Hospital Costs > In Kansas > Newton Medical Center Newton, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 146 | 370 / 11 | $35.348,40 | 1074 / 14 | $10.712,40 | 598 / 10 | $9.668,01 | 597 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 126 | 438 / 22 | $31.059,40 | 266 / 11 | $12.410,70 | 555 / 14 | $10.404,30 | 550 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 9 | $19.033,80 | 691 / 10 | $6.272,91 | 347 / 13 | $5.037,25 | 346 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 10 | $37.851,70 | 536 / 11 | $11.264,50 | 188 / 9 | $9.457,00 | 187 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 12 | $33.725,40 | 1673 / 20 | $7.678,47 | 1226 / 20 | $6.494,20 | 1220 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 19 | $27.604,80 | 1816 / 30 | $5.698,43 | 570 / 11 | $4.705,25 | 567 / 12 |
| Heart Failure & Shock W Cc | 27 | 251 / 17 | $24.494,80 | 1631 / 22 | $5.801,37 | 608 / 10 | $4.994,30 | 608 / 10 |
| Renal Failure W Cc | 26 | 195 / 16 | $16.674,60 | 634 / 8 | $5.469,65 | 442 / 9 | $4.693,65 | 439 / 12 |
| Heart Failure & Shock W Mcc | 25 | 259 / 17 | $36.721,70 | 1491 / 20 | $9.274,00 | 1252 / 18 | $8.651,92 | 1249 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 14 | $18.261,20 | 369 / 3 | $6.090,24 | 83 / 6 | $4.524,71 | 83 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 20 | $30.384,90 | 1058 / 16 | $7.977,90 | 124 / 6 | $6.654,29 | 124 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 13 | $20.790,90 | 1086 / 7 | $5.436,06 | 456 / 7 | $4.492,06 | 455 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 17 | $11.677,40 | 514 / 8 | $4.153,22 | 377 / 10 | $3.214,56 | 377 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 17 | $18.576,70 | 913 / 11 | $4.629,40 | 410 / 7 | $3.741,93 | 410 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 23 | $23.414,90 | 1758 / 26 | $4.394,93 | 332 / 11 | $3.268,53 | 331 / 8 |
| G.I. Hemorrhage W Cc | 15 | 203 / 18 | $13.992,30 | 223 / 3 | $5.728,80 | 130 / 10 | $4.429,47 | 130 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 7 | $41.180,10 | 54 / 1 | $18.225,80 | 241 / 4 | $17.108,30 | 239 / 6 |
| Renal Failure W Mcc | 13 | 182 / 14 | $20.898,80 | 262 / 3 | $8.448,31 | 188 / 4 | $7.517,85 | 188 / 3 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 21 | $48.480,80 | 1728 / 19 | $9.041,08 | 1612 / 21 | $8.137,08 | 1607 / 23 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 16 | $46.109,20 | 975 / 8 | $11.950,20 | 779 / 11 | $11.094,20 | 771 / 12 |
| G.I. Obstruction W Cc | 11 | 81 / 14 | $26.843,90 | 1076 / 13 | $4.974,09 | 164 / 3 | $3.982,09 | 163 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 12 | $13.043,80 | 608 / 8 | $4.002,64 | 318 / 6 | $3.121,18 | 316 / 6 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 14 | $42.462,40 | 249 / 4 | $13.747,20 | 278 / 3 | $12.766,80 | 276 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 14 | $69.278,80 | 166 / 2 | $30.915,20 | 560 / 2 | $30.039,50 | 555 / 5 | Total 24 procedures | 707 | 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.