Hospital Costs > In Ohio > Lakewood Hospital, 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 | 183 | 381 / 24 | $45.946,20 | 1083 / 69 | $12.873,20 | 889 / 37 | $10.881,40 | 870 / 59 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 110 | 406 / 55 | $40.191,50 | 1329 / 66 | $10.860,10 | 851 / 38 | $9.990,92 | 850 / 60 |
Renal Failure W Cc | 61 | 160 / 39 | $17.294,50 | 705 / 38 | $5.835,05 | 685 / 30 | $4.905,72 | 678 / 46 |
Chronic Obstructive Pulmonary Disease W Cc | 60 | 119 / 25 | $26.950,00 | 1569 / 93 | $5.862,33 | 989 / 48 | $4.945,82 | 986 / 64 |
Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 36 | $29.174,80 | 1416 / 80 | $7.073,56 | 814 / 34 | $6.057,20 | 809 / 55 |
Heart Failure & Shock W Mcc | 54 | 230 / 52 | $34.933,10 | 1391 / 78 | $8.778,57 | 665 / 33 | $7.886,74 | 665 / 50 |
Renal Failure W Mcc | 53 | 142 / 32 | $30.587,30 | 794 / 47 | $9.014,13 | 596 / 34 | $8.200,47 | 596 / 49 |
Heart Failure & Shock W Cc | 52 | 226 / 57 | $21.018,70 | 1295 / 65 | $5.954,23 | 795 / 35 | $5.135,46 | 794 / 51 |
Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 48 | $16.835,70 | 1206 / 71 | $4.784,58 | 682 / 36 | $3.741,11 | 678 / 46 |
G.I. Hemorrhage W Cc | 36 | 182 / 45 | $21.115,10 | 849 / 51 | $6.209,92 | 563 / 39 | $4.966,39 | 562 / 38 |
Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 45 | $34.286,00 | 1306 / 76 | $8.585,59 | 785 / 37 | $7.634,84 | 785 / 61 |
Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 46 | $21.313,30 | 1281 / 76 | $5.971,81 | 683 / 37 | $4.804,34 | 680 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 64 | $17.852,90 | 1104 / 67 | $4.735,84 | 954 / 35 | $3.733,35 | 946 / 60 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 26 | $16.138,60 | 922 / 62 | $4.551,39 | 785 / 29 | $3.561,43 | 781 / 53 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 37 | $19.559,80 | 1021 / 60 | $4.976,46 | 814 / 33 | $4.122,82 | 811 / 56 |
Cellulitis W/O Mcc | 25 | 164 / 53 | $16.144,00 | 1013 / 70 | $5.321,68 | 1153 / 35 | $4.392,88 | 1147 / 73 |
Chest Pain | 25 | 126 / 25 | $17.053,80 | 694 / 38 | $3.931,92 | 672 / 25 | $3.104,28 | 668 / 39 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 38 | $39.190,60 | 1492 / 75 | $6.380,40 | 609 / 28 | $5.340,44 | 608 / 42 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 41 | $15.975,80 | 1086 / 57 | $4.489,88 | 529 / 42 | $3.328,72 | 527 / 30 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 34 | $41.371,60 | 869 / 54 | $10.161,00 | 453 / 35 | $8.887,00 | 453 / 35 |
Revision Of Hip Or Knee Replacement W Cc | 23 | 63 / 8 | $62.016,90 | 158 / 7 | $19.566,00 | 237 / 4 | $18.471,00 | 237 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 39 | $32.174,20 | 1052 / 63 | $7.821,00 | 809 / 47 | $6.828,45 | 806 / 57 |
Syncope & Collapse | 21 | 148 / 37 | $21.680,00 | 1005 / 60 | $4.656,57 | 587 / 35 | $3.642,48 | 584 / 45 |
G.I. Hemorrhage W Mcc | 21 | 100 / 30 | $39.829,50 | 684 / 38 | $10.411,10 | 458 / 30 | $9.552,95 | 459 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 48 | $24.942,30 | 1250 / 68 | $6.598,10 | 879 / 39 | $5.555,20 | 877 / 53 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 30 | $24.158,90 | 652 / 42 | $6.530,47 | 369 / 17 | $5.823,37 | 366 / 25 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 35 | $39.073,10 | 587 / 39 | $11.503,10 | 713 / 34 | $10.449,50 | 707 / 47 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 28 | $16.850,10 | 1046 / 61 | $4.338,00 | 653 / 31 | $3.432,39 | 651 / 39 |
Other Circulatory System Diagnoses W Mcc | 17 | 99 / 31 | $37.482,60 | 416 / 29 | $9.882,35 | 93 / 3 | $9.090,29 | 93 / 11 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 37 | $24.783,80 | 907 / 59 | $6.737,35 | 500 / 38 | $5.706,41 | 499 / 40 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 17 | 179 / 49 | $60.659,60 | 468 / 36 | $11.951,00 | 579 / 5 | $10.876,80 | 575 / 34 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 31 | $96.900,80 | 458 / 32 | $28.872,80 | 283 / 16 | $27.808,10 | 283 / 23 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 41 | $14.804,60 | 966 / 56 | $3.695,94 | 550 / 37 | $2.482,19 | 546 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 28 | $30.507,30 | 1120 / 59 | $4.834,31 | 633 / 26 | $3.779,50 | 629 / 40 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 42 | $35.499,40 | 782 / 45 | $6.591,67 | 774 / 17 | $5.866,27 | 772 / 43 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 26 | $18.621,90 | 326 / 24 | $5.831,20 | 367 / 12 | $4.981,00 | 364 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 36 | $47.175,50 | 893 / 46 | $10.197,10 | 381 / 25 | $9.040,07 | 380 / 30 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 43 | $40.192,90 | 794 / 52 | $10.907,90 | 244 / 15 | $9.870,60 | 244 / 23 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 28 | $55.554,40 | 543 / 29 | $14.827,10 | 96 / 25 | $11.880,90 | 96 / 5 |
Seizures W/O Mcc | 14 | 94 / 26 | $17.885,80 | 418 / 26 | $4.646,57 | 276 / 13 | $3.706,00 | 275 / 19 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 28 | $26.344,00 | 534 / 37 | $8.011,62 | 401 / 20 | $7.167,31 | 398 / 21 |
G.I. Obstruction W Cc | 13 | 79 / 30 | $16.327,50 | 391 / 27 | $5.335,15 | 364 / 13 | $4.305,23 | 363 / 24 |
Seizures W Mcc | 12 | 54 / 19 | $37.605,40 | 313 / 22 | $8.408,50 | 77 / 6 | $7.596,42 | 77 / 7 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 22 | $12.013,20 | 80 / 4 | $5.806,92 | 403 / 16 | $5.109,50 | 401 / 28 |
Medical Back Problems W/O Mcc | 11 | 110 / 36 | $14.473,90 | 197 / 11 | $5.311,73 | 569 / 27 | $4.349,09 | 567 / 41 | Total 45 procedures | 1.384 | 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.