Hospital Costs > In Arkansas > Mena Regional Health System, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 15 | $13.351,00 | 205 / 9 | $7.508,67 | 1307 / 32 | $6.580,67 | 1301 / 34 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 45 | 75 / 5 | $10.548,10 | 294 / 11 | $4.906,16 | 1253 / 27 | $4.019,40 | 1244 / 31 |
| Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 25 | $11.988,80 | 254 / 9 | $6.388,69 | 1620 / 33 | $5.636,69 | 1613 / 39 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 22 | $9.210,33 | 160 / 6 | $5.055,23 | 1507 / 32 | $4.132,57 | 1495 / 36 |
| Heart Failure & Shock W Cc | 22 | 256 / 27 | $13.634,40 | 427 / 11 | $6.391,09 | 1315 / 31 | $5.564,91 | 1311 / 31 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 19 | $9.255,12 | 163 / 6 | $4.940,38 | 881 / 30 | $3.575,75 | 877 / 26 |
| G.I. Hemorrhage W Cc | 14 | 204 / 26 | $16.135,10 | 405 / 8 | $6.530,00 | 1277 / 25 | $5.668,29 | 1274 / 25 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 24 | $13.989,70 | 412 / 11 | $6.145,21 | 1229 / 29 | $5.196,64 | 1224 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 26 | $9.048,71 | 225 / 11 | $4.731,36 | 1381 / 29 | $3.956,50 | 1376 / 34 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 22 | $28.195,60 | 101 / 2 | $13.976,30 | 413 / 18 | $12.207,50 | 408 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 19 | $8.540,38 | 197 / 6 | $4.005,31 | 1174 / 25 | $2.993,62 | 1169 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 32 | $9.515,00 | 243 / 7 | $5.132,38 | 1435 / 33 | $4.290,54 | 1426 / 35 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 29 | $13.183,70 | 228 / 7 | $6.868,58 | 1284 / 26 | $5.959,25 | 1279 / 28 | Total 13 procedures | 286 | 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.