Hospital Costs > In Oklahoma > Oklahoma Spine Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Spinal Fusion Except Cervical W/O Mcc | 118 | 77 / 3 | $72.160,80 | 403 / 6 | $21.905,40 | 76 / 7 | $18.580,80 | 75 / 7 |
Cervical Spinal Fusion W/O Cc/Mcc | 96 | 18 / 2 | $36.815,40 | 144 / 6 | $12.333,30 | 52 / 6 | $9.992,17 | 52 / 4 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 89 | 12 / 2 | $21.580,40 | 115 / 2 | $5.859,91 | 16 / 4 | $4.177,04 | 16 / 1 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 27 | 20 / 2 | $128.890,00 | 42 / 2 | $34.394,00 | 22 / 2 | $31.463,00 | 22 / 2 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 6 | $30.081,90 | 52 / 3 | $10.328,30 | 11 / 4 | $8.122,67 | 11 / 2 |
Local Excision & Removal Int Fix Devices Exc Hip & Femur W/O Cc/Mcc | 15 | 7 / 2 | $15.690,60 | 1 / 1 | $6.174,53 | 4 / 1 | $5.129,20 | 4 / 2 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W/O Cc/Mcc | 12 | 9 / 2 | $106.374,00 | 7 / 1 | $26.962,00 | 6 / 1 | $26.455,30 | 6 / 1 | Total 7 procedures | 372 | 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.