Hospital Costs > In Louisiana > Opelousas General Health System, 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 | 129 | 387 / 18 | $33.358,70 | 965 / 22 | $10.981,90 | 962 / 31 | $10.140,80 | 955 / 31 |
| Heart Failure & Shock W Mcc | 120 | 164 / 8 | $22.383,00 | 558 / 12 | $8.723,13 | 841 / 24 | $8.097,93 | 841 / 31 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 118 | 446 / 18 | $40.118,20 | 764 / 10 | $12.721,90 | 1128 / 27 | $11.263,60 | 1103 / 37 |
| Simple Pneumonia & Pleurisy W Mcc | 69 | 136 / 7 | $25.395,20 | 730 / 12 | $8.688,01 | 720 / 22 | $7.583,58 | 720 / 20 |
| Heart Failure & Shock W Cc | 69 | 209 / 18 | $17.696,80 | 895 / 27 | $6.271,41 | 1274 / 30 | $5.526,13 | 1270 / 39 |
| Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 14 | $20.393,10 | 1165 / 25 | $6.281,95 | 1326 / 27 | $5.334,70 | 1321 / 33 |
| Renal Failure W Mcc | 62 | 133 / 12 | $26.577,80 | 551 / 9 | $9.286,74 | 760 / 20 | $8.477,45 | 760 / 26 |
| Red Blood Cell Disorders W/O Mcc | 59 | 84 / 7 | $13.984,30 | 352 / 14 | $5.377,24 | 997 / 21 | $4.517,58 | 991 / 28 |
| Renal Failure W Cc | 56 | 165 / 20 | $16.154,60 | 581 / 10 | $6.243,75 | 1096 / 20 | $5.284,09 | 1088 / 21 |
| Spinal Fusion Except Cervical W/O Mcc | 56 | 138 / 6 | $81.787,10 | 550 / 7 | $23.467,10 | 375 / 10 | $21.099,90 | 374 / 16 |
| Respiratory Infections & Inflammations W Mcc | 41 | 95 / 5 | $27.614,20 | 317 / 5 | $10.838,10 | 200 / 9 | $9.746,73 | 200 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 19 | $20.762,10 | 789 / 13 | $7.256,30 | 1003 / 28 | $6.246,70 | 998 / 27 |
| G.I. Hemorrhage W Cc | 40 | 178 / 16 | $15.799,40 | 366 / 6 | $6.301,77 | 1004 / 21 | $5.367,38 | 1002 / 25 |
| Cellulitis W/O Mcc | 39 | 150 / 19 | $12.885,70 | 568 / 20 | $5.532,10 | 1222 / 28 | $4.445,74 | 1216 / 31 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 38 | 158 / 16 | $58.436,40 | 419 / 9 | $12.038,10 | 620 / 9 | $10.991,30 | 616 / 24 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 17 | $17.521,50 | 755 / 16 | $5.933,50 | 881 / 21 | $4.855,42 | 878 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 26 | $12.019,70 | 395 / 16 | $5.062,23 | 1499 / 28 | $4.126,91 | 1488 / 39 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 12 | $38.367,80 | 291 / 8 | $13.369,60 | 599 / 15 | $12.703,20 | 591 / 26 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 16 | $39.657,30 | 622 / 8 | $11.845,30 | 710 / 22 | $10.441,10 | 704 / 23 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 16 | $11.902,40 | 409 / 11 | $4.802,03 | 1297 / 22 | $4.039,37 | 1290 / 36 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 29 | 95 / 2 | $12.808,60 | 239 / 3 | $4.561,24 | 301 / 1 | $3.786,21 | 301 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 16 | $28.746,10 | 457 / 12 | $6.949,18 | 757 / 19 | $5.821,68 | 755 / 23 |
| Red Blood Cell Disorders W Mcc | 28 | 43 / 5 | $15.049,60 | 65 / 2 | $7.795,18 | 381 / 9 | $7.059,18 | 379 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 25 | $12.282,50 | 581 / 18 | $4.675,88 | 1393 / 25 | $3.965,12 | 1388 / 35 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 24 | $16.044,60 | 441 / 8 | $6.683,81 | 1052 / 20 | $5.706,58 | 1049 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 16 | $14.799,00 | 495 / 10 | $5.315,96 | 1094 / 21 | $4.387,96 | 1090 / 24 |
| Other Vascular Procedures W Cc | 25 | 77 / 10 | $51.839,20 | 231 / 3 | $14.314,20 | 256 / 3 | $13.685,80 | 255 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 37 | $12.662,00 | 604 / 20 | $5.107,92 | 1134 / 31 | $4.042,96 | 1126 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 14 | $23.917,80 | 581 / 9 | $7.560,96 | 873 / 17 | $6.933,76 | 870 / 22 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 16 | $10.048,00 | 265 / 5 | $4.595,21 | 947 / 23 | $3.685,88 | 939 / 24 |
| G.I. Hemorrhage W Mcc | 24 | 97 / 12 | $32.068,00 | 392 / 10 | $11.490,70 | 839 / 22 | $10.647,30 | 835 / 23 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 17 | $13.118,50 | 563 / 18 | $4.908,96 | 1291 / 25 | $4.055,62 | 1280 / 34 |
| G.I. Obstruction W Cc | 23 | 69 / 10 | $11.818,90 | 108 / 2 | $5.688,61 | 672 / 13 | $4.660,43 | 671 / 14 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 21 | 42 / 4 | $69.560,20 | 62 / 4 | $26.282,30 | 96 / 5 | $25.106,70 | 96 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 18 | $8.887,50 | 224 / 5 | $4.108,25 | 1263 / 22 | $3.113,20 | 1258 / 25 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 14 | $71.337,30 | 182 / 3 | $28.745,20 | 61 / 10 | $24.749,20 | 61 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 23 | $15.600,10 | 288 / 6 | $6.823,06 | 655 / 18 | $5.882,61 | 654 / 18 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 9 | $21.906,10 | 158 / 5 | $9.390,11 | 327 / 6 | $8.452,33 | 327 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 9 | $72.852,20 | 196 / 3 | $18.178,70 | 210 / 6 | $17.236,40 | 209 / 9 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 12 | $23.661,40 | 407 / 7 | $8.295,71 | 579 / 18 | $7.514,53 | 576 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 20 | $21.798,80 | 513 / 9 | $7.396,24 | 886 / 17 | $6.758,12 | 883 / 23 |
| Diabetes W Cc | 17 | 75 / 13 | $12.467,00 | 177 / 4 | $5.438,71 | 684 / 15 | $4.514,47 | 682 / 14 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 11 | $9.508,47 | 113 / 1 | $4.286,18 | 726 / 14 | $3.292,29 | 723 / 16 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 11 | $87.247,20 | 270 / 3 | $32.731,40 | 164 / 17 | $26.038,70 | 164 / 7 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 16 | $32.113,10 | 269 / 6 | $10.423,10 | 91 / 6 | $9.080,29 | 91 / 4 |
| Other Vascular Procedures W Mcc | 14 | 83 / 14 | $80.599,80 | 388 / 9 | $19.522,20 | 283 / 8 | $18.566,80 | 282 / 9 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 10 | $116.002,00 | 352 / 11 | $34.722,60 | 575 / 19 | $34.116,90 | 574 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 9 | $38.327,30 | 129 / 3 | $12.399,60 | 287 / 8 | $11.448,80 | 282 / 12 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 26 | $17.532,90 | 255 / 4 | $7.634,36 | 938 / 16 | $6.854,93 | 938 / 20 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 11 | $18.574,00 | 342 / 7 | $6.222,50 | 555 / 12 | $5.445,36 | 553 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 29 | $19.128,40 | 419 / 6 | $6.163,36 | 494 / 9 | $5.217,07 | 493 / 14 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 10 | $27.841,10 | 763 / 13 | $6.574,69 | 696 / 12 | $5.550,69 | 693 / 13 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 14 | $12.778,40 | 82 / 2 | $6.277,31 | 624 / 13 | $5.440,38 | 621 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 19 | $25.707,20 | 226 / 3 | $10.205,60 | 610 / 11 | $9.646,85 | 609 / 17 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 4 | $22.284,40 | 158 / 1 | $8.321,62 | 273 / 2 | $7.575,77 | 272 / 2 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 12 | $144.122,00 | 483 / 13 | $42.233,80 | 718 / 15 | $41.495,50 | 717 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 17 | $12.324,90 | 110 / 3 | $5.150,67 | 833 / 18 | $4.041,33 | 829 / 18 |
| Transient Ischemia | 12 | 113 / 18 | $13.363,20 | 201 / 4 | $4.817,92 | 868 / 18 | $3.809,92 | 864 / 15 |
| G.I. Obstruction W Mcc | 12 | 30 / 5 | $18.473,90 | 19 / 1 | $9.332,83 | 108 / 3 | $8.527,50 | 108 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 8 | $54.370,80 | 233 / 5 | $17.544,40 | 298 / 8 | $16.544,40 | 295 / 11 |
| Medical Back Problems W/O Mcc | 12 | 109 / 11 | $16.718,10 | 321 / 5 | $5.637,17 | 733 / 9 | $4.629,17 | 730 / 11 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 11 | 29 / 2 | $35.680,00 | 29 / 1 | $11.740,60 | 78 / 2 | $10.862,10 | 78 / 2 | Total 62 procedures | 1.929 | 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.