Hospital Costs > In Oklahoma > Mcbride Clinic Orthopedic Hospital, L L C, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 30 | 36 / 2 | $22.097,00 | 20 / 1 | $9.845,83 | 23 / 2 | $8.483,17 | 23 / 3 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 14 | 32 / 2 | $158.610,00 | 37 / 1 | $46.678,90 | 35 / 1 | $45.469,80 | 35 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 13 | $32.243,40 | 307 / 6 | $10.248,10 | 163 / 3 | $9.390,03 | 162 / 4 |
| Knee Procedures W/O Pdx Of Infection W Cc/Mcc | 11 | 7 / 2 | $24.775,50 | 2 / 1 | $8.897,45 | 2 / 1 | $8.016,00 | 2 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 23 | 32 / 4 | $27.267,70 | 23 / 1 | $10.621,70 | 23 / 1 | $9.090,04 | 23 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 20 | 27 / 5 | $25.204,30 | 49 / 1 | $8.134,35 | 15 / 1 | $6.159,50 | 15 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 18 | 78 / 7 | $37.584,40 | 141 / 4 | $11.721,00 | 103 / 2 | $10.508,60 | 103 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 1127 | 10 / 1 | $34.394,50 | 418 / 11 | $11.515,20 | 115 / 4 | $9.413,85 | 115 / 6 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 93 | 4 / 1 | $39.876,60 | 55 / 1 | $14.266,20 | 59 / 1 | $12.462,70 | 59 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 58 | 32 / 2 | $53.759,50 | 92 / 2 | $18.188,80 | 64 / 1 | $16.349,50 | 64 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 7 | $47.696,20 | 96 / 2 | $14.801,60 | 31 / 2 | $12.534,90 | 31 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 60 | 134 / 7 | $67.307,00 | 321 / 5 | $21.460,20 | 59 / 6 | $18.338,90 | 59 / 4 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 11 | 32 / 3 | $56.525,90 | 34 / 2 | $15.887,50 | 11 / 1 | $13.072,50 | 11 / 1 | Total 13 procedures | 1.515 | 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.