Hospital Costs > In Louisiana > Mercy Regional Medical Center, 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 | 162 | 354 / 10 | $36.364,00 | 1114 / 26 | $10.823,70 | 769 / 23 | $9.877,19 | 768 / 27 |
Simple Pneumonia & Pleurisy W Cc | 122 | 82 / 2 | $23.062,20 | 1455 / 32 | $6.367,82 | 1086 / 36 | $5.147,76 | 1083 / 26 |
Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 21 | $19.425,40 | 1511 / 41 | $5.193,56 | 1073 / 33 | $4.008,52 | 1065 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 55 | 152 / 12 | $23.025,80 | 1070 / 21 | $6.621,40 | 1094 / 19 | $5.754,20 | 1091 / 28 |
Heart Failure & Shock W Cc | 49 | 229 / 26 | $22.854,70 | 1475 / 43 | $6.159,98 | 1197 / 25 | $5.445,53 | 1194 / 35 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 48 | 45 / 6 | $17.127,10 | 938 / 21 | $4.914,35 | 998 / 29 | $3.677,17 | 993 / 24 |
Simple Pneumonia & Pleurisy W Mcc | 48 | 157 / 14 | $35.175,40 | 1360 / 20 | $8.697,92 | 1102 / 23 | $7.991,92 | 1102 / 30 |
Cellulitis W/O Mcc | 47 | 142 / 14 | $19.440,40 | 1418 / 39 | $5.437,34 | 1281 / 24 | $4.512,06 | 1275 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 45 | 230 / 20 | $21.390,60 | 1540 / 41 | $4.988,22 | 1255 / 24 | $3.932,76 | 1244 / 30 |
Heart Failure & Shock W Mcc | 44 | 240 / 27 | $33.073,00 | 1289 / 31 | $8.707,86 | 792 / 23 | $8.039,14 | 792 / 28 |
Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 14 | $20.283,80 | 1029 / 22 | $5.962,35 | 1045 / 22 | $4.997,55 | 1041 / 26 |
G.I. Hemorrhage W Cc | 39 | 179 / 17 | $25.446,90 | 1236 / 25 | $6.252,31 | 1021 / 19 | $5.384,21 | 1019 / 26 |
Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 20 | $23.421,60 | 1016 / 20 | $7.194,18 | 993 / 26 | $6.231,72 | 988 / 26 |
Heart Failure & Shock W/O Cc/Mcc | 35 | 75 / 9 | $13.865,20 | 714 / 21 | $4.571,40 | 1041 / 22 | $3.775,97 | 1033 / 30 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 10 | $15.448,90 | 836 / 28 | $4.823,94 | 1070 / 21 | $3.800,28 | 1061 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 21 | $15.853,00 | 1070 / 28 | $4.716,74 | 1355 / 27 | $3.933,26 | 1350 / 33 |
Respiratory Infections & Inflammations W Cc | 28 | 60 / 6 | $30.980,20 | 721 / 17 | $8.283,25 | 593 / 17 | $7.539,11 | 590 / 19 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 24 | $19.377,60 | 845 / 26 | $5.326,35 | 756 / 20 | $4.251,26 | 751 / 17 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 50 | $74.902,90 | 2112 / 42 | $12.281,50 | 1036 / 22 | $11.126,60 | 1013 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 25 | $27.084,10 | 937 / 19 | $6.447,84 | 847 / 14 | $5.619,21 | 845 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 19 | $22.907,80 | 1272 / 26 | $5.202,58 | 1013 / 18 | $4.313,32 | 1009 / 23 |
Diabetes W Cc | 18 | 74 / 12 | $16.099,90 | 409 / 7 | $5.343,94 | 542 / 13 | $4.330,61 | 542 / 11 |
Pulmonary Edema & Respiratory Failure | 17 | 186 / 23 | $33.134,90 | 1206 / 19 | $7.524,59 | 841 / 14 | $6.759,88 | 841 / 18 |
Renal Failure W Cc | 17 | 204 / 37 | $18.207,90 | 796 / 16 | $6.265,35 | 678 / 22 | $4.901,00 | 671 / 15 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 20 | $27.108,50 | 794 / 17 | $7.470,47 | 810 / 14 | $6.828,59 | 807 / 18 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 11 | $23.839,90 | 611 / 12 | $6.035,81 | 546 / 8 | $5.279,81 | 543 / 12 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 25 | $26.126,60 | 985 / 22 | $6.995,20 | 808 / 23 | $6.107,73 | 807 / 22 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 20 | $45.651,00 | 949 / 18 | $11.223,20 | 478 / 14 | $10.450,60 | 473 / 16 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 2 | $26.071,80 | 92 / 2 | $6.556,77 | 57 / 1 | $4.798,38 | 57 / 2 |
Transient Ischemia | 13 | 112 / 17 | $19.160,40 | 593 / 13 | $4.689,15 | 891 / 14 | $3.854,69 | 887 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 16 | $24.554,10 | 879 / 21 | $5.040,62 | 890 / 15 | $4.120,00 | 886 / 20 |
Renal Failure W Mcc | 12 | 183 / 33 | $30.774,40 | 809 / 15 | $8.924,25 | 605 / 13 | $8.220,25 | 605 / 17 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 12 | 17 / 3 | $18.575,00 | 39 / 1 | $6.212,17 | 58 / 2 | $5.406,83 | 58 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 8 | $56.744,90 | 545 / 12 | $9.654,17 | 294 / 2 | $8.646,17 | 294 / 10 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 13 | $17.232,50 | 279 / 5 | $5.652,42 | 471 / 5 | $5.249,75 | 469 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 15 | $32.891,20 | 738 / 13 | $7.368,83 | 468 / 10 | $6.566,17 | 465 / 12 |
Syncope & Collapse | 12 | 157 / 23 | $17.369,90 | 606 / 13 | $4.863,67 | 812 / 18 | $3.863,67 | 808 / 16 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 27 | $41.598,90 | 995 / 29 | $6.807,45 | 908 / 13 | $6.150,00 | 905 / 29 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 18 | $141.758,00 | 944 / 22 | $51.351,30 | 63 / 26 | $24.805,20 | 63 / 8 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 14 | $18.188,70 | 737 / 16 | $4.199,73 | 606 / 10 | $3.103,00 | 605 / 12 | Total 40 procedures | 1.266 | 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.