Hospital Costs > In Ohio > Mount Carmel New Albany Surgical Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cervical Spinal Fusion W Cc | 19 | 34 / 6 | $55.494,20 | 105 / 4 | $17.953,40 | 42 / 5 | $14.272,50 | 42 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 36 | 68 / 3 | $42.159,10 | 231 / 8 | $13.026,40 | 202 / 5 | $11.104,00 | 202 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 71 | 28 / 3 | $52.029,30 | 368 / 13 | $13.390,90 | 129 / 11 | $10.645,10 | 128 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 855 | 34 / 1 | $44.590,40 | 1003 / 66 | $12.773,60 | 135 / 34 | $9.495,91 | 135 / 12 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 29 | 40 / 6 | $54.043,80 | 165 / 9 | $15.698,70 | 1 / 9 | $10.058,60 | 1 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 53 | 35 / 3 | $81.337,70 | 304 / 13 | $21.673,60 | 93 / 10 | $16.852,60 | 93 / 7 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 72 | 8 / 1 | $75.327,00 | 299 / 8 | $18.030,90 | 176 / 9 | $14.531,50 | 176 / 6 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 14 | 26 / 1 | $88.735,70 | 11 / 1 | $36.793,80 | 9 / 1 | $35.751,10 | 9 / 1 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W/O Cc/Mcc | 13 | 8 / 1 | $84.250,00 | 5 / 1 | $39.969,20 | 1 / 1 | $21.233,40 | 1 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 204 | 26 / 2 | $71.701,70 | 398 / 23 | $25.363,10 | 105 / 26 | $19.016,10 | 104 / 7 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 15 | 28 / 4 | $53.586,40 | 25 / 1 | $13.176,90 | 6 / 1 | $12.267,30 | 6 / 1 | Total 11 procedures | 1.381 | 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.