Hospital Costs > In Indiana > Johnson Memorial Hospital Franklin, 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 | 61 | 455 / 49 | $25.417,50 | 559 / 13 | $10.512,30 | 520 / 10 | $9.548,38 | 519 / 12 |
| Heart Failure & Shock W Cc | 36 | 242 / 41 | $21.680,40 | 1364 / 49 | $6.145,75 | 1103 / 33 | $5.373,31 | 1101 / 42 |
| Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 36 | $17.647,40 | 1305 / 46 | $4.887,46 | 1102 / 30 | $4.022,54 | 1094 / 44 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 33 | $18.702,30 | 989 / 24 | $6.121,21 | 1265 / 31 | $5.268,50 | 1261 / 43 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 58 | $53.290,30 | 1436 / 39 | $12.875,80 | 1387 / 21 | $11.786,70 | 1354 / 55 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 42 | $20.824,30 | 452 / 17 | $7.562,59 | 806 / 22 | $6.715,19 | 806 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 36 | $19.805,90 | 981 / 34 | $5.819,04 | 416 / 27 | $4.444,48 | 415 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 31 | $13.051,50 | 686 / 18 | $4.603,19 | 797 / 35 | $3.517,00 | 794 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 36 | $19.169,80 | 708 / 17 | $6.764,29 | 865 / 35 | $5.539,62 | 863 / 33 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 29 | $13.196,80 | 572 / 13 | $4.713,05 | 719 / 29 | $3.505,90 | 717 / 32 |
| Renal Failure W Cc | 19 | 202 / 43 | $15.656,50 | 526 / 15 | $5.885,05 | 459 / 22 | $4.707,16 | 455 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 32 | $47.520,50 | 955 / 32 | $11.775,20 | 853 / 28 | $10.704,20 | 842 / 34 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 28 | $28.388,20 | 1425 / 44 | $7.405,56 | 1756 / 44 | $6.655,56 | 1747 / 45 |
| Heart Failure & Shock W Mcc | 16 | 268 / 51 | $26.688,20 | 877 / 30 | $8.806,25 | 396 / 18 | $7.558,25 | 396 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 36 | $9.019,93 | 236 / 5 | $3.739,43 | 1035 / 29 | $2.853,86 | 1030 / 41 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 21 | $14.637,90 | 692 / 16 | $4.583,86 | 848 / 20 | $3.548,43 | 844 / 32 |
| Syncope & Collapse | 14 | 155 / 34 | $12.072,50 | 203 / 2 | $4.707,86 | 891 / 18 | $3.933,00 | 886 / 32 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 44 | $12.302,60 | 431 / 5 | $5.034,79 | 1010 / 39 | $3.767,29 | 1002 / 41 |
| Cellulitis W/O Mcc | 13 | 176 / 41 | $19.991,10 | 1481 / 50 | $5.390,85 | 1007 / 30 | $4.275,77 | 1001 / 38 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 51 | $21.721,30 | 879 / 26 | $7.400,62 | 552 / 34 | $5.817,77 | 551 / 19 |
| Renal Failure W Mcc | 11 | 184 / 37 | $21.088,30 | 277 / 5 | $8.364,64 | 231 / 2 | $7.596,64 | 231 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 33 | $14.437,80 | 784 / 24 | $4.416,73 | 779 / 28 | $3.535,27 | 775 / 32 | Total 22 procedures | 492 | 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.