Hospital Costs > In Indiana > Kosciusko Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 60 | 504 / 49 | $82.540,10 | 2251 / 69 | $13.027,20 | 611 / 25 | $10.482,20 | 604 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 25 | $37.432,20 | 2442 / 72 | $6.066,40 | 245 / 66 | $3.362,69 | 245 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 48 | 131 / 25 | $34.836,80 | 1906 / 67 | $5.593,81 | 495 / 13 | $4.542,98 | 494 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 25 | $42.614,30 | 2400 / 73 | $7.245,25 | 98 / 65 | $4.138,56 | 98 / 2 |
| Heart Failure & Shock W Cc | 38 | 240 / 39 | $33.422,00 | 2118 / 74 | $5.733,03 | 415 / 9 | $4.809,24 | 415 / 8 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 17 | $29.912,60 | 1707 / 63 | $4.391,74 | 337 / 11 | $3.171,71 | 337 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 32 | $34.960,70 | 2347 / 70 | $5.840,91 | 241 / 61 | $3.160,79 | 241 / 5 |
| Cellulitis W/O Mcc | 33 | 156 / 29 | $32.997,70 | 2234 / 71 | $5.982,88 | 305 / 57 | $3.695,97 | 302 / 11 |
| Renal Failure W Cc | 30 | 191 / 38 | $41.639,30 | 2091 / 63 | $7.103,53 | 350 / 55 | $4.593,77 | 348 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 42 | $68.245,70 | 2216 / 64 | $7.940,70 | 287 / 2 | $7.002,04 | 287 / 5 |
| Heart Failure & Shock W Mcc | 26 | 258 / 44 | $54.491,00 | 2102 / 69 | $8.590,00 | 517 / 9 | $7.708,73 | 517 / 11 |
| G.I. Hemorrhage W Cc | 25 | 193 / 36 | $45.407,30 | 2076 / 58 | $5.813,48 | 539 / 5 | $4.945,64 | 538 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 45 | $49.361,40 | 2167 / 70 | $6.490,57 | 534 / 4 | $5.807,43 | 533 / 18 |
| Respiratory Infections & Inflammations W Cc | 19 | 69 / 13 | $57.337,90 | 1231 / 38 | $7.566,89 | 184 / 7 | $6.730,53 | 183 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 38 | $33.642,20 | 2229 / 67 | $4.189,18 | 641 / 9 | $3.409,88 | 639 / 21 |
| G.I. Obstruction W Cc | 17 | 75 / 20 | $32.649,90 | 1280 / 45 | $5.983,71 | 22 / 31 | $3.434,94 | 22 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 36 | $38.794,80 | 1477 / 54 | $6.307,41 | 584 / 10 | $5.311,65 | 583 / 22 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 28 | $23.305,80 | 1470 / 56 | $4.337,81 | 299 / 25 | $3.097,31 | 297 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 33 | $23.379,30 | 1312 / 50 | $4.658,56 | 511 / 6 | $3.826,56 | 509 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 62 | $62.898,20 | 2158 / 67 | $9.833,31 | 330 / 2 | $9.233,31 | 330 / 3 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 48 | $46.058,70 | 1670 / 61 | $6.849,33 | 332 / 4 | $6.126,13 | 332 / 8 |
| Syncope & Collapse | 15 | 154 / 33 | $24.976,10 | 1216 / 44 | $5.124,20 | 393 / 36 | $3.443,33 | 391 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 35 | $18.572,10 | 1312 / 48 | $3.456,67 | 466 / 9 | $2.413,47 | 463 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 20 | $26.833,10 | 1526 / 50 | $4.898,07 | 266 / 35 | $3.012,93 | 264 / 5 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 11 | $27.670,80 | 766 / 23 | $4.227,64 | 248 / 4 | $3.272,21 | 246 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 46 | $45.208,70 | 2172 / 67 | $5.718,23 | 543 / 2 | $5.250,54 | 541 / 16 |
| Renal Failure W Mcc | 13 | 182 / 35 | $33.918,60 | 996 / 32 | $8.616,00 | 278 / 6 | $7.690,46 | 278 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 38 | $61.871,80 | 1829 / 52 | $7.428,58 | 214 / 36 | $5.282,00 | 214 / 6 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 13 | $64.766,70 | 752 / 28 | $9.219,08 | 188 / 5 | $8.109,75 | 188 / 5 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 32 | $102.446,00 | 1541 / 48 | $12.732,50 | 497 / 3 | $12.428,40 | 490 / 12 | Total 30 procedures | 728 | 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.