Hospital Costs > In Ohio > Ohiohealth O'Bleness Hospital, 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 | 71 | 445 / 67 | $19.730,20 | 255 / 13 | $17.894,00 | 2598 / 111 | $16.177,10 | 2553 / 113 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 75 | $32.503,90 | 333 / 16 | $20.814,60 | 2511 / 120 | $17.776,70 | 2465 / 122 |
| Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 48 | $17.294,90 | 737 / 51 | $9.401,64 | 2223 / 107 | $7.873,15 | 2216 / 108 |
| Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 51 | $13.454,60 | 214 / 11 | $11.388,10 | 2402 / 107 | $10.231,00 | 2394 / 110 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 41 | $14.988,90 | 355 / 21 | $10.418,00 | 2358 / 93 | $9.038,00 | 2348 / 96 |
| Heart Failure & Shock W Cc | 27 | 251 / 72 | $17.037,90 | 807 / 43 | $10.091,00 | 2544 / 110 | $8.643,81 | 2538 / 112 |
| Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 51 | $14.152,60 | 458 / 23 | $9.649,08 | 2578 / 113 | $8.275,85 | 2569 / 116 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 55 | $20.271,50 | 421 / 25 | $12.083,80 | 2047 / 93 | $10.626,00 | 2041 / 94 |
| Heart Failure & Shock W Mcc | 23 | 261 / 72 | $20.235,10 | 436 / 25 | $14.806,60 | 2442 / 105 | $13.274,80 | 2431 / 108 |
| Cellulitis W/O Mcc | 21 | 168 / 56 | $13.033,70 | 594 / 36 | $8.541,90 | 2399 / 105 | $7.131,67 | 2391 / 109 |
| G.I. Hemorrhage W Cc | 18 | 200 / 59 | $14.006,50 | 224 / 10 | $9.887,83 | 2239 / 99 | $8.682,83 | 2235 / 102 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 55 | $18.107,60 | 272 / 22 | $14.264,80 | 2365 / 107 | $12.873,50 | 2359 / 109 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 39 | $14.669,30 | 422 / 24 | $8.064,67 | 1795 / 85 | $6.909,27 | 1786 / 90 |
| Syncope & Collapse | 15 | 154 / 42 | $14.847,90 | 379 / 23 | $7.280,00 | 1634 / 85 | $5.685,40 | 1627 / 86 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 72 | $13.357,60 | 552 / 39 | $7.592,20 | 2432 / 107 | $6.113,07 | 2417 / 110 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 40 | $31.324,70 | 267 / 21 | $19.432,90 | 1964 / 89 | $17.680,60 | 1944 / 91 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 50 | $10.550,80 | 379 / 18 | $6.993,00 | 2225 / 98 | $5.682,21 | 2217 / 102 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 40 | $10.603,80 | 305 / 18 | $7.113,54 | 1873 / 98 | $5.708,92 | 1862 / 100 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 28 | $24.731,50 | 239 / 14 | $15.618,60 | 1004 / 52 | $13.958,70 | 1000 / 55 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 14 | $36.506,00 | 22 / 1 | $32.920,30 | 886 / 31 | $31.038,20 | 882 / 31 | Total 20 procedures | 476 | 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.