Hospital Costs > In Louisiana > Lane Regional Medical Center, 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 | 81 | 483 / 22 | $50.790,50 | 1330 / 22 | $11.847,90 | 626 / 17 | $10.500,60 | 619 / 26 |
| Kidney & Urinary Tract Infections W/O Mcc | 78 | 155 / 15 | $15.833,50 | 1051 / 31 | $4.709,59 | 612 / 14 | $3.697,82 | 610 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 75 | 128 / 10 | $28.260,90 | 1851 / 43 | $5.817,28 | 904 / 10 | $5.000,00 | 901 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 57 | 459 / 33 | $25.933,70 | 586 / 12 | $10.032,60 | 325 / 8 | $9.223,46 | 325 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 16 | $15.756,10 | 1055 / 27 | $4.384,95 | 1059 / 11 | $3.687,68 | 1056 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 19 | $20.295,90 | 811 / 17 | $6.175,54 | 738 / 10 | $5.425,70 | 736 / 20 |
| Cellulitis W/O Mcc | 37 | 152 / 20 | $15.422,20 | 912 / 29 | $4.932,78 | 619 / 10 | $3.988,35 | 616 / 15 |
| Heart Failure & Shock W Cc | 34 | 244 / 35 | $20.912,80 | 1278 / 34 | $5.680,18 | 434 / 10 | $4.823,06 | 434 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 14 | $20.842,50 | 1256 / 32 | $4.388,36 | 812 / 12 | $3.512,73 | 808 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 20 | $20.723,90 | 1080 / 23 | $5.551,56 | 693 / 12 | $4.722,56 | 691 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 28 | $22.056,00 | 1635 / 44 | $4.706,16 | 596 / 15 | $3.480,97 | 593 / 12 |
| Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 25 | $27.293,50 | 1289 / 28 | $6.533,03 | 587 / 10 | $5.857,30 | 586 / 14 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 23 | $34.631,30 | 1326 / 18 | $7.991,97 | 384 / 8 | $7.159,97 | 384 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 15 | $18.827,40 | 1175 / 35 | $4.454,44 | 962 / 12 | $3.701,26 | 953 / 23 |
| Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 17 | $47.146,60 | 939 / 13 | $10.825,80 | 377 / 10 | $9.882,37 | 376 / 12 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 25 | $14.328,90 | 381 / 16 | $4.978,45 | 337 / 7 | $3.800,50 | 336 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 21 | $19.525,70 | 542 / 12 | $6.411,77 | 204 / 5 | $5.259,77 | 204 / 3 |
| Heart Failure & Shock W Mcc | 22 | 262 / 40 | $31.101,20 | 1161 / 26 | $8.251,32 | 209 / 8 | $7.254,73 | 209 / 6 |
| G.I. Hemorrhage W Cc | 18 | 200 / 28 | $21.248,30 | 865 / 14 | $5.814,44 | 400 / 8 | $4.808,22 | 399 / 12 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 22 | $15.715,20 | 924 / 26 | $4.200,12 | 554 / 11 | $3.347,41 | 552 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 14 | 182 / 27 | $83.895,50 | 936 / 22 | $11.295,80 | 345 / 5 | $10.262,60 | 345 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 23 | $38.352,60 | 290 / 7 | $12.549,60 | 418 / 8 | $12.226,20 | 413 / 18 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 12 | $21.815,10 | 453 / 10 | $5.251,71 | 363 / 6 | $4.476,86 | 359 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 30 | $22.683,20 | 645 / 10 | $6.274,31 | 617 / 11 | $5.348,77 | 616 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 22 | $23.500,20 | 1317 / 29 | $4.840,92 | 505 / 12 | $3.819,38 | 503 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 17 | $15.557,50 | 292 / 6 | $4.620,50 | 579 / 6 | $3.713,83 | 575 / 14 |
| Renal Failure W Cc | 11 | 210 / 40 | $14.309,10 | 405 / 7 | $5.551,91 | 662 / 7 | $4.891,55 | 655 / 14 |
| G.I. Obstruction W Cc | 11 | 81 / 17 | $18.169,30 | 527 / 8 | $5.349,55 | 338 / 8 | $4.252,82 | 337 / 6 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 14 | $17.145,40 | 486 / 10 | $4.187,36 | 255 / 4 | $3.314,64 | 254 / 4 | Total 29 procedures | 860 | 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.