Hospital Costs > In Louisiana > Natchitoches Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 58 | 506 / 29 | $36.213,70 | 535 / 7 | $13.960,80 | 1613 / 45 | $12.347,40 | 1576 / 48 |
| Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 20 | $17.776,20 | 886 / 20 | $6.470,12 | 1630 / 40 | $5.650,12 | 1623 / 43 |
| Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 32 | $10.713,90 | 361 / 14 | $5.452,82 | 1392 / 43 | $4.241,03 | 1383 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 32 | 484 / 40 | $23.752,30 | 463 / 10 | $11.918,10 | 1570 / 39 | $11.152,60 | 1538 / 45 |
| Heart Failure & Shock W Cc | 30 | 248 / 37 | $15.106,90 | 592 / 19 | $6.572,00 | 1522 / 41 | $5.804,00 | 1517 / 44 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 30 | $11.737,60 | 352 / 14 | $5.205,37 | 1278 / 38 | $3.948,78 | 1267 / 31 |
| Cellulitis W/O Mcc | 27 | 162 / 26 | $10.881,10 | 344 / 16 | $5.762,56 | 1170 / 36 | $4.406,56 | 1164 / 29 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 27 | $7.855,04 | 130 / 7 | $4.937,09 | 1574 / 36 | $4.151,00 | 1569 / 40 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 25 | $9.341,10 | 173 / 5 | $4.947,52 | 1119 / 31 | $3.798,57 | 1113 / 26 |
| Renal Failure W Cc | 19 | 202 / 35 | $9.433,00 | 66 / 1 | $6.344,89 | 1515 / 25 | $5.772,26 | 1506 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 20 | $9.982,06 | 350 / 8 | $4.103,28 | 1261 / 21 | $3.105,94 | 1256 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 33 | $13.737,60 | 238 / 8 | $7.509,22 | 1350 / 35 | $6.638,11 | 1344 / 35 |
| Chest Pain | 17 | 134 / 15 | $10.209,90 | 159 / 3 | $4.461,88 | 822 / 18 | $3.275,76 | 817 / 19 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 8 | $13.054,30 | 80 / 2 | $6.827,00 | 440 / 9 | $5.372,29 | 439 / 6 |
| Atherosclerosis W/O Mcc | 15 | 43 / 5 | $8.726,53 | 23 / 2 | $4.411,07 | / 7 | $3.527,87 | / |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 30 | $11.844,30 | 207 / 9 | $5.486,60 | 1060 / 27 | $4.599,13 | 1053 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 31 | $13.956,70 | 409 / 11 | $6.236,79 | 1314 / 35 | $5.283,64 | 1309 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 33 | $12.876,50 | 204 / 4 | $6.963,50 | 1030 / 26 | $5.691,50 | 1027 / 26 |
| Heart Failure & Shock W Mcc | 14 | 270 / 44 | $18.237,80 | 325 / 7 | $9.515,14 | 1221 / 38 | $8.607,71 | 1218 / 39 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 27 | $22.604,90 | 755 / 18 | $8.019,77 | 1336 / 38 | $7.107,77 | 1332 / 38 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 27 | $9.447,92 | 187 / 7 | $5.012,00 | 1243 / 30 | $4.004,00 | 1234 / 32 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 13 | $7.762,17 | 11 / 1 | $6.264,75 | 669 / 13 | $5.763,42 | 666 / 16 | Total 22 procedures | 500 | 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.