Hospital Costs > In Arkansas > Physicians' Specialty Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cervical Spinal Fusion W Cc | 16 | 37 / 4 | $39.520,40 | 38 / 2 | $15.625,60 | 7 / 2 | $12.637,40 | 7 / 2 |
Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 7 | $33.452,40 | 103 / 7 | $12.614,70 | 70 / 5 | $10.191,50 | 70 / 2 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 22 | 74 / 6 | $38.049,10 | 148 / 5 | $11.852,60 | 136 / 5 | $10.700,60 | 135 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 118 | 446 / 17 | $28.059,80 | 159 / 7 | $11.346,50 | 263 / 5 | $9.860,97 | 263 / 6 |
O.R. Procedures For Obesity W/O Cc/Mcc | 61 | 18 / 1 | $18.536,60 | 20 / 1 | $8.406,93 | 23 / 1 | $6.895,54 | 23 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 30 | 164 / 8 | $43.859,60 | 60 / 2 | $21.451,40 | 35 / 5 | $17.694,20 | 35 / 1 | Total 6 procedures | 267 | 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.