Hospital Costs > In Louisiana > Northern Louisiana Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Heart Failure & Shock W Mcc | 66 | 218 / 18 | $50.893,90 | 2007 / 50 | $8.444,89 | 515 / 13 | $7.707,92 | 515 / 14 |
Kidney & Urinary Tract Infections W/O Mcc | 63 | 170 / 19 | $25.434,80 | 1991 / 57 | $4.882,79 | 951 / 19 | $3.922,98 | 944 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 59 | 457 / 32 | $65.252,90 | 2206 / 50 | $10.170,20 | 367 / 9 | $9.292,49 | 367 / 14 |
Heart Failure & Shock W Cc | 55 | 223 / 23 | $42.455,90 | 2397 / 64 | $5.950,51 | 840 / 18 | $5.164,76 | 839 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 55 | 111 / 11 | $21.077,00 | 1649 / 45 | $4.531,20 | 1060 / 17 | $3.687,75 | 1057 / 26 |
Renal Failure W Cc | 51 | 170 / 22 | $32.405,00 | 1812 / 35 | $5.819,37 | 917 / 12 | $5.099,69 | 909 / 18 |
Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 17 | $50.604,80 | 2199 / 47 | $6.876,57 | 768 / 16 | $6.022,79 | 763 / 18 |
Kidney & Urinary Tract Infections W Mcc | 45 | 99 / 10 | $33.938,90 | 1328 / 32 | $6.553,87 | 508 / 9 | $5.714,40 | 507 / 12 |
Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 25 | $52.395,30 | 2595 / 61 | $5.934,70 | 1161 / 15 | $5.203,16 | 1157 / 28 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 21 | $24.067,80 | 1807 / 49 | $4.789,79 | 759 / 17 | $3.603,67 | 754 / 18 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 41 | 109 / 9 | $23.341,70 | 1568 / 31 | $3.803,98 | 777 / 12 | $2.655,95 | 773 / 14 |
Heart Failure & Shock W/O Cc/Mcc | 40 | 70 / 7 | $30.156,50 | 1709 / 45 | $4.308,52 | 805 / 14 | $3.560,93 | 801 / 20 |
Renal Failure W Mcc | 40 | 155 / 20 | $50.908,30 | 1595 / 37 | $8.854,03 | 665 / 11 | $8.318,62 | 665 / 20 |
G.I. Hemorrhage W Cc | 39 | 179 / 17 | $39.241,60 | 1930 / 41 | $6.190,38 | 455 / 17 | $4.867,72 | 454 / 15 |
Red Blood Cell Disorders W/O Mcc | 37 | 106 / 15 | $31.351,60 | 1556 / 43 | $5.017,70 | 801 / 9 | $4.299,86 | 796 / 19 |
Syncope & Collapse | 34 | 135 / 9 | $27.282,60 | 1322 / 29 | $4.679,15 | 498 / 10 | $3.553,65 | 496 / 10 |
Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 20 | $63.369,40 | 2153 / 39 | $8.344,09 | 772 / 14 | $7.623,85 | 772 / 23 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 31 | 157 / 15 | $50.127,70 | 1204 / 35 | $6.945,55 | 379 / 18 | $5.282,45 | 377 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 31 | 151 / 21 | $43.273,10 | 1594 / 31 | $6.355,55 | 580 / 13 | $5.306,77 | 579 / 15 |
Chest Pain | 29 | 122 / 7 | $26.109,40 | 1253 / 30 | $4.038,07 | 682 / 10 | $3.117,38 | 677 / 16 |
Cellulitis W/O Mcc | 29 | 160 / 24 | $25.551,60 | 1905 / 54 | $5.210,45 | 1028 / 18 | $4.286,31 | 1022 / 26 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 21 | $36.081,70 | 1957 / 46 | $5.916,34 | 625 / 20 | $4.656,21 | 623 / 19 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 22 | $44.236,60 | 2150 / 46 | $6.158,39 | 493 / 9 | $5.193,39 | 491 / 13 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 27 | 537 / 46 | $119.573,00 | 2593 / 58 | $12.254,10 | 679 / 20 | $10.601,70 | 670 / 29 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 15 | $27.307,60 | 1624 / 46 | $4.579,85 | 675 / 13 | $3.464,59 | 673 / 15 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 13 | $83.365,60 | 1344 / 33 | $12.446,40 | 173 / 7 | $11.475,70 | 173 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 17 | $44.091,00 | 1980 / 38 | $5.049,48 | 828 / 15 | $4.133,04 | 825 / 17 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 11 | $49.857,10 | 737 / 16 | $10.132,00 | 141 / 3 | $9.340,00 | 141 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 15 | $84.881,40 | 1402 / 24 | $13.245,80 | 171 / 23 | $8.398,57 | 170 / 6 |
Pulmonary Embolism W/O Mcc | 21 | 53 / 6 | $43.977,40 | 1109 / 17 | $6.001,24 | 420 / 4 | $5.030,57 | 419 / 10 |
Respiratory Infections & Inflammations W Cc | 20 | 68 / 11 | $52.432,90 | 1178 / 26 | $7.697,35 | 330 / 6 | $7.030,15 | 327 / 11 |
Renal Failure W/O Cc/Mcc | 20 | 36 / 5 | $13.624,20 | 291 / 9 | $4.136,70 | 339 / 9 | $3.202,65 | 338 / 14 |
Transient Ischemia | 19 | 106 / 11 | $29.426,90 | 1157 / 25 | $4.487,32 | 754 / 8 | $3.657,00 | 750 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 19 | $35.879,70 | 1191 / 24 | $6.562,83 | 482 / 7 | $5.994,83 | 479 / 13 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 22 | $80.055,30 | 1707 / 30 | $10.698,20 | 279 / 7 | $9.688,39 | 278 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 13 | $32.367,40 | 1170 / 24 | $4.792,82 | 326 / 8 | $3.407,53 | 323 / 8 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 28 | $40.805,30 | 1816 / 43 | $6.650,12 | 456 / 44 | $3.200,00 | 454 / 11 |
Diabetes W Cc | 17 | 75 / 13 | $27.107,10 | 1081 / 25 | $5.157,71 | 449 / 5 | $4.217,47 | 449 / 8 |
Atherosclerosis W/O Mcc | 16 | 42 / 4 | $27.538,80 | 416 / 10 | $3.903,12 | / 3 | $3.022,25 | / |
Red Blood Cell Disorders W Mcc | 16 | 55 / 11 | $44.594,90 | 753 / 16 | $7.587,38 | 96 / 4 | $6.159,56 | 96 / 3 |
Signs & Symptoms W/O Mcc | 16 | 75 / 10 | $26.226,30 | 933 / 17 | $4.406,69 | 488 / 6 | $3.650,69 | 487 / 9 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 24 | $52.862,60 | 1808 / 32 | $7.179,81 | 300 / 6 | $6.087,81 | 300 / 6 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 9 | $192.330,00 | 720 / 19 | $27.846,50 | 119 / 8 | $26.648,60 | 119 / 11 |
Seizures W/O Mcc | 15 | 93 / 13 | $24.671,10 | 760 / 17 | $4.804,00 | 469 / 6 | $3.999,73 | 467 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 23 | $61.917,50 | 1708 / 33 | $7.298,43 | 391 / 11 | $6.193,21 | 389 / 10 |
G.I. Hemorrhage W Mcc | 14 | 107 / 18 | $111.275,00 | 1602 / 28 | $19.998,90 | 876 / 28 | $10.774,80 | 871 / 24 |
Hypertension W/O Mcc | 14 | 51 / 7 | $34.543,10 | 691 / 16 | $8.470,00 | 80 / 16 | $2.559,86 | 80 / 2 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 12 | $27.887,20 | 740 / 18 | $5.648,62 | 286 / 4 | $4.837,54 | 285 / 7 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 22 | $69.104,40 | 1398 / 26 | $10.592,20 | 332 / 5 | $10.090,80 | 332 / 10 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 19 | $143.446,00 | 1430 / 26 | $14.171,80 | 273 / 5 | $12.758,40 | 271 / 14 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 13 | $22.349,70 | 641 / 14 | $4.483,75 | 360 / 9 | $3.481,08 | 357 / 11 |
G.I. Obstruction W Cc | 11 | 81 / 17 | $34.190,00 | 1328 / 24 | $5.466,55 | 498 / 10 | $4.474,55 | 497 / 10 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 14 | $275.292,00 | 1211 / 22 | $35.296,00 | 816 / 20 | $33.867,70 | 814 / 19 |
Diabetes W/O Cc/Mcc | 11 | 27 / 4 | $11.896,10 | 73 / 1 | $3.826,27 | 81 / 2 | $2.944,82 | 81 / 3 | Total 54 procedures | 1.501 | 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.