Hospital Costs > In Kentucky > Jewish Hospital - Shelbyville, 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 | 39 | 166 / 29 | $33.061,70 | 1230 / 43 | $8.080,41 | 91 / 9 | $6.560,92 | 91 / 4 |
| Heart Failure & Shock W Cc | 37 | 241 / 27 | $20.488,80 | 1234 / 36 | $5.300,41 | 140 / 2 | $4.432,73 | 140 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 40 | $26.006,60 | 1697 / 53 | $5.335,68 | 183 / 3 | $4.293,04 | 183 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 34 | $25.002,60 | 1125 / 46 | $6.328,92 | 207 / 2 | $5.429,52 | 206 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 30 | $18.816,60 | 875 / 35 | $5.274,64 | 160 / 5 | $4.102,56 | 160 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 25 | 491 / 45 | $31.757,80 | 873 / 23 | $9.845,52 | 211 / 9 | $8.957,04 | 211 / 9 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 32 | $28.885,80 | 968 / 36 | $7.077,62 | 124 / 12 | $5.734,50 | 124 / 5 |
| Renal Failure W Cc | 23 | 198 / 33 | $18.894,10 | 871 / 30 | $5.287,22 | 178 / 3 | $4.336,04 | 177 / 4 |
| Heart Failure & Shock W Mcc | 22 | 262 / 39 | $28.260,40 | 988 / 30 | $7.866,95 | 137 / 1 | $7.076,05 | 137 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 38 | $14.252,90 | 649 / 19 | $4.196,86 | 212 / 3 | $3.127,05 | 212 / 5 |
| Renal Failure W Mcc | 19 | 176 / 32 | $21.519,70 | 294 / 11 | $8.220,00 | 119 / 4 | $7.321,42 | 119 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 24 | $14.636,60 | 221 / 4 | $5.957,61 | 66 / 2 | $4.911,61 | 66 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 37 | $44.477,20 | 995 / 19 | $11.549,00 | 529 / 4 | $10.360,80 | 525 / 11 |
| G.I. Hemorrhage W Cc | 16 | 202 / 36 | $22.954,20 | 1026 / 33 | $5.863,12 | 59 / 11 | $4.225,06 | 59 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 24 | $46.240,70 | 893 / 21 | $10.543,20 | 147 / 3 | $9.343,87 | 146 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 34 | $15.368,70 | 823 / 38 | $4.137,47 | 230 / 4 | $3.056,60 | 230 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 41 | $16.577,90 | 1156 / 36 | $4.274,69 | 133 / 3 | $3.196,00 | 133 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 27 | $15.870,00 | 818 / 36 | $3.994,85 | 215 / 3 | $2.926,23 | 213 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 31 | $21.500,30 | 919 / 24 | $5.827,77 | 186 / 4 | $4.835,85 | 186 / 8 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 26 | $17.499,10 | 673 / 26 | $4.513,73 | 123 / 4 | $3.474,45 | 123 / 6 |
| Cellulitis W/O Mcc | 11 | 178 / 37 | $17.373,10 | 1171 / 38 | $4.678,18 | 332 / 3 | $3.735,91 | 329 / 10 | Total 21 procedures | 427 | 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.