Hospital Costs > In Maryland > Laurel Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 34 | $7.806,80 | 33 / 18 | $7.204,47 | 1946 / 17 | $6.560,20 | 1941 / 21 |
Cellulitis W/O Mcc | 20 | 169 / 36 | $6.990,90 | 42 / 6 | $6.460,50 | 1938 / 6 | $5.431,70 | 1930 / 7 |
Chest Pain | 13 | 138 / 27 | $5.875,38 | 22 / 13 | $5.429,31 | 1386 / 13 | $4.594,85 | 1378 / 15 |
Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 37 | $8.510,58 | 33 / 10 | $7.856,16 | 2081 / 10 | $7.041,84 | 2074 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 31 | $12.138,60 | 132 / 27 | $11.250,50 | 2388 / 28 | $10.069,50 | 2380 / 27 |
Diabetes W Cc | 21 | 71 / 24 | $7.485,19 | 21 / 9 | $6.912,57 | 1277 / 9 | $6.054,67 | 1272 / 9 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 38 | $6.548,96 | 34 / 10 | $6.098,25 | 2053 / 10 | $4.894,46 | 2039 / 9 |
G.I. Hemorrhage W Cc | 26 | 192 / 32 | $9.946,69 | 45 / 22 | $9.182,38 | 2175 / 22 | $8.208,85 | 2171 / 21 |
G.I. Hemorrhage W Mcc | 14 | 107 / 23 | $16.733,40 | 38 / 21 | $15.433,80 | 1456 / 21 | $14.485,20 | 1446 / 22 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 23 | $6.715,50 | 25 / 18 | $6.201,75 | 854 / 18 | $5.424,42 | 850 / 20 |
Heart Failure & Shock W Cc | 37 | 241 / 38 | $7.414,54 | 16 / 2 | $6.844,38 | 1799 / 2 | $6.141,24 | 1794 / 5 |
Heart Failure & Shock W Mcc | 51 | 233 / 32 | $9.687,78 | 11 / 2 | $8.942,10 | 808 / 2 | $8.060,84 | 808 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 27 | $24.753,20 | 78 / 29 | $22.825,10 | 2030 / 29 | $21.707,50 | 2008 / 29 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 23 | $41.075,40 | 26 / 15 | $37.858,90 | 1090 / 15 | $36.849,10 | 1083 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 35 | $12.315,00 | 65 / 30 | $11.360,60 | 1992 / 30 | $10.556,00 | 1988 / 30 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 29 | $17.729,40 | 54 / 23 | $16.350,40 | 1478 / 23 | $15.456,10 | 1471 / 23 |
Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 37 | $6.021,15 | 18 / 2 | $5.614,19 | 1603 / 2 | $4.447,11 | 1592 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 36 | $23.936,90 | 60 / 23 | $22.286,60 | 2574 / 23 | $19.274,50 | 2528 / 18 |
Medical Back Problems W/O Mcc | 11 | 110 / 27 | $7.970,09 | 23 / 16 | $7.359,91 | 1276 / 15 | $6.481,36 | 1272 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 28 | $10.386,10 | 32 / 16 | $9.586,33 | 1391 / 16 | $8.647,67 | 1388 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 37 | $4.447,62 | 2 / 1 | $4.119,38 | 195 / 1 | $3.002,31 | 195 / 1 |
Organic Disturbances & Mental Retardation | 11 | 48 / 18 | $6.690,91 | 2 / 2 | $6.182,27 | 132 / 2 | $5.245,55 | 132 / 2 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 24 | $12.272,70 | 69 / 30 | $11.551,50 | 1298 / 30 | $8.475,38 | 1294 / 20 |
Psychoses | 107 | 186 / 27 | $6.712,21 | 6 / 2 | $6.213,21 | 174 / 2 | $5.400,95 | 174 / 2 |
Pulmonary Edema & Respiratory Failure | 63 | 140 / 20 | $72.307,30 | 2075 / 40 | $66.758,90 | 2248 / 40 | $59.293,80 | 2242 / 40 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 25 | $8.642,73 | 18 / 13 | $7.979,27 | 1087 / 13 | $7.103,64 | 1084 / 13 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 30 | $6.745,59 | 12 / 6 | $6.244,41 | 1149 / 5 | $4.725,35 | 1141 / 2 |
Rehabilitation W Cc/Mcc | 148 | 13 / 10 | $15.591,70 | 5 / 2 | $14.402,70 | 13 / 2 | $13.769,80 | 13 / 2 |
Rehabilitation W/O Cc/Mcc | 62 | 14 / 7 | $12.150,60 | 5 / 3 | $11.221,10 | 13 / 3 | $10.782,20 | 13 / 3 |
Renal Failure W Cc | 29 | 192 / 32 | $8.770,79 | 40 / 13 | $8.142,21 | 2029 / 13 | $7.106,97 | 2019 / 13 |
Renal Failure W Mcc | 18 | 177 / 24 | $15.904,10 | 93 / 20 | $14.661,60 | 2013 / 20 | $14.126,40 | 2009 / 25 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 29 | 42 / 4 | $56.767,30 | 45 / 19 | $52.533,20 | 891 / 19 | $45.323,00 | 890 / 16 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 8 | $45.972,30 | 9 / 8 | $42.373,80 | 706 / 8 | $41.166,70 | 705 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 173 | 343 / 22 | $17.198,70 | 144 / 15 | $15.891,70 | 2435 / 15 | $14.541,50 | 2391 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 27 | $9.422,31 | 47 / 11 | $8.697,88 | 2146 / 10 | $7.793,21 | 2138 / 13 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 30 | $7.335,67 | 12 / 4 | $6.809,51 | 1683 / 4 | $5.704,85 | 1676 / 4 |
Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 30 | $13.656,40 | 73 / 19 | $12.595,70 | 2267 / 19 | $11.826,20 | 2261 / 21 | Total 37 procedures | 1.254 | 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.