Hospital Costs > In Kentucky > Monroe County Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 7 | $11.028,10 | 72 / 2 | $5.649,46 | 601 / 4 | $5.078,69 | 597 / 11 |
| Cellulitis W/O Mcc | 23 | 166 / 26 | $7.434,04 | 65 / 2 | $5.454,17 | 1327 / 31 | $4.558,57 | 1321 / 44 |
| Chest Pain | 11 | 140 / 27 | $7.401,27 | 54 / 2 | $4.230,18 | 944 / 20 | $3.458,82 | 939 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 61 | 118 / 15 | $12.842,50 | 309 / 6 | $6.128,57 | 1191 / 40 | $5.149,84 | 1187 / 47 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 28 | $13.735,70 | 237 / 5 | $7.186,64 | 795 / 27 | $6.040,97 | 790 / 32 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 64 | 56 / 8 | $9.487,23 | 193 / 2 | $4.900,73 | 1021 / 35 | $3.759,98 | 1012 / 38 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 25 | $9.511,15 | 173 / 2 | $5.021,73 | 1417 / 35 | $4.061,17 | 1406 / 45 |
| Heart Failure & Shock W Cc | 38 | 240 / 26 | $11.266,90 | 215 / 5 | $6.414,34 | 1374 / 38 | $5.619,03 | 1369 / 46 |
| Heart Failure & Shock W Mcc | 27 | 257 / 37 | $13.518,80 | 99 / 3 | $8.784,26 | 598 / 23 | $7.814,04 | 598 / 22 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 23 | $7.051,83 | 61 / 2 | $4.633,50 | 1169 / 29 | $3.918,11 | 1159 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 25 | $10.155,70 | 27 / 1 | $6.704,58 | 1017 / 18 | $5.854,08 | 1014 / 26 |
| Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 28 | $9.023,92 | 199 / 3 | $5.176,15 | 1081 / 39 | $4.012,75 | 1073 / 36 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 23 | $6.942,11 | 73 / 1 | $4.737,93 | 1293 / 36 | $3.883,52 | 1289 / 44 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 18 | $18.587,20 | 212 / 4 | $8.769,69 | 545 / 27 | $7.437,77 | 542 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 67 | 136 / 20 | $12.761,90 | 331 / 5 | $6.334,98 | 1169 / 42 | $5.208,84 | 1165 / 42 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 10 | $10.465,20 | 263 / 6 | $4.864,55 | 949 / 36 | $3.633,61 | 944 / 40 | Total 16 procedures | 531 | 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.