Hospital Costs > In Arizona > Payson 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 | 107 | 409 / 24 | $54.718,10 | 1937 / 20 | $11.712,10 | 1404 / 12 | $10.861,20 | 1377 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 37 | $136.249,00 | 2638 / 48 | $13.812,30 | 1728 / 17 | $12.627,70 | 1688 / 27 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 42 | 165 / 23 | $44.662,80 | 2162 / 39 | $6.937,67 | 1351 / 11 | $6.046,24 | 1346 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 32 | $44.042,30 | 2565 / 44 | $4.991,00 | 1482 / 11 | $4.115,97 | 1471 / 16 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 22 | $42.667,20 | 1593 / 27 | $8.009,08 | 1275 / 8 | $7.356,77 | 1272 / 13 |
| Heart Failure & Shock W Cc | 22 | 256 / 29 | $49.222,20 | 2532 / 45 | $6.547,05 | 1152 / 15 | $5.404,27 | 1149 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 9 | $39.803,90 | 1034 / 15 | $6.854,60 | 728 / 8 | $5.947,40 | 726 / 10 |
| G.I. Hemorrhage W Cc | 20 | 198 / 30 | $52.701,60 | 2212 / 37 | $6.589,50 | 1297 / 11 | $5.688,70 | 1294 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 13 | $46.712,80 | 1055 / 12 | $11.170,30 | 706 / 12 | $9.461,95 | 705 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 27 | $39.834,60 | 2366 / 41 | $4.652,40 | 1049 / 10 | $3.684,40 | 1046 / 12 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 26 | $42.927,70 | 2017 / 35 | $7.687,90 | 1408 / 14 | $6.719,90 | 1402 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 29 | $43.840,20 | 1706 / 23 | $9.531,24 | 1421 / 14 | $8.543,00 | 1421 / 16 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 10 | $38.356,20 | 1222 / 27 | $4.138,12 | 593 / 8 | $3.070,82 | 592 / 12 |
| Heart Failure & Shock W Mcc | 16 | 268 / 34 | $58.304,70 | 2169 / 39 | $9.547,94 | 1184 / 12 | $8.563,94 | 1181 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 27 | $100.447,00 | 1892 / 38 | $12.473,10 | 1113 / 11 | $11.344,50 | 1099 / 14 |
| G.I. Obstruction W Cc | 14 | 78 / 19 | $37.824,40 | 1414 / 32 | $5.827,14 | 845 / 11 | $4.876,29 | 843 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 24 | $34.226,10 | 1784 / 35 | $5.204,21 | 1210 / 12 | $4.516,21 | 1205 / 16 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 8 | $25.085,90 | 459 / 5 | $4.923,23 | 522 / 4 | $4.366,92 | 518 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 36 | $40.145,50 | 2331 / 47 | $6.493,08 | 1574 / 15 | $5.586,42 | 1567 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 28 | $26.641,10 | 1673 / 37 | $3.803,00 | 969 / 10 | $2.797,67 | 964 / 12 |
| Syncope & Collapse | 11 | 158 / 23 | $36.601,30 | 1624 / 30 | $4.836,36 | 1002 / 11 | $4.065,45 | 995 / 17 | Total 21 procedures | 519 | 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.