Hospital Costs > In Iowa > Lakes Regional Healthcare, 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 | 46 | 518 / 27 | $39.750,90 | 740 / 17 | $13.324,80 | 1376 / 21 | $11.758,70 | 1343 / 24 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 20 | $16.307,50 | 719 / 16 | $5.707,72 | 882 / 10 | $4.977,84 | 879 / 18 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 6 | $10.427,40 | 258 / 5 | $4.164,44 | 285 / 6 | $3.031,56 | 283 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 17 | $9.866,19 | 281 / 5 | $4.519,14 | 461 / 9 | $3.595,19 | 461 / 13 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 11 | $11.629,20 | 412 / 8 | $4.186,25 | 532 / 4 | $3.353,94 | 531 / 8 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 10 | $12.110,90 | 221 / 2 | $5.043,25 | 76 / 8 | $3.346,62 | 76 / 4 |
| G.I. Hemorrhage W Cc | 12 | 206 / 27 | $17.880,00 | 559 / 13 | $5.837,00 | 625 / 8 | $5.024,92 | 624 / 12 |
| Cellulitis W/O Mcc | 12 | 177 / 23 | $11.405,40 | 408 / 3 | $4.938,25 | 681 / 8 | $4.029,50 | 677 / 13 | Total 8 procedures | 173 | 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.