Hospital Costs > In Kentucky > Jackson Purchase Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Simple Pneumonia & Pleurisy W Mcc | 88 | 117 / 15 | $31.610,90 | 1146 / 42 | $8.597,44 | 408 / 21 | $7.198,73 | 408 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 74 | 442 / 30 | $50.361,70 | 1797 / 52 | $11.375,00 | 1244 / 38 | $10.540,40 | 1223 / 45 |
Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 17 | $22.486,30 | 937 / 37 | $6.790,89 | 485 / 14 | $5.769,65 | 484 / 17 |
Heart Failure & Shock W Mcc | 62 | 222 / 24 | $34.367,20 | 1358 / 46 | $8.599,92 | 520 / 17 | $7.710,87 | 520 / 20 |
Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 18 | $16.483,60 | 1140 / 35 | $4.592,88 | 383 / 11 | $3.525,12 | 383 / 13 |
Renal Failure W Mcc | 54 | 141 / 16 | $35.046,50 | 1050 / 32 | $8.920,56 | 249 / 13 | $7.625,24 | 249 / 10 |
Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 27 | $21.105,30 | 1261 / 47 | $5.644,92 | 527 / 8 | $4.667,00 | 524 / 18 |
Pulmonary Edema & Respiratory Failure | 45 | 158 / 25 | $22.980,30 | 597 / 20 | $6.973,00 | 319 / 8 | $6.115,82 | 319 / 11 |
Renal Failure W Cc | 40 | 181 / 24 | $19.709,30 | 956 / 33 | $5.595,60 | 602 / 10 | $4.840,90 | 596 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 29 | $21.374,60 | 1538 / 46 | $4.487,10 | 457 / 11 | $3.367,21 | 455 / 14 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 24 | $19.157,90 | 920 / 40 | $5.481,80 | 602 / 7 | $4.636,89 | 600 / 19 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 17 | $72.091,50 | 1176 / 38 | $14.954,30 | 960 / 32 | $13.957,70 | 951 / 36 |
Respiratory Infections & Inflammations W Mcc | 28 | 108 / 16 | $39.893,80 | 781 / 31 | $11.115,20 | 281 / 16 | $9.974,11 | 281 / 14 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 26 | $15.218,40 | 806 / 36 | $4.324,12 | 472 / 11 | $3.298,42 | 471 / 19 |
Cellulitis W/O Mcc | 24 | 165 / 25 | $19.014,80 | 1367 / 44 | $4.973,33 | 612 / 8 | $3.985,00 | 609 / 19 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 17 | $17.522,00 | 968 / 43 | $4.269,00 | 439 / 10 | $3.181,74 | 437 / 16 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 19 | $21.116,50 | 643 / 20 | $6.415,35 | 231 / 9 | $5.323,00 | 231 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 21 | 543 / 36 | $59.459,50 | 1674 / 38 | $11.803,10 | 609 / 5 | $10.477,40 | 602 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 26 | $18.469,60 | 899 / 28 | $4.575,81 | 407 / 5 | $3.740,71 | 407 / 10 |
G.I. Hemorrhage W Cc | 20 | 198 / 32 | $26.572,10 | 1331 / 39 | $6.430,20 | 201 / 35 | $4.560,15 | 201 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 27 | $17.359,60 | 1250 / 48 | $4.129,05 | 495 / 7 | $3.304,95 | 493 / 14 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 20 | $30.970,10 | 477 / 12 | $9.484,10 | 24 / 8 | $7.139,80 | 24 / 2 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 12 | $26.831,40 | 556 / 20 | $7.625,26 | 191 / 4 | $6.743,95 | 190 / 6 |
Heart Failure & Shock W Cc | 19 | 259 / 38 | $22.475,60 | 1442 / 44 | $5.740,68 | 586 / 12 | $4.976,05 | 586 / 16 |
G.I. Obstruction W Cc | 17 | 75 / 17 | $20.612,90 | 693 / 27 | $5.244,47 | 681 / 7 | $4.674,12 | 680 / 23 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 24 | $58.973,90 | 1321 / 30 | $10.950,70 | 300 / 8 | $9.731,27 | 299 / 10 |
Transient Ischemia | 14 | 111 / 21 | $17.565,00 | 457 / 18 | $4.538,57 | 87 / 14 | $2.754,07 | 87 / 4 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 26 | $20.389,90 | 927 / 33 | $4.739,55 | 115 / 8 | $3.453,73 | 115 / 5 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 14 | $26.951,70 | 154 / 6 | $10.141,00 | 146 / 5 | $9.354,91 | 146 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 26 | $27.288,70 | 952 / 21 | $6.255,36 | 610 / 7 | $5.341,91 | 609 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 25 | $27.956,50 | 852 / 24 | $7.000,36 | 251 / 5 | $5.961,55 | 251 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 33 | $27.061,70 | 1430 / 40 | $6.207,91 | 484 / 11 | $5.183,55 | 482 / 17 | Total 32 procedures | 999 | 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.