Hospital Costs > In Louisiana > North Oaks Medical Center, L L C, 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 | 143 | 373 / 14 | $119.975,00 | 2744 / 59 | $12.108,10 | 1499 / 43 | $11.021,80 | 1469 / 44 |
| Renal Failure W Cc | 126 | 95 / 4 | $59.537,30 | 2355 / 45 | $6.611,02 | 1460 / 32 | $5.690,87 | 1451 / 33 |
| Heart Failure & Shock W Mcc | 123 | 161 / 7 | $104.043,00 | 2577 / 56 | $10.685,40 | 1579 / 47 | $9.219,01 | 1574 / 46 |
| Kidney & Urinary Tract Infections W/O Mcc | 121 | 112 / 5 | $43.443,00 | 2558 / 66 | $5.715,36 | 1615 / 53 | $4.456,37 | 1604 / 42 |
| Chronic Obstructive Pulmonary Disease W Mcc | 110 | 92 / 2 | $63.496,10 | 2394 / 51 | $7.691,92 | 1422 / 37 | $6.738,52 | 1416 / 38 |
| Renal Failure W Mcc | 103 | 92 / 6 | $80.827,70 | 2003 / 42 | $10.159,20 | 854 / 31 | $8.653,80 | 854 / 28 |
| Heart Failure & Shock W Cc | 93 | 185 / 13 | $56.105,90 | 2628 / 66 | $6.502,10 | 1459 / 38 | $5.720,90 | 1454 / 42 |
| Simple Pneumonia & Pleurisy W Mcc | 81 | 124 / 5 | $109.593,00 | 2490 / 44 | $10.200,40 | 1772 / 39 | $9.306,05 | 1772 / 39 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 80 | 484 / 23 | $96.581,80 | 2432 / 53 | $13.496,20 | 1403 / 38 | $11.807,60 | 1370 / 45 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 79 | 196 / 9 | $42.911,80 | 2539 / 61 | $5.314,34 | 1742 / 44 | $4.388,78 | 1729 / 45 |
| Cellulitis W/O Mcc | 76 | 113 / 4 | $38.276,40 | 2370 / 61 | $5.814,32 | 1549 / 42 | $4.780,91 | 1542 / 45 |
| Chronic Obstructive Pulmonary Disease W Cc | 70 | 109 / 3 | $52.723,20 | 2290 / 49 | $6.309,47 | 1317 / 36 | $5.285,63 | 1312 / 35 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 60 | 60 / 4 | $39.250,80 | 1940 / 50 | $5.106,63 | 1375 / 37 | $4.202,50 | 1364 / 39 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 60 | 106 / 8 | $44.335,60 | 2434 / 57 | $5.735,87 | 1994 / 51 | $4.873,83 | 1986 / 51 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 11 | $62.865,80 | 1910 / 37 | $7.256,23 | 1104 / 27 | $6.003,73 | 1101 / 28 |
| Respiratory Infections & Inflammations W Mcc | 55 | 81 / 1 | $117.494,00 | 1722 / 31 | $12.311,70 | 840 / 26 | $11.223,90 | 830 / 25 |
| Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 19 | $61.300,80 | 2709 / 64 | $6.631,38 | 1658 / 44 | $5.676,65 | 1651 / 45 |
| G.I. Hemorrhage W Cc | 55 | 163 / 11 | $49.535,00 | 2153 / 45 | $6.700,09 | 1261 / 32 | $5.651,78 | 1258 / 30 |
| Red Blood Cell Disorders W/O Mcc | 50 | 93 / 12 | $50.413,40 | 1911 / 48 | $5.675,12 | 1299 / 29 | $4.992,18 | 1290 / 37 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 48 | 148 / 10 | $142.742,00 | 1416 / 35 | $18.974,20 | 314 / 33 | $10.179,50 | 314 / 16 |
| Respiratory Infections & Inflammations W Cc | 41 | 47 / 1 | $88.111,00 | 1430 / 30 | $9.368,49 | 823 / 26 | $8.052,22 | 818 / 27 |
| Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 11 | $78.278,50 | 1917 / 41 | $7.629,27 | 1019 / 34 | $6.430,65 | 1016 / 30 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 39 | 149 / 12 | $72.804,00 | 1521 / 38 | $7.235,26 | 933 / 24 | $6.199,74 | 930 / 30 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 10 | $183.474,00 | 1826 / 40 | $16.981,60 | 1336 / 35 | $15.977,50 | 1323 / 36 |
| Syncope & Collapse | 34 | 135 / 9 | $56.857,00 | 1889 / 34 | $7.769,12 | 1358 / 31 | $4.740,35 | 1351 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 9 | $118.890,00 | 1572 / 26 | $11.881,20 | 987 / 22 | $10.985,70 | 982 / 23 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 11 | $40.615,90 | 1899 / 46 | $4.920,64 | 1052 / 35 | $3.787,33 | 1044 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 13 | $44.643,30 | 1989 / 39 | $5.609,47 | 1398 / 26 | $4.800,84 | 1393 / 31 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 31 | 62 / 15 | $42.304,40 | 1834 / 44 | $5.110,32 | 1218 / 34 | $3.926,68 | 1212 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 21 | $70.693,20 | 2492 / 49 | $7.615,52 | 1005 / 39 | $5.666,55 | 1002 / 25 |
| Pulmonary Edema & Respiratory Failure | 30 | 173 / 17 | $68.348,60 | 2037 / 35 | $8.052,17 | 992 / 23 | $6.934,40 | 991 / 22 |
| G.I. Hemorrhage W/O Cc/Mcc | 27 | 41 / 4 | $37.466,40 | 898 / 17 | $5.107,89 | 605 / 15 | $4.065,26 | 601 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 9 | $43.689,70 | 1416 / 28 | $5.419,56 | 1018 / 22 | $4.370,70 | 1014 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 13 | $82.956,40 | 1860 / 35 | $8.467,70 | 1229 / 29 | $7.693,11 | 1226 / 31 |
| Diabetes W Cc | 26 | 66 / 7 | $43.898,80 | 1468 / 31 | $5.763,50 | 944 / 20 | $5.002,00 | 940 / 22 |
| Red Blood Cell Disorders W Mcc | 26 | 45 / 6 | $73.867,10 | 1047 / 21 | $8.118,04 | 460 / 11 | $7.347,00 | 458 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 9 | $113.838,00 | 1750 / 28 | $11.698,10 | 970 / 25 | $10.206,80 | 968 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 15 | $64.562,50 | 1631 / 30 | $8.207,56 | 1156 / 25 | $7.510,12 | 1153 / 25 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 9 | $295.686,00 | 1506 / 27 | $34.185,20 | 775 / 23 | $32.322,60 | 769 / 25 |
| Seizures W/O Mcc | 23 | 85 / 9 | $40.245,50 | 1136 / 21 | $5.366,04 | 710 / 13 | $4.513,48 | 707 / 15 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 13 | $104.510,00 | 1580 / 27 | $11.484,80 | 817 / 21 | $10.578,30 | 814 / 22 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 21 | 82 / 5 | $54.232,60 | 785 / 11 | $6.680,90 | 334 / 6 | $5.638,81 | 334 / 7 |
| Other Vascular Procedures W Cc | 21 | 81 / 12 | $149.108,00 | 1058 / 20 | $15.498,30 | 332 / 9 | $14.094,00 | 330 / 11 |
| Diabetes W Mcc | 20 | 37 / 5 | $64.392,40 | 661 / 16 | $9.192,45 | 321 / 12 | $8.233,10 | 321 / 10 |
| Transient Ischemia | 19 | 106 / 11 | $65.253,50 | 1643 / 30 | $5.276,42 | 1218 / 23 | $4.573,00 | 1212 / 26 |
| Medical Back Problems W/O Mcc | 19 | 102 / 7 | $47.364,20 | 1376 / 18 | $5.620,37 | 839 / 8 | $4.838,84 | 836 / 13 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 21 | $113.267,00 | 1969 / 32 | $11.891,40 | 625 / 25 | $10.292,70 | 622 / 18 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 6 | $107.101,00 | 796 / 18 | $12.802,70 | 364 / 12 | $11.944,70 | 359 / 15 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 18 | 45 / 6 | $294.442,00 | 722 / 14 | $35.528,30 | 323 / 13 | $29.184,60 | 323 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 11 | $64.141,00 | 1315 / 25 | $7.457,17 | 406 / 11 | $6.440,39 | 404 / 11 |
| Other Vascular Procedures W Mcc | 18 | 79 / 12 | $153.485,00 | 877 / 19 | $18.501,90 | 177 / 5 | $17.699,60 | 177 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 20 | $31.592,10 | 1800 / 33 | $4.333,39 | 1416 / 24 | $3.321,28 | 1410 / 27 |
| Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 14 | $55.097,50 | 809 / 18 | $7.004,28 | 603 / 12 | $6.120,83 | 601 / 18 |
| Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 6 | $54.999,50 | 800 / 11 | $6.440,65 | 361 / 6 | $5.498,59 | 361 / 4 |
| Seizures W Mcc | 17 | 49 / 7 | $84.997,20 | 698 / 10 | $9.496,88 | 168 / 5 | $8.212,29 | 168 / 5 |
| Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 9 | $45.937,90 | 978 / 22 | $6.056,24 | 617 / 15 | $5.116,47 | 613 / 19 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 10 | $53.882,30 | 1309 / 23 | $6.592,18 | 619 / 15 | $5.431,82 | 616 / 14 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 15 | $100.033,00 | 1272 / 26 | $11.027,90 | 289 / 11 | $9.932,62 | 288 / 11 |
| Cellulitis W Mcc | 16 | 42 / 5 | $64.793,70 | 841 / 15 | $8.776,38 | 308 / 10 | $7.895,56 | 307 / 10 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 10 | $225.280,00 | 985 / 19 | $20.167,80 | 241 / 11 | $17.464,20 | 240 / 11 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 8 | $51.785,40 | 679 / 11 | $6.109,13 | 352 / 3 | $5.215,00 | 352 / 5 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 10 | $35.759,50 | 787 / 21 | $4.670,27 | 598 / 15 | $3.930,07 | 597 / 19 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 12 | $33.086,90 | 1157 / 21 | $6.269,87 | 621 / 20 | $3.123,47 | 620 / 13 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 4 | $54.798,70 | 457 / 8 | $7.980,71 | 344 / 7 | $6.929,36 | 343 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 8 | $169.214,00 | 873 / 14 | $20.058,50 | 487 / 10 | $19.163,00 | 484 / 13 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 12 | $71.239,90 | 962 / 15 | $9.443,36 | 336 / 7 | $8.511,64 | 336 / 9 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 13 | $33.712,50 | 1099 / 20 | $5.084,00 | 746 / 13 | $4.142,38 | 743 / 14 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 5 | $39.008,60 | 854 / 12 | $4.788,31 | 486 / 7 | $3.845,31 | 485 / 8 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 12 | $286.090,00 | 977 / 16 | $34.734,00 | 308 / 11 | $33.346,60 | 307 / 13 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 13 | 16 / 2 | $62.887,50 | 125 / 3 | $6.444,46 | 68 / 3 | $5.582,92 | 68 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 9 | $72.899,80 | 807 / 17 | $10.014,50 | 476 / 12 | $9.152,69 | 474 / 17 |
| Chest Pain | 13 | 138 / 19 | $35.137,10 | 1503 / 33 | $4.591,46 | 1080 / 20 | $3.697,46 | 1073 / 23 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 12 | $43.210,30 | 1062 / 23 | $6.451,46 | 660 / 15 | $5.732,38 | 657 / 15 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 3 | $47.373,90 | 484 / 3 | $6.794,25 | 284 / 3 | $6.177,33 | 284 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 6 | $122.490,00 | 542 / 6 | $11.753,10 | 179 / 3 | $10.827,60 | 179 / 4 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 5 | $36.653,10 | 411 / 7 | $4.847,67 | 303 / 5 | $3.931,50 | 302 / 5 |
| G.I. Obstruction W Cc | 12 | 80 / 16 | $63.319,00 | 1685 / 30 | $6.330,25 | 1184 / 22 | $5.501,17 | 1181 / 23 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 11 | $263.336,00 | 589 / 13 | $30.448,60 | 152 / 4 | $29.361,80 | 152 / 6 |
| G.I. Obstruction W Mcc | 11 | 31 / 6 | $83.972,40 | 488 / 9 | $9.686,55 | 138 / 5 | $8.775,64 | 138 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 12 | $52.156,60 | 1206 / 18 | $6.872,82 | 651 / 10 | $5.764,91 | 649 / 13 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 13 | $405.534,00 | 967 / 21 | $40.606,80 | 781 / 20 | $39.543,10 | 780 / 21 |
| Diabetes W/O Cc/Mcc | 11 | 27 / 4 | $30.488,80 | 262 / 5 | $4.441,55 | 143 / 5 | $3.441,09 | 143 / 5 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 11 | 107 / 8 | $274.834,00 | 490 / 10 | $30.908,40 | 166 / 6 | $29.991,30 | 166 / 8 | Total 83 procedures | 2.921 | 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.