Hospital Costs > In Louisiana > Lake Area Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 38 | $28.313,20 | 2081 / 54 | $8.542,15 | 2571 / 58 | $7.123,15 | 2556 / 60 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 42 | 522 / 35 | $94.514,70 | 2406 / 51 | $17.146,90 | 2232 / 53 | $14.856,40 | 2188 / 55 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 26 | 51 / 5 | $72.564,50 | 361 / 8 | $13.840,20 | 368 / 8 | $12.682,10 | 367 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 14 | 502 / 49 | $93.720,60 | 2581 / 57 | $15.214,90 | 2376 / 52 | $14.111,50 | 2334 / 53 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 34 | $33.489,80 | 1790 / 37 | $10.544,70 | 2395 / 46 | $9.337,73 | 2385 / 48 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 43 | $53.550,40 | 2619 / 63 | $10.599,50 | 2727 / 61 | $9.802,17 | 2718 / 63 | Total 6 procedures | 118 | 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.