Hospital Costs > In Kentucky > Jennie Stuart Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Mcc | 90 | 112 / 12 | $19.711,60 | 691 / 26 | $6.777,03 | 429 / 13 | $5.723,48 | 428 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 87 | 477 / 21 | $40.837,80 | 802 / 11 | $11.834,20 | 478 / 6 | $10.288,20 | 475 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 76 | 440 / 29 | $34.452,50 | 1025 / 28 | $10.811,10 | 708 / 26 | $9.806,04 | 707 / 26 |
Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 16 | $24.208,30 | 1556 / 50 | $6.015,50 | 545 / 27 | $4.682,36 | 542 / 22 |
Simple Pneumonia & Pleurisy W Mcc | 73 | 132 / 18 | $28.251,90 | 924 / 31 | $8.214,99 | 388 / 12 | $7.164,85 | 388 / 14 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 58 | 62 / 11 | $14.183,00 | 688 / 30 | $4.806,05 | 474 / 31 | $3.298,67 | 473 / 20 |
Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 20 | $18.135,30 | 1363 / 44 | $4.668,76 | 788 / 15 | $3.817,87 | 783 / 26 |
Renal Failure W Cc | 51 | 170 / 20 | $16.332,60 | 595 / 15 | $5.834,29 | 234 / 14 | $4.441,39 | 233 / 7 |
Cellulitis W/O Mcc | 50 | 139 / 11 | $16.388,50 | 1042 / 34 | $5.198,74 | 538 / 17 | $3.919,98 | 535 / 16 |
Chronic Obstructive Pulmonary Disease W Cc | 48 | 131 / 20 | $14.951,10 | 508 / 15 | $5.961,54 | 256 / 33 | $4.267,42 | 256 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 26 | $16.433,30 | 933 / 32 | $4.622,98 | 520 / 17 | $3.420,94 | 518 / 16 |
Renal Failure W Mcc | 47 | 148 / 19 | $26.208,00 | 532 / 19 | $9.027,96 | 151 / 16 | $7.437,45 | 151 / 4 |
Red Blood Cell Disorders W/O Mcc | 39 | 104 / 11 | $17.330,50 | 656 / 24 | $4.874,64 | 665 / 11 | $4.151,56 | 661 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 17 | $13.193,40 | 712 / 32 | $4.241,28 | 454 / 10 | $3.279,72 | 454 / 13 |
Pulmonary Edema & Respiratory Failure | 35 | 168 / 27 | $21.890,00 | 525 / 16 | $7.050,06 | 430 / 11 | $6.266,71 | 430 / 15 |
Peripheral Vascular Disorders W Cc | 32 | 52 / 5 | $16.737,60 | 257 / 9 | $6.021,69 | 184 / 8 | $4.598,34 | 184 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 31 | 71 / 12 | $16.847,30 | 357 / 8 | $4.671,45 | 211 / 6 | $3.217,13 | 209 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 22 | $24.783,40 | 1232 / 33 | $6.216,21 | 443 / 12 | $5.140,07 | 441 / 16 |
Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 15 | $26.921,20 | 1033 / 32 | $6.907,46 | 579 / 18 | $5.800,86 | 578 / 18 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 17 | $33.600,20 | 179 / 6 | $12.215,10 | 129 / 5 | $11.323,10 | 129 / 5 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 13 | $17.494,60 | 965 / 42 | $4.408,07 | 389 / 17 | $3.132,39 | 387 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 15 | $23.022,30 | 592 / 18 | $6.766,74 | 413 / 11 | $5.897,19 | 410 / 11 |
Heart Failure & Shock W Cc | 25 | 253 / 34 | $15.308,90 | 609 / 16 | $5.885,60 | 673 / 18 | $5.042,64 | 672 / 20 |
Seizures W/O Mcc | 25 | 83 / 11 | $13.844,30 | 200 / 4 | $4.451,08 | 243 / 4 | $3.650,76 | 242 / 9 |
Syncope & Collapse | 21 | 148 / 22 | $19.373,00 | 799 / 26 | $4.643,48 | 534 / 15 | $3.584,33 | 532 / 15 |
Transient Ischemia | 21 | 104 / 17 | $15.717,80 | 340 / 16 | $4.504,67 | 195 / 13 | $3.005,52 | 195 / 7 |
G.I. Hemorrhage W Cc | 21 | 197 / 31 | $21.853,90 | 931 / 32 | $5.913,10 | 424 / 12 | $4.836,71 | 423 / 15 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 27 | $14.677,40 | 487 / 15 | $4.687,35 | 426 / 9 | $3.752,20 | 426 / 11 |
Heart Failure & Shock W Mcc | 20 | 264 / 40 | $27.405,20 | 934 / 27 | $8.352,15 | 352 / 9 | $7.487,35 | 352 / 13 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 22 | $13.000,00 | 711 / 22 | $3.695,30 | 637 / 16 | $2.546,75 | 633 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 16 | $26.967,70 | 258 / 5 | $9.129,42 | 131 / 3 | $8.209,95 | 130 / 8 |
Diabetes W Cc | 19 | 73 / 17 | $26.182,60 | 1048 / 26 | $5.966,84 | 943 / 24 | $5.000,74 | 939 / 25 |
Other Circulatory System Diagnoses W Cc | 18 | 48 / 6 | $17.944,90 | 145 / 3 | $5.544,06 | 110 / 4 | $4.756,28 | 110 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 22 | $20.901,00 | 527 / 15 | $5.829,88 | 286 / 2 | $4.956,71 | 285 / 4 |
Signs & Symptoms W/O Mcc | 16 | 75 / 12 | $11.388,10 | 155 / 4 | $4.229,75 | 213 / 9 | $3.256,31 | 212 / 8 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 12 | $20.825,10 | 176 / 5 | $7.167,81 | 170 / 4 | $6.405,00 | 170 / 6 |
Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 3 | $15.141,00 | 42 / 1 | $5.246,69 | 31 / 2 | $4.404,38 | 31 / 3 |
Other Disorders Of Nervous System W Cc | 15 | 41 / 5 | $23.408,90 | 246 / 3 | $5.310,60 | 88 / 3 | $4.309,60 | 88 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 14 | $23.539,30 | 370 / 13 | $7.068,67 | 277 / 6 | $6.181,40 | 275 / 11 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 10 | $17.041,90 | 426 / 9 | $4.284,80 | 184 / 4 | $3.148,87 | 183 / 3 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 12 | $23.749,90 | 97 / 3 | $10.467,50 | 196 / 6 | $9.578,40 | 196 / 10 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 25 | $41.727,80 | 714 / 17 | $10.852,00 | 333 / 6 | $9.800,93 | 332 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 22 | $22.626,30 | 497 / 13 | $6.992,14 | 263 / 4 | $5.977,79 | 262 / 6 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 12 | $12.541,90 | 254 / 11 | $3.964,85 | 254 / 5 | $3.027,92 | 253 / 8 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 16 | $95.519,80 | 218 / 11 | $30.586,50 | 321 / 10 | $29.464,20 | 321 / 15 |
G.I. Hemorrhage W Mcc | 13 | 108 / 22 | $30.173,80 | 329 / 8 | $9.597,23 | 124 / 3 | $8.583,15 | 124 / 5 |
Medical Back Problems W/O Mcc | 13 | 108 / 19 | $10.284,00 | 60 / 2 | $4.965,85 | 250 / 6 | $3.867,77 | 250 / 7 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 9 | $20.200,50 | 303 / 10 | $5.312,31 | 219 / 3 | $4.547,85 | 219 / 7 |
G.I. Obstruction W Cc | 12 | 80 / 21 | $13.545,80 | 194 / 8 | $5.238,25 | 386 / 6 | $4.331,75 | 385 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 15 | $55.536,60 | 187 / 7 | $15.744,00 | 27 / 2 | $14.458,60 | 27 / 3 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 19 | $25.302,80 | 483 / 13 | $8.006,83 | 352 / 10 | $7.076,17 | 349 / 12 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 11 | $33.405,30 | 76 / 1 | $13.330,40 | 49 / 6 | $9.942,82 | 49 / 1 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 19 | $39.666,50 | 185 / 6 | $13.816,50 | 283 / 3 | $12.822,50 | 281 / 7 |
Chest Pain | 11 | 140 / 27 | $14.933,80 | 489 / 19 | $3.798,91 | 280 / 10 | $2.658,45 | 279 / 10 |
Diabetes W Mcc | 11 | 46 / 9 | $27.999,20 | 240 / 6 | $7.745,18 | 7 / 3 | $5.855,82 | 7 / 1 | Total 55 procedures | 1.595 | 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.