Hospital Costs > In Louisiana > Our Lady Of Lourdes Regional Medical Center, Inc, 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 | 235 | 329 / 6 | $41.561,50 | 852 / 14 | $12.211,40 | 152 / 19 | $9.544,52 | 152 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 154 | 362 / 12 | $37.235,20 | 1168 / 29 | $10.649,50 | 411 / 18 | $9.363,41 | 411 / 17 |
Kidney & Urinary Tract Infections W/O Mcc | 114 | 119 / 6 | $14.497,40 | 859 / 25 | $4.367,80 | 333 / 6 | $3.477,06 | 333 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 112 | 163 / 4 | $15.132,10 | 773 / 22 | $4.254,18 | 337 / 4 | $3.274,91 | 336 / 6 |
Heart Failure & Shock W Cc | 97 | 181 / 12 | $16.457,00 | 740 / 23 | $5.472,93 | 271 / 7 | $4.649,82 | 271 / 9 |
Simple Pneumonia & Pleurisy W Cc | 95 | 108 / 6 | $21.217,80 | 1270 / 30 | $5.459,37 | 236 / 7 | $4.382,00 | 236 / 5 |
Renal Failure W Mcc | 91 | 104 / 7 | $27.560,40 | 612 / 12 | $9.126,97 | 158 / 16 | $7.458,22 | 158 / 4 |
G.I. Hemorrhage W Cc | 88 | 130 / 7 | $20.313,50 | 771 / 11 | $5.718,75 | 261 / 7 | $4.658,88 | 261 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 79 | 87 / 4 | $11.856,50 | 532 / 17 | $4.133,81 | 180 / 6 | $2.976,71 | 180 / 4 |
Heart Failure & Shock W Mcc | 79 | 205 / 17 | $29.706,10 | 1062 / 21 | $8.092,62 | 187 / 5 | $7.214,59 | 187 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 77 | 105 / 8 | $25.068,50 | 800 / 14 | $6.489,56 | 181 / 15 | $4.791,94 | 181 / 7 |
Renal Failure W Cc | 72 | 149 / 15 | $20.747,20 | 1052 / 20 | $5.820,56 | 112 / 13 | $4.217,51 | 112 / 4 |
Cellulitis W/O Mcc | 60 | 129 / 10 | $14.829,30 | 837 / 26 | $4.802,13 | 247 / 8 | $3.629,58 | 245 / 7 |
Kidney & Urinary Tract Infections W Mcc | 58 | 86 / 4 | $22.529,00 | 746 / 16 | $6.154,88 | 283 / 2 | $5.396,81 | 282 / 5 |
Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 12 | $26.963,10 | 834 / 13 | $7.977,58 | 319 / 7 | $7.062,35 | 319 / 8 |
Heart Failure & Shock W/O Cc/Mcc | 57 | 53 / 5 | $12.002,60 | 469 / 12 | $3.817,84 | 286 / 5 | $3.075,67 | 284 / 10 |
Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 14 | $21.792,90 | 886 / 15 | $6.373,42 | 123 / 5 | $5.227,94 | 123 / 3 |
Hip & Femur Procedures Except Major Joint W Cc | 51 | 92 / 7 | $39.467,40 | 613 / 7 | $10.239,20 | 83 / 3 | $9.149,31 | 83 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 51 | 75 / 5 | $17.460,40 | 277 / 5 | $6.269,33 | 134 / 4 | $5.385,69 | 133 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 51 | 117 / 6 | $39.597,60 | 682 / 11 | $10.092,40 | 451 / 8 | $9.219,55 | 450 / 12 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 50 | 81 / 7 | $48.667,00 | 579 / 15 | $12.982,90 | 302 / 11 | $11.900,70 | 299 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 49 | 53 / 4 | $18.622,30 | 480 / 12 | $5.347,51 | 263 / 20 | $3.314,24 | 261 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 49 | 158 / 13 | $18.894,90 | 676 / 14 | $5.925,78 | 133 / 5 | $4.718,14 | 133 / 5 |
Spinal Fusion Except Cervical W/O Mcc | 49 | 145 / 8 | $73.482,70 | 425 / 3 | $22.058,20 | 169 / 5 | $19.662,10 | 168 / 10 |
Respiratory Infections & Inflammations W Mcc | 47 | 89 / 3 | $40.077,00 | 790 / 14 | $10.772,40 | 232 / 7 | $9.850,53 | 232 / 8 |
Seizures W/O Mcc | 44 | 64 / 4 | $16.700,10 | 353 / 6 | $4.848,34 | 72 / 7 | $3.218,66 | 72 / 1 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 43 | 77 / 7 | $14.493,50 | 728 / 21 | $4.058,67 | 178 / 3 | $2.981,63 | 178 / 3 |
Pulmonary Edema & Respiratory Failure | 42 | 161 / 13 | $24.754,70 | 715 / 11 | $7.097,69 | 84 / 4 | $5.632,98 | 84 / 1 |
Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 13 | $19.794,60 | 978 / 20 | $5.370,73 | 136 / 9 | $4.070,95 | 136 / 3 |
G.I. Obstruction W/O Cc/Mcc | 38 | 33 / 1 | $12.022,50 | 281 / 5 | $3.983,32 | 39 / 5 | $2.128,00 | 39 / 1 |
Other Digestive System Diagnoses W Cc | 38 | 59 / 3 | $16.704,00 | 228 / 5 | $5.598,61 | 222 / 3 | $4.714,95 | 220 / 1 |
Medical Back Problems W/O Mcc | 37 | 84 / 4 | $16.185,80 | 284 / 3 | $5.092,70 | 16 / 3 | $3.227,57 | 16 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 36 | 57 / 11 | $16.743,80 | 904 / 20 | $4.082,58 | 192 / 4 | $2.883,64 | 190 / 5 |
Extracranial Procedures W/O Cc/Mcc | 36 | 62 / 8 | $30.997,60 | 469 / 11 | $6.365,56 | 60 / 8 | $4.493,14 | 60 / 5 |
O.R. Procedures For Obesity W/O Cc/Mcc | 35 | 42 / 3 | $42.385,00 | 200 / 3 | $8.536,17 | 53 / 2 | $7.363,14 | 53 / 4 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 12 | $10.760,90 | 423 / 11 | $3.401,11 | 249 / 6 | $2.200,31 | 247 / 5 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 34 | 62 / 3 | $46.194,90 | 268 / 4 | $12.912,80 | 64 / 4 | $10.091,30 | 64 / 3 |
Major Cardiovasc Procedures W/O Mcc | 33 | 68 / 4 | $96.928,70 | 552 / 10 | $20.972,90 | 461 / 12 | $19.947,00 | 461 / 15 |
Red Blood Cell Disorders W/O Mcc | 33 | 110 / 17 | $17.630,40 | 685 / 22 | $4.609,39 | 153 / 5 | $3.528,61 | 153 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 13 | $14.154,40 | 433 / 9 | $4.655,50 | 195 / 7 | $3.463,41 | 195 / 6 |
Major Small & Large Bowel Procedures W Cc | 32 | 76 / 6 | $55.755,90 | 550 / 8 | $16.065,90 | 72 / 17 | $11.705,50 | 72 / 9 |
G.I. Hemorrhage W Mcc | 31 | 90 / 10 | $34.340,20 | 478 / 11 | $9.492,03 | 158 / 4 | $8.712,68 | 158 / 5 |
Syncope & Collapse | 30 | 139 / 11 | $14.800,60 | 376 / 5 | $4.239,80 | 114 / 6 | $3.006,80 | 114 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 19 | $64.181,30 | 544 / 11 | $14.287,70 | 193 / 26 | $9.793,66 | 193 / 10 |
G.I. Obstruction W Cc | 28 | 64 / 7 | $19.872,90 | 647 / 11 | $4.945,89 | 216 / 3 | $4.081,89 | 215 / 3 |
Other Circulatory System Diagnoses W Mcc | 26 | 90 / 9 | $37.643,30 | 422 / 10 | $10.296,50 | 204 / 4 | $9.585,77 | 204 / 9 |
Bronchitis & Asthma W Cc/Mcc | 26 | 50 / 4 | $17.830,80 | 301 / 6 | $4.887,35 | 119 / 1 | $3.856,58 | 118 / 2 |
Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 5 | $101.431,00 | 395 / 7 | $30.811,00 | 359 / 13 | $28.139,60 | 357 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 14 | $26.807,00 | 778 / 16 | $7.611,24 | 785 / 19 | $6.786,92 | 782 / 17 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 9 | $90.153,20 | 369 / 7 | $30.718,80 | 253 / 17 | $27.388,60 | 253 / 16 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 23 | 33 / 3 | $36.590,90 | 334 / 6 | $9.405,74 | 31 / 8 | $7.263,57 | 31 / 2 |
Signs & Symptoms W/O Mcc | 22 | 69 / 7 | $14.421,00 | 297 / 4 | $3.924,27 | 293 / 2 | $3.374,45 | 292 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 22 | 25 / 3 | $29.020,60 | 141 / 2 | $6.708,59 | 104 / 1 | $5.659,86 | 104 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 4 | $21.750,40 | 344 / 6 | $6.409,14 | 145 / 5 | $5.731,81 | 145 / 5 |
Diabetes W Cc | 21 | 71 / 11 | $19.957,50 | 696 / 15 | $5.305,62 | 392 / 12 | $4.134,48 | 392 / 7 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 20 | 44 / 5 | $36.048,60 | 235 / 4 | $8.654,65 | 134 / 4 | $7.752,25 | 134 / 8 |
Peripheral Vascular Disorders W Cc | 20 | 64 / 7 | $12.743,20 | 101 / 3 | $5.144,90 | 101 / 1 | $4.399,80 | 101 / 2 |
Renal Failure W/O Cc/Mcc | 20 | 36 / 5 | $11.744,00 | 202 / 6 | $3.748,05 | 46 / 5 | $2.465,60 | 46 / 2 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 20 | 71 / 2 | $27.681,20 | 138 / 3 | $6.532,60 | 20 / 1 | $5.556,95 | 20 / 1 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 5 | $37.480,90 | 573 / 8 | $7.669,63 | 582 / 8 | $6.713,05 | 582 / 9 |
Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 11 | $62.871,80 | 497 / 11 | $13.672,30 | 458 / 9 | $12.464,70 | 456 / 15 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 5 | $40.585,20 | 327 / 8 | $10.896,80 | 306 / 7 | $10.125,30 | 305 / 9 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 22 | $35.226,40 | 769 / 21 | $6.445,94 | 51 / 7 | $4.569,67 | 51 / 4 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 5 | $37.141,10 | 210 / 5 | $10.250,30 | 16 / 8 | $6.992,06 | 16 / 1 |
Seizures W Mcc | 18 | 48 / 6 | $26.846,10 | 122 / 3 | $8.994,61 | 26 / 4 | $6.960,33 | 26 / 1 |
Transient Ischemia | 18 | 107 / 12 | $16.807,00 | 401 / 6 | $4.447,11 | 115 / 7 | $2.829,50 | 115 / 3 |
Medical Back Problems W Mcc | 17 | 22 / 2 | $37.926,10 | 124 / 3 | $10.717,80 | 72 / 3 | $8.438,24 | 72 / 3 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 8 | $21.469,60 | 465 / 4 | $5.850,12 | 84 / 3 | $4.262,88 | 84 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 17 | 39 / 4 | $35.372,60 | 222 / 4 | $10.146,10 | 36 / 1 | $9.156,41 | 36 / 1 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 12 | $27.548,00 | 590 / 15 | $7.308,88 | 192 / 2 | $6.744,18 | 191 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 12 | $17.162,20 | 116 / 3 | $6.545,19 | 78 / 1 | $5.616,69 | 78 / 2 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 10 | $27.434,40 | 315 / 6 | $8.293,75 | 112 / 1 | $7.611,81 | 112 / 2 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 16 | 30 / 1 | $13.826,20 | 58 / 1 | $4.224,31 | 40 / 2 | $2.800,19 | 40 / 1 |
Stomach, Esophageal & Duodenal Proc W Cc | 16 | 34 / 4 | $65.202,00 | 96 / 2 | $18.839,00 | 9 / 3 | $12.345,20 | 9 / 1 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 3 | $11.911,30 | 65 / 1 | $4.558,67 | 66 / 4 | $2.749,87 | 66 / 2 |
Respiratory Neoplasms W Cc | 15 | 32 / 4 | $27.295,00 | 159 / 3 | $6.767,67 | 7 / 2 | $5.008,73 | 7 / 1 |
Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 8 | $18.060,10 | 162 / 4 | $5.383,20 | 56 / 1 | $4.313,13 | 56 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 15 | 51 / 4 | $19.980,30 | 77 / 4 | $6.089,80 | 60 / 1 | $5.364,47 | 60 / 1 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 11 | $14.098,70 | 281 / 3 | $3.971,73 | 195 / 2 | $3.171,73 | 194 / 9 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 5 | $45.259,20 | 212 / 5 | $10.737,40 | 84 / 1 | $9.704,21 | 84 / 1 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 3 | $54.395,60 | 167 / 4 | $14.040,30 | 85 / 3 | $12.828,90 | 85 / 3 |
Hypertension W/O Mcc | 14 | 51 / 7 | $11.481,90 | 97 / 3 | $3.879,64 | 29 / 5 | $2.306,14 | 29 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 9 | $88.859,60 | 144 / 5 | $26.130,50 | 126 / 4 | $25.785,40 | 126 / 7 |
Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 4 | $12.410,20 | 79 / 2 | $3.702,92 | 74 / 2 | $2.772,46 | 74 / 4 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 11 | $92.037,90 | 188 / 6 | $25.120,20 | 28 / 2 | $24.336,20 | 28 / 3 |
Peritoneal Adhesiolysis W Cc | 13 | 26 / 3 | $45.389,10 | 60 / 1 | $16.191,60 | 1 / 4 | $8.898,00 | 1 / 1 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 6 | $9.926,38 | 79 / 1 | $3.962,15 | 187 / 1 | $3.221,23 | 188 / 3 |
O.R. Procedures For Obesity W Cc | 13 | 21 / 1 | $58.011,80 | 66 / 2 | $14.530,50 | 19 / 2 | $9.512,54 | 19 / 2 |
G.I. Obstruction W Mcc | 13 | 29 / 4 | $31.932,50 | 156 / 6 | $8.878,69 | 29 / 1 | $7.763,62 | 29 / 2 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 2 | $15.423,20 | 209 / 2 | $4.300,38 | 44 / 1 | $3.016,00 | 44 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 6 | $18.522,10 | 250 / 3 | $5.112,77 | 223 / 1 | $4.558,92 | 223 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 6 | $8.592,50 | 51 / 3 | $3.950,83 | 36 / 1 | $2.592,33 | 36 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 12 | 39 / 3 | $37.819,30 | 81 / 1 | $10.694,00 | 13 / 1 | $9.592,58 | 13 / 2 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 12 | 30 / 3 | $118.127,00 | 48 / 2 | $33.008,70 | 43 / 1 | $31.894,00 | 43 / 1 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 12 | 20 / 1 | $46.228,20 | 29 / 2 | $13.115,80 | 2 / 2 | $9.839,92 | 2 / 1 |
Respiratory Signs & Symptoms | 12 | 34 / 4 | $13.203,00 | 36 / 1 | $4.264,17 | 17 / 2 | $2.769,42 | 17 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 9 | $72.690,80 | 408 / 8 | $23.305,10 | 205 / 13 | $16.854,50 | 204 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 12 | $83.819,20 | 321 / 6 | $19.286,50 | 346 / 8 | $18.278,60 | 344 / 13 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 11 | $49.170,60 | 305 / 8 | $11.270,20 | 73 / 1 | $10.262,20 | 73 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 18 | $35.295,60 | 630 / 9 | $9.385,42 | 226 / 5 | $8.374,75 | 226 / 7 |
Respiratory Neoplasms W Mcc | 11 | 41 / 8 | $24.414,90 | 63 / 2 | $9.186,45 | 38 / 1 | $8.305,00 | 38 / 1 |
Other Resp System O.R. Procedures W Cc | 11 | 36 / 3 | $38.815,60 | 73 / 1 | $12.026,30 | 4 / 3 | $8.855,45 | 4 / 1 |
Major Chest Procedures W Cc | 11 | 63 / 4 | $61.227,70 | 205 / 4 | $16.891,70 | 87 / 4 | $13.141,00 | 87 / 4 |
Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 9 | $42.029,30 | 208 / 5 | $13.270,70 | 17 / 11 | $7.607,64 | 17 / 3 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 4 | $45.720,60 | 232 / 3 | $10.209,40 | 125 / 3 | $9.232,55 | 125 / 3 |
Cellulitis W Mcc | 11 | 47 / 10 | $80.588,80 | 912 / 16 | $19.566,60 | 962 / 17 | $18.906,30 | 960 / 17 |
Non-Extensive Burns | 11 | 18 / 1 | $45.024,80 | 19 / 1 | $8.888,09 | 5 / 1 | $8.012,45 | 5 / 1 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 6 | $83.261,50 | 110 / 3 | $23.276,80 | 44 / 1 | $22.456,50 | 44 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 6 | $65.031,70 | 206 / 6 | $16.875,60 | 314 / 9 | $16.107,60 | 313 / 10 | Total 109 procedures | 3.699 | 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.