Hospital Costs > In Mississippi > Merit Health Rankin, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 15 | $41.316,20 | 2520 / 51 | $4.513,26 | 623 / 5 | $3.706,41 | 621 / 9 |
Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 13 | $47.029,80 | 2201 / 40 | $5.362,22 | 443 / 5 | $4.477,15 | 442 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 23 | $25.595,00 | 1926 / 38 | $4.451,62 | 518 / 6 | $3.418,73 | 516 / 7 |
Heart Failure & Shock W Mcc | 40 | 244 / 21 | $83.904,20 | 2491 / 43 | $8.368,40 | 222 / 6 | $7.274,40 | 222 / 6 |
Heart Failure & Shock W Cc | 32 | 246 / 27 | $56.949,90 | 2638 / 51 | $5.735,34 | 213 / 7 | $4.558,84 | 213 / 4 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 14 | $42.392,90 | 1987 / 40 | $4.236,55 | 670 / 4 | $3.459,26 | 668 / 15 |
Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 24 | $50.820,00 | 2570 / 48 | $5.483,40 | 410 / 4 | $4.573,27 | 407 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 28 | 488 / 33 | $119.115,00 | 2741 / 49 | $13.239,60 | 957 / 47 | $10.132,00 | 950 / 23 |
Renal Failure W Cc | 26 | 195 / 24 | $46.793,90 | 2201 / 35 | $5.533,19 | 597 / 3 | $4.837,81 | 591 / 10 |
Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 23 | $75.274,70 | 2481 / 47 | $7.989,83 | 1692 / 42 | $7.187,17 | 1684 / 44 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 23 | $39.050,60 | 2355 / 47 | $4.702,54 | 2 / 27 | $2.118,54 | 2 / 1 |
Cellulitis W/O Mcc | 19 | 170 / 22 | $29.336,50 | 2099 / 40 | $4.883,32 | 381 / 5 | $3.780,16 | 378 / 5 |
Chest Pain | 19 | 132 / 17 | $35.846,80 | 1515 / 22 | $3.880,11 | 210 / 7 | $2.566,47 | 209 / 3 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 18 | $72.279,80 | 2074 / 35 | $7.087,61 | 572 / 6 | $6.417,39 | 572 / 13 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 12 | $78.532,40 | 1389 / 23 | $7.553,12 | 233 / 3 | $6.825,59 | 231 / 5 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 25 | $112.620,00 | 2493 / 48 | $10.628,60 | 697 / 44 | $7.554,59 | 697 / 19 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 19 | $37.791,70 | 1868 / 34 | $4.060,25 | 254 / 4 | $3.037,69 | 252 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 19 | $31.383,90 | 1679 / 19 | $4.624,79 | 356 / 3 | $3.676,21 | 356 / 2 |
G.I. Hemorrhage W Cc | 13 | 205 / 26 | $48.420,30 | 2128 / 30 | $5.741,00 | 308 / 4 | $4.717,00 | 308 / 4 |
Syncope & Collapse | 12 | 157 / 20 | $35.093,20 | 1584 / 22 | $4.271,42 | 719 / 1 | $3.767,42 | 716 / 15 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 22 | $66.169,40 | 1865 / 30 | $6.339,67 | 444 / 5 | $5.630,33 | 443 / 10 | Total 21 procedures | 527 | 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.