Hospital Costs > In Kentucky > Kentucky River 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/O Cc/Mcc | 69 | 51 / 7 | $25.579,30 | 1565 / 56 | $4.481,45 | 932 / 16 | $3.677,74 | 923 / 35 |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 19 | $31.418,70 | 1789 / 54 | $5.486,14 | 741 / 8 | $4.752,65 | 739 / 24 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 30 | $38.557,50 | 2287 / 62 | $5.593,18 | 682 / 7 | $4.803,31 | 679 / 25 |
| Cellulitis W/O Mcc | 36 | 153 / 19 | $24.093,60 | 1821 / 51 | $5.031,69 | 625 / 10 | $3.990,81 | 622 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 22 | $28.988,40 | 2099 / 60 | $4.377,32 | 983 / 21 | $3.643,61 | 980 / 31 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 8 | $15.780,40 | 371 / 12 | $4.331,46 | 152 / 1 | $3.402,23 | 152 / 3 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 31 | $37.684,00 | 1414 / 46 | $6.967,96 | 642 / 7 | $6.505,19 | 642 / 28 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 35 | $38.357,30 | 1868 / 57 | $6.743,12 | 624 / 11 | $5.888,46 | 621 / 23 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 37 | $24.329,10 | 1936 / 56 | $4.682,95 | 790 / 16 | $3.818,95 | 785 / 27 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 20 | $30.721,10 | 1635 / 54 | $4.424,80 | 549 / 18 | $3.279,20 | 547 / 23 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 22 | $47.409,20 | 1131 / 27 | $6.408,00 | 615 / 6 | $5.604,44 | 613 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 41 | $27.180,70 | 2017 / 53 | $4.558,78 | 882 / 14 | $3.680,56 | 877 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 17 | 499 / 49 | $44.133,80 | 1529 / 47 | $9.830,71 | 224 / 8 | $8.985,53 | 224 / 10 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 21 | $24.320,50 | 1210 / 38 | $4.923,50 | 749 / 15 | $4.239,50 | 744 / 25 |
| Atherosclerosis W/O Mcc | 15 | 43 / 9 | $19.748,10 | 303 / 13 | $3.925,93 | / 6 | $2.961,67 | / |
| Heart Failure & Shock W Cc | 15 | 263 / 41 | $44.622,30 | 2448 / 56 | $5.553,27 | 417 / 5 | $4.809,80 | 417 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 31 | $43.672,80 | 2132 / 48 | $6.150,54 | 916 / 8 | $5.591,77 | 914 / 32 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 20 | $33.602,00 | 809 / 29 | $7.075,73 | 84 / 1 | $6.415,36 | 84 / 3 |
| Transient Ischemia | 11 | 114 / 23 | $30.206,40 | 1181 / 30 | $4.394,18 | 640 / 9 | $3.518,55 | 636 / 18 | Total 19 procedures | 480 | 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.