Hospital Costs > In Oklahoma > Oklahoma Surgical Hospital, Llc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 8 | $19.794,30 | 9 / 1 | $11.561,80 | 19 / 2 | $9.279,28 | 19 / 1 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 12 | 28 / 4 | $22.588,80 | 5 / 1 | $7.589,00 | 9 / 1 | $6.482,33 | 9 / 1 |
| Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 13 | 10 / 1 | $22.083,10 | 8 / 1 | $6.449,00 | 7 / 1 | $5.237,92 | 7 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 29 | 67 / 4 | $35.344,60 | 101 / 2 | $11.352,10 | 37 / 1 | $9.742,52 | 37 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 660 | 65 / 2 | $29.363,40 | 199 / 6 | $11.083,20 | 19 / 2 | $8.647,81 | 19 / 3 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 47 | 30 / 1 | $18.236,60 | 11 / 1 | $6.708,55 | 18 / 1 | $5.092,30 | 18 / 1 |
| Major Small & Large Bowel Procedures W Cc | 33 | 75 / 6 | $29.372,80 | 50 / 1 | $12.348,70 | 11 / 1 | $10.817,00 | 11 / 1 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 50 | 15 / 2 | $27.828,60 | 95 / 1 | $8.245,88 | 13 / 1 | $6.541,26 | 13 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 31 | 38 / 2 | $40.888,20 | 50 / 1 | $14.173,30 | 11 / 1 | $12.058,80 | 11 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 132 | 65 / 2 | $29.792,40 | 9 / 1 | $20.457,30 | 51 / 4 | $18.186,80 | 51 / 3 | Total 10 procedures | 1.032 | 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.