Hospital Costs > In Ohio > Licking Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Kidney & Urinary Tract Infections W/O Mcc | 102 | 131 / 13 | $9.368,94 | 221 / 10 | $5.068,25 | 933 / 56 | $3.912,75 | 926 / 58 |
Simple Pneumonia & Pleurisy W Cc | 101 | 102 / 6 | $12.973,50 | 356 / 18 | $6.291,04 | 1236 / 63 | $5.252,97 | 1232 / 81 |
Cellulitis W/O Mcc | 83 | 106 / 13 | $10.691,80 | 325 / 22 | $5.450,99 | 1033 / 46 | $4.290,75 | 1027 / 67 |
Chronic Obstructive Pulmonary Disease W Mcc | 78 | 124 / 22 | $13.565,40 | 225 / 12 | $7.194,42 | 1081 / 44 | $6.318,28 | 1076 / 71 |
Heart Failure & Shock W Cc | 76 | 202 / 40 | $10.335,70 | 144 / 8 | $6.468,76 | 881 / 62 | $5.193,51 | 880 / 59 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 69 | 495 / 64 | $33.757,60 | 386 / 20 | $13.582,20 | 1075 / 63 | $11.181,40 | 1052 / 74 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 69 | 206 / 35 | $12.286,70 | 427 / 25 | $5.083,19 | 1106 / 65 | $3.830,45 | 1098 / 68 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 65 | 55 / 5 | $8.303,71 | 111 / 6 | $4.772,55 | 854 / 49 | $3.614,12 | 849 / 59 |
Psychoses | 59 | 222 / 15 | $8.248,64 | 28 / 1 | $6.519,85 | 188 / 8 | $5.476,15 | 188 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 56 | 123 / 27 | $9.895,00 | 95 / 4 | $6.024,07 | 1060 / 52 | $5.020,71 | 1056 / 68 |
Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 27 | $19.731,60 | 373 / 27 | $8.999,40 | 1133 / 57 | $8.029,78 | 1133 / 77 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 54 | 112 / 17 | $11.341,20 | 469 / 23 | $4.782,41 | 812 / 62 | $3.523,43 | 809 / 51 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 48 | 468 / 77 | $25.840,50 | 577 / 33 | $11.070,40 | 804 / 46 | $9.924,48 | 803 / 57 |
Renal Failure W Cc | 47 | 174 / 45 | $13.574,70 | 348 / 18 | $6.083,23 | 948 / 42 | $5.131,77 | 940 / 63 |
G.I. Hemorrhage W Cc | 45 | 173 / 39 | $17.255,50 | 507 / 26 | $6.389,31 | 1076 / 49 | $5.437,40 | 1074 / 68 |
Red Blood Cell Disorders W/O Mcc | 43 | 100 / 14 | $14.126,90 | 364 / 20 | $5.273,51 | 899 / 44 | $4.408,19 | 894 / 58 |
Heart Failure & Shock W Mcc | 37 | 247 / 63 | $15.997,10 | 196 / 8 | $8.982,49 | 322 / 40 | $7.447,14 | 322 / 23 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 8 | $9.494,21 | 186 / 8 | $4.694,06 | 971 / 36 | $3.652,76 | 966 / 50 |
Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 22 | $25.628,50 | 94 / 6 | $11.493,20 | 656 / 32 | $10.357,10 | 653 / 45 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 39 | $44.451,90 | 124 / 4 | $13.201,10 | 587 / 23 | $10.905,80 | 583 / 37 |
Signs & Symptoms W/O Mcc | 29 | 62 / 9 | $10.075,70 | 93 / 5 | $4.594,00 | 467 / 24 | $3.614,66 | 466 / 33 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 36 | $13.905,50 | 104 / 6 | $7.194,18 | 331 / 54 | $5.017,64 | 330 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 16 | $10.441,90 | 54 / 2 | $4.823,93 | 662 / 25 | $3.812,18 | 658 / 43 |
Diabetes W Cc | 26 | 66 / 15 | $13.317,10 | 222 / 14 | $5.895,73 | 325 / 43 | $4.047,92 | 325 / 26 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 9 | $7.630,54 | 70 / 4 | $4.602,88 | 198 / 13 | $3.520,31 | 198 / 12 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 34 | $20.721,80 | 165 / 7 | $10.020,60 | 593 / 33 | $9.207,22 | 592 / 44 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 38 | $11.432,90 | 38 / 3 | $7.530,91 | 552 / 29 | $6.442,48 | 549 / 43 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 42 | $8.257,48 | 44 / 3 | $5.196,61 | 853 / 47 | $4.153,78 | 850 / 57 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 36 | $23.962,60 | 45 / 2 | $14.912,00 | 52 / 47 | $10.770,00 | 52 / 4 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 25 | $7.919,48 | 107 / 6 | $4.465,76 | 648 / 40 | $3.429,67 | 646 / 38 |
Syncope & Collapse | 21 | 148 / 37 | $8.564,90 | 58 / 5 | $4.827,33 | 929 / 47 | $3.977,57 | 923 / 64 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 20 | 33 / 6 | $16.591,40 | 187 / 7 | $5.838,55 | 293 / 26 | $3.759,50 | 290 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 48 | $18.810,90 | 668 / 37 | $8.345,50 | 911 / 82 | $5.587,50 | 909 / 56 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 39 | $25.452,50 | 301 / 16 | $7.423,32 | 464 / 42 | $5.387,47 | 462 / 27 |
Renal Failure W Mcc | 18 | 177 / 59 | $24.731,60 | 444 / 25 | $11.521,80 | 542 / 77 | $8.123,83 | 542 / 45 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 39 | $8.164,67 | 160 / 9 | $3.862,17 | 790 / 50 | $2.665,89 | 786 / 54 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 12 | $8.410,47 | 26 / 1 | $5.687,71 | 431 / 19 | $4.625,35 | 427 / 25 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 37 | $15.151,80 | 256 / 20 | $6.768,12 | 614 / 40 | $5.838,53 | 613 / 50 |
Cellulitis W Mcc | 16 | 42 / 14 | $13.642,60 | 30 / 3 | $8.395,88 | 167 / 14 | $7.304,19 | 166 / 21 |
Chest Pain | 16 | 135 / 33 | $9.370,00 | 123 / 5 | $4.095,12 | 841 / 34 | $3.311,94 | 836 / 51 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 22 | $17.369,60 | 191 / 10 | $6.471,20 | 564 / 26 | $5.592,00 | 563 / 39 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 7 | $22.257,20 | 54 / 3 | $9.954,71 | 377 / 10 | $8.739,14 | 375 / 14 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 14 | $13.738,60 | 65 / 6 | $6.056,43 | 257 / 11 | $5.366,00 | 256 / 21 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 17 | $10.379,10 | 165 / 13 | $4.190,93 | 649 / 25 | $3.159,00 | 647 / 40 |
Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 2 | $7.925,00 | 28 / 1 | $4.354,77 | 137 / 5 | $3.182,15 | 137 / 6 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 23 | $11.768,90 | 66 / 2 | $6.374,67 | 622 / 26 | $5.406,42 | 619 / 34 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 66 | $11.495,20 | 26 / 4 | $7.714,50 | 1061 / 40 | $7.033,83 | 1059 / 66 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 13 | $7.695,83 | 49 / 1 | $4.189,25 | 404 / 16 | $3.328,58 | 403 / 23 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 8 | $9.845,67 | 35 / 1 | $4.778,08 | 152 / 4 | $4.082,17 | 152 / 8 |
G.I. Obstruction W Cc | 12 | 80 / 31 | $12.474,60 | 140 / 9 | $5.684,50 | 908 / 32 | $4.965,08 | 906 / 54 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 27 | $18.785,20 | 93 / 4 | $9.332,58 | 301 / 19 | $8.371,17 | 301 / 22 |
Medical Back Problems W/O Mcc | 11 | 110 / 36 | $11.967,30 | 97 / 7 | $5.240,45 | 357 / 20 | $4.043,09 | 357 / 25 |
Seizures W/O Mcc | 11 | 97 / 29 | $13.257,70 | 179 / 11 | $4.672,00 | 350 / 14 | $3.844,91 | 348 / 24 |
Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 26 | $60.943,50 | 137 / 7 | $19.606,90 | 292 / 6 | $18.478,80 | 292 / 15 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 14 | $28.001,80 | 69 / 1 | $10.231,50 | 396 / 12 | $9.045,18 | 396 / 22 | Total 55 procedures | 1.800 | 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.