Hospital Costs > In Nebraska > Nebraska Spine Hospital, Llc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Spinal Fusion Except Cervical W/O Mcc | 166 | 41 / 1 | $109.737,00 | 831 / 12 | $28.606,30 | 212 / 8 | $19.948,40 | 211 / 2 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 37 | 13 / 1 | $182.389,00 | 46 / 1 | $61.388,50 | 16 / 1 | $38.906,80 | 16 / 1 |
| Cervical Spinal Fusion W Cc | 31 | 22 / 1 | $59.248,50 | 127 / 2 | $19.618,30 | 35 / 1 | $14.060,40 | 35 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 29 | 75 / 2 | $62.664,40 | 490 / 7 | $20.988,80 | 88 / 7 | $10.310,10 | 88 / 1 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 13 | 27 / 1 | $170.737,00 | 41 / 1 | $57.160,20 | 2 / 1 | $31.378,50 | 2 / 1 | Total 5 procedures | 276 | 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.