Hospital Costs > In Louisiana > Ochsner Medical Center-Kenner Llc, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 74 | 442 / 27 | $37.223,40 | 1166 / 28 | $14.817,90 | 2038 / 51 | $12.497,70 | 2001 / 49 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 42 | $60.208,20 | 1703 / 31 | $16.370,10 | 1944 / 52 | $13.416,70 | 1902 / 54 |
Heart Failure & Shock W Mcc | 32 | 252 / 34 | $34.574,30 | 1374 / 33 | $12.020,40 | 2003 / 50 | $10.393,20 | 1996 / 49 |
Heart Failure & Shock W Cc | 28 | 250 / 39 | $21.649,40 | 1359 / 38 | $9.103,68 | 2344 / 58 | $7.525,21 | 2338 / 59 |
G.I. Hemorrhage W Cc | 28 | 190 / 22 | $23.111,40 | 1040 / 18 | $8.963,86 | 2027 / 41 | $7.363,79 | 2023 / 41 |
Renal Failure W Mcc | 23 | 172 / 28 | $41.209,90 | 1318 / 31 | $13.327,40 | 1621 / 37 | $10.759,10 | 1619 / 37 |
Renal Failure W Cc | 23 | 198 / 31 | $23.855,20 | 1338 / 29 | $9.261,09 | 2031 / 41 | $7.115,43 | 2021 / 40 |
Pulmonary Edema & Respiratory Failure | 19 | 184 / 21 | $30.486,20 | 1066 / 16 | $10.901,90 | 1678 / 32 | $8.380,68 | 1673 / 33 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 19 | 177 / 24 | $84.275,60 | 947 / 23 | $16.046,30 | 1147 / 29 | $13.487,30 | 1140 / 33 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 30 | $25.471,40 | 1294 / 25 | $9.815,00 | 2143 / 44 | $7.785,41 | 2135 / 44 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 23 | $32.602,40 | 637 / 16 | $9.823,25 | 1204 / 35 | $7.029,94 | 1201 / 34 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 22 | $64.737,10 | 1029 / 26 | $18.243,50 | 1382 / 36 | $16.303,30 | 1368 / 37 |
Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 45 | $20.665,50 | 1644 / 46 | $7.899,31 | 2228 / 62 | $5.516,08 | 2217 / 60 |
Complications Of Treatment W Mcc | 13 | 38 / 3 | $36.522,50 | 86 / 4 | $13.303,00 | 76 / 3 | $10.108,30 | 76 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 23 | $23.172,80 | 1294 / 28 | $8.057,25 | 1777 / 36 | $5.725,67 | 1772 / 35 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 17 | $90.109,10 | 367 / 6 | $34.404,90 | 666 / 24 | $31.218,20 | 660 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 40 | $18.231,30 | 1168 / 30 | $7.618,27 | 2314 / 56 | $5.586,82 | 2299 / 57 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 27 | $59.676,50 | 1344 / 24 | $16.057,40 | 1645 / 31 | $13.664,30 | 1626 / 32 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 20 | $123.133,00 | 1357 / 24 | $21.063,70 | 1048 / 24 | $16.168,30 | 1036 / 24 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 13 | $115.248,00 | 631 / 11 | $25.947,10 | 807 / 18 | $23.872,50 | 802 / 20 |
Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 44 | $25.535,20 | 1659 / 35 | $8.495,18 | 2369 / 58 | $7.116,55 | 2360 / 57 |
G.I. Obstruction W Cc | 11 | 81 / 17 | $38.641,00 | 1430 / 28 | $10.131,80 | 1625 / 28 | $7.849,00 | 1620 / 28 | Total 22 procedures | 442 | 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.