Hospital Costs > In Iowa > Keokuk Area Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 11 | 178 / 24 | $10.549,40 | 307 / 2 | $5.675,82 | 1519 / 19 | $4.753,64 | 1512 / 27 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 20 | $11.162,60 | 161 / 2 | $6.272,60 | 1502 / 20 | $5.511,80 | 1496 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 11 | $12.133,50 | 131 / 2 | $7.854,90 | 1490 / 22 | $6.824,78 | 1484 / 25 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 11 | $10.853,60 | 338 / 4 | $4.824,69 | 1409 / 12 | $4.258,19 | 1398 / 19 |
| G.I. Hemorrhage W Cc | 23 | 195 / 20 | $10.461,60 | 61 / 1 | $6.709,09 | 1522 / 24 | $5.997,96 | 1518 / 26 |
| Heart Failure & Shock W Cc | 25 | 253 / 20 | $10.841,40 | 179 / 1 | $6.616,76 | 1579 / 21 | $5.850,84 | 1574 / 24 |
| Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 13 | $10.225,40 | 315 / 7 | $5.209,75 | 1452 / 24 | $4.304,18 | 1443 / 26 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 28 | 536 / 30 | $34.138,50 | 405 / 5 | $14.178,90 | 1816 / 28 | $12.936,80 | 1775 / 30 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 21 | $10.260,60 | 338 / 6 | $4.707,00 | 1535 / 18 | $4.113,91 | 1530 / 24 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 10 | $13.035,00 | 48 / 1 | $9.064,36 | 831 / 14 | $8.072,93 | 826 / 16 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 15 | $24.036,20 | 49 / 1 | $15.168,20 | 1066 / 10 | $14.409,50 | 1056 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 28 | $13.854,10 | 44 / 1 | $12.167,40 | 1777 / 23 | $11.685,50 | 1742 / 28 |
| Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 9 | $9.799,47 | 98 / 1 | $6.559,65 | 1554 / 24 | $5.569,76 | 1548 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 22 | $17.665,40 | 247 / 2 | $9.715,64 | 1632 / 24 | $8.973,64 | 1632 / 26 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 11 | $7.819,12 | 84 / 1 | $4.752,94 | 880 / 17 | $3.574,82 | 876 / 16 | Total 15 procedures | 317 | 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.