Hospital Costs > In Louisiana > Lake Charles Memorial Hospital, 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 Cc | 13 | 78 / 10 | $21.404,90 | 350 / 5 | $7.180,54 | 922 / 12 | $6.437,15 | 920 / 15 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 12 | $29.678,40 | 703 / 18 | $6.667,21 | 560 / 19 | $4.958,50 | 556 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 10 | $16.759,30 | 726 / 13 | $5.793,71 | 1337 / 30 | $4.717,83 | 1332 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 20 | $22.748,10 | 503 / 7 | $8.003,18 | 949 / 25 | $7.062,94 | 946 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 19 | $12.630,60 | 671 / 16 | $4.571,68 | 1456 / 29 | $3.412,79 | 1450 / 29 |
| Cellulitis W Mcc | 12 | 46 / 9 | $25.728,80 | 269 / 4 | $9.084,25 | 346 / 12 | $8.078,92 | 345 / 12 |
| Cellulitis W/O Mcc | 54 | 135 / 11 | $19.976,80 | 1480 / 41 | $5.957,52 | 1564 / 46 | $4.798,48 | 1557 / 46 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 15 | $46.411,60 | 293 / 4 | $13.519,50 | 432 / 8 | $12.312,20 | 431 / 14 |
| Chest Pain | 18 | 133 / 14 | $15.667,00 | 556 / 15 | $4.752,94 | 1186 / 24 | $3.947,61 | 1179 / 27 |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 9 | $23.913,50 | 1378 / 29 | $6.781,45 | 1186 / 43 | $5.139,04 | 1182 / 30 |
| Chronic Obstructive Pulmonary Disease W Mcc | 79 | 123 / 6 | $27.418,10 | 1300 / 29 | $7.748,80 | 1435 / 38 | $6.753,25 | 1429 / 39 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 14 | $15.672,00 | 866 / 29 | $5.367,18 | 1404 / 42 | $4.250,61 | 1393 / 40 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 10 | $48.169,20 | 282 / 6 | $12.749,90 | 346 / 11 | $11.819,50 | 341 / 14 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 41 | 147 / 11 | $24.011,20 | 248 / 6 | $7.645,29 | 766 / 28 | $5.841,39 | 764 / 24 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 8 | $148.241,00 | 345 / 7 | $28.681,50 | 181 / 9 | $24.607,30 | 181 / 9 |
| Diabetes W Cc | 24 | 68 / 9 | $22.997,20 | 885 / 22 | $5.962,92 | 967 / 22 | $5.057,58 | 963 / 23 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 8 | $23.608,10 | 425 / 4 | $6.446,36 | 609 / 7 | $5.681,27 | 606 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 26 | $22.768,70 | 1695 / 46 | $5.507,40 | 1842 / 48 | $4.541,00 | 1829 / 51 |
| Extracranial Procedures W/O Cc/Mcc | 22 | 76 / 11 | $27.664,50 | 369 / 7 | $7.673,55 | 534 / 18 | $5.876,73 | 533 / 17 |
| G.I. Hemorrhage W Cc | 55 | 163 / 11 | $26.341,40 | 1318 / 28 | $7.170,42 | 1350 / 37 | $5.755,24 | 1347 / 34 |
| G.I. Hemorrhage W Mcc | 16 | 105 / 17 | $38.717,20 | 650 / 14 | $10.828,00 | 703 / 14 | $10.226,00 | 703 / 20 |
| G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 9 | $22.225,10 | 638 / 13 | $5.463,18 | 575 / 17 | $3.962,94 | 571 / 14 |
| G.I. Obstruction W Cc | 19 | 73 / 12 | $44.761,60 | 1528 / 29 | $9.747,00 | 1632 / 27 | $7.961,68 | 1627 / 29 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 10 | $18.525,60 | 752 / 17 | $4.785,50 | 914 / 16 | $3.713,50 | 911 / 20 |
| Heart Failure & Shock W Cc | 97 | 181 / 12 | $19.488,20 | 1120 / 32 | $6.852,52 | 1682 / 49 | $5.967,81 | 1677 / 47 |
| Heart Failure & Shock W Mcc | 105 | 179 / 11 | $34.965,10 | 1393 / 34 | $9.702,69 | 1405 / 42 | $8.871,69 | 1401 / 43 |
| Heart Failure & Shock W/O Cc/Mcc | 41 | 69 / 6 | $13.064,60 | 610 / 16 | $5.142,32 | 1413 / 38 | $4.255,68 | 1402 / 36 |
| Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 9 | $44.825,60 | 833 / 11 | $11.867,00 | 940 / 23 | $10.886,30 | 927 / 27 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 9 | $75.394,80 | 476 / 8 | $18.411,00 | 414 / 13 | $17.419,00 | 411 / 13 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 21 | 35 / 4 | $39.525,30 | 395 / 8 | $10.156,10 | 394 / 14 | $8.780,10 | 392 / 14 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 13 | $102.680,00 | 524 / 13 | $29.405,40 | 120 / 13 | $25.920,20 | 120 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 16 | $21.104,70 | 541 / 8 | $7.277,24 | 1286 / 29 | $6.306,32 | 1283 / 31 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 13 | $45.570,80 | 846 / 15 | $11.209,50 | 805 / 19 | $10.214,70 | 803 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 11 | $16.913,30 | 358 / 8 | $5.599,74 | 1131 / 24 | $4.655,04 | 1127 / 26 |
| Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 18 | $22.537,90 | 748 / 17 | $8.019,00 | 1070 / 37 | $6.519,96 | 1067 / 33 |
| Kidney & Urinary Tract Infections W/O Mcc | 83 | 150 / 12 | $21.350,50 | 1711 / 48 | $5.697,06 | 1942 / 52 | $4.902,07 | 1931 / 57 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 8 | $38.654,50 | 234 / 7 | $10.363,00 | 422 / 10 | $9.149,67 | 422 / 14 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 6 | $54.149,60 | 130 / 4 | $15.611,40 | 69 / 8 | $12.671,10 | 69 / 4 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 20 | 35 / 3 | $55.703,30 | 308 / 6 | $13.259,10 | 270 / 7 | $11.077,10 | 270 / 6 |
| Major Cardiovasc Procedures W Mcc | 20 | 48 / 4 | $105.290,00 | 140 / 2 | $29.136,00 | 108 / 2 | $28.235,20 | 108 / 4 |
| Major Cardiovasc Procedures W/O Mcc | 33 | 68 / 4 | $72.159,70 | 281 / 5 | $20.179,50 | 138 / 10 | $17.286,80 | 138 / 8 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 4 | $33.747,30 | 258 / 10 | $7.909,80 | 201 / 7 | $7.024,47 | 201 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 31 | 65 / 4 | $37.384,80 | 135 / 2 | $13.430,00 | 414 / 6 | $12.263,50 | 411 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 10 | $84.105,20 | 523 / 11 | $18.057,50 | 206 / 6 | $16.856,00 | 205 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 214 | 350 / 9 | $49.881,50 | 1281 / 21 | $12.558,50 | 847 / 24 | $10.829,00 | 833 / 33 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 5 | $51.096,90 | 140 / 3 | $16.078,80 | 125 / 6 | $13.330,00 | 125 / 5 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 14 | $59.366,10 | 618 / 13 | $15.189,80 | 618 / 13 | $14.045,40 | 612 / 21 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 11 | $137.901,00 | 720 / 15 | $34.899,90 | 821 / 19 | $33.976,20 | 819 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 21 | $25.910,80 | 763 / 15 | $7.437,06 | 971 / 19 | $6.962,06 | 968 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 16 | $19.773,80 | 1537 / 42 | $5.362,00 | 1744 / 45 | $4.392,32 | 1739 / 46 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 17 | $50.832,40 | 763 / 17 | $13.369,90 | 872 / 23 | $12.533,10 | 866 / 24 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 12 | $19.855,70 | 400 / 10 | $6.739,67 | 643 / 17 | $5.463,60 | 639 / 16 |
| Other Vascular Procedures W Cc | 26 | 76 / 9 | $64.934,20 | 441 / 10 | $16.324,80 | 375 / 12 | $14.259,00 | 373 / 14 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 29 | 71 / 5 | $76.662,70 | 238 / 5 | $19.697,40 | 61 / 10 | $15.868,40 | 61 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 66 | 130 / 5 | $59.162,90 | 438 / 10 | $12.753,50 | 626 / 12 | $11.012,20 | 622 / 25 |
| Peripheral Vascular Disorders W Cc | 20 | 64 / 7 | $22.060,90 | 500 / 10 | $6.713,25 | 707 / 17 | $5.868,45 | 704 / 18 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 6 | $25.555,40 | 121 / 2 | $8.803,00 | 263 / 8 | $8.145,55 | 263 / 7 |
| Psychoses | 107 | 186 / 1 | $22.535,30 | 374 / 3 | $6.862,85 | 291 / 3 | $5.914,35 | 291 / 3 |
| Pulmonary Edema & Respiratory Failure | 33 | 170 / 16 | $36.785,60 | 1377 / 23 | $8.374,24 | 1446 / 29 | $7.715,82 | 1441 / 31 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 7 | $22.435,80 | 515 / 5 | $6.805,74 | 917 / 14 | $6.170,79 | 914 / 16 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 11 | $33.466,80 | 545 / 12 | $8.202,38 | 489 / 12 | $7.446,38 | 487 / 14 |
| Red Blood Cell Disorders W/O Mcc | 58 | 85 / 8 | $27.154,90 | 1366 / 41 | $7.193,95 | 1391 / 42 | $5.178,41 | 1382 / 40 |
| Renal Failure W Cc | 67 | 154 / 16 | $22.561,90 | 1233 / 22 | $6.698,03 | 1612 / 33 | $5.956,78 | 1603 / 37 |
| Renal Failure W Mcc | 39 | 156 / 21 | $36.547,50 | 1128 / 26 | $10.398,70 | 1283 / 34 | $9.623,33 | 1283 / 34 |
| Respiratory Infections & Inflammations W Cc | 25 | 63 / 8 | $33.428,00 | 804 / 18 | $8.806,48 | 709 / 23 | $7.768,36 | 704 / 24 |
| Respiratory Infections & Inflammations W Mcc | 27 | 109 / 10 | $44.589,60 | 923 / 17 | $12.179,10 | 756 / 22 | $11.042,20 | 748 / 20 |
| Respiratory Neoplasms W Cc | 11 | 36 / 8 | $37.480,10 | 288 / 7 | $9.440,82 | 320 / 7 | $7.788,45 | 319 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 59 | 72 / 4 | $54.401,00 | 750 / 20 | $14.301,50 | 591 / 27 | $12.669,60 | 583 / 25 |
| Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 7 | $68.827,50 | 210 / 3 | $18.117,40 | 130 / 2 | $17.337,90 | 130 / 5 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 3 | $64.709,00 | 228 / 3 | $16.033,90 | 219 / 2 | $15.020,60 | 218 / 4 |
| Seizures W/O Mcc | 11 | 97 / 16 | $22.828,90 | 685 / 14 | $5.598,45 | 792 / 15 | $4.722,82 | 789 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 171 | 345 / 9 | $42.519,20 | 1446 / 33 | $12.328,40 | 1253 / 44 | $10.560,00 | 1232 / 41 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 106 | 101 / 5 | $25.872,30 | 1323 / 27 | $7.214,49 | 1564 / 33 | $6.373,28 | 1557 / 37 |
| Signs & Symptoms W/O Mcc | 17 | 74 / 9 | $15.996,90 | 403 / 7 | $5.243,71 | 816 / 14 | $4.321,35 | 813 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 81 | 122 / 8 | $26.346,80 | 1727 / 37 | $6.939,14 | 1719 / 49 | $5.747,35 | 1711 / 47 |
| Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 15 | $40.232,10 | 1565 / 27 | $9.820,81 | 1491 / 38 | $8.650,45 | 1491 / 37 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 21 | $20.734,80 | 1247 / 31 | $5.290,64 | 1461 / 38 | $4.325,52 | 1453 / 43 |
| Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 15 | $88.401,20 | 615 / 9 | $23.091,30 | 511 / 8 | $21.880,10 | 508 / 21 |
| Syncope & Collapse | 29 | 140 / 12 | $19.069,00 | 767 / 17 | $5.420,14 | 1241 / 25 | $4.466,76 | 1234 / 27 |
| Transient Ischemia | 16 | 109 / 14 | $19.249,20 | 604 / 14 | $5.271,81 | 1121 / 21 | $4.291,81 | 1115 / 25 | Total 80 procedures | 2.836 | 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.