Hospital Costs > In Oklahoma > Midwest 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 | 188 | 328 / 12 | $120.400,00 | 2745 / 58 | $11.349,80 | 647 / 38 | $9.729,20 | 646 / 25 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 143 | 421 / 16 | $100.598,00 | 2486 / 50 | $11.985,60 | 601 / 15 | $10.469,00 | 594 / 20 |
Kidney & Urinary Tract Infections W/O Mcc | 113 | 120 / 2 | $44.512,10 | 2578 / 59 | $4.439,21 | 431 / 10 | $3.566,08 | 431 / 16 |
Renal Failure W Cc | 105 | 116 / 6 | $51.130,60 | 2267 / 41 | $5.389,18 | 246 / 6 | $4.465,45 | 245 / 9 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 105 | 170 / 5 | $49.610,20 | 2639 / 56 | $4.354,66 | 562 / 10 | $3.454,00 | 560 / 15 |
Chronic Obstructive Pulmonary Disease W Cc | 101 | 78 / 2 | $46.837,90 | 2199 / 46 | $5.255,93 | 493 / 6 | $4.537,99 | 492 / 15 |
Psychoses | 83 | 205 / 4 | $32.045,80 | 498 / 10 | $5.758,11 | 33 / 1 | $4.673,22 | 33 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 76 | 126 / 9 | $64.498,40 | 2404 / 51 | $6.937,20 | 557 / 17 | $5.825,22 | 556 / 17 |
Simple Pneumonia & Pleurisy W Cc | 75 | 128 / 9 | $58.061,90 | 2676 / 67 | $5.569,27 | 490 / 14 | $4.636,57 | 487 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 71 | 95 / 3 | $34.426,70 | 2248 / 52 | $4.114,03 | 301 / 11 | $3.135,24 | 301 / 12 |
Cellulitis W/O Mcc | 68 | 121 / 3 | $53.416,60 | 2584 / 50 | $4.823,82 | 365 / 10 | $3.766,96 | 362 / 9 |
Heart Failure & Shock W Mcc | 68 | 216 / 9 | $72.057,90 | 2379 / 47 | $8.254,56 | 324 / 10 | $7.450,07 | 324 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 62 | 64 / 6 | $46.821,20 | 1441 / 19 | $6.141,90 | 237 / 2 | $5.597,39 | 235 / 7 |
G.I. Hemorrhage W Cc | 62 | 156 / 7 | $52.828,20 | 2217 / 38 | $5.760,52 | 449 / 9 | $4.863,47 | 448 / 12 |
Renal Failure W Mcc | 62 | 133 / 7 | $95.676,50 | 2095 / 30 | $9.517,11 | 707 / 18 | $8.378,35 | 707 / 20 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 57 | 63 / 5 | $39.633,50 | 1949 / 44 | $4.148,26 | 271 / 3 | $3.110,79 | 271 / 5 |
Heart Failure & Shock W Cc | 54 | 224 / 12 | $45.965,50 | 2477 / 50 | $5.699,93 | 230 / 11 | $4.589,44 | 230 / 6 |
Red Blood Cell Disorders W/O Mcc | 50 | 93 / 3 | $55.224,30 | 1951 / 27 | $5.089,34 | 640 / 12 | $4.131,60 | 636 / 13 |
Syncope & Collapse | 48 | 121 / 6 | $38.079,40 | 1656 / 19 | $4.293,08 | 341 / 4 | $3.378,08 | 339 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 8 | $73.870,90 | 2510 / 51 | $6.155,08 | 306 / 9 | $5.002,02 | 305 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 15 | $87.612,90 | 2396 / 40 | $8.055,36 | 446 / 10 | $7.246,17 | 446 / 18 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 47 | 14 / 1 | $25.456,20 | 661 / 13 | $3.730,57 | 88 / 2 | $2.863,66 | 88 / 4 |
Kidney & Urinary Tract Infections W Mcc | 44 | 100 / 5 | $65.128,00 | 1858 / 28 | $6.261,43 | 86 / 5 | $4.986,66 | 86 / 4 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 44 | 144 / 10 | $71.599,00 | 1511 / 25 | $6.133,05 | 296 / 6 | $5.143,23 | 296 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 43 | 88 / 8 | $153.023,00 | 1780 / 32 | $14.065,30 | 782 / 20 | $13.248,20 | 774 / 27 |
Pulmonary Edema & Respiratory Failure | 43 | 160 / 11 | $75.902,80 | 2102 / 39 | $7.525,95 | 519 / 16 | $6.350,56 | 519 / 14 |
Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 12 | $94.511,80 | 1842 / 30 | $11.732,60 | 156 / 20 | $9.370,15 | 155 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 9 | $90.655,60 | 1642 / 23 | $9.305,23 | 288 / 3 | $8.514,37 | 288 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 10 | $39.430,60 | 1895 / 33 | $4.566,46 | 360 / 10 | $3.683,26 | 360 / 12 |
Chest Pain | 30 | 121 / 8 | $22.184,20 | 1067 / 22 | $3.681,37 | 145 / 5 | $2.449,60 | 144 / 4 |
Poisoning & Toxic Effects Of Drugs W Mcc | 30 | 42 / 5 | $85.481,70 | 914 / 13 | $8.522,70 | 95 / 4 | $6.815,10 | 95 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 29 | 44 / 2 | $51.334,80 | 957 / 10 | $6.463,83 | 213 / 1 | $5.922,03 | 212 / 2 |
Respiratory Infections & Inflammations W Mcc | 28 | 108 / 11 | $112.828,00 | 1710 / 23 | $11.495,70 | 96 / 12 | $9.369,39 | 96 / 3 |
Transient Ischemia | 28 | 97 / 11 | $30.965,50 | 1211 / 16 | $4.077,18 | 258 / 2 | $3.105,75 | 258 / 3 |
Diabetes W Cc | 27 | 65 / 7 | $46.477,40 | 1502 / 24 | $4.768,67 | 249 / 4 | $3.918,89 | 249 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 5 | $64.946,50 | 1325 / 13 | $6.698,77 | 143 / 1 | $5.802,15 | 143 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 15 | $51.251,40 | 1771 / 29 | $6.572,96 | 117 / 16 | $4.629,12 | 117 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 11 | $39.821,20 | 1806 / 49 | $4.055,96 | 443 / 5 | $3.185,56 | 441 / 11 |
Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 14 | $125.526,00 | 971 / 17 | $17.397,70 | 7 / 1 | $16.188,10 | 7 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 16 | $204.111,00 | 1482 / 23 | $12.225,00 | 677 / 9 | $11.167,80 | 673 / 17 |
G.I. Hemorrhage W/O Cc/Mcc | 24 | 44 / 2 | $39.267,50 | 912 / 12 | $4.101,12 | 149 / 2 | $3.065,04 | 149 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 8 | $62.269,30 | 1315 / 16 | $5.808,04 | 188 / 3 | $4.913,43 | 188 / 5 |
Red Blood Cell Disorders W Mcc | 23 | 48 / 5 | $81.190,30 | 1072 / 14 | $7.462,83 | 299 / 3 | $6.818,30 | 299 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 12 | $266.505,00 | 1450 / 18 | $30.972,00 | 567 / 9 | $30.088,50 | 562 / 10 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 8 | $120.342,00 | 1088 / 13 | $9.813,59 | 494 / 7 | $9.081,23 | 493 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 11 | $63.090,00 | 1719 / 24 | $6.986,68 | 158 / 10 | $5.770,23 | 158 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 12 | $76.995,00 | 1342 / 14 | $9.549,81 | 268 / 3 | $8.690,38 | 267 / 4 |
Medical Back Problems W/O Mcc | 20 | 101 / 6 | $49.247,10 | 1397 / 11 | $6.250,40 | 207 / 7 | $3.764,05 | 207 / 2 |
Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 4 | $43.283,80 | 877 / 10 | $4.022,68 | 115 / 2 | $3.005,42 | 116 / 1 |
Other Kidney & Urinary Tract Diagnoses W Cc | 19 | 84 / 6 | $59.431,80 | 815 / 11 | $5.630,74 | 197 / 1 | $5.186,11 | 197 / 5 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 13 | $33.513,30 | 1792 / 36 | $4.268,17 | 139 / 15 | $2.863,67 | 137 / 7 |
Renal Failure W/O Cc/Mcc | 18 | 38 / 7 | $33.385,80 | 767 / 12 | $4.016,56 | 95 / 3 | $2.674,72 | 94 / 1 |
G.I. Obstruction W Cc | 18 | 74 / 11 | $54.693,60 | 1643 / 20 | $5.047,67 | 194 / 3 | $4.041,44 | 193 / 4 |
Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 7 | $166.094,00 | 910 / 13 | $16.665,50 | 189 / 5 | $15.829,10 | 188 / 6 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 17 | 46 / 4 | $325.052,00 | 736 / 10 | $31.165,90 | 394 / 5 | $30.634,10 | 394 / 6 |
Seizures W/O Mcc | 16 | 92 / 11 | $38.164,30 | 1108 / 11 | $4.405,12 | 206 / 1 | $3.575,12 | 205 / 3 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 9 | $256.298,00 | 867 / 14 | $27.802,00 | 121 / 4 | $26.719,00 | 121 / 4 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 9 | $84.896,10 | 1422 / 22 | $8.601,81 | 124 / 16 | $6.563,62 | 124 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 16 | $25.745,00 | 1650 / 25 | $3.317,00 | 460 / 4 | $2.407,00 | 457 / 8 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 7 | $79.578,70 | 1419 / 13 | $6.431,25 | 703 / 6 | $5.562,25 | 699 / 9 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 10 | $200.417,00 | 1045 / 16 | $23.234,40 | 24 / 1 | $22.410,40 | 24 / 1 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 8 | $82.560,30 | 848 / 14 | $8.897,13 | 158 / 1 | $8.016,07 | 158 / 5 |
Atherosclerosis W/O Mcc | 15 | 43 / 4 | $30.894,30 | 456 / 10 | $3.587,13 | / 1 | $2.940,73 | / |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 8 | $23.536,10 | 579 / 9 | $3.716,00 | 123 / 1 | $3.293,07 | 123 / 4 |
Hypertension W/O Mcc | 15 | 50 / 8 | $29.750,30 | 633 / 9 | $3.668,40 | 95 / 1 | $2.625,20 | 95 / 1 |
Organic Disturbances & Mental Retardation | 14 | 45 / 4 | $35.887,00 | 415 / 5 | $5.330,71 | 99 / 1 | $5.074,71 | 99 / 2 |
G.I. Hemorrhage W Mcc | 14 | 107 / 12 | $82.738,60 | 1462 / 18 | $9.566,93 | 197 / 1 | $8.881,21 | 197 / 2 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 8 | $42.429,30 | 1050 / 13 | $5.227,86 | 70 / 2 | $4.281,57 | 70 / 2 |
Other Vascular Procedures W Cc | 14 | 88 / 12 | $164.757,00 | 1092 / 15 | $14.028,10 | 140 / 2 | $12.992,70 | 140 / 3 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 10 | $383.294,00 | 1062 / 15 | $39.013,50 | 519 / 12 | $37.211,30 | 518 / 12 |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 7 | $43.992,00 | 949 / 8 | $5.327,54 | 41 / 2 | $3.588,38 | 41 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 6 | $70.455,70 | 521 / 7 | $6.889,00 | 123 / 1 | $5.769,00 | 123 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 8 | $93.625,70 | 561 / 7 | $12.979,80 | 21 / 5 | $9.014,62 | 21 / 1 |
Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 11 | $94.651,80 | 752 / 14 | $14.185,50 | 78 / 13 | $10.231,80 | 78 / 7 |
Signs & Symptoms W/O Mcc | 13 | 78 / 8 | $31.462,20 | 1064 / 12 | $3.975,31 | 327 / 1 | $3.419,00 | 326 / 5 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 4 | $41.082,20 | 734 / 5 | $4.394,15 | 95 / 1 | $3.276,62 | 95 / 2 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 14 | $114.364,00 | 1319 / 20 | $13.454,80 | 186 / 2 | $12.402,80 | 185 / 4 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 11 | $59.003,70 | 661 / 12 | $6.169,67 | 158 / 5 | $5.063,00 | 158 / 6 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 6 | $67.695,80 | 552 / 7 | $5.289,25 | 57 / 1 | $4.486,58 | 57 / 2 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 7 | $149.766,00 | 487 / 9 | $16.556,20 | 44 / 4 | $12.881,80 | 44 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 9 | $218.791,00 | 907 / 12 | $21.410,80 | 552 / 7 | $19.994,80 | 549 / 9 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 9 | $563.375,00 | 532 / 9 | $59.793,80 | 183 / 4 | $57.868,50 | 183 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 7 | $122.930,00 | 651 / 9 | $11.871,70 | 276 / 3 | $11.128,50 | 275 / 5 |
Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 8 | $207.846,00 | 653 / 10 | $23.585,20 | 274 / 8 | $19.040,60 | 273 / 7 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 10 | $166.563,00 | 556 / 13 | $10.066,80 | 95 / 2 | $8.964,27 | 95 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 7 | $95.211,50 | 788 / 12 | $9.715,45 | 41 / 3 | $7.444,55 | 41 / 1 | Total 86 procedures | 3.039 | 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.