Hospital Costs > In Indiana > Parkview Whitley Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 13 | 176 / 41 | $11.414,40 | 410 / 7 | $5.776,92 | 1675 / 49 | $4.940,00 | 1668 / 62 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 40 | $14.810,10 | 497 / 13 | $6.579,64 | 1189 / 57 | $5.144,91 | 1185 / 48 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 51 | $21.914,10 | 893 / 27 | $8.343,92 | 991 / 63 | $6.228,69 | 986 / 35 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 30 | $13.352,10 | 589 / 14 | $5.590,16 | 255 / 53 | $3.097,79 | 255 / 7 |
| Heart Failure & Shock W Mcc | 11 | 273 / 55 | $26.205,40 | 840 / 28 | $9.637,55 | 1208 / 49 | $8.590,27 | 1205 / 46 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 53 | $13.296,10 | 682 / 14 | $5.406,36 | 1700 / 55 | $4.549,21 | 1689 / 61 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 40 | $16.067,20 | 694 / 16 | $6.640,08 | 1617 / 52 | $5.628,88 | 1610 / 60 | Total 7 procedures | 117 | 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.