Hospital Costs > In Alaska > Mat-Su Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 65 | 451 / 2 | $66.830,20 | 2243 / 4 | $19.795,20 | 2740 / 3 | $19.034,60 | 2695 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 50 | 514 / 6 | $77.151,90 | 2151 / 5 | $26.597,50 | 2512 / 6 | $17.849,80 | 2466 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 49 | 226 / 2 | $26.814,80 | 1987 / 4 | $8.131,51 | 2497 / 3 | $6.497,45 | 2482 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 3 | $40.524,90 | 2340 / 6 | $10.208,90 | 2701 / 2 | $9.357,17 | 2692 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 1 | $39.314,40 | 1890 / 4 | $12.490,10 | 2466 / 4 | $11.095,30 | 2458 / 4 |
| Cellulitis W/O Mcc | 33 | 156 / 2 | $25.834,30 | 1921 / 3 | $8.897,64 | 2464 / 3 | $7.565,45 | 2456 / 4 |
| Heart Failure & Shock W Cc | 32 | 246 / 2 | $36.538,70 | 2230 / 3 | $10.996,50 | 2607 / 3 | $9.185,84 | 2601 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 2 | $29.528,20 | 2198 / 4 | $8.045,38 | 2548 / 2 | $7.029,38 | 2537 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 2 | $62.881,20 | 2142 / 4 | $15.620,90 | 2456 / 3 | $14.750,90 | 2450 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 2 | $38.722,40 | 1992 / 4 | $11.925,10 | 2413 / 2 | $9.555,68 | 2403 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 2 | $37.604,30 | 2008 / 2 | $9.925,67 | 2299 / 1 | $8.562,03 | 2292 / 1 |
| Renal Failure W Cc | 30 | 191 / 2 | $38.576,80 | 2005 / 5 | $10.095,20 | 2325 / 3 | $9.254,63 | 2315 / 4 |
| G.I. Hemorrhage W Cc | 24 | 194 / 3 | $36.686,00 | 1844 / 2 | $10.488,70 | 2307 / 2 | $9.484,71 | 2303 / 3 |
| Respiratory Infections & Inflammations W Cc | 22 | 66 / 1 | $50.810,40 | 1160 / 1 | $14.566,60 | 1455 / 1 | $13.794,20 | 1450 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 3 | $29.687,10 | 2123 / 5 | $7.529,27 | 2307 / 2 | $6.107,14 | 2299 / 1 |
| Heart Failure & Shock W Mcc | 20 | 264 / 2 | $48.527,70 | 1951 / 1 | $15.681,50 | 2521 / 2 | $14.833,50 | 2510 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 3 | $65.020,80 | 1937 / 4 | $11.236,20 | 1978 / 1 | $10.154,90 | 1974 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 2 | $40.367,70 | 1912 / 2 | $8.214,28 | 2040 / 1 | $7.408,94 | 2035 / 1 |
| Diabetes W Cc | 18 | 74 / 1 | $27.316,90 | 1087 / 1 | $8.617,17 | 1483 / 2 | $7.607,39 | 1478 / 1 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 3 | $95.167,60 | 1173 / 4 | $26.754,00 | 1507 / 3 | $25.628,00 | 1493 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 4 | $91.489,40 | 1824 / 4 | $20.609,70 | 2003 / 2 | $19.403,70 | 1981 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 3 | $106.963,00 | 1581 / 3 | $25.827,30 | 1725 / 2 | $21.132,90 | 1711 / 2 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 2 | $60.843,90 | 1946 / 2 | $12.858,60 | 2129 / 3 | $11.818,60 | 2123 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 2 | $38.517,10 | 1321 / 2 | $7.920,21 | 1497 / 1 | $6.793,36 | 1493 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 3 | $204.593,00 | 1058 / 3 | $55.405,10 | 1263 / 2 | $54.383,60 | 1260 / 3 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 2 | $27.258,90 | 968 / 1 | $7.205,00 | 1224 / 2 | $6.555,15 | 1221 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 2 | $29.596,20 | 1697 / 2 | $7.454,15 | 1958 / 1 | $6.348,92 | 1947 / 1 |
| Seizures W/O Mcc | 13 | 95 / 2 | $27.266,80 | 857 / 1 | $8.982,62 | 1123 / 2 | $6.381,08 | 1121 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 1 | $42.478,20 | 863 / 1 | $13.467,30 | 1047 / 1 | $10.338,20 | 1045 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 3 | $52.651,50 | 1583 / 2 | $12.715,90 | 1831 / 1 | $11.907,90 | 1828 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 2 | $21.132,20 | 1459 / 1 | $5.773,75 | 1831 / 1 | $4.768,42 | 1825 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 3 | $31.416,10 | 1743 / 3 | $7.020,27 | 1899 / 2 | $6.470,45 | 1886 / 2 | Total 32 procedures | 782 | 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.