Hospital Costs > In Kentucky > Memorial Hospital Manchester, 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 | 141 | 375 / 22 | $24.080,60 | 485 / 9 | $11.656,60 | 1474 / 44 | $10.981,70 | 1445 / 50 |
| Chronic Obstructive Pulmonary Disease W Mcc | 53 | 149 / 22 | $18.618,60 | 613 / 19 | $7.964,30 | 1604 / 49 | $7.002,34 | 1596 / 53 |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 19 | $15.585,40 | 571 / 20 | $6.675,84 | 1634 / 51 | $5.732,94 | 1627 / 53 |
| Heart Failure & Shock W Mcc | 48 | 236 / 29 | $23.340,50 | 618 / 18 | $9.739,25 | 1549 / 47 | $9.163,25 | 1545 / 52 |
| Renal Failure W Mcc | 40 | 155 / 21 | $21.331,40 | 290 / 10 | $9.907,25 | 1173 / 31 | $9.332,85 | 1173 / 37 |
| Renal Failure W Cc | 38 | 183 / 25 | $16.543,80 | 619 / 17 | $6.932,11 | 1646 / 40 | $6.006,63 | 1637 / 43 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 35 | $16.877,20 | 783 / 24 | $6.954,51 | 1965 / 58 | $6.096,00 | 1957 / 62 |
| Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 31 | $24.469,40 | 667 / 21 | $9.379,06 | 1571 / 44 | $8.846,35 | 1571 / 49 |
| Pulmonary Edema & Respiratory Failure | 33 | 170 / 28 | $19.174,90 | 355 / 8 | $8.406,24 | 1472 / 44 | $7.775,45 | 1467 / 47 |
| Heart Failure & Shock W Cc | 31 | 247 / 30 | $15.311,30 | 610 / 17 | $6.796,74 | 1777 / 48 | $6.094,81 | 1772 / 53 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 36 | $16.229,70 | 900 / 31 | $5.677,12 | 2029 / 50 | $4.856,64 | 2015 / 53 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 26 | $16.619,20 | 486 / 9 | $7.524,00 | 1718 / 43 | $6.614,67 | 1711 / 45 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 17 | $15.297,60 | 763 / 34 | $5.463,74 | 1473 / 51 | $4.368,78 | 1465 / 53 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 36 | $16.198,50 | 1104 / 33 | $5.728,32 | 1756 / 51 | $4.628,68 | 1745 / 52 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 23 | $19.090,50 | 516 / 13 | $7.546,42 | 1110 / 32 | $6.593,16 | 1106 / 32 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 22 | $25.166,90 | 295 / 7 | $10.645,90 | 925 / 23 | $10.075,60 | 924 / 26 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 21 | $11.542,40 | 192 / 3 | $6.035,75 | 1381 / 40 | $5.163,75 | 1372 / 41 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 33 | $12.051,90 | 451 / 18 | $5.541,19 | 1555 / 51 | $4.557,19 | 1544 / 54 |
| Cellulitis W/O Mcc | 15 | 174 / 34 | $13.432,20 | 651 / 22 | $5.891,07 | 1667 / 46 | $4.922,53 | 1660 / 52 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 31 | $10.304,30 | 342 / 10 | $5.432,93 | 1923 / 54 | $4.707,60 | 1916 / 57 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 23 | $33.075,40 | 513 / 18 | $12.017,50 | 892 / 25 | $11.370,10 | 882 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 23 | $15.026,30 | 152 / 3 | $7.680,18 | 1052 / 21 | $7.238,00 | 1049 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 34 | $12.825,40 | 301 / 8 | $5.944,45 | 1711 / 36 | $5.502,27 | 1706 / 39 |
| Syncope & Collapse | 11 | 158 / 29 | $15.406,60 | 432 / 14 | $5.609,91 | 1207 / 33 | $4.396,82 | 1200 / 34 | Total 24 procedures | 742 | 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.