Hospital Costs > In Oklahoma > Memorial Hospital & Physician Group, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Cc | 18 | 260 / 31 | $8.834,22 | 69 / 5 | $6.205,17 | 1273 / 30 | $5.526,00 | 1269 / 36 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 29 | $7.325,45 | 2 / 1 | $7.567,64 | 975 / 17 | $6.907,64 | 974 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 13 | 503 / 51 | $14.417,40 | 58 / 9 | $11.570,00 | 1547 / 40 | $11.105,00 | 1516 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 32 | $8.238,82 | 20 / 6 | $6.913,91 | 1244 / 35 | $5.921,82 | 1239 / 35 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 38 | $10.974,10 | 173 / 10 | $6.292,30 | 1152 / 38 | $5.197,15 | 1148 / 35 | Total 5 procedures | 73 | 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.