Hospital Costs > In Oklahoma > Jackson County Memorial Hospital Authority, 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 | 120 | 444 / 19 | $33.956,70 | 393 / 8 | $13.148,20 | 931 / 31 | $10.941,00 | 912 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 71 | 445 / 29 | $24.417,70 | 498 / 23 | $10.940,40 | 988 / 27 | $10.163,10 | 979 / 35 |
| Heart Failure & Shock W Mcc | 49 | 235 / 15 | $22.131,70 | 541 / 14 | $8.793,12 | 757 / 22 | $8.004,22 | 757 / 27 |
| Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 17 | $17.438,40 | 845 / 32 | $5.732,81 | 616 / 20 | $4.751,98 | 613 / 23 |
| G.I. Hemorrhage W Cc | 42 | 176 / 12 | $15.459,50 | 334 / 9 | $6.084,24 | 297 / 16 | $4.700,29 | 297 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 41 | 192 / 17 | $13.815,80 | 769 / 31 | $4.510,76 | 691 / 13 | $3.747,44 | 687 / 21 |
| Heart Failure & Shock W Cc | 40 | 238 / 17 | $15.909,50 | 676 / 23 | $5.813,27 | 793 / 14 | $5.134,08 | 792 / 19 |
| Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 19 | $17.252,50 | 497 / 18 | $6.853,95 | 728 / 16 | $5.993,32 | 723 / 20 |
| Simple Pneumonia & Pleurisy W Mcc | 38 | 167 / 19 | $23.585,00 | 603 / 10 | $8.505,68 | 804 / 19 | $7.658,84 | 804 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 15 | $17.166,10 | 527 / 21 | $6.338,78 | 511 / 12 | $5.217,56 | 509 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 17 | $32.013,00 | 297 / 5 | $11.558,60 | 747 / 19 | $10.511,10 | 740 / 23 |
| Renal Failure W Cc | 28 | 193 / 24 | $13.229,00 | 310 / 9 | $5.645,00 | 800 / 12 | $5.001,57 | 793 / 22 |
| Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 20 | $15.324,20 | 546 / 22 | $5.477,70 | 692 / 12 | $4.716,81 | 690 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 19 | $11.670,00 | 513 / 21 | $4.107,04 | 311 / 10 | $3.148,38 | 311 / 13 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 18 | $14.179,30 | 687 / 21 | $4.183,76 | 436 / 4 | $3.266,43 | 435 / 9 |
| Cellulitis W/O Mcc | 20 | 169 / 17 | $12.115,50 | 483 / 18 | $4.928,80 | 675 / 14 | $4.026,40 | 671 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 30 | $12.875,00 | 493 / 23 | $4.346,68 | 412 / 9 | $3.334,47 | 410 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 13 | $12.891,90 | 583 / 16 | $3.943,83 | 456 / 7 | $3.271,83 | 454 / 11 |
| Renal Failure W Mcc | 17 | 178 / 21 | $15.602,80 | 85 / 1 | $9.009,76 | 566 / 13 | $8.155,18 | 566 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 20 | $17.009,80 | 283 / 5 | $6.325,47 | 415 / 10 | $5.122,65 | 414 / 11 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 9 | $20.902,50 | 296 / 7 | $8.170,69 | 417 / 10 | $7.186,69 | 414 / 9 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 25 | $18.904,60 | 335 / 9 | $7.131,44 | 487 / 8 | $6.322,44 | 487 / 13 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 19 | $13.807,00 | 595 / 22 | $4.111,47 | 485 / 7 | $3.224,00 | 483 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 15 | $18.324,80 | 260 / 2 | $7.089,14 | 405 / 13 | $6.225,14 | 403 / 15 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 23 | $35.767,70 | 224 / 4 | $14.106,40 | 227 / 21 | $11.654,50 | 225 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 23 | $14.595,80 | 478 / 15 | $4.622,85 | 302 / 11 | $3.608,69 | 302 / 10 |
| Diabetes W Cc | 12 | 80 / 15 | $12.626,50 | 187 / 3 | $4.849,67 | 165 / 6 | $3.745,67 | 165 / 5 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 18 | $25.667,10 | 255 / 4 | $11.652,20 | 626 / 14 | $10.742,90 | 618 / 14 |
| Syncope & Collapse | 12 | 157 / 16 | $11.786,30 | 188 / 1 | $4.242,75 | 486 / 2 | $3.541,42 | 484 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 19 | $21.970,40 | 200 / 1 | $11.073,60 | 444 / 17 | $8.870,36 | 444 / 9 | Total 30 procedures | 873 | 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.