Hospital Costs > In Louisiana > Oakdale Community Hospital, 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 | 14 | 175 / 37 | $16.086,50 | 1006 / 31 | $5.803,71 | 1609 / 40 | $4.850,57 | 1602 / 48 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 36 | $29.707,40 | 1458 / 34 | $7.808,00 | 1534 / 39 | $6.880,00 | 1527 / 42 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 19 | $22.155,90 | 1417 / 41 | $5.024,95 | 1353 / 32 | $4.164,00 | 1342 / 37 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 40 | $17.856,50 | 1107 / 29 | $5.194,09 | 1584 / 36 | $4.205,00 | 1571 / 40 |
Heart Failure & Shock W Cc | 16 | 262 / 50 | $27.041,10 | 1807 / 53 | $6.682,81 | 1642 / 46 | $5.932,81 | 1637 / 45 |
Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 31 | $22.896,30 | 1833 / 50 | $5.484,91 | 1856 / 45 | $4.760,80 | 1845 / 54 |
Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 38 | $30.723,60 | 1985 / 48 | $6.630,71 | 1779 / 43 | $5.824,62 | 1771 / 50 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 25 | $22.828,20 | 1345 / 35 | $5.255,76 | 1177 / 36 | $3.875,95 | 1171 / 31 | Total 8 procedures | 152 | 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.