Hospital Costs > In Louisiana > Lafayette Surgical Specialty 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 | 70 | 494 / 26 | $57.533,80 | 1601 / 27 | $11.396,20 | 40 / 11 | $8.916,33 | 40 / 5 |
Cervical Spinal Fusion W/O Cc/Mcc | 53 | 51 / 3 | $68.183,50 | 557 / 13 | $13.909,00 | 8 / 11 | $8.713,47 | 8 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 47 | 147 / 9 | $118.100,00 | 923 / 18 | $27.304,50 | 399 / 20 | $21.231,10 | 398 / 18 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 14 | 52 / 5 | $48.637,00 | 259 / 5 | $11.156,50 | 5 / 3 | $7.757,64 | 5 / 1 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 6 | $40.406,00 | 474 / 8 | $8.642,00 | 2 / 8 | $3.367,25 | 2 / 1 | Total 5 procedures | 196 | 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.