Hospital Costs > In Mississippi > North Oak Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 18 | 171 / 23 | $11.661,20 | 425 / 13 | $6.483,22 | 1439 / 45 | $4.659,44 | 1432 / 35 |
Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 25 | $18.344,40 | 838 / 21 | $6.672,44 | 1725 / 41 | $5.918,44 | 1718 / 42 |
Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 34 | $25.392,60 | 1156 / 29 | $7.976,73 | 1655 / 41 | $7.106,91 | 1647 / 42 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 18 | $15.240,70 | 809 / 18 | $5.178,39 | 1424 / 29 | $4.282,39 | 1413 / 35 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 31 | $13.100,00 | 519 / 16 | $5.416,25 | 1740 / 41 | $4.387,45 | 1727 / 43 |
Heart Failure & Shock W Cc | 13 | 265 / 39 | $19.479,40 | 1114 / 31 | $6.931,85 | 1428 / 48 | $5.683,92 | 1423 / 39 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 20 | $16.283,90 | 993 / 22 | $4.975,20 | 1411 / 26 | $4.252,00 | 1400 / 31 |
Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 42 | $17.878,80 | 1337 / 35 | $5.579,62 | 1911 / 43 | $4.838,69 | 1900 / 50 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 28 | $12.395,80 | 593 / 20 | $5.082,94 | 1504 / 35 | $4.074,94 | 1499 / 35 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 32 | $24.647,40 | 1598 / 38 | $6.949,00 | 2024 / 49 | $6.214,78 | 2016 / 53 | Total 10 procedures | 165 | 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.