Hospital Costs > In Mississippi > Merit Health Madison, 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 Mcc | 29 | 255 / 23 | $43.717,40 | 1808 / 33 | $10.697,90 | 1456 / 42 | $8.962,31 | 1452 / 38 |
| Renal Failure W Cc | 18 | 203 / 28 | $28.759,30 | 1647 / 26 | $6.962,33 | 1686 / 35 | $6.091,22 | 1677 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 17 | 499 / 37 | $59.429,40 | 2076 / 35 | $12.429,90 | 1274 / 42 | $10.585,10 | 1253 / 36 |
| Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 26 | $47.705,60 | 1838 / 36 | $9.588,75 | 1379 / 41 | $8.456,75 | 1379 / 37 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 34 | $33.493,60 | 2123 / 44 | $7.031,12 | 1931 / 51 | $6.049,12 | 1923 / 52 |
| Heart Failure & Shock W Cc | 16 | 262 / 38 | $32.092,10 | 2062 / 42 | $6.871,00 | 1464 / 46 | $5.722,75 | 1459 / 41 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 39 | $23.047,50 | 1848 / 42 | $5.789,25 | 1933 / 49 | $4.881,25 | 1922 / 52 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 21 | $34.167,30 | 1254 / 24 | $8.406,40 | 1434 / 33 | $7.685,33 | 1429 / 34 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 21 | $21.996,90 | 1401 / 29 | $5.284,46 | 1506 / 35 | $4.447,54 | 1494 / 35 | Total 9 procedures | 156 | 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.