Hospital Costs > In Mississippi > Och Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 70 | 494 / 18 | $35.323,20 | 482 / 5 | $11.533,60 | 436 / 2 | $10.234,20 | 434 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 16 | $19.780,50 | 1113 / 31 | $5.704,35 | 453 / 8 | $4.610,40 | 450 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 32 | $25.556,70 | 564 / 13 | $10.368,50 | 448 / 10 | $9.430,19 | 448 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 13 | $24.630,70 | 77 / 2 | $10.260,60 | 98 / 2 | $9.217,40 | 97 / 2 |
| Renal Failure W Cc | 27 | 194 / 23 | $16.412,00 | 603 / 9 | $5.652,33 | 669 / 5 | $4.895,00 | 662 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 19 | $15.651,80 | 187 / 4 | $6.380,35 | 586 / 12 | $5.314,94 | 585 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 22 | $17.130,50 | 524 / 8 | $6.193,13 | 515 / 4 | $5.224,60 | 513 / 8 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 21 | $15.263,90 | 160 / 4 | $6.835,53 | 375 / 3 | $6.189,13 | 375 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 24 | $16.950,80 | 924 / 22 | $4.375,92 | 538 / 9 | $3.268,23 | 536 / 8 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 15 | $24.191,40 | 434 / 5 | $7.655,23 | 321 / 5 | $7.012,77 | 318 / 9 |
| G.I. Hemorrhage W Cc | 13 | 205 / 26 | $16.231,60 | 414 / 9 | $5.888,54 | 364 / 6 | $4.771,00 | 364 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 42 | $19.239,60 | 1485 / 37 | $4.918,00 | 1303 / 21 | $4.172,15 | 1294 / 35 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 33 | $36.407,80 | 1812 / 37 | $8.257,31 | 1834 / 44 | $7.513,92 | 1826 / 46 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 29 | $34.788,50 | 1335 / 30 | $8.284,83 | 394 / 11 | $7.175,50 | 394 / 10 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 17 | $46.371,40 | 320 / 10 | $14.450,30 | 52 / 12 | $11.520,70 | 52 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 29 | $24.283,10 | 1401 / 30 | $5.494,82 | 694 / 8 | $4.723,91 | 692 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 22 | $36.319,90 | 237 / 2 | $14.684,50 | 9 / 22 | $9.530,00 | 9 / 1 |
| Heart Failure & Shock W Cc | 11 | 267 / 41 | $18.969,10 | 1047 / 30 | $5.741,64 | 262 / 8 | $4.639,09 | 262 / 6 | Total 18 procedures | 370 | 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.