Hospital Costs > In Kentucky > Lourdes Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 18 | $28.160,00 | 661 / 21 | $5.431,69 | 74 / 1 | $4.598,31 | 74 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 14 | $35.369,00 | 631 / 18 | $8.992,31 | 97 / 6 | $7.911,84 | 97 / 6 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 15 | 17 / 4 | $28.978,10 | 15 / 1 | $11.528,10 | 2 / 1 | $10.775,40 | 2 / 1 |
| Atherosclerosis W/O Mcc | 22 | 36 / 5 | $15.825,70 | 200 / 9 | $3.188,18 | / 1 | $2.371,36 | / |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 16 | 47 / 3 | $97.183,20 | 166 / 3 | $19.044,90 | 20 / 1 | $16.008,60 | 20 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 77 | 84 / 7 | $15.811,10 | 605 / 22 | $4.167,42 | 131 / 1 | $3.362,19 | 131 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 55 | 68 / 9 | $23.116,20 | 533 / 15 | $6.396,96 | 46 / 1 | $5.386,16 | 46 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 107 | 44 / 2 | $9.776,49 | 326 / 11 | $2.932,21 | 82 / 1 | $1.910,01 | 82 / 2 |
| Cellulitis W Mcc | 11 | 47 / 12 | $27.027,10 | 305 / 8 | $7.309,73 | 14 / 1 | $6.163,36 | 14 / 1 |
| Cellulitis W/O Mcc | 28 | 161 / 23 | $12.211,60 | 500 / 14 | $4.447,61 | 86 / 1 | $3.365,89 | 86 / 1 |
| Chest Pain | 37 | 114 / 12 | $16.111,40 | 594 / 21 | $3.148,92 | 38 / 1 | $2.166,59 | 38 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 22 | $14.278,80 | 447 / 9 | $4.811,66 | 119 / 1 | $4.048,45 | 119 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 61 | 141 / 19 | $17.073,50 | 483 / 15 | $6.131,61 | 92 / 1 | $5.131,44 | 92 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 27 | $12.189,00 | 466 / 19 | $3.983,87 | 15 / 1 | $2.488,43 | 15 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 22 | 71 / 9 | $43.955,10 | 224 / 8 | $11.702,50 | 10 / 3 | $9.411,45 | 10 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 98 | 90 / 6 | $28.718,80 | 453 / 15 | $5.811,21 | 28 / 1 | $4.428,00 | 28 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 26 | 50 / 8 | $95.163,30 | 92 / 3 | $25.896,10 | 28 / 2 | $21.285,50 | 28 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 9 | $20.406,90 | 242 / 5 | $5.211,00 | 12 / 1 | $4.005,43 | 12 / 1 |
| Depressive Neuroses | 11 | 39 / 8 | $8.564,36 | 40 / 5 | $3.472,64 | 2 / 1 | $2.508,09 | 2 / 1 |
| Diabetes W Cc | 15 | 77 / 21 | $14.002,70 | 271 / 10 | $4.776,07 | 20 / 1 | $3.206,13 | 20 / 2 |
| Diabetes W Mcc | 11 | 46 / 9 | $21.259,80 | 100 / 2 | $6.928,00 | 19 / 1 | $6.180,00 | 19 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 11 | $14.418,50 | 104 / 3 | $4.642,18 | 19 / 1 | $3.650,55 | 19 / 2 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 9 | $10.241,20 | 43 / 3 | $3.412,23 | 14 / 1 | $2.326,15 | 14 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 30 | 66 / 7 | $21.253,80 | 260 / 9 | $6.172,60 | 14 / 1 | $5.139,37 | 14 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 96 | 179 / 11 | $12.803,90 | 486 / 11 | $3.925,45 | 54 / 1 | $2.829,16 | 54 / 2 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 18 | 45 / 5 | $85.222,50 | 128 / 2 | $26.403,10 | 57 / 1 | $24.086,40 | 57 / 1 |
| Extracranial Procedures W Cc | 22 | 24 / 4 | $25.062,80 | 43 / 1 | $8.897,45 | 6 / 1 | $6.628,55 | 6 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 32 | 66 / 8 | $19.535,10 | 125 / 4 | $5.565,38 | 28 / 1 | $4.305,72 | 28 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 23 | 38 / 3 | $11.085,70 | 117 / 2 | $3.648,17 | 53 / 1 | $2.780,04 | 53 / 2 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 9 | $12.464,90 | 115 / 5 | $4.838,91 | 9 / 8 | $2.778,27 | 9 / 2 |
| G.I. Hemorrhage W Cc | 66 | 152 / 12 | $19.151,90 | 677 / 20 | $5.397,33 | 42 / 1 | $4.156,53 | 42 / 3 |
| G.I. Hemorrhage W Mcc | 39 | 82 / 9 | $26.385,60 | 209 / 4 | $9.057,33 | 46 / 1 | $8.168,05 | 46 / 1 |
| G.I. Obstruction W Cc | 27 | 65 / 12 | $14.333,80 | 243 / 9 | $4.721,15 | 40 / 1 | $3.581,07 | 40 / 3 |
| G.I. Obstruction W Mcc | 11 | 31 / 5 | $34.363,60 | 187 / 8 | $9.465,64 | 94 / 4 | $8.395,82 | 94 / 6 |
| G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 9 | $12.881,90 | 357 / 12 | $3.207,80 | 24 / 1 | $2.055,55 | 24 / 2 |
| Heart Failure & Shock W Cc | 59 | 219 / 18 | $17.563,20 | 881 / 22 | $5.312,05 | 39 / 3 | $4.152,85 | 39 / 2 |
| Heart Failure & Shock W Mcc | 130 | 154 / 9 | $25.621,30 | 790 / 23 | $7.937,26 | 75 / 2 | $6.867,27 | 75 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 16 | $14.107,40 | 735 / 27 | $3.677,96 | 18 / 2 | $2.516,35 | 18 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 10 | $36.814,70 | 489 / 9 | $9.819,07 | 19 / 1 | $8.684,16 | 19 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 10 | $43.808,60 | 79 / 2 | $15.084,20 | 23 / 1 | $13.963,90 | 23 / 1 |
| Hypertension W/O Mcc | 19 | 46 / 6 | $12.416,40 | 119 / 6 | $3.254,84 | 59 / 1 | $2.442,74 | 59 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 10 | $59.882,20 | 103 / 3 | $24.250,30 | 27 / 1 | $23.423,30 | 27 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 47 | 135 / 15 | $19.487,50 | 445 / 11 | $5.502,21 | 64 / 1 | $4.453,36 | 64 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 14 | $28.252,90 | 293 / 6 | $8.877,23 | 40 / 2 | $7.778,00 | 40 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 18 | $16.678,80 | 345 / 7 | $3.988,87 | 64 / 1 | $2.876,60 | 63 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 45 | 99 / 9 | $17.496,90 | 400 / 9 | $5.861,00 | 76 / 1 | $4.957,82 | 76 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 38 | $10.800,80 | 368 / 8 | $4.042,95 | 74 / 1 | $3.072,05 | 74 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 8 | $39.060,70 | 240 / 9 | $8.978,28 | 22 / 2 | $7.138,11 | 22 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 9 | $72.804,50 | 292 / 7 | $18.593,40 | 53 / 3 | $16.370,10 | 53 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 15 | $15.887,00 | 143 / 4 | $6.116,82 | 35 / 1 | $5.211,27 | 35 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 9 | $57.477,60 | 449 / 7 | $11.574,00 | 84 / 1 | $10.323,00 | 84 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 26 | 39 / 7 | $74.909,70 | 440 / 15 | $17.006,00 | 20 / 5 | $14.142,00 | 20 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 338 | 237 / 6 | $59.004,20 | 1658 / 37 | $11.500,50 | 107 / 3 | $9.392,38 | 107 / 2 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 57 | 15 / 2 | $66.600,80 | 253 / 6 | $14.456,10 | 45 / 1 | $12.221,00 | 45 / 2 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 18 | $46.103,60 | 312 / 7 | $14.889,80 | 5 / 10 | $10.325,80 | 5 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 17 | $100.107,00 | 383 / 10 | $26.783,10 | 125 / 3 | $25.371,40 | 125 / 3 |
| Medical Back Problems W/O Mcc | 16 | 105 / 18 | $13.618,40 | 152 / 6 | $4.248,88 | 20 / 1 | $3.260,31 | 20 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 38 | 88 / 9 | $15.458,60 | 168 / 4 | $5.912,63 | 8 / 1 | $4.613,79 | 8 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 16 | $11.709,50 | 518 / 19 | $3.665,62 | 36 / 1 | $2.651,24 | 36 / 1 |
| Nonspecific Cerebrovascular Disorders W Cc | 17 | 39 / 2 | $15.725,50 | 51 / 2 | $5.111,59 | 5 / 1 | $3.961,65 | 5 / 1 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 9 | $17.235,60 | 26 / 1 | $9.958,42 | 14 / 2 | $8.180,58 | 14 / 3 |
| Other Circulatory System O.R. Procedures | 13 | 42 / 6 | $43.418,20 | 74 / 2 | $13.477,20 | 10 / 1 | $12.865,10 | 10 / 1 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 10 | $19.669,80 | 389 / 12 | $5.097,65 | 23 / 1 | $4.008,94 | 23 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 9 | $21.730,60 | 157 / 2 | $7.812,94 | 39 / 1 | $7.115,47 | 39 / 1 |
| Other Vascular Procedures W Cc | 35 | 67 / 7 | $49.125,00 | 191 / 3 | $13.439,10 | 17 / 1 | $11.811,30 | 17 / 1 |
| Other Vascular Procedures W Mcc | 21 | 76 / 7 | $48.075,70 | 74 / 2 | $16.361,30 | 15 / 1 | $15.631,00 | 15 / 1 |
| Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 10 | $44.010,80 | 230 / 4 | $9.463,83 | 6 / 2 | $7.071,25 | 6 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 19 | $54.695,60 | 329 / 7 | $10.997,30 | 57 / 1 | $9.117,58 | 57 / 2 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 9 | $63.788,70 | 297 / 5 | $9.533,73 | 40 / 1 | $8.456,00 | 40 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 11 | $46.636,60 | 83 / 3 | $10.258,80 | 60 / 1 | $9.647,00 | 59 / 1 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 5 | $28.375,00 | 169 / 4 | $7.279,92 | 28 / 1 | $6.314,15 | 28 / 1 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 8 | $6.728,09 | 8 / 1 | $3.436,91 | 4 / 1 | $2.399,18 | 4 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 9 | $71.750,50 | 517 / 5 | $13.934,30 | 36 / 1 | $12.705,80 | 36 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 9 | $60.316,80 | 400 / 7 | $11.482,40 | 43 / 1 | $10.218,10 | 43 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 31 | 41 / 5 | $19.752,90 | 109 / 3 | $7.382,65 | 13 / 1 | $6.097,77 | 13 / 1 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 9 | $13.097,10 | 219 / 7 | $3.367,92 | 26 / 2 | $2.529,77 | 26 / 2 |
| Psychoses | 262 | 78 / 3 | $10.504,40 | 71 / 5 | $5.280,59 | 11 / 1 | $4.281,56 | 11 / 1 |
| Pulmonary Edema & Respiratory Failure | 97 | 106 / 11 | $18.571,20 | 322 / 7 | $6.362,79 | 54 / 1 | $5.512,61 | 54 / 3 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 13 | $25.353,90 | 655 / 11 | $5.205,27 | 23 / 1 | $3.886,27 | 23 / 1 |
| Red Blood Cell Disorders W Mcc | 22 | 49 / 6 | $16.603,00 | 84 / 1 | $6.531,91 | 74 / 1 | $5.958,18 | 74 / 2 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 20 | $15.814,60 | 524 / 17 | $4.204,06 | 135 / 1 | $3.498,06 | 135 / 8 |
| Renal Failure W Cc | 79 | 142 / 12 | $17.752,40 | 756 / 23 | $5.075,14 | 47 / 1 | $4.037,13 | 47 / 1 |
| Renal Failure W Mcc | 121 | 75 / 4 | $25.981,60 | 521 / 18 | $8.045,55 | 56 / 2 | $7.034,94 | 56 / 1 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 11 | $10.996,50 | 160 / 5 | $3.284,93 | 27 / 1 | $2.362,00 | 27 / 2 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 18 | $32.032,40 | 467 / 15 | $9.874,95 | 8 / 1 | $8.443,35 | 8 / 1 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 10 | $31.394,10 | 125 / 4 | $8.953,54 | 31 / 1 | $8.150,77 | 31 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 38 | 93 / 15 | $49.631,30 | 606 / 24 | $11.966,20 | 91 / 2 | $11.055,10 | 91 / 4 |
| Revision Of Hip Or Knee Replacement W Cc | 24 | 62 / 5 | $101.519,00 | 457 / 9 | $18.573,80 | 174 / 2 | $17.727,20 | 174 / 6 |
| Seizures W Mcc | 12 | 54 / 9 | $15.025,50 | 21 / 1 | $7.576,50 | 14 / 1 | $6.711,50 | 14 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 202 | 314 / 11 | $26.257,90 | 600 / 13 | $9.504,95 | 52 / 5 | $8.405,45 | 52 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 20 | $15.102,20 | 360 / 3 | $5.559,34 | 71 / 2 | $4.538,34 | 71 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 33 | $17.802,10 | 890 / 30 | $5.504,69 | 27 / 6 | $3.892,13 | 27 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 118 | 87 / 10 | $22.431,50 | 535 / 16 | $7.520,10 | 66 / 1 | $6.475,95 | 66 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 25 | $11.844,30 | 407 / 15 | $3.876,53 | 78 / 2 | $2.659,47 | 78 / 2 |
| Syncope & Collapse | 48 | 121 / 10 | $16.740,40 | 551 / 20 | $3.822,54 | 27 / 1 | $2.767,58 | 27 / 1 |
| Transient Ischemia | 38 | 87 / 12 | $14.741,40 | 286 / 12 | $3.751,03 | 25 / 1 | $2.528,97 | 25 / 1 | Total 96 procedures | 3.767 | 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.