Hospital Costs > In Oklahoma > Muscogee (Creek) Nation Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 35 | $12.633,50 | 319 / 14 | $6.399,48 | 1225 / 46 | $5.241,91 | 1221 / 39 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 17 | $10.704,00 | 320 / 13 | $4.743,95 | 1177 / 25 | $3.920,68 | 1168 / 34 |
Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 11 | $8.456,41 | 145 / 2 | $4.510,18 | 1012 / 21 | $3.743,64 | 1004 / 22 |
Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 34 | $7.608,38 | 82 / 7 | $5.110,71 | 1577 / 40 | $4.420,43 | 1566 / 48 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 15 | $10.351,20 | 253 / 12 | $4.754,55 | 1071 / 34 | $3.748,20 | 1065 / 40 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 32 | $8.263,56 | 110 / 11 | $4.978,00 | 1339 / 37 | $4.004,00 | 1328 / 38 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 27 | $6.319,29 | 45 / 4 | $4.666,43 | 965 / 33 | $3.628,71 | 962 / 29 |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 31 | $11.512,60 | 187 / 8 | $6.032,25 | 885 / 27 | $4.856,92 | 882 / 26 |
Heart Failure & Shock W Cc | 11 | 267 / 38 | $10.415,40 | 148 / 6 | $6.337,91 | 1323 / 34 | $5.569,91 | 1319 / 38 | Total 9 procedures | 161 | 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.