Hospital Costs > In Oklahoma > Oklahoma State University Medical Center, 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 | 49 | 467 / 34 | $70.262,00 | 2288 / 53 | $19.646,90 | 2621 / 57 | $16.479,40 | 2576 / 57 |
Other Vascular Procedures W Cc | 43 | 59 / 2 | $131.930,00 | 1019 / 13 | $27.331,20 | 1095 / 15 | $24.301,00 | 1090 / 15 |
Heart Failure & Shock W Cc | 40 | 238 / 17 | $25.341,50 | 1692 / 36 | $8.844,62 | 2117 / 47 | $6.777,25 | 2111 / 44 |
Chest Pain | 40 | 111 / 5 | $18.020,00 | 771 / 15 | $5.779,65 | 1287 / 23 | $4.235,98 | 1280 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 18 | $19.433,20 | 1316 / 40 | $6.935,55 | 2165 / 49 | $5.158,39 | 2151 / 49 |
Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 20 | $21.069,50 | 1680 / 46 | $7.108,65 | 2223 / 55 | $5.492,38 | 2212 / 56 |
Renal Failure W Cc | 36 | 185 / 20 | $34.652,80 | 1888 / 37 | $9.774,78 | 2085 / 40 | $7.415,50 | 2075 / 38 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 35 | 96 / 12 | $71.392,40 | 1162 / 25 | $22.054,50 | 1609 / 32 | $19.029,70 | 1595 / 32 |
Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 24 | $29.244,40 | 1914 / 53 | $8.872,12 | 2224 / 64 | $6.681,88 | 2216 / 63 |
Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 14 | $27.875,90 | 1612 / 39 | $8.215,59 | 1961 / 43 | $6.566,50 | 1954 / 44 |
Cellulitis W/O Mcc | 31 | 158 / 11 | $25.390,10 | 1893 / 42 | $8.089,61 | 2016 / 47 | $5.591,97 | 2008 / 45 |
G.I. Hemorrhage W Cc | 28 | 190 / 20 | $30.120,00 | 1567 / 30 | $9.209,14 | 1964 / 36 | $7.131,61 | 1960 / 35 |
Heart Failure & Shock W Mcc | 27 | 257 / 24 | $36.144,30 | 1459 / 34 | $12.541,60 | 1963 / 46 | $10.235,60 | 1956 / 42 |
Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 26 | $31.419,70 | 1552 / 40 | $9.982,85 | 1994 / 48 | $7.951,15 | 1986 / 47 |
Major Cardiovasc Procedures W/O Mcc | 26 | 75 / 8 | $143.249,00 | 854 / 12 | $33.027,80 | 955 / 14 | $30.333,30 | 954 / 14 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 16 | $31.406,40 | 579 / 12 | $9.465,80 | 1254 / 22 | $7.259,48 | 1251 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 11 | $19.759,70 | 392 / 5 | $9.284,88 | 1247 / 16 | $7.881,54 | 1244 / 17 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 16 | $20.973,60 | 1325 / 33 | $6.719,22 | 1636 / 41 | $4.740,00 | 1625 / 41 |
Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 26 | $40.800,60 | 1585 / 28 | $12.342,70 | 1992 / 39 | $10.103,90 | 1992 / 37 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 21 | 543 / 42 | $55.541,90 | 1527 / 32 | $16.590,70 | 2164 / 49 | $14.416,80 | 2121 / 49 |
Other Vascular Procedures W Mcc | 20 | 77 / 7 | $106.022,00 | 641 / 6 | $26.948,40 | 738 / 8 | $24.347,30 | 735 / 8 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 22 | $24.380,50 | 684 / 17 | $10.225,70 | 1745 / 36 | $8.665,85 | 1740 / 36 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 22 | $18.013,80 | 1323 / 38 | $6.447,47 | 1998 / 48 | $4.886,68 | 1990 / 47 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 15 | $20.707,60 | 958 / 15 | $7.247,42 | 1506 / 24 | $5.513,11 | 1497 / 24 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 14 | $16.623,90 | 1159 / 17 | $5.521,17 | 1676 / 22 | $4.019,56 | 1670 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 13 | $32.573,20 | 1071 / 15 | $10.499,60 | 1379 / 24 | $8.226,94 | 1376 / 22 |
Other Vascular Procedures W/O Cc/Mcc | 17 | 39 / 4 | $86.790,10 | 498 / 7 | $17.670,80 | 522 / 7 | $15.656,90 | 521 / 7 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 14 | $24.343,50 | 1523 / 34 | $6.900,18 | 1609 / 35 | $4.747,41 | 1596 / 33 |
Diabetes W Cc | 17 | 75 / 12 | $21.993,20 | 816 / 14 | $7.620,41 | 1285 / 21 | $6.104,59 | 1280 / 22 |
Syncope & Collapse | 17 | 152 / 15 | $16.959,30 | 570 / 8 | $6.568,35 | 1529 / 17 | $5.236,94 | 1522 / 18 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 20 | $20.749,00 | 1104 / 22 | $7.358,94 | 1725 / 31 | $5.532,94 | 1720 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 28 | $45.483,90 | 2177 / 48 | $10.413,90 | 1989 / 51 | $7.272,38 | 1981 / 44 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 15 | $129.549,00 | 830 / 11 | $41.039,60 | 1071 / 17 | $36.498,90 | 1064 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 10 | $42.185,70 | 1005 / 8 | $12.119,70 | 1240 / 14 | $9.685,53 | 1235 / 14 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 15 | $46.710,70 | 1054 / 16 | $16.631,50 | 1473 / 24 | $12.641,10 | 1461 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 22 | $23.250,10 | 676 / 16 | $8.933,36 | 1570 / 26 | $7.099,79 | 1567 / 25 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 21 | $21.313,70 | 1278 / 39 | $6.747,15 | 1610 / 48 | $4.761,00 | 1602 / 46 |
Signs & Symptoms W/O Mcc | 13 | 78 / 8 | $25.557,10 | 908 / 11 | $7.287,46 | 1083 / 13 | $5.342,92 | 1080 / 13 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 17 | $21.794,70 | 689 / 14 | $9.676,75 | 1525 / 26 | $7.732,75 | 1521 / 26 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 11 | $34.337,80 | 327 / 2 | $15.224,80 | 705 / 11 | $11.634,60 | 703 / 9 |
Renal Failure W Mcc | 11 | 184 / 22 | $25.945,10 | 517 / 9 | $12.610,50 | 1553 / 27 | $10.474,50 | 1551 / 26 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 11 | 185 / 22 | $65.011,30 | 565 / 9 | $15.477,10 | 973 / 20 | $12.372,20 | 966 / 18 |
Hypertension W/O Mcc | 11 | 54 / 9 | $18.662,00 | 363 / 5 | $5.411,55 | 521 / 8 | $3.868,91 | 519 / 8 | Total 43 procedures | 996 | 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.