Hospital Costs > In Oklahoma > Mercy Hospital Ada, Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 17 | $22.423,20 | 213 / 3 | $9.771,54 | 639 / 8 | $9.295,38 | 638 / 17 |
| Diabetes W Cc | 14 | 78 / 14 | $13.022,30 | 206 / 6 | $5.425,57 | 762 / 13 | $4.642,93 | 760 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 25 | $12.192,60 | 418 / 20 | $4.950,81 | 1513 / 36 | $4.137,07 | 1501 / 44 |
| G.I. Hemorrhage W Cc | 32 | 186 / 17 | $15.372,20 | 330 / 8 | $6.300,72 | 1163 / 23 | $5.536,12 | 1161 / 28 |
| Heart Failure & Shock W Cc | 29 | 249 / 25 | $14.897,20 | 565 / 21 | $6.093,17 | 1063 / 22 | $5.339,69 | 1061 / 30 |
| Heart Failure & Shock W Mcc | 33 | 251 / 21 | $18.908,50 | 365 / 10 | $8.804,61 | 917 / 23 | $8.173,12 | 916 / 30 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 20 | $30.445,80 | 238 / 4 | $11.747,80 | 781 / 21 | $10.574,80 | 773 / 24 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 15 | $64.089,30 | 136 / 3 | $30.563,30 | 511 / 6 | $29.584,30 | 507 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 18 | $19.475,10 | 539 / 11 | $6.922,36 | 490 / 18 | $5.695,00 | 489 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 28 | $11.423,90 | 445 / 19 | $5.043,11 | 1374 / 35 | $4.224,93 | 1365 / 39 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 4 | $23.577,60 | 69 / 1 | $7.618,53 | 312 / 4 | $6.719,93 | 312 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 55 | 509 / 32 | $34.425,30 | 420 / 12 | $13.037,90 | 1160 / 28 | $11.310,10 | 1132 / 35 |
| Major Small & Large Bowel Procedures W Cc | 28 | 80 / 7 | $48.458,80 | 373 / 8 | $15.477,90 | 530 / 11 | $13.715,50 | 524 / 13 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 10 | $58.697,50 | 62 / 1 | $29.597,90 | 154 / 9 | $25.931,80 | 154 / 5 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 6 | $44.257,50 | 375 / 6 | $10.644,30 | 462 / 6 | $9.608,58 | 462 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 29 | $12.238,80 | 577 / 25 | $4.766,25 | 963 / 38 | $3.627,00 | 960 / 28 |
| Pulmonary Edema & Respiratory Failure | 38 | 165 / 12 | $26.838,00 | 847 / 20 | $7.749,05 | 774 / 27 | $6.681,89 | 774 / 20 |
| Renal Failure W Cc | 12 | 209 / 30 | $10.818,00 | 141 / 6 | $5.999,33 | 1026 / 23 | $5.211,08 | 1018 / 26 |
| Renal Failure W Mcc | 11 | 184 / 22 | $20.979,40 | 271 / 7 | $9.196,64 | 654 / 17 | $8.300,18 | 654 / 17 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 18 | $24.117,80 | 203 / 1 | $11.591,70 | 720 / 13 | $10.966,20 | 712 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 121 | 395 / 22 | $23.834,60 | 469 / 21 | $11.008,40 | 867 / 30 | $10.021,60 | 866 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 16 | $17.804,60 | 588 / 23 | $6.551,60 | 1045 / 24 | $5.702,30 | 1042 / 28 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 34 | $16.434,40 | 730 / 24 | $6.572,75 | 885 / 48 | $4.982,21 | 882 / 30 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 23 | $14.744,90 | 704 / 26 | $4.679,27 | 987 / 31 | $3.664,27 | 982 / 35 | Total 24 procedures | 616 | 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.