Hospital Costs > In Indiana > Orthopaedic Hospital At Parkview North Llc, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 462 | 147 / 5 | $70.737,70 | 2013 / 61 | $14.033,50 | 112 / 47 | $9.404,49 | 112 / 3 |
Spinal Fusion Except Cervical W/O Mcc | 56 | 138 / 12 | $115.587,00 | 899 / 24 | $27.508,60 | 47 / 23 | $18.111,80 | 47 / 1 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 51 | 45 / 1 | $83.536,30 | 675 / 17 | $12.344,40 | 102 / 3 | $10.484,20 | 102 / 4 |
Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 10 | $61.719,10 | 480 / 12 | $11.966,00 | 157 / 1 | $10.812,40 | 157 / 4 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 17 | 46 / 6 | $107.096,00 | 182 / 7 | $24.666,20 | 22 / 8 | $16.081,80 | 22 / 2 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 6 | $88.236,40 | 373 / 8 | $13.180,80 | 33 / 1 | $11.970,30 | 33 / 1 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 10 | $76.131,00 | 305 / 10 | $18.204,60 | 23 / 11 | $12.378,90 | 23 / 1 | Total 7 procedures | 633 | 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.