Hospital Costs > In Kansas > Miami County Medical Center, 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/O Cc/Mcc | 14 | 106 / 10 | $10.917,60 | 346 / 2 | $4.702,57 | 926 / 13 | $3.671,71 | 918 / 13 |
| Heart Failure & Shock W Cc | 12 | 266 / 24 | $18.547,50 | 994 / 13 | $6.221,67 | 1137 / 18 | $5.397,00 | 1135 / 18 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 24 | $12.321,70 | 553 / 7 | $4.858,50 | 1049 / 17 | $3.992,21 | 1041 / 19 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 29 | 535 / 32 | $26.355,10 | 109 / 5 | $14.805,80 | 1596 / 32 | $12.311,00 | 1559 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 23 | $15.214,90 | 584 / 12 | $6.471,00 | 1420 / 21 | $5.436,33 | 1414 / 23 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 15 | $11.400,30 | 359 / 4 | $4.972,46 | 707 / 19 | $3.428,62 | 703 / 11 | Total 6 procedures | 103 | 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.