Hospital Costs > In Louisiana > Jennings American Legion Hospital, 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 | 70 | 446 / 28 | $26.486,80 | 615 / 13 | $9.677,81 | 136 / 5 | $8.755,13 | 136 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 69 | 134 / 12 | $18.887,50 | 1011 / 23 | $5.346,20 | 307 / 3 | $4.470,15 | 305 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 21 | $12.607,00 | 590 / 19 | $4.281,72 | 334 / 5 | $3.478,57 | 334 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 59 | 505 / 28 | $31.664,40 | 296 / 4 | $10.578,90 | 38 / 1 | $8.913,64 | 38 / 4 |
| Heart Failure & Shock W Mcc | 51 | 233 / 24 | $27.632,50 | 951 / 19 | $8.521,10 | 566 / 16 | $7.775,08 | 566 / 15 |
| Heart Failure & Shock W Cc | 50 | 228 / 25 | $15.612,80 | 645 / 20 | $5.089,52 | 129 / 3 | $4.413,68 | 129 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 16 | $15.690,80 | 405 / 6 | $5.648,34 | 148 / 2 | $4.761,98 | 148 / 8 |
| Cellulitis W/O Mcc | 42 | 147 / 17 | $13.555,30 | 668 / 21 | $4.615,10 | 148 / 2 | $3.478,55 | 148 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 22 | $12.687,00 | 475 / 17 | $4.193,64 | 447 / 3 | $3.357,54 | 445 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 22 | $18.670,80 | 619 / 11 | $6.100,31 | 111 / 3 | $5.195,42 | 111 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 19 | $10.357,00 | 352 / 12 | $3.807,88 | 167 / 1 | $2.961,76 | 167 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 22 | $21.790,90 | 491 / 5 | $7.527,57 | 190 / 3 | $6.804,37 | 190 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 22 | $16.484,90 | 657 / 14 | $4.971,54 | 59 / 3 | $3.871,54 | 59 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 18 | $14.600,30 | 690 / 16 | $4.052,00 | 69 / 2 | $2.632,43 | 69 / 1 |
| Respiratory Infections & Inflammations W Cc | 26 | 62 / 7 | $21.869,60 | 341 / 6 | $7.362,15 | 89 / 3 | $6.431,69 | 89 / 5 |
| Red Blood Cell Disorders W/O Mcc | 24 | 119 / 23 | $12.810,10 | 267 / 12 | $4.484,12 | 236 / 2 | $3.680,12 | 236 / 7 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 18 | $10.789,00 | 333 / 13 | $3.973,26 | 213 / 1 | $3.034,13 | 213 / 5 |
| Renal Failure W Cc | 22 | 199 / 32 | $17.709,00 | 754 / 15 | $5.413,09 | 101 / 5 | $4.183,59 | 101 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 18 | $10.514,70 | 323 / 7 | $3.685,23 | 248 / 3 | $3.029,23 | 246 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 23 | $15.766,40 | 195 / 2 | $5.502,10 | 84 / 1 | $4.525,33 | 84 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 20 | $35.705,70 | 221 / 5 | $11.422,50 | 49 / 2 | $10.714,80 | 49 / 4 |
| G.I. Obstruction W Cc | 17 | 75 / 13 | $13.953,20 | 219 / 4 | $4.832,41 | 99 / 2 | $3.780,00 | 98 / 1 |
| G.I. Hemorrhage W Cc | 17 | 201 / 29 | $23.143,40 | 1045 / 19 | $5.465,12 | 288 / 4 | $4.687,71 | 288 / 8 |
| G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 10 | $14.847,10 | 321 / 5 | $3.934,12 | 131 / 1 | $3.024,12 | 131 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 24 | $21.430,80 | 145 / 3 | $5.851,67 | 92 / 4 | $4.723,13 | 92 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 26 | $17.223,90 | 383 / 9 | $5.885,64 | 30 / 1 | $4.700,50 | 30 / 1 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 20 | $31.037,90 | 420 / 8 | $10.171,60 | 175 / 4 | $9.655,07 | 175 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 16 | $13.205,70 | 141 / 4 | $4.107,92 | 187 / 1 | $3.177,46 | 185 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 23 | $15.514,00 | 169 / 3 | $6.026,64 | 65 / 2 | $5.145,18 | 65 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 18 | $58.626,20 | 93 / 1 | $23.674,60 | 16 / 2 | $22.335,00 | 16 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 19 | $17.562,40 | 99 / 1 | $6.540,64 | 2 / 1 | $6.101,36 | 2 / 1 | Total 31 procedures | 934 | 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.