Hospital Costs > In Oklahoma > Pauls Valley General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 31 | $10.406,10 | 244 / 16 | $4.750,22 | 830 / 25 | $3.651,56 | 825 / 23 |
| Heart Failure & Shock W Cc | 16 | 262 / 33 | $11.939,60 | 263 / 11 | $6.149,44 | 1013 / 24 | $5.302,19 | 1011 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 43 | $11.917,90 | 502 / 23 | $4.900,17 | 1515 / 27 | $4.363,50 | 1504 / 47 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 27 | $8.040,50 | 149 / 8 | $4.350,21 | 520 / 19 | $3.319,93 | 518 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 49 | $18.251,40 | 187 / 13 | $11.128,60 | 594 / 34 | $9.660,88 | 593 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 32 | $12.521,90 | 179 / 12 | $6.711,00 | 1126 / 31 | $5.782,64 | 1122 / 32 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 15 | $12.851,10 | 340 / 15 | $6.026,04 | 968 / 28 | $5.052,53 | 965 / 32 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 14 | $11.566,70 | 376 / 14 | $4.527,86 | 763 / 18 | $3.465,00 | 759 / 22 | Total 8 procedures | 153 | 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.