Hospital Costs > In Montana > Northern Montana Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 7 | $16.746,80 | 766 / 4 | $7.590,23 | 2235 / 9 | $6.709,00 | 2227 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 12 | $47.390,80 | 1158 / 11 | $16.679,80 | 1971 / 12 | $13.506,60 | 1929 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 3 | $11.610,90 | 383 / 5 | $5.663,17 | 1596 / 7 | $4.717,39 | 1588 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 6 | $19.605,30 | 956 / 7 | $10.560,80 | 1839 / 8 | $6.193,73 | 1832 / 8 |
| G.I. Hemorrhage W Cc | 14 | 204 / 10 | $16.362,50 | 428 / 5 | $7.892,57 | 1911 / 10 | $6.946,29 | 1907 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 8 | $11.778,20 | 525 / 2 | $5.844,77 | 1972 / 8 | $4.818,31 | 1964 / 9 |
| Cellulitis W/O Mcc | 13 | 176 / 8 | $12.633,20 | 544 / 6 | $6.858,46 | 2035 / 9 | $5.652,31 | 2027 / 9 |
| Renal Failure W Cc | 13 | 208 / 9 | $12.906,60 | 281 / 3 | $7.499,15 | 1827 / 9 | $6.472,69 | 1817 / 10 |
| Heart Failure & Shock W Cc | 12 | 266 / 10 | $16.514,80 | 746 / 6 | $8.647,75 | 1911 / 10 | $6.352,17 | 1906 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 10 | $15.947,00 | 864 / 8 | $6.039,18 | 2072 / 10 | $4.936,64 | 2058 / 10 | Total 10 procedures | 157 | 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.