $32.319,60 | 1262 / 22 | $7.357,19 | 608 / 23 | $5.337,93 | 607 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 3 | $40.651,90 | 2053 / 47 | $7.243,44 | 1112 / 38 | $5.769,25 | 1108 / 31 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 70 | 205 / 12 | $30.004,50 | 2166 / 53 | $5.409,66 | 983 / 45 | $3.751,67 | 975 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 65 | 114 / 7 | $31.310,00 | 1785 / 42 | $6.191,18 | 992 / 36 | $4.950,00 | 989 / 30 |
Simple Pneumonia & Pleurisy W Cc | 65 | 138 / 11 | $37.175,80 | 2256 / 63 | $6.606,85 | 1354 / 49 | $5.363,49 | 1349 / 46 |
Chronic Obstructive Pulmonary Disease W Mcc | 62 | 140 / 10 | $37.973,50 | 1858 / 44 | $8.589,02 | 895 / 44 | $6.147,53 | 890 / 25 |
Renal Failure W Cc | 60 | 161 / 14 | $30.890,70 | 1737 / 35 | $6.403,57 | 1126 / 32 | $5.310,52 | 1118 / 28 |
Heart Failure & Shock W Cc | 60 | 218 / 10 | $28.939,90 | 1900 / 42 | $6.801,58 | 974 / 43 | $5.271,25 | 973 / 27 |
Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 11 | $62.496,80 | 2133 / 37 | $9.701,95 | 1204 / 33 | $8.143,17 | 1204 / 30 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 58 | 506 / 31 | $79.400,80 | 2196 / 45 | $13.343,70 | 1494 / 34 | $12.034,80 | 1460 / 39 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 57 | 109 / 6 | $26.531,60 | 1963 / 48 | $5.055,81 | 987 / 42 | $3.644,53 | 984 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 56 | 112 / 6 | $72.481,80 | 1291 / 13 | $11.488,90 | 633 / 11 | $9.704,91 | 632 / 11 |
Renal Failure W Mcc | 55 | 140 / 10 | $52.169,40 | 1627 / 26 | $9.961,29 | 983 / 21 | $8.897,91 | 983 / 21 |
Heart Failure & Shock W Mcc | 48 | 236 / 16 | $40.351,90 | 1678 / 39 | $9.580,02 | 1004 / 37 | $8.303,31 | 1003 / 31 |
Respiratory Infections & Inflammations W Mcc | 48 | 88 / 6 | $59.317,90 | 1254 / 16 | $12.572,50 | 657 / 17 | $10.834,60 | 649 / 16 |
G.I. Hemorrhage W Cc | 47 | 171 / 10 | $31.493,80 | 1641 / 32 | $6.889,72 | 930 / 31 | $5.305,87 | 928 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 44 | 58 / 4 | $27.887,90 | 1014 / 12 | $5.455,57 | 614 / 10 | $3.751,77 | 610 / 9 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 11 | $51.907,40 | 1250 / 22 | $7.346,88 | 681 / 20 | $5.707,14 | 679 / 18 |
Hip & Femur Procedures Except Major Joint W Cc | 42 | 101 / 11 | $71.662,20 | 1574 / 27 | $13.050,10 | 725 / 26 | $10.467,80 | 719 / 22 |
Transient Ischemia | 41 | 84 / 8 | $26.745,30 | 1041 / 13 | $4.870,80 | 747 / 13 | $3.652,61 | 743 / 10 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 41 | 79 / 8 | $22.597,00 | 1434 / 36 | $4.938,46 | 1041 / 31 | $3.775,83 | 1032 / 30 |
Syncope & Collapse | 39 | 130 / 7 | $29.396,70 | 1415 / 17 | $5.036,13 | 844 / 13 | $3.890,64 | 840 / 13 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 38 | 93 / 11 | $88.369,70 | 1402 / 28 | $15.904,40 | 770 / 27 | $13.202,30 | 762 / 26 |
Respiratory Infections & Inflammations W Cc | 34 | 54 / 4 | $47.873,10 | 1114 / 18 | $8.578,18 | 560 / 15 | $7.466,79 | 557 / 14 |
Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 23 | $24.129,20 | 1926 / 54 | $5.442,82 | 994 / 48 | $3.955,97 | 986 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 10 | $36.447,90 | 1208 / 17 | $7.257,35 | 565 / 14 | $6.131,61 | 562 / 14 |
G.I. Hemorrhage W Mcc | 31 | 90 / 6 | $74.194,50 | 1384 / 16 | $11.780,70 | 787 / 12 | $10.513,00 | 784 / 11 |
Red Blood Cell Disorders W/O Mcc | 30 | 113 / 8 | $32.935,50 | 1605 / 24 | $5.496,47 | 1146 / 20 | $4.721,17 | 1138 / 21 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 10 | $150.662,00 | 1024 / 12 | $30.699,90 | 225 / 7 | $27.174,40 | 225 / 4 |
Chest Pain | 29 | 122 / 9 | $21.949,50 | 1051 / 21 | $4.419,10 | 750 / 18 | $3.208,52 | 745 / 15 |
Cellulitis W/O Mcc | 28 | 161 / 13 | $33.060,50 | 2240 / 48 | $5.991,50 | 855 / 40 | $4.164,86 | 849 / 26 |
Poisoning & Toxic Effects Of Drugs W Mcc | 27 | 45 / 7 | $91.286,90 | 940 / 14 | $10.658,60 | 379 / 10 | $8.031,37 | 378 / 9 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 26 | 170 / 14 | $128.405,00 | 1362 / 21 | $16.707,10 | 378 / 22 | $10.346,50 | 378 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 14 | $29.575,90 | 1615 / 31 | $5.847,83 | 562 / 28 | $3.873,75 | 560 / 17 |
Other Disorders Of Nervous System W Cc | 23 | 33 / 3 | $33.123,90 | 419 / 4 | $5.990,91 | 198 / 4 | $4.838,00 | 198 / 3 |
Signs & Symptoms W/O Mcc | 23 | 68 / 5 | $34.697,90 | 1124 / 13 | $5.231,52 | 643 / 10 | $3.934,26 | 642 / 10 |
Diabetes W Cc | 23 | 69 / 9 | $30.683,60 | 1197 / 20 | $5.476,83 | 708 / 14 | $4.540,35 | 706 / 15 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 10 | $22.392,90 | 1416 / 27 | $4.742,48 | 993 / 25 | $3.726,57 | 985 / 21 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 7 | $40.524,30 | 500 / 5 | $11.300,90 | 392 / 4 | $10.335,60 | 391 / 4 |
G.I. Obstruction W Cc | 22 | 70 / 9 | $33.548,70 | 1311 / 17 | $6.693,41 | 419 / 15 | $4.372,91 | 418 / 9 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 13 | $35.431,40 | 1373 / 23 | $7.199,71 | 856 / 22 | $6.162,24 | 854 / 20 |
Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 3 | $66.428,20 | 848 / 8 | $6.978,95 | 489 / 5 | $6.056,00 | 489 / 4 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 15 | $26.356,10 | 1515 / 45 | $4.945,40 | 1000 / 38 | $3.678,35 | 995 / 37 |
Seizures W/O Mcc | 20 | 88 / 10 | $24.987,00 | 772 / 7 | $5.475,35 | 212 / 8 | $3.587,15 | 211 / 5 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 6 | $46.046,90 | 1216 / 12 | $6.717,95 | 618 / 9 | $5.431,05 | 615 / 7 |
Other Disorders Of Nervous System W Mcc | 20 | 20 / 1 | $65.490,50 | 258 / 5 | $10.167,80 | 100 / 3 | $9.007,45 | 100 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 13 | $19.159,10 | 1348 / 22 | $4.428,63 | 491 / 19 | $2.436,21 | 487 / 10 |
Pulmonary Embolism W/O Mcc | 18 | 56 / 8 | $31.606,50 | 880 / 11 | $6.267,11 | 592 / 8 | $5.336,67 | 589 / 10 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 9 | $237.423,00 | 857 / 11 | $35.882,40 | 355 / 6 | $34.070,40 | 354 / 8 |
Renal Failure W/O Cc/Mcc | 17 | 39 / 8 | $20.262,30 | 563 / 10 | $4.446,94 | 400 / 8 | $3.316,41 | 399 / 7 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 14 | $51.401,80 | 1173 / 19 | $11.808,60 | 585 / 20 | $9.186,41 | 584 / 14 |
Red Blood Cell Disorders W Mcc | 17 | 54 / 7 | $48.088,40 | 800 / 10 | $8.211,06 | 477 / 7 | $7.414,82 | 475 / 9 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 6 | $22.599,90 | 653 / 9 | $4.837,12 | 473 / 8 | $3.707,25 | 469 / 7 |
Other Vascular Procedures W Cc | 15 | 87 / 11 | $77.530,80 | 630 / 8 | $15.411,30 | 384 / 9 | $14.317,50 | 382 / 9 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 11 | $29.257,40 | 709 / 10 | $7.634,00 | 500 / 14 | $5.464,07 | 499 / 9 |
Dysequilibrium | 15 | 50 / 4 | $23.504,10 | 317 / 6 | $4.713,93 | 165 / 4 | $3.046,93 | 165 / 4 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 10 | $57.466,00 | 448 / 10 | $13.653,90 | 429 / 8 | $12.348,90 | 426 / 12 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 10 | $208.462,00 | 773 / 11 | $33.780,10 | 488 / 10 | $32.301,60 | 487 / 11 |
Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 8 | $100.148,00 | 771 / 11 | $16.330,20 | 389 / 9 | $15.102,90 | 388 / 8 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 12 | $103.234,00 | 1242 / 18 | $15.944,40 | 763 / 13 | $14.593,30 | 755 / 16 |
Major Chest Procedures W Cc | 13 | 61 / 6 | $111.202,00 | 434 / 7 | $15.949,00 | 191 / 5 | $14.511,90 | 191 / 6 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 13 | 18 / 2 | $79.548,60 | 109 / 2 | $11.632,30 | 39 / 2 | $10.208,00 | 39 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 17 | $98.818,50 | 721 / 12 | $23.433,80 | 562 / 12 | $22.197,50 | 559 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 8 | $142.803,00 | 825 / 11 | $21.641,00 | 571 / 10 | $20.241,70 | 568 / 11 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 6 | $25.934,80 | 249 / 5 | $5.137,17 | 147 / 3 | $3.958,00 | 147 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 17 | $70.094,70 | 1780 / 26 | $10.363,30 | 1561 / 23 | $8.964,42 | 1558 / 24 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 10 | $31.679,80 | 852 / 11 | $6.210,08 | 489 / 9 | $5.305,25 | 487 / 8 |
Other Circulatory System Diagnoses W Cc | 12 | 54 / 6 | $30.198,30 | 412 / 5 | $6.804,58 | 224 / 4 | $5.216,00 | 223 / 3 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 13 | $125.821,00 | 616 / 12 | $29.596,40 | 376 / 8 | $28.301,80 | 374 / 9 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 12 | $24.579,00 | 997 / 13 | $4.329,91 | 474 / 8 | $2.935,64 | 473 / 8 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 5 | $52.221,40 | 392 / 7 | $7.883,00 | 190 / 4 | $6.919,82 | 190 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 13 | $66.278,20 | 1335 / 14 | $9.241,36 | 907 / 10 | $7.799,36 | 902 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 7 | $49.121,80 | 933 / 9 | $7.649,18 | 433 / 6 | $6.485,45 | 432 / 6 | Total 75 procedures | 2.539 | 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.