Hospital Costs > In Kentucky > Our Lady Of Bellefonte Hospital, 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 | 331 | 188 / 6 | $36.797,60 | 1137 / 35 | $13.026,40 | 617 / 55 | $9.685,65 | 616 / 22 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 207 | 357 / 12 | $50.394,10 | 1309 / 28 | $12.203,70 | 594 / 12 | $10.464,50 | 588 / 16 |
Heart Failure & Shock W Mcc | 86 | 198 / 16 | $27.826,00 | 964 / 28 | $8.996,15 | 915 / 29 | $8.171,81 | 914 / 37 |
Heart Failure & Shock W Cc | 68 | 210 / 16 | $17.281,70 | 845 / 19 | $5.963,62 | 747 / 20 | $5.102,47 | 746 / 23 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 10 | $21.834,50 | 954 / 26 | $6.411,92 | 602 / 18 | $5.319,95 | 600 / 22 |
Respiratory Infections & Inflammations W Mcc | 58 | 78 / 5 | $34.748,50 | 581 / 23 | $10.791,40 | 237 / 9 | $9.860,64 | 237 / 11 |
Pulmonary Edema & Respiratory Failure | 56 | 147 / 21 | $21.162,70 | 476 / 15 | $7.275,05 | 438 / 19 | $6.277,64 | 438 / 16 |
Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 23 | $24.083,60 | 641 / 20 | $8.576,21 | 571 / 19 | $7.404,36 | 571 / 20 |
Renal Failure W Mcc | 55 | 140 / 15 | $33.574,20 | 982 / 31 | $9.201,20 | 571 / 21 | $8.160,51 | 571 / 23 |
G.I. Hemorrhage W Cc | 48 | 170 / 15 | $21.126,50 | 852 / 26 | $5.985,83 | 568 / 18 | $4.967,73 | 567 / 20 |
Renal Failure W Cc | 47 | 174 / 21 | $16.908,30 | 662 / 18 | $5.867,34 | 734 / 15 | $4.943,89 | 727 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 27 | $17.545,20 | 1070 / 36 | $4.633,91 | 811 / 18 | $3.638,00 | 806 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 43 | 118 / 16 | $17.131,70 | 762 / 26 | $4.906,37 | 543 / 17 | $3.856,35 | 541 / 16 |
Cellulitis W/O Mcc | 39 | 150 / 17 | $15.840,70 | 974 / 33 | $5.050,59 | 470 / 11 | $3.857,15 | 467 / 13 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 37 | 87 / 6 | $12.515,10 | 222 / 8 | $4.347,14 | 117 / 2 | $3.278,22 | 117 / 2 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 36 | 152 / 15 | $28.559,70 | 449 / 14 | $6.526,19 | 514 / 8 | $5.471,06 | 512 / 16 |
Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 28 | $18.648,80 | 616 / 20 | $6.948,89 | 583 / 17 | $5.854,36 | 582 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 14 | $34.069,70 | 1129 / 28 | $7.730,49 | 883 / 19 | $6.944,83 | 880 / 27 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 15 | $10.964,40 | 451 / 14 | $3.581,18 | 505 / 12 | $2.444,18 | 501 / 13 |
Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 26 | $15.257,60 | 536 / 18 | $5.633,52 | 626 / 14 | $4.656,26 | 624 / 21 |
Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 13 | $12.207,20 | 500 / 17 | $4.248,42 | 444 / 17 | $3.253,58 | 442 / 15 |
Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 32 | $14.603,20 | 876 / 25 | $4.747,90 | 637 / 19 | $3.715,74 | 634 / 21 |
Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 16 | $50.363,00 | 1058 / 26 | $10.976,30 | 360 / 9 | $9.847,57 | 359 / 13 |
Syncope & Collapse | 28 | 141 / 19 | $16.231,30 | 505 / 17 | $4.533,39 | 538 / 12 | $3.586,89 | 536 / 16 |
Psychoses | 28 | 248 / 13 | $15.861,50 | 204 / 10 | $6.099,64 | 68 / 2 | $4.921,46 | 68 / 2 |
Respiratory Infections & Inflammations W Cc | 28 | 60 / 8 | $26.387,50 | 535 / 18 | $8.027,00 | 405 / 11 | $7.169,29 | 402 / 14 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 17 | $31.129,30 | 481 / 13 | $9.508,75 | 273 / 9 | $8.486,50 | 273 / 10 |
Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 17 | $18.281,90 | 452 / 10 | $6.616,16 | 357 / 13 | $5.511,76 | 356 / 11 |
Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 40 | $17.051,90 | 804 / 26 | $5.853,76 | 543 / 16 | $4.680,24 | 540 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 25 | $13.325,30 | 733 / 33 | $4.365,12 | 717 / 19 | $3.466,56 | 715 / 24 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 15 | $113.292,00 | 661 / 16 | $29.734,30 | 374 / 9 | $28.478,20 | 374 / 11 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 17 | $15.069,90 | 460 / 16 | $4.904,04 | 549 / 12 | $4.034,74 | 547 / 17 |
Chest Pain | 21 | 130 / 20 | $14.142,30 | 415 / 13 | $3.859,76 | 397 / 13 | $2.827,00 | 396 / 13 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 7 | $14.342,70 | 123 / 3 | $4.766,90 | 97 / 6 | $3.316,00 | 97 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 21 | $18.971,50 | 412 / 10 | $6.499,05 | 634 / 13 | $5.363,65 | 633 / 14 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 31 | $12.325,80 | 477 / 20 | $4.487,42 | 647 / 17 | $3.441,11 | 646 / 26 |
Nonspecific Cerebrovascular Disorders W Mcc | 19 | 32 / 2 | $22.598,70 | 47 / 2 | $9.438,11 | 74 / 3 | $8.606,95 | 74 / 5 |
G.I. Hemorrhage W Mcc | 18 | 103 / 18 | $31.174,30 | 359 / 10 | $9.726,94 | 198 / 5 | $8.883,44 | 198 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 10 | $71.386,80 | 390 / 13 | $17.053,00 | 96 / 6 | $15.872,50 | 96 / 6 |
G.I. Obstruction W Cc | 17 | 75 / 17 | $18.035,80 | 511 / 20 | $5.483,18 | 351 / 10 | $4.277,76 | 350 / 9 |
Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 17 | $21.973,10 | 376 / 11 | $6.010,82 | 324 / 6 | $5.186,35 | 323 / 10 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 24 | $16.495,10 | 884 / 39 | $4.446,75 | 449 / 21 | $3.193,12 | 447 / 19 |
Cellulitis W Mcc | 16 | 42 / 8 | $52.831,60 | 751 / 15 | $11.847,10 | 782 / 14 | $10.758,20 | 780 / 14 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 27 | $38.091,80 | 282 / 10 | $12.830,00 | 238 / 10 | $11.692,10 | 236 / 9 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 12 | $12.904,40 | 358 / 13 | $3.879,36 | 417 / 8 | $2.861,93 | 416 / 12 |
Transient Ischemia | 14 | 111 / 21 | $12.872,90 | 172 / 5 | $4.373,57 | 328 / 8 | $3.185,07 | 328 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 21 | $17.252,80 | 259 / 11 | $6.525,15 | 212 / 7 | $5.555,31 | 210 / 6 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 11 | $92.666,70 | 140 / 5 | $32.712,10 | 180 / 4 | $31.468,40 | 180 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 20 | $16.243,90 | 323 / 6 | $5.046,50 | 224 / 13 | $3.241,33 | 222 / 6 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 15 | $22.422,40 | 221 / 9 | $6.732,17 | 60 / 2 | $5.879,42 | 60 / 1 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 13 | $14.818,10 | 356 / 15 | $3.983,92 | 180 / 6 | $2.887,08 | 179 / 5 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 18 | $66.112,40 | 776 / 26 | $14.804,20 | 523 / 9 | $13.685,40 | 517 / 17 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 13 | $53.758,20 | 826 / 20 | $15.738,80 | 4 / 19 | $7.793,75 | 4 / 1 |
Signs & Symptoms W/O Mcc | 12 | 79 / 16 | $12.400,20 | 196 / 6 | $4.197,67 | 155 / 7 | $3.121,67 | 155 / 5 |
Pulmonary Embolism W Mcc | 11 | 32 / 7 | $26.001,90 | 107 / 2 | $8.217,09 | 44 / 3 | $7.213,27 | 44 / 2 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 15 | $15.087,70 | 184 / 4 | $5.571,82 | 127 / 2 | $4.473,64 | 127 / 5 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 6 | $17.956,70 | 93 / 6 | $5.967,64 | 52 / 4 | $4.620,00 | 52 / 4 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 11 | $62.956,50 | 513 / 8 | $12.722,40 | 302 / 3 | $11.571,90 | 299 / 6 | Total 58 procedures | 2.116 | 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.