Hospital Costs > In Ohio > Mary Rutan Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 44 | $12.646,70 | 321 / 17 | $8.169,24 | 2379 / 103 | $7.149,76 | 2370 / 112 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 85 | $43.274,90 | 943 / 56 | $18.279,70 | 2467 / 117 | $17.090,60 | 2421 / 121 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 66 | $12.462,50 | 450 / 29 | $6.470,35 | 2026 / 97 | $4.854,85 | 2012 / 102 |
| Heart Failure & Shock W Cc | 24 | 254 / 74 | $15.520,90 | 632 / 38 | $8.263,67 | 2277 / 100 | $7.252,92 | 2271 / 109 |
| Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 58 | $12.858,70 | 312 / 23 | $8.575,43 | 1918 / 102 | $6.436,26 | 1911 / 100 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 63 | $9.463,68 | 236 / 12 | $6.410,26 | 2274 / 98 | $5.676,42 | 2263 / 105 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 63 | $16.034,20 | 392 / 25 | $9.753,62 | 2171 / 99 | $8.657,06 | 2163 / 105 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 63 | $14.791,70 | 140 / 10 | $10.144,50 | 1841 / 83 | $9.077,00 | 1836 / 92 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 45 | $13.989,50 | 90 / 7 | $10.052,00 | 1601 / 76 | $9.208,60 | 1598 / 81 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 58 | $17.065,10 | 220 / 16 | $12.150,80 | 2168 / 100 | $11.052,50 | 2163 / 106 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 51 | $9.742,71 | 99 / 10 | $6.560,57 | 1803 / 84 | $5.842,36 | 1798 / 94 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 14 | 502 / 91 | $21.964,90 | 358 / 21 | $15.443,40 | 2440 / 104 | $14.563,40 | 2396 / 110 |
| Cellulitis W/O Mcc | 12 | 177 / 65 | $11.042,70 | 363 / 27 | $7.015,67 | 2192 / 94 | $6.073,92 | 2184 / 105 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 45 | $15.785,90 | 64 / 3 | $14.396,70 | 1556 / 72 | $13.550,20 | 1543 / 76 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 30 | $8.604,45 | 121 / 5 | $5.850,36 | 1565 / 67 | $4.621,18 | 1557 / 73 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 30 | $17.458,30 | 171 / 13 | $11.599,00 | 1342 / 58 | $11.065,30 | 1337 / 64 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 47 | $19.560,30 | 91 / 8 | $16.533,90 | 1645 / 73 | $15.873,50 | 1629 / 79 | Total 17 procedures | 301 | 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.