Hospital Costs > In Utah > Lakeview Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 3 | $8.940,25 | 98 / 1 | $4.645,50 | 35 / 1 | $2.847,25 | 35 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 11 | $16.690,40 | 962 / 10 | $4.738,83 | 377 / 1 | $3.309,67 | 376 / 1 |
| G.I. Hemorrhage W Cc | 15 | 203 / 11 | $23.211,50 | 1051 / 12 | $6.013,13 | 740 / 1 | $5.125,67 | 738 / 1 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 6 | $37.984,20 | 622 / 7 | $9.998,40 | 379 / 1 | $9.356,27 | 379 / 2 |
| Heart Failure & Shock W Cc | 18 | 260 / 9 | $28.839,90 | 1896 / 17 | $6.199,50 | 287 / 1 | $4.676,44 | 287 / 1 |
| Heart Failure & Shock W Mcc | 11 | 273 / 12 | $34.334,20 | 1356 / 11 | $8.433,45 | 395 / 2 | $7.557,82 | 395 / 2 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 6 | $44.044,10 | 481 / 7 | $9.496,29 | 265 / 1 | $8.371,71 | 264 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 8 | $25.580,70 | 835 / 8 | $6.608,44 | 271 / 1 | $4.933,25 | 271 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 12 | $17.981,40 | 1348 / 10 | $4.598,27 | 490 / 1 | $3.612,09 | 490 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 40 | 56 / 3 | $65.436,30 | 538 / 10 | $15.787,90 | 43 / 6 | $9.872,97 | 43 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 208 | 356 / 9 | $49.689,00 | 1271 / 23 | $12.273,00 | 191 / 1 | $9.683,98 | 191 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 8 | $84.396,60 | 948 / 8 | $13.656,10 | 386 / 2 | $10.362,40 | 386 / 3 |
| Psychoses | 21 | 254 / 2 | $24.117,30 | 397 / 2 | $7.338,71 | 19 / 2 | $4.432,33 | 19 / 1 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 6 | $21.936,50 | 490 / 9 | $5.843,16 | 278 / 1 | $4.760,21 | 278 / 1 |
| Renal Failure W Cc | 14 | 207 / 13 | $20.247,30 | 1002 / 15 | $6.629,14 | 22 / 8 | $3.914,36 | 22 / 1 |
| Renal Failure W Mcc | 14 | 181 / 9 | $27.317,40 | 599 / 7 | $8.380,00 | 145 / 1 | $7.429,14 | 145 / 2 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 7 | $36.301,70 | 633 / 3 | $10.612,70 | 241 / 1 | $9.866,85 | 241 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 6 | $90.973,90 | 387 / 8 | $18.915,00 | 198 / 2 | $17.979,50 | 198 / 5 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 8 | $61.882,10 | 205 / 9 | $15.452,00 | 9 / 1 | $11.745,20 | 9 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 104 | 412 / 8 | $46.961,50 | 1667 / 25 | $10.907,20 | 764 / 2 | $9.871,29 | 763 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 13 | $25.448,10 | 1291 / 16 | $6.010,93 | 31 / 2 | $4.349,71 | 31 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 11 | $23.809,80 | 1522 / 21 | $5.645,46 | 454 / 2 | $4.611,18 | 451 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 12 | $35.878,30 | 1403 / 16 | $8.122,40 | 379 / 2 | $7.153,87 | 379 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 8 | $17.520,10 | 967 / 14 | $4.385,00 | 645 / 2 | $3.361,00 | 642 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 33 | 161 / 10 | $90.857,50 | 645 / 13 | $25.530,50 | 204 / 4 | $19.920,00 | 203 / 5 | Total 25 procedures | 713 | 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.