Hospital Costs > In Nebraska > Lincoln Surgical 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 | 387 | 198 / 4 | $30.468,50 | 243 / 2 | $12.096,90 | 231 / 3 | $9.799,72 | 231 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 65 | 33 / 2 | $27.476,10 | 23 / 2 | $12.104,00 | 167 / 1 | $10.885,70 | 165 / 3 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 5 | $45.122,30 | 76 / 1 | $15.667,10 | 169 / 1 | $14.458,50 | 169 / 1 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 12 | 51 / 2 | $58.686,40 | 61 / 1 | $19.201,10 | 74 / 1 | $17.960,90 | 74 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 3 | $28.446,20 | 9 / 2 | $14.047,80 | 13 / 1 | $11.388,60 | 13 / 1 | Total 5 procedures | 489 | 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.