Hospital Costs > In Kentucky > Lake Cumberland Regional Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 168 | 348 / 16 | $53.278,30 | 1897 / 53 | $11.370,80 | 969 / 37 | $10.144,40 | 961 / 38 |
| Simple Pneumonia & Pleurisy W Cc | 122 | 82 / 6 | $29.897,30 | 1941 / 58 | $6.437,60 | 1278 / 48 | $5.280,15 | 1274 / 45 |
| Simple Pneumonia & Pleurisy W Mcc | 120 | 85 / 9 | $48.242,80 | 1856 / 53 | $9.263,56 | 1067 / 39 | $7.947,65 | 1067 / 39 |
| Psychoses | 108 | 185 / 11 | $17.480,40 | 257 / 12 | $6.690,25 | 164 / 9 | $5.373,51 | 164 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 105 | 97 / 9 | $34.438,60 | 1711 / 55 | $7.442,38 | 1132 / 38 | $6.377,15 | 1127 / 46 |
| Renal Failure W Cc | 94 | 127 / 9 | $27.121,20 | 1556 / 43 | $6.375,52 | 1120 / 35 | $5.307,82 | 1112 / 37 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 91 | 184 / 13 | $23.570,50 | 1767 / 49 | $5.162,10 | 1423 / 43 | $4.063,13 | 1412 / 46 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 88 | 78 / 5 | $19.747,30 | 1534 / 50 | $4.810,68 | 1165 / 41 | $3.786,45 | 1162 / 41 |
| Heart Failure & Shock W Cc | 83 | 195 / 14 | $27.953,60 | 1853 / 50 | $6.544,16 | 1017 / 43 | $5.303,23 | 1015 / 33 |
| G.I. Hemorrhage W Cc | 82 | 136 / 10 | $27.692,50 | 1420 / 44 | $6.728,40 | 799 / 40 | $5.180,79 | 797 / 31 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 81 | 483 / 22 | $77.536,30 | 2156 / 45 | $13.394,00 | 1122 / 35 | $11.249,20 | 1097 / 33 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 81 | 115 / 8 | $92.980,50 | 1084 / 24 | $12.276,10 | 589 / 9 | $10.920,20 | 585 / 14 |
| Heart Failure & Shock W Mcc | 81 | 203 / 18 | $51.111,30 | 2015 / 52 | $9.765,14 | 1253 / 48 | $8.653,99 | 1250 / 46 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 79 | 109 / 7 | $38.738,70 | 907 / 24 | $7.010,43 | 705 / 15 | $5.753,92 | 703 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 73 | 106 / 9 | $29.525,40 | 1693 / 52 | $6.209,96 | 1248 / 45 | $5.220,30 | 1243 / 49 |
| Kidney & Urinary Tract Infections W/O Mcc | 72 | 161 / 11 | $23.143,00 | 1859 / 53 | $5.201,50 | 1212 / 41 | $4.095,03 | 1203 / 43 |
| Chest Pain | 69 | 82 / 6 | $21.810,70 | 1043 / 32 | $4.297,13 | 817 / 24 | $3.272,67 | 812 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 67 | 115 / 11 | $31.800,10 | 1236 / 28 | $6.995,39 | 843 / 26 | $5.603,55 | 841 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 67 | 83 / 8 | $16.571,80 | 1155 / 35 | $4.053,82 | 1175 / 30 | $2.993,63 | 1170 / 34 |
| Pulmonary Edema & Respiratory Failure | 63 | 140 / 19 | $48.045,50 | 1715 / 50 | $7.937,33 | 969 / 37 | $6.889,46 | 968 / 43 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 59 | 61 / 10 | $22.041,90 | 1410 / 52 | $5.036,81 | 1151 / 41 | $3.888,15 | 1142 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 52 | 109 / 9 | $22.982,70 | 1283 / 34 | $5.371,27 | 1078 / 29 | $4.377,42 | 1074 / 33 |
| Respiratory Infections & Inflammations W Cc | 51 | 37 / 3 | $39.502,00 | 952 / 34 | $9.148,59 | 711 / 30 | $7.773,29 | 706 / 28 |
| Transient Ischemia | 50 | 75 / 6 | $25.008,40 | 957 / 26 | $4.860,70 | 812 / 21 | $3.723,78 | 808 / 24 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 45 | 26 / 3 | $191.264,00 | 716 / 20 | $31.383,20 | 232 / 11 | $28.329,00 | 232 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 45 | 123 / 12 | $55.675,80 | 1061 / 20 | $10.833,40 | 447 / 14 | $9.212,29 | 446 / 13 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 44 | 87 / 13 | $89.759,00 | 1413 / 41 | $14.971,50 | 732 / 33 | $13.063,30 | 724 / 26 |
| Respiratory Infections & Inflammations W Mcc | 44 | 92 / 8 | $61.001,70 | 1288 / 36 | $11.821,90 | 616 / 24 | $10.707,60 | 608 / 23 |
| Syncope & Collapse | 43 | 126 / 13 | $24.908,70 | 1212 / 33 | $5.015,40 | 1031 / 26 | $4.099,60 | 1024 / 32 |
| Renal Failure W Mcc | 42 | 153 / 20 | $63.041,50 | 1796 / 45 | $10.871,50 | 1326 / 37 | $9.730,83 | 1326 / 39 |
| Spinal Fusion Except Cervical W/O Mcc | 41 | 153 / 9 | $117.780,00 | 920 / 11 | $23.023,10 | 497 / 3 | $21.764,80 | 494 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 41 | 50 / 6 | $36.409,50 | 944 / 26 | $6.706,63 | 450 / 19 | $5.396,24 | 449 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 41 | 85 / 7 | $38.277,30 | 1265 / 29 | $7.473,59 | 496 / 18 | $6.019,83 | 493 / 15 |
| Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 11 | $64.414,70 | 1456 / 33 | $11.724,20 | 672 / 20 | $10.392,20 | 669 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 17 | $31.973,60 | 1730 / 44 | $6.965,74 | 836 / 37 | $5.510,44 | 834 / 29 |
| Red Blood Cell Disorders W/O Mcc | 37 | 106 / 13 | $22.207,20 | 1083 / 35 | $5.588,54 | 898 / 36 | $4.407,95 | 893 / 32 |
| Heart Failure & Shock W/O Cc/Mcc | 37 | 73 / 11 | $20.834,30 | 1346 / 41 | $4.727,95 | 1119 / 33 | $3.866,57 | 1110 / 36 |
| Cellulitis W/O Mcc | 37 | 152 / 18 | $27.810,50 | 2037 / 54 | $5.662,14 | 1368 / 41 | $4.598,00 | 1362 / 46 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 9 | $25.056,90 | 903 / 18 | $5.135,17 | 776 / 15 | $3.968,11 | 772 / 18 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 13 | $54.448,30 | 1226 / 29 | $12.591,40 | 836 / 29 | $9.831,36 | 835 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 14 | $42.143,30 | 1377 / 33 | $8.084,97 | 860 / 25 | $6.912,17 | 857 / 25 |
| Hypertension W/O Mcc | 31 | 34 / 1 | $17.670,40 | 322 / 14 | $4.421,61 | 339 / 12 | $3.260,81 | 337 / 11 |
| Diabetes W Cc | 29 | 63 / 10 | $28.037,40 | 1111 / 27 | $5.595,59 | 494 / 20 | $4.272,79 | 494 / 15 |
| Other Digestive System Diagnoses W Cc | 28 | 69 / 4 | $23.751,20 | 604 / 17 | $6.297,04 | 568 / 17 | $5.335,32 | 565 / 19 |
| G.I. Hemorrhage W Mcc | 28 | 93 / 13 | $54.534,40 | 1098 / 23 | $10.909,90 | 589 / 17 | $9.887,96 | 590 / 18 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 14 | $19.409,00 | 1153 / 47 | $4.912,69 | 1179 / 40 | $3.877,88 | 1173 / 48 |
| G.I. Obstruction W Cc | 25 | 67 / 14 | $25.197,80 | 1001 / 33 | $5.980,08 | 936 / 26 | $5.000,96 | 933 / 29 |
| Other Vascular Procedures W Cc | 24 | 78 / 11 | $89.642,40 | 748 / 16 | $15.716,90 | 410 / 8 | $14.461,70 | 408 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 18 | $38.434,50 | 1458 / 34 | $7.230,50 | 890 / 28 | $6.208,54 | 888 / 27 |
| G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 8 | $21.307,60 | 876 / 20 | $4.430,57 | 689 / 14 | $3.241,00 | 687 / 17 |
| Seizures W/O Mcc | 23 | 85 / 13 | $27.324,80 | 860 / 20 | $5.097,22 | 358 / 11 | $3.855,13 | 356 / 12 |
| Medical Back Problems W/O Mcc | 23 | 98 / 13 | $27.852,30 | 936 / 21 | $5.736,87 | 445 / 17 | $4.147,39 | 445 / 14 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 22 | 31 / 6 | $27.704,80 | 528 / 15 | $5.136,50 | 393 / 12 | $3.986,36 | 390 / 12 |
| Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 7 | $70.721,50 | 586 / 16 | $13.567,70 | 276 / 8 | $11.466,90 | 275 / 9 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 16 | $139.871,00 | 926 / 20 | $30.359,10 | 405 / 11 | $28.710,10 | 404 / 14 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 20 | 72 / 7 | $199.367,00 | 746 / 17 | $35.310,20 | 340 / 9 | $33.803,10 | 339 / 10 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 14 | $91.236,20 | 1124 / 29 | $16.637,30 | 341 / 23 | $13.016,30 | 338 / 8 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 8 | $48.677,10 | 692 / 15 | $9.355,00 | 128 / 10 | $6.940,95 | 128 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 10 | $53.861,20 | 385 / 14 | $12.556,80 | 251 / 8 | $11.295,00 | 246 / 8 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 11 | $200.020,00 | 1043 / 22 | $33.265,00 | 634 / 13 | $31.254,30 | 632 / 17 |
| Disorders Of The Biliary Tract W Cc | 18 | 36 / 3 | $29.862,80 | 211 / 5 | $6.829,94 | 132 / 2 | $5.724,83 | 132 / 3 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 8 | $43.774,80 | 520 / 12 | $7.009,24 | 384 / 5 | $5.902,41 | 383 / 9 |
| Renal Failure W/O Cc/Mcc | 17 | 39 / 9 | $16.464,60 | 441 / 19 | $4.461,53 | 514 / 16 | $3.616,59 | 513 / 20 |
| G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 8 | $21.589,80 | 610 / 15 | $4.869,53 | 482 / 11 | $3.735,88 | 478 / 10 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 16 | 54 / 5 | $22.272,70 | 237 / 5 | $6.050,44 | 55 / 4 | $4.467,06 | 55 / 2 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 14 | $46.369,20 | 734 / 18 | $6.720,38 | 496 / 10 | $5.739,94 | 495 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 16 | $141.610,00 | 786 / 22 | $21.105,10 | 507 / 13 | $19.703,10 | 503 / 13 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 12 | $121.763,00 | 748 / 20 | $21.117,30 | 521 / 17 | $19.534,30 | 518 / 16 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 13 | $37.646,90 | 643 / 18 | $7.999,00 | 426 / 12 | $7.216,93 | 424 / 13 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 13 | $102.134,00 | 601 / 10 | $20.296,90 | 136 / 7 | $17.282,40 | 136 / 5 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 6 | $21.322,10 | 434 / 11 | $5.828,79 | 364 / 6 | $4.478,86 | 360 / 7 |
| Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 5 | $27.302,50 | 263 / 9 | $6.317,21 | 125 / 7 | $5.043,21 | 125 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 8 | $27.967,20 | 569 / 18 | $6.023,86 | 286 / 11 | $4.709,43 | 285 / 9 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 13 | $100.194,00 | 693 / 15 | $18.582,40 | 109 / 10 | $15.232,40 | 109 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 12 | $85.356,60 | 757 / 16 | $10.946,20 | 487 / 12 | $9.501,54 | 485 / 11 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 12 | $192.220,00 | 481 / 14 | $27.765,60 | 267 / 5 | $26.154,20 | 267 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 13 | $31.273,00 | 691 / 17 | $7.575,77 | 407 / 12 | $6.422,54 | 406 / 11 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 9 | $24.170,80 | 322 / 13 | $4.665,85 | 193 / 8 | $3.314,38 | 193 / 6 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 9 | $100.200,00 | 772 / 13 | $16.635,50 | 437 / 7 | $15.477,30 | 436 / 7 |
| Transurethral Procedures W Cc | 13 | 28 / 6 | $33.406,20 | 154 / 10 | $8.032,38 | 121 / 5 | $6.764,15 | 121 / 4 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 13 | $22.540,20 | 519 / 15 | $6.086,54 | 405 / 10 | $5.114,46 | 403 / 11 |
| Major Chest Procedures W Mcc | 13 | 36 / 6 | $178.294,00 | 248 / 10 | $32.005,80 | 140 / 4 | $30.139,80 | 140 / 4 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 10 | $135.015,00 | 422 / 9 | $27.775,50 | 157 / 3 | $26.486,00 | 157 / 3 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 7 | $23.842,20 | 218 / 7 | $4.824,00 | 154 / 3 | $3.491,42 | 154 / 3 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 10 | $25.850,60 | 675 / 15 | $4.548,00 | 346 / 10 | $3.459,50 | 345 / 10 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 9 | $139.414,00 | 320 / 11 | $25.035,90 | 90 / 4 | $23.712,10 | 90 / 3 |
| Seizures W Mcc | 12 | 54 / 9 | $40.776,70 | 370 / 10 | $9.320,50 | 159 / 6 | $8.125,08 | 159 / 6 |
| Pulmonary Embolism W Mcc | 11 | 32 / 7 | $50.953,70 | 425 / 10 | $9.270,27 | 146 / 6 | $7.963,91 | 146 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 17 | $35.265,40 | 807 / 22 | $7.657,64 | 299 / 17 | $6.242,00 | 297 / 13 |
| Diabetes W Mcc | 11 | 46 / 9 | $49.766,20 | 548 / 13 | $8.838,27 | 252 / 10 | $7.835,82 | 252 / 11 |
| Atherosclerosis W/O Mcc | 11 | 47 / 13 | $18.506,10 | 279 / 11 | $4.346,36 | / 12 | $3.357,82 | / |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 11 | $68.394,20 | 434 / 11 | $10.403,70 | 238 / 5 | $9.360,09 | 237 / 8 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 9 | $22.158,70 | 436 / 12 | $6.530,45 | 196 / 12 | $3.595,82 | 196 / 7 | Total 93 procedures | 3.584 | 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.