Hospital Costs > In Arkansas > North Metro Medical Center, 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 | 19 | 497 / 33 | $17.400,80 | 151 / 5 | $9.181,84 | 76 / 3 | $8.546,89 | 76 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 32 | $14.530,20 | 503 / 13 | $5.059,44 | 121 / 4 | $4.183,00 | 121 / 4 |
| Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 4 | $12.092,50 | 22 / 2 | $6.251,93 | 20 / 6 | $4.266,33 | 20 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 31 | $12.169,70 | 533 / 16 | $4.270,86 | 152 / 7 | $3.233,64 | 152 / 4 |
| Heart Failure & Shock W Mcc | 13 | 271 / 30 | $16.399,50 | 218 / 6 | $7.615,85 | 34 / 4 | $6.665,08 | 34 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 32 | $16.935,00 | 473 / 13 | $5.945,55 | 148 / 3 | $5.285,18 | 148 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 26 | $13.172,10 | 341 / 10 | $4.904,55 | 37 / 1 | $3.799,09 | 37 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 30 | $21.440,50 | 467 / 11 | $7.646,45 | 310 / 7 | $7.038,45 | 310 / 16 | Total 8 procedures | 112 | 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.