Hospital Costs > In Oregon > Mid-Columbia Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 69 | 495 / 19 | $35.344,70 | 487 / 5 | $17.582,10 | 2335 / 25 | $15.582,40 | 2290 / 26 |
Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 8 | $16.289,90 | 718 / 6 | $8.128,11 | 2227 / 17 | $6.691,22 | 2219 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 12 | $18.814,10 | 669 / 9 | $9.069,40 | 2228 / 22 | $8.173,40 | 2219 / 24 |
Heart Failure & Shock W Cc | 34 | 244 / 17 | $15.000,40 | 575 / 6 | $8.069,32 | 2262 / 21 | $7.181,79 | 2256 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 13 | $13.499,80 | 570 / 6 | $6.025,44 | 2113 / 17 | $5.028,74 | 2099 / 21 |
G.I. Hemorrhage W Cc | 26 | 192 / 14 | $17.219,70 | 504 / 6 | $8.161,62 | 1967 / 20 | $7.137,62 | 1963 / 24 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 7 | $17.909,50 | 794 / 11 | $7.604,28 | 2006 / 16 | $6.733,88 | 1999 / 19 |
Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 15 | $11.650,10 | 473 / 1 | $6.254,84 | 2138 / 14 | $5.283,32 | 2127 / 19 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 25 | 491 / 29 | $25.551,10 | 563 / 10 | $14.792,60 | 2323 / 24 | $13.757,90 | 2282 / 27 |
Cellulitis W/O Mcc | 23 | 166 / 14 | $11.786,10 | 440 / 4 | $6.842,83 | 2119 / 19 | $5.855,00 | 2111 / 24 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 14 | $36.784,60 | 487 / 5 | $16.027,20 | 1796 / 16 | $14.957,00 | 1777 / 19 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 4 | $11.756,80 | 420 / 2 | $5.800,00 | 1680 / 6 | $4.898,00 | 1669 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 16 | $15.663,80 | 191 / 2 | $8.805,00 | 1612 / 19 | $7.249,19 | 1608 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 15 | $12.301,60 | 253 / 1 | $6.409,88 | 1661 / 13 | $5.349,88 | 1656 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 15 | $26.188,00 | 1214 / 19 | $10.183,50 | 2246 / 21 | $9.051,50 | 2238 / 23 |
Renal Failure W Cc | 15 | 206 / 17 | $17.655,30 | 746 / 9 | $7.863,13 | 1926 / 19 | $6.736,73 | 1916 / 19 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 13 | $82.107,70 | 1034 / 17 | $26.755,70 | 1510 / 16 | $25.955,70 | 1496 / 17 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 6 | $12.676,40 | 473 / 2 | $5.700,86 | 1603 / 9 | $4.750,00 | 1595 / 10 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 8 | $10.288,70 | 286 / 2 | $5.469,43 | 1499 / 10 | $4.436,29 | 1487 / 14 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 3 | $21.859,10 | 340 / 3 | $11.329,80 | 1291 / 6 | $10.376,60 | 1286 / 6 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 14 | $9.910,45 | 340 / 2 | $4.491,27 | 1595 / 6 | $3.723,27 | 1589 / 13 | Total 21 procedures | 497 | 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.