Hospital Costs > In Idaho > Madison 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 | 14 | 219 / 7 | $9.255,86 | 215 / 1 | $6.729,93 | 2282 / 8 | $5.696,79 | 2271 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 83 | 481 / 11 | $31.799,80 | 304 / 2 | $15.293,90 | 1841 / 9 | $12.995,90 | 1800 / 10 |
Renal Failure W Cc | 13 | 208 / 9 | $13.229,50 | 311 / 1 | $7.934,15 | 1948 / 9 | $6.819,08 | 1938 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 10 | $20.556,10 | 288 / 1 | $12.678,90 | 1838 / 6 | $11.844,30 | 1803 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 10 | $13.094,50 | 219 / 1 | $8.367,15 | 1975 / 8 | $7.249,62 | 1967 / 8 |
Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 7 | $10.731,00 | 154 / 1 | $7.906,62 | 2050 / 7 | $6.266,62 | 2042 / 7 | Total 6 procedures | 152 | 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.