Hospital Costs > In Utah > Lone Peak Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 15 | $61.134,10 | 230 / 3 | $22.287,30 | 9 / 1 | $16.360,50 | 9 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 20 | $19.926,40 | 1126 / 17 | $4.890,00 | 50 / 1 | $3.980,67 | 50 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 10 | $17.313,80 | 951 / 13 | $3.570,64 | 49 / 1 | $2.575,73 | 49 / 1 | Total 3 procedures | 36 | 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.