Hospital Costs > In Hawaii > Kuakini Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 4 | $39.254,80 | 782 / 4 | $13.276,30 | 1201 / 1 | $11.025,40 | 1195 / 2 |
| Cellulitis W/O Mcc | 13 | 176 / 8 | $17.432,90 | 1179 / 5 | $6.479,85 | 1875 / 1 | $5.291,92 | 1867 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 5 | $22.150,30 | 914 / 2 | $9.058,62 | 1752 / 1 | $7.333,31 | 1744 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 8 | $30.973,40 | 2212 / 11 | $6.371,57 | 1711 / 2 | $4.352,21 | 1698 / 1 |
| G.I. Hemorrhage W Cc | 54 | 164 / 3 | $26.337,10 | 1317 / 7 | $8.198,33 | 1346 / 1 | $5.750,74 | 1343 / 2 |
| G.I. Obstruction W Cc | 19 | 73 / 4 | $16.817,10 | 424 / 1 | $6.740,63 | 1128 / 1 | $5.341,47 | 1125 / 1 |
| Heart Failure & Shock W Cc | 32 | 246 / 4 | $22.850,50 | 1472 / 5 | $7.548,22 | 2105 / 1 | $6.749,09 | 2099 / 3 |
| Heart Failure & Shock W Mcc | 23 | 261 / 7 | $40.262,30 | 1674 / 8 | $11.335,40 | 1967 / 1 | $10.251,20 | 1960 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 2 | $32.666,70 | 317 / 2 | $14.864,10 | 1649 / 1 | $13.677,90 | 1630 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 2 | $49.384,60 | 112 / 2 | $18.889,60 | 276 / 1 | $17.336,70 | 275 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 3 | $107.486,00 | 579 / 3 | $41.795,70 | 1246 / 1 | $39.955,50 | 1236 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 4 | $26.402,40 | 884 / 4 | $8.696,86 | 1443 / 1 | $6.690,07 | 1440 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 3 | $39.668,70 | 684 / 3 | $13.162,80 | 1054 / 1 | $11.339,80 | 1049 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 6 | $24.486,50 | 875 / 5 | $7.237,09 | 986 / 3 | $4.317,82 | 982 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 6 | $20.809,40 | 1655 / 6 | $5.915,89 | 1830 / 1 | $4.737,11 | 1819 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 152 | 412 / 3 | $29.296,40 | 195 / 2 | $17.592,00 | 1778 / 1 | $12.808,50 | 1738 / 2 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 4 | $54.987,40 | 526 / 1 | $19.407,60 | 1223 / 1 | $17.794,50 | 1209 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 3 | $104.241,00 | 419 / 1 | $39.097,20 | 989 / 1 | $37.358,80 | 987 / 2 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 2 | $59.799,50 | 213 / 2 | $14.435,90 | 241 / 1 | $13.005,50 | 242 / 1 |
| Medical Back Problems W/O Mcc | 11 | 110 / 2 | $19.562,10 | 486 / 1 | $6.543,00 | 1007 / 1 | $5.268,36 | 1004 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 4 | $23.652,90 | 625 / 2 | $8.418,08 | 1177 / 1 | $7.581,62 | 1174 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 6 | $19.415,60 | 1496 / 6 | $5.676,16 | 1551 / 1 | $4.127,53 | 1546 / 1 |
| Renal Failure W Cc | 24 | 197 / 4 | $21.367,50 | 1107 / 2 | $8.262,50 | 1400 / 1 | $5.616,88 | 1391 / 2 |
| Renal Failure W Mcc | 12 | 183 / 5 | $38.187,90 | 1207 / 4 | $11.825,00 | 1601 / 1 | $10.666,40 | 1599 / 2 |
| Respiratory Infections & Inflammations W Cc | 22 | 66 / 2 | $32.341,40 | 767 / 3 | $11.136,70 | 1214 / 1 | $9.834,68 | 1209 / 1 |
| Respiratory Infections & Inflammations W Mcc | 29 | 107 / 3 | $31.472,50 | 434 / 1 | $15.927,60 | 1303 / 1 | $12.935,80 | 1288 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 226 | 290 / 2 | $39.778,10 | 1306 / 4 | $14.329,20 | 2069 / 1 | $12.633,30 | 2032 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 68 | 139 / 3 | $25.053,60 | 1260 / 4 | $8.634,38 | 1672 / 2 | $6.524,94 | 1665 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 4 | $22.919,60 | 1444 / 5 | $7.473,33 | 2100 / 1 | $6.373,70 | 2092 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 4 | $30.893,40 | 1097 / 4 | $11.233,20 | 1815 / 1 | $9.446,24 | 1815 / 2 | Total 30 procedures | 1.002 | 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.