Hospital Costs > In Oklahoma > Oklahoma Heart Hospital South, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 35 | 56 / 6 | $27.313,20 | 624 / 7 | $5.569,86 | 94 / 1 | $4.680,94 | 94 / 2 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 48 | 77 / 5 | $42.150,10 | 907 / 14 | $9.275,65 | 73 / 2 | $7.722,73 | 73 / 1 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 8 | $21.739,70 | 354 / 7 | $4.562,38 | 2 / 3 | $2.536,85 | 2 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 10 | $14.256,60 | 446 / 10 | $4.172,69 | 148 / 2 | $3.398,80 | 148 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 49 | 74 / 5 | $20.045,20 | 341 / 6 | $6.614,27 | 15 / 3 | $5.164,69 | 15 / 1 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 40 | 110 / 7 | $11.348,40 | 507 / 9 | $2.926,98 | 136 / 1 | $2.015,78 | 136 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 12 | 106 / 6 | $96.453,00 | 62 / 1 | $27.771,20 | 34 / 2 | $26.446,80 | 34 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 32 | 84 / 2 | $148.816,00 | 67 / 1 | $41.781,10 | 31 / 2 | $40.839,20 | 31 / 2 |
Cellulitis W/O Mcc | 13 | 176 / 24 | $15.903,50 | 984 / 26 | $4.181,62 | 180 / 2 | $3.526,85 | 180 / 5 |
Cervical Spinal Fusion W Cc | 30 | 23 / 1 | $43.578,80 | 52 / 1 | $15.736,40 | 22 / 2 | $13.478,20 | 22 / 2 |
Chest Pain | 16 | 135 / 16 | $8.942,56 | 103 / 4 | $3.310,12 | 32 / 1 | $2.144,88 | 32 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 27 | $16.266,60 | 635 / 23 | $4.642,88 | 30 / 1 | $3.743,62 | 30 / 3 |
Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 18 | $25.761,20 | 1183 / 35 | $6.533,35 | 10 / 6 | $4.575,15 | 10 / 1 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 26 | 67 / 5 | $39.876,90 | 150 / 2 | $11.127,40 | 89 / 1 | $10.379,10 | 88 / 2 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 75 | 113 / 7 | $32.852,90 | 652 / 13 | $6.025,53 | 49 / 3 | $4.556,21 | 49 / 3 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 14 | 33 / 3 | $113.202,00 | 34 / 1 | $33.398,80 | 27 / 1 | $32.274,20 | 27 / 3 |
Coronary Bypass W Cardiac Cath W Mcc | 18 | 38 / 3 | $127.466,00 | 56 / 2 | $34.963,30 | 30 / 1 | $33.837,60 | 30 / 2 |
Coronary Bypass W Cardiac Cath W/O Mcc | 24 | 52 / 3 | $97.700,50 | 112 / 4 | $26.911,30 | 38 / 3 | $21.788,00 | 38 / 1 |
Coronary Bypass W/O Cardiac Cath W Mcc | 40 | 20 / 1 | $85.575,00 | 16 / 1 | $28.971,20 | 9 / 1 | $26.947,40 | 9 / 2 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 54 | 36 / 3 | $72.879,00 | 86 / 3 | $20.184,30 | 58 / 2 | $17.899,70 | 58 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 34 | $17.026,00 | 1002 / 33 | $4.021,77 | 64 / 2 | $2.871,31 | 64 / 5 |
Extracranial Procedures W Cc | 21 | 25 / 3 | $28.832,30 | 72 / 4 | $8.511,38 | 34 / 1 | $7.546,43 | 34 / 3 |
Extracranial Procedures W/O Cc/Mcc | 36 | 62 / 6 | $21.918,50 | 201 / 3 | $5.544,06 | 54 / 1 | $4.472,39 | 54 / 2 |
G.I. Hemorrhage W Cc | 17 | 201 / 23 | $32.099,50 | 1666 / 33 | $7.238,88 | 1189 / 32 | $5.565,47 | 1187 / 30 |
Heart Failure & Shock W Cc | 113 | 165 / 7 | $19.808,10 | 1160 / 30 | $5.194,75 | 21 / 4 | $4.001,23 | 21 / 2 |
Heart Failure & Shock W Mcc | 81 | 203 / 6 | $29.820,50 | 1071 / 27 | $8.082,33 | 30 / 5 | $6.640,80 | 30 / 2 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 9 | $12.978,50 | 596 / 17 | $3.498,64 | 38 / 2 | $2.631,28 | 38 / 2 |
Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 39 | $15.680,60 | 1031 / 38 | $3.916,25 | 114 / 2 | $3.158,25 | 114 / 6 |
Major Cardiovasc Procedures W Mcc | 24 | 44 / 4 | $101.902,00 | 124 / 1 | $27.516,90 | 27 / 1 | $25.454,80 | 27 / 1 |
Major Cardiovasc Procedures W/O Mcc | 32 | 69 / 6 | $71.708,40 | 275 / 6 | $19.051,40 | 16 / 4 | $15.629,30 | 16 / 1 |
Major Chest Procedures W Cc | 14 | 60 / 5 | $50.613,60 | 111 / 2 | $14.245,00 | 11 / 2 | $11.235,90 | 11 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 22 | $13.212,10 | 716 / 29 | $3.703,42 | 8 / 3 | $2.381,05 | 8 / 3 |
Other Vascular Procedures W Cc | 25 | 77 / 7 | $97.531,60 | 821 / 11 | $17.276,90 | 485 / 10 | $14.852,50 | 482 / 10 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 41 | 59 / 5 | $75.622,10 | 227 / 3 | $18.235,20 | 20 / 3 | $14.861,90 | 20 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 75 | 121 / 8 | $65.841,70 | 589 / 11 | $12.145,40 | 29 / 8 | $8.736,19 | 29 / 2 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 68 | 2 / 2 | $73.805,60 | 81 / 2 | $16.266,40 | 23 / 2 | $14.855,40 | 23 / 3 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 76 | 7 / 2 | $57.487,40 | 233 / 6 | $10.724,40 | 16 / 4 | $7.958,87 | 16 / 2 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 17 | 37 / 4 | $62.324,50 | 33 / 1 | $16.057,40 | 16 / 1 | $15.145,10 | 16 / 2 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 16 | 79 / 5 | $52.959,70 | 128 / 2 | $11.601,30 | 17 / 2 | $8.792,94 | 17 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 24 | 53 / 4 | $65.459,00 | 420 / 7 | $14.028,30 | 68 / 2 | $13.105,00 | 68 / 3 |
Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 6 | $79.965,50 | 202 / 4 | $18.303,40 | 16 / 1 | $17.353,10 | 16 / 1 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 6 | $56.275,10 | 359 / 5 | $11.442,20 | 37 / 1 | $10.161,00 | 37 / 3 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 27 | $21.508,80 | 500 / 15 | $6.622,62 | 60 / 2 | $5.539,85 | 60 / 3 |
Pulmonary Embolism W/O Mcc | 18 | 56 / 8 | $18.726,10 | 326 / 2 | $5.317,11 | 32 / 1 | $3.980,33 | 32 / 2 |
Renal Failure W Cc | 28 | 193 / 24 | $19.310,30 | 906 / 22 | $4.913,89 | 44 / 2 | $4.020,32 | 44 / 2 |
Renal Failure W Mcc | 28 | 167 / 17 | $41.965,90 | 1347 / 20 | $8.079,61 | 148 / 3 | $7.431,61 | 148 / 3 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 19 | $44.345,20 | 457 / 12 | $12.211,50 | 157 / 4 | $11.427,70 | 157 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 59 | 457 / 31 | $42.061,60 | 1417 / 41 | $9.731,42 | 58 / 4 | $8.460,07 | 58 / 2 |
Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 34 | $21.026,90 | 1249 / 40 | $5.162,38 | 34 / 4 | $3.925,71 | 34 / 2 |
Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 23 | $33.117,70 | 1231 / 23 | $7.783,81 | 88 / 5 | $6.557,81 | 88 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 29 | 165 / 12 | $75.069,10 | 453 / 8 | $22.413,60 | 15 / 9 | $16.798,50 | 15 / 2 | Total 51 procedures | 1.656 | 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.