Hospital Costs > In Nebraska > Nebraska Orthopaedic Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 74 | 25 / 1 | $25.704,70 | 15 / 1 | $12.429,60 | 196 / 2 | $11.019,00 | 194 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 451 | 156 / 3 | $25.669,10 | 94 / 1 | $12.113,30 | 402 / 4 | $10.169,10 | 401 / 4 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 25 | 44 / 1 | $26.056,70 | 6 / 1 | $14.789,70 | 100 / 3 | $12.978,10 | 100 / 2 |
| Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 7 | $64.479,20 | 174 / 2 | $19.534,60 | 248 / 1 | $18.627,80 | 247 / 3 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 3 | $51.423,20 | 120 / 2 | $16.932,50 | 209 / 3 | $14.925,30 | 209 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 10 | $48.145,80 | 98 / 1 | $22.174,20 | 366 / 1 | $21.059,10 | 365 / 5 | Total 6 procedures | 592 | 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.