Hospital Costs > In Kansas > Labette Health, 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 Mcc | 14 | 188 / 19 | $16.509,60 | 441 / 5 | $6.928,57 | 749 / 8 | $6.009,07 | 744 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 25 | $14.001,20 | 618 / 11 | $5.335,75 | 247 / 26 | $3.174,50 | 247 / 7 |
G.I. Hemorrhage W Cc | 15 | 203 / 18 | $15.568,30 | 341 / 5 | $6.155,93 | 1069 / 16 | $5.430,60 | 1067 / 20 |
G.I. Hemorrhage W Mcc | 13 | 108 / 11 | $27.153,60 | 230 / 3 | $10.742,90 | 598 / 8 | $9.903,54 | 599 / 8 |
G.I. Obstruction W Cc | 11 | 81 / 14 | $14.589,10 | 261 / 2 | $5.454,36 | 408 / 10 | $4.360,55 | 407 / 10 |
Heart Failure & Shock W Cc | 13 | 265 / 23 | $15.467,00 | 625 / 9 | $6.105,69 | 1207 / 16 | $5.458,31 | 1204 / 21 |
Heart Failure & Shock W Mcc | 17 | 267 / 21 | $20.172,40 | 432 / 6 | $9.214,41 | 1147 / 17 | $8.499,12 | 1144 / 17 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 11 | $10.498,50 | 320 / 5 | $4.132,85 | 486 / 8 | $3.298,38 | 484 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 13 | $26.876,90 | 128 / 5 | $12.107,00 | 1003 / 15 | $11.048,00 | 990 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 19 | $14.277,70 | 115 / 2 | $6.625,83 | 923 / 12 | $5.719,17 | 920 / 15 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 7 | $31.855,90 | 55 / 2 | $13.706,80 | 461 / 9 | $12.498,80 | 458 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 317 | 254 / 5 | $36.921,30 | 588 / 16 | $13.661,50 | 1313 / 28 | $11.619,50 | 1281 / 28 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 27 | 42 / 2 | $33.344,70 | 19 / 3 | $16.607,70 | 211 / 5 | $14.511,30 | 211 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 22 | $12.002,00 | 550 / 9 | $4.312,92 | 364 / 13 | $3.200,92 | 364 / 9 |
Pulmonary Edema & Respiratory Failure | 47 | 156 / 10 | $18.292,40 | 309 / 3 | $7.577,02 | 606 / 13 | $6.457,92 | 606 / 8 |
Renal Failure W Cc | 26 | 195 / 16 | $14.575,20 | 425 / 5 | $5.937,73 | 968 / 15 | $5.150,04 | 960 / 17 |
Renal Failure W Mcc | 13 | 182 / 14 | $17.144,10 | 131 / 1 | $9.343,62 | 835 / 10 | $8.600,23 | 835 / 10 |
Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 10 | $55.609,40 | 113 / 5 | $24.306,80 | 231 / 10 | $18.412,50 | 231 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 68 | 448 / 17 | $23.354,70 | 442 / 8 | $11.684,40 | 1076 / 19 | $10.290,30 | 1063 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 19 | $14.461,30 | 310 / 6 | $6.573,00 | 801 / 18 | $5.478,90 | 799 / 20 |
Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 19 | $16.128,80 | 700 / 13 | $6.008,39 | 972 / 18 | $5.055,25 | 969 / 18 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 21 | $20.245,50 | 406 / 5 | $8.924,84 | 1041 / 17 | $7.917,68 | 1041 / 17 | Total 22 procedures | 758 | 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.