Hospital Costs > In Louisiana > Ochsner Medical Center - Northshore, L L C, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Heart Failure & Shock W Mcc | 49 | 235 / 26 | $47.873,10 | 1933 / 48 | $9.134,75 | 1300 / 35 | $8.715,49 | 1297 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 45 | 471 / 35 | $75.833,30 | 2372 / 53 | $12.021,40 | 984 / 42 | $10.159,20 | 975 / 32 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 10 | $37.811,00 | 1248 / 25 | $7.438,00 | 833 / 20 | $6.654,50 | 830 / 20 |
Heart Failure & Shock W Cc | 29 | 249 / 38 | $38.599,30 | 2282 / 63 | $6.568,31 | 1868 / 40 | $6.265,45 | 1863 / 54 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 35 | $32.973,00 | 2312 / 63 | $5.529,75 | 1767 / 47 | $4.645,18 | 1756 / 47 |
Renal Failure W Cc | 28 | 193 / 30 | $39.677,00 | 2034 / 42 | $6.768,43 | 1437 / 34 | $5.661,89 | 1428 / 32 |
Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 33 | $46.020,90 | 2488 / 59 | $7.088,68 | 1499 / 53 | $5.515,00 | 1493 / 40 |
Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 25 | $52.612,00 | 1981 / 35 | $8.790,26 | 1132 / 24 | $8.028,19 | 1132 / 31 |
Renal Failure W Mcc | 23 | 172 / 28 | $47.148,90 | 1503 / 35 | $9.315,13 | 875 / 21 | $8.687,65 | 875 / 29 |
Cellulitis W/O Mcc | 22 | 167 / 30 | $30.042,30 | 2127 / 57 | $5.908,91 | 1257 / 45 | $4.478,95 | 1251 / 32 |
G.I. Hemorrhage W Cc | 22 | 196 / 26 | $37.492,40 | 1879 / 39 | $6.462,77 | 1271 / 26 | $5.662,82 | 1268 / 31 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 21 | $49.180,20 | 1669 / 38 | $7.362,36 | 846 / 29 | $6.153,64 | 844 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 27 | $42.722,30 | 2117 / 42 | $7.114,86 | 1365 / 30 | $6.073,41 | 1360 / 34 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 23 | $153.381,00 | 1438 / 36 | $13.005,40 | 859 / 18 | $11.910,10 | 853 / 29 |
Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 31 | $41.282,00 | 1962 / 43 | $7.313,90 | 1227 / 31 | $6.494,86 | 1221 / 30 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 29 | $26.104,90 | 1946 / 53 | $5.164,43 | 1706 / 41 | $4.326,33 | 1701 / 43 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 26 | $36.619,80 | 1703 / 47 | $5.744,21 | 1344 / 32 | $5.075,58 | 1335 / 39 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 8 | $62.716,10 | 908 / 14 | $9.664,95 | 453 / 10 | $8.950,42 | 452 / 11 |
Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 29 | $33.605,30 | 1866 / 43 | $6.344,25 | 1318 / 37 | $5.286,25 | 1313 / 36 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 22 | $48.194,30 | 1498 / 30 | $7.937,80 | 1040 / 22 | $7.212,47 | 1037 / 28 |
Pulmonary Edema & Respiratory Failure | 15 | 188 / 25 | $38.912,70 | 1466 / 25 | $7.980,20 | 1302 / 22 | $7.417,00 | 1299 / 28 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 22 | $83.932,80 | 1353 / 34 | $13.685,00 | 717 / 20 | $13.022,60 | 709 / 27 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 24 | $70.598,90 | 1558 / 29 | $12.019,20 | 1006 / 27 | $11.052,80 | 993 / 28 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 55 | $75.743,30 | 2129 / 44 | $13.429,90 | 1039 / 35 | $11.131,70 | 1016 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 15 | $38.680,40 | 1325 / 26 | $5.414,86 | 1060 / 21 | $4.466,29 | 1056 / 25 |
Cellulitis W Mcc | 14 | 44 / 7 | $59.142,60 | 806 / 14 | $9.168,21 | 391 / 13 | $8.280,21 | 389 / 14 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 9 | $36.300,10 | 771 / 15 | $7.414,71 | 673 / 13 | $7.241,00 | 671 / 14 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 21 | $73.988,60 | 1452 / 29 | $12.670,50 | 788 / 27 | $11.108,70 | 779 / 22 |
Diabetes W Cc | 12 | 80 / 17 | $38.270,80 | 1368 / 29 | $5.891,58 | 979 / 21 | $5.083,58 | 975 / 24 |
G.I. Hemorrhage W Mcc | 11 | 110 / 21 | $68.037,40 | 1315 / 25 | $11.432,00 | 470 / 20 | $9.577,27 | 471 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 40 | $20.824,30 | 1489 / 38 | $5.216,18 | 1658 / 39 | $4.290,27 | 1645 / 41 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 13 | $252.942,00 | 1001 / 20 | $25.612,30 | 678 / 17 | $21.656,70 | 674 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 32 | $49.615,20 | 1730 / 36 | $7.173,55 | 1086 / 26 | $5.972,09 | 1083 / 27 | Total 33 procedures | 681 | 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.