Hospital Costs > In Oklahoma > Jane Phillips 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 | 163 | 353 / 13 | $22.205,30 | 374 / 18 | $10.265,60 | 157 / 9 | $8.825,36 | 157 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 137 | 427 / 17 | $45.201,80 | 1041 / 23 | $11.926,20 | 308 / 14 | $9.988,07 | 308 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 3 | $16.674,50 | 491 / 19 | $6.024,21 | 228 / 5 | $4.897,61 | 227 / 6 |
Heart Failure & Shock W Cc | 60 | 218 / 10 | $15.190,70 | 598 / 22 | $5.526,55 | 326 / 7 | $4.705,28 | 326 / 9 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 53 | 143 / 10 | $63.490,40 | 532 / 8 | $12.394,70 | 449 / 12 | $10.518,80 | 448 / 11 |
Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 10 | $38.951,20 | 581 / 12 | $11.040,70 | 252 / 11 | $9.625,68 | 251 / 9 |
Renal Failure W Cc | 44 | 177 / 17 | $13.439,90 | 334 / 10 | $5.607,75 | 171 / 10 | $4.328,66 | 171 / 8 |
Heart Failure & Shock W Mcc | 42 | 242 / 17 | $21.024,80 | 484 / 12 | $8.204,93 | 370 / 7 | $7.510,40 | 370 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 42 | 140 / 11 | $17.235,40 | 304 / 7 | $6.004,57 | 268 / 5 | $4.931,79 | 268 / 4 |
Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 18 | $21.235,40 | 459 / 8 | $8.220,62 | 231 / 13 | $6.892,48 | 231 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 19 | $11.228,40 | 306 / 18 | $4.273,92 | 310 / 6 | $3.243,97 | 309 / 10 |
G.I. Hemorrhage W Cc | 36 | 182 / 14 | $16.749,20 | 466 / 12 | $5.583,17 | 319 / 5 | $4.730,03 | 319 / 10 |
Pulmonary Edema & Respiratory Failure | 35 | 168 / 14 | $19.113,00 | 351 / 10 | $6.943,17 | 34 / 6 | $5.398,37 | 34 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 8 | $16.493,60 | 175 / 1 | $6.731,24 | 131 / 5 | $5.710,15 | 131 / 4 |
Cellulitis W/O Mcc | 31 | 158 / 11 | $11.997,00 | 469 / 16 | $4.778,45 | 159 / 9 | $3.500,13 | 159 / 4 |
Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 28 | $16.874,20 | 781 / 29 | $5.489,50 | 182 / 10 | $4.292,80 | 182 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 11 | $14.443,40 | 461 / 11 | $4.558,30 | 214 / 9 | $3.496,07 | 214 / 8 |
Renal Failure W Mcc | 29 | 166 / 16 | $19.780,90 | 221 / 4 | $8.867,97 | 176 / 10 | $7.497,17 | 176 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 15 | $38.153,80 | 284 / 7 | $13.014,80 | 187 / 14 | $11.499,80 | 186 / 10 |
Respiratory Infections & Inflammations W Mcc | 28 | 108 / 11 | $26.960,20 | 290 / 5 | $10.800,00 | 229 / 5 | $9.846,14 | 229 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 16 | $9.882,15 | 299 / 15 | $4.015,96 | 295 / 7 | $3.123,56 | 295 / 11 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 29 | $11.180,50 | 421 / 18 | $4.675,12 | 16 / 17 | $2.832,23 | 16 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 24 | 32 / 5 | $29.985,80 | 188 / 4 | $8.921,62 | 111 / 2 | $7.737,29 | 111 / 3 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 13 | $17.492,90 | 671 / 10 | $4.626,27 | 291 / 2 | $3.746,50 | 290 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 30 | $15.224,50 | 332 / 12 | $6.636,05 | 46 / 8 | $4.952,14 | 46 / 5 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 13 | $14.633,90 | 220 / 3 | $6.372,00 | 84 / 8 | $4.980,43 | 84 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 14 | $50.858,70 | 55 / 2 | $28.907,30 | 139 / 4 | $26.139,60 | 139 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 25 | $14.513,70 | 465 / 19 | $5.249,30 | 154 / 5 | $4.098,10 | 154 / 4 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 18 | $22.945,00 | 195 / 6 | $6.041,80 | 339 / 4 | $5.202,60 | 339 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 13 | $17.491,10 | 52 / 1 | $9.396,11 | 208 / 2 | $8.502,95 | 207 / 3 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 10 | $19.615,80 | 104 / 1 | $7.534,06 | 46 / 1 | $6.505,56 | 46 / 1 |
Carotid Artery Stent Procedure W Cc | 16 | 4 / 1 | $33.555,10 | 3 / 1 | $11.709,20 | 3 / 2 | $10.621,80 | 3 / 2 |
Carotid Artery Stent Procedure W/O Cc/Mcc | 16 | 16 / 3 | $31.754,00 | 18 / 1 | $9.338,00 | 23 / 2 | $8.487,38 | 23 / 3 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 10 | $94.000,70 | 329 / 8 | $33.690,90 | 718 / 13 | $32.486,10 | 716 / 13 |
G.I. Hemorrhage W Mcc | 15 | 106 / 11 | $30.584,60 | 342 / 4 | $9.881,40 | 229 / 6 | $8.976,67 | 229 / 3 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 11 | $37.609,00 | 141 / 2 | $13.681,80 | 256 / 3 | $12.684,90 | 254 / 6 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 10 | $23.399,50 | 399 / 8 | $7.667,07 | 276 / 5 | $6.913,53 | 274 / 5 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 11 | $19.524,20 | 112 / 1 | $8.536,64 | 127 / 1 | $7.674,14 | 127 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 16 | $22.094,80 | 203 / 2 | $9.867,86 | 86 / 11 | $7.810,71 | 86 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 15 | $18.800,90 | 349 / 4 | $6.202,21 | 122 / 3 | $5.348,57 | 121 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 10 | $71.647,90 | 181 / 2 | $20.639,80 | 271 / 8 | $17.683,90 | 269 / 7 |
Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 9 | $54.410,50 | 271 / 2 | $14.603,80 | 143 / 4 | $13.616,20 | 143 / 5 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 22 | $16.792,50 | 910 / 31 | $4.086,58 | 207 / 6 | $2.910,75 | 205 / 6 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 6 | $27.279,90 | 76 / 4 | $8.557,25 | 39 / 4 | $6.597,25 | 39 / 2 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 27 | $9.738,33 | 216 / 7 | $4.097,58 | 112 / 2 | $2.842,08 | 112 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 13 | $20.073,50 | 288 / 3 | $5.900,73 | 174 / 5 | $4.875,45 | 174 / 4 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 7 | $29.600,80 | 86 / 1 | $9.053,82 | 105 / 1 | $7.869,55 | 105 / 2 |
Diabetes W Cc | 11 | 81 / 16 | $11.517,80 | 131 / 2 | $4.710,27 | 366 / 2 | $4.107,45 | 366 / 10 | Total 48 procedures | 1.481 | 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.