Hospital Costs > In Arkansas > Ouachita County Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 8 | $7.040,82 | 57 / 3 | $4.214,09 | 212 / 3 | $3.559,55 | 212 / 6 |
Cellulitis W/O Mcc | 19 | 170 / 23 | $9.943,84 | 236 / 7 | $5.023,05 | 299 / 18 | $3.690,95 | 296 / 8 |
Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 22 | $14.302,10 | 453 / 13 | $5.686,89 | 260 / 19 | $4.268,44 | 260 / 9 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 31 | $18.081,60 | 571 / 16 | $6.900,00 | 620 / 22 | $5.886,67 | 618 / 23 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 14 | $12.182,00 | 465 / 16 | $4.451,29 | 387 / 15 | $3.221,00 | 386 / 15 |
Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 2 | $17.776,70 | 152 / 3 | $6.023,38 | 175 / 4 | $4.880,52 | 175 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 27 | $11.976,50 | 392 / 13 | $4.561,24 | 911 / 17 | $3.701,81 | 906 / 27 |
Heart Failure & Shock W Cc | 20 | 258 / 29 | $13.261,00 | 390 / 10 | $5.924,85 | 645 / 20 | $5.024,05 | 644 / 21 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 18 | $9.355,19 | 209 / 9 | $4.186,38 | 744 / 18 | $3.506,38 | 740 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 29 | $9.923,65 | 289 / 9 | $4.724,65 | 1082 / 22 | $4.013,12 | 1074 / 29 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 26 | $24.316,00 | 67 / 4 | $12.370,80 | 1110 / 18 | $11.232,80 | 1085 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 27 | $9.233,23 | 240 / 12 | $4.393,15 | 625 / 20 | $3.396,08 | 623 / 19 |
Psychoses | 15 | 260 / 11 | $19.042,90 | 302 / 8 | $6.030,80 | 76 / 6 | $4.987,60 | 76 / 6 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 25 | $19.806,50 | 396 / 10 | $6.947,00 | 250 / 12 | $6.019,08 | 250 / 10 |
Renal Failure W Cc | 15 | 206 / 22 | $18.366,70 | 812 / 17 | $7.107,47 | 1787 / 29 | $6.380,00 | 1777 / 30 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 33 | $24.810,90 | 517 / 14 | $10.880,90 | 854 / 25 | $9.993,42 | 853 / 28 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 25 | $17.577,40 | 570 / 13 | $6.286,29 | 868 / 14 | $5.544,19 | 866 / 23 |
Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 24 | $16.081,80 | 695 / 18 | $5.875,50 | 650 / 25 | $4.778,15 | 647 / 24 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 17 | $12.152,50 | 427 / 12 | $4.503,50 | 200 / 19 | $2.901,83 | 198 / 7 | Total 19 procedures | 356 | 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.