Hospital Costs > In Nebraska > Midwest Surgical Hospital Llc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 31 | 58 / 1 | $37.620,30 | 423 / 6 | $6.142,61 | 82 / 1 | $4.685,23 | 82 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 30 | 74 / 1 | $52.876,00 | 377 / 5 | $12.449,20 | 234 / 1 | $11.275,90 | 234 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 104 | 460 / 15 | $44.650,90 | 1009 / 10 | $12.700,50 | 271 / 5 | $9.892,42 | 271 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 90 | 104 / 2 | $75.986,20 | 463 / 6 | $23.510,90 | 148 / 2 | $19.442,80 | 147 / 1 | Total 4 procedures | 255 | 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.