Hospital Costs > In Hawaii > Kona Community 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 | 26 | 163 / 6 | $15.584,50 | 928 / 1 | $11.082,50 | 2585 / 10 | $9.911,88 | 2577 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 5 | $33.991,20 | 1692 / 5 | $14.877,80 | 2523 / 8 | $12.662,40 | 2515 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 7 | $13.371,40 | 553 / 2 | $9.799,56 | 2666 / 11 | $8.673,56 | 2651 / 11 |
| G.I. Hemorrhage W Cc | 17 | 201 / 9 | $20.721,00 | 810 / 4 | $13.736,80 | 2394 / 10 | $11.878,80 | 2390 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 8 | $58.167,30 | 1308 / 8 | $27.276,80 | 2041 / 10 | $23.587,50 | 2019 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 4 | $21.495,20 | 1302 / 3 | $12.967,20 | 2797 / 9 | $12.073,60 | 2788 / 10 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 7 | $33.230,80 | 1236 / 6 | $19.397,10 | 2511 / 10 | $18.615,40 | 2505 / 10 | Total 7 procedures | 124 | 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.