Hospital Costs > In Kentucky > Paul B Hall Regional Medical Center, 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 | 56 | 460 / 33 | $111.975,00 | 2718 / 59 | $10.749,70 | 942 / 24 | $10.114,50 | 937 / 36 |
| Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 23 | $83.288,10 | 2369 / 55 | $8.248,89 | 739 / 13 | $7.602,04 | 739 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 21 | $70.304,80 | 2448 / 60 | $7.073,26 | 992 / 22 | $6.231,48 | 987 / 39 |
| Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 29 | $71.597,40 | 2774 / 65 | $6.108,87 | 1464 / 34 | $5.476,52 | 1458 / 53 |
| Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 25 | $50.732,80 | 2256 / 58 | $5.682,64 | 808 / 19 | $4.803,12 | 805 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 31 | $49.298,40 | 2638 / 60 | $5.146,88 | 1297 / 35 | $4.164,97 | 1288 / 44 |
| Heart Failure & Shock W Mcc | 27 | 257 / 37 | $99.776,30 | 2566 / 57 | $8.520,37 | 790 / 15 | $8.037,41 | 790 / 30 |
| G.I. Hemorrhage W Cc | 20 | 198 / 32 | $66.537,20 | 2357 / 51 | $6.296,80 | 1026 / 29 | $5.391,20 | 1024 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 40 | $49.784,60 | 2640 / 57 | $4.957,53 | 1078 / 30 | $3.810,58 | 1070 / 38 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 26 | $67.723,80 | 1875 / 39 | $6.651,56 | 894 / 14 | $6.218,56 | 892 / 28 |
| Cellulitis W/O Mcc | 16 | 173 / 33 | $75.821,90 | 2636 / 58 | $5.488,00 | 1199 / 33 | $4.428,00 | 1193 / 43 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 35 | $48.734,20 | 2043 / 57 | $4.809,57 | 1044 / 32 | $3.776,43 | 1035 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 16 | $55.690,30 | 1228 / 25 | $7.095,00 | 408 / 8 | $6.442,69 | 406 / 17 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 23 | $88.378,90 | 1574 / 39 | $10.328,20 | 315 / 5 | $10.047,50 | 315 / 17 |
| Heart Failure & Shock W Cc | 12 | 266 / 43 | $78.040,50 | 2745 / 57 | $6.093,83 | 996 / 26 | $5.291,17 | 994 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 29 | $40.096,60 | 1925 / 42 | $3.961,00 | 1053 / 24 | $2.865,00 | 1048 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 25 | $104.578,00 | 1899 / 35 | $7.149,45 | 732 / 7 | $6.707,27 | 729 / 21 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 26 | $43.203,50 | 1813 / 45 | $5.259,64 | 1057 / 28 | $4.596,36 | 1050 / 36 | Total 18 procedures | 461 | 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.