Hospital Costs > In Idaho > Northwest Specialty Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cervical Spinal Fusion W/O Cc/Mcc | 28 | 76 / 4 | $32.474,20 | 85 / 1 | $12.453,30 | 165 / 1 | $10.870,30 | 165 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 6 | $44.738,20 | 244 / 4 | $12.259,00 | 201 / 1 | $11.053,70 | 199 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 152 | 412 / 8 | $39.576,20 | 732 / 6 | $11.456,50 | 298 / 1 | $9.955,45 | 298 / 1 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 16 | 12 / 1 | $49.772,30 | 55 / 1 | $9.147,62 | 5 / 1 | $7.937,62 | 5 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 51 | 143 / 5 | $66.755,60 | 312 / 3 | $22.052,20 | 338 / 1 | $20.826,50 | 337 / 1 | Total 5 procedures | 259 | 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.