Hospital Costs > In Kentucky > Pikeville Medical Center, procedure costs

Pikeville Medical Center, procedure costs

911 Bypass Road, Pikeville, KY 41501,

Procedure Costs @ Pikeville Medical Center
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 Mcc375153 / 3$74.082,102343 / 57$15.202,902199 / 57$13.149,202160 / 57
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc282285 / 8$68.373,701950 / 43$16.560,302075 / 45$13.919,502033 / 46
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc1622 / 1$40.436,00256 / 6$9.247,38177 / 7$7.350,30177 / 5
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc100175 / 10$28.017,202067 / 55$5.808,881755 / 51$4.409,501742 / 51
Heart Failure & Shock W Cc100178 / 9$43.183,602413 / 55$7.440,502061 / 53$6.644,722056 / 55
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc100107 / 3$39.973,902033 / 47$8.280,201882 / 47$7.004,931874 / 47
Chronic Obstructive Pulmonary Disease W Mcc97105 / 11$47.019,902116 / 59$9.898,891981 / 58$7.919,341973 / 58
Chest Pain9358 / 2$28.141,401325 / 38$4.478,53968 / 29$3.500,33962 / 33
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc9160 / 4$21.656,801487 / 41$4.481,301206 / 38$3.029,251201 / 35
Kidney & Urinary Tract Infections W/O Mcc88145 / 7$30.698,602248 / 59$6.220,571879 / 54$4.786,591868 / 55
Simple Pneumonia & Pleurisy W Cc85118 / 10$39.933,302323 / 63$7.749,811928 / 63$6.045,521920 / 61
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc81115 / 8$97.859,801137 / 25$15.057,501182 / 21$13.866,301175 / 23
Heart Failure & Shock W Mcc80204 / 19$70.627,902357 / 55$12.636,202180 / 55$11.154,202170 / 55
Circulatory Disorders Except Ami, W Card Cath W/O Mcc79109 / 7$51.073,401233 / 29$8.337,871095 / 28$6.680,011092 / 27
Pulmonary Edema & Respiratory Failure77126 / 17$52.256,501794 / 52$10.304,601520 / 50$7.884,191515 / 49
Respiratory System Diagnosis W Ventilator Support <96 Hours7556 / 8$92.504,501432 / 42$17.515,501399 / 41$16.498,901385 / 41
Renal Failure W Cc73148 / 14$31.334,101766 / 46$7.224,601701 / 42$6.148,291692 / 44
G.I. Hemorrhage W Cc70148 / 11$36.344,101832 / 49$7.582,501744 / 47$6.468,431740 / 49
Chronic Obstructive Pulmonary Disease W Cc63116 / 14$36.855,501985 / 57$7.088,591679 / 54$5.836,731672 / 54
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc5862 / 11$25.524,601561 / 55$5.614,691354 / 52$4.168,211343 / 50
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs58124 / 14$41.532,801560 / 32$8.095,401453 / 31$6.732,841450 / 30
Simple Pneumonia & Pleurisy W Mcc57148 / 22$47.443,501831 / 52$10.799,301908 / 52$9.718,861908 / 53
Infectious & Parasitic Diseases W O.R. Procedure W Mcc5569 / 5$195.780,001244 / 22$45.588,201252 / 20$40.200,601242 / 21
Heart Failure & Shock W/O Cc/Mcc5456 / 5$30.823,901725 / 45$5.349,171422 / 41$4.275,891411 / 42
Red Blood Cell Disorders W/O Mcc5093 / 6$30.147,301508 / 44$5.959,401309 / 39$5.009,181300 / 40
Cardiac Arrhythmia & Conduction Disorders W Cc49112 / 11$29.985,501628 / 40$5.888,411414 / 35$4.830,801409 / 35
Intracranial Hemorrhage Or Cerebral Infarction W Mcc48120 / 11$69.711,901264 / 23$13.179,101013 / 21$11.109,401008 / 22
Simple Pneumonia & Pleurisy W/O Cc/Mcc4647 / 5$32.279,401676 / 55$6.269,521200 / 54$3.906,021194 / 49
Cellulitis W/O Mcc45144 / 14$32.379,302214 / 56$6.496,401636 / 52$4.885,561629 / 50
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc45121 / 12$28.498,902075 / 59$5.906,761540 / 57$4.118,441535 / 51
Hip & Femur Procedures Except Major Joint W Cc4598 / 9$65.190,801466 / 34$14.561,301601 / 34$13.342,001582 / 35
Kidney & Urinary Tract Infections W Mcc44100 / 10$55.217,101750 / 38$9.256,591588 / 37$8.036,571584 / 37
Syncope & Collapse44125 / 12$28.592,601377 / 36$5.410,681141 / 31$4.286,801134 / 33
Cardiac Arrhythmia & Conduction Disorders W Mcc4281 / 11$41.827,001371 / 31$9.400,741448 / 34$8.490,311445 / 34
Renal Failure W Mcc42153 / 20$62.042,401783 / 44$12.269,501725 / 43$11.297,301723 / 43
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4161 / 8$29.647,201090 / 21$5.666,341047 / 19$4.445,271043 / 20
Other Circulatory System Diagnoses W Mcc3977 / 5$91.512,901222 / 23$17.337,001045 / 21$13.898,901038 / 21
Acute Myocardial Infarction, Discharged Alive W Mcc3887 / 12$66.532,401416 / 32$12.969,401346 / 31$11.744,401336 / 31
Coronary Bypass W Cardiac Cath W/O Mcc3739 / 3$175.448,00441 / 13$37.148,60513 / 13$33.247,00513 / 13
Major Cardiovasc Procedures W/O Mcc3665 / 7$135.021,00819 / 16$31.975,10772 / 14$24.082,40771 / 13
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc3591 / 10$82.943,401707 / 30$9.985,111443 / 28$9.007,691440 / 28
Acute Myocardial Infarction, Discharged Alive W Cc3556 / 7$47.186,901143 / 29$9.266,97987 / 27$6.660,00985 / 25
Poisoning & Toxic Effects Of Drugs W Mcc3438 / 3$73.166,90876 / 19$12.710,90833 / 18$11.493,60830 / 18
Septicemia Or Severe Sepsis W Mv 96+ Hours3359 / 4$273.285,00950 / 19$50.470,50771 / 16$42.580,50770 / 17
G.I. Obstruction W/O Cc/Mcc3239 / 3$27.147,301064 / 22$4.569,91789 / 15$3.421,34786 / 18
G.I. Hemorrhage W Mcc3289 / 11$76.476,601408 / 25$14.022,201333 / 24$13.092,401323 / 24
G.I. Obstruction W Cc3161 / 8$27.611,101112 / 34$6.601,321248 / 30$5.705,061244 / 32
Transient Ischemia3194 / 15$30.846,001206 / 31$5.175,101023 / 25$4.088,521018 / 28
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents3169 / 7$125.434,00702 / 20$24.144,20664 / 18$21.486,80660 / 17
Diabetes W Cc3062 / 9$32.376,801244 / 30$6.157,331055 / 25$5.282,701051 / 27
Other Vascular Procedures W Cc2973 / 10$101.752,00857 / 18$18.596,20822 / 14$17.592,30817 / 16
Signs & Symptoms W/O Mcc2962 / 6$37.698,001178 / 25$5.200,90763 / 21$4.180,97760 / 21
O.R. Procedures For Obesity W/O Cc/Mcc2948 / 4$40.870,60188 / 5$11.626,00303 / 7$10.389,70303 / 8
Cervical Spinal Fusion W/O Cc/Mcc2876 / 5$50.597,40345 / 9$17.136,50645 / 15$14.142,70642 / 16
Extracranial Procedures W/O Cc/Mcc2870 / 9$43.926,60696 / 16$9.246,00592 / 17$6.080,07590 / 15
Other Resp System O.R. Procedures W Mcc2736 / 4$142.408,00468 / 12$27.471,90431 / 10$25.785,60430 / 10
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.2737 / 5$300.015,00327 / 7$80.491,40410 / 8$79.089,40409 / 8
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2670 / 9$48.466,601129 / 24$8.986,54924 / 24$7.857,12919 / 24
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc246 / 1$93.127,80176 / 5$15.806,30168 / 5$14.801,80167 / 5
Respiratory Infections & Inflammations W Cc2464 / 9$50.066,201147 / 38$14.517,80919 / 37$8.356,38914 / 32
Seizures W Mcc2442 / 3$80.262,80682 / 14$11.951,20530 / 11$10.936,30530 / 12
Hip & Femur Procedures Except Major Joint W Mcc2339 / 6$114.600,00768 / 16$25.381,90774 / 15$21.745,30771 / 16
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc2372 / 7$84.191,00369 / 9$14.619,80423 / 8$13.400,70419 / 8
Other Digestive System Diagnoses W Cc2374 / 8$38.696,701106 / 25$7.245,87981 / 20$6.414,30977 / 23
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc2254 / 3$90.249,50478 / 11$15.209,20357 / 8$13.134,60357 / 8
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc2231 / 6$36.687,50684 / 19$5.624,73609 / 14$4.717,36605 / 19
Other Circulatory System Diagnoses W Cc2145 / 4$39.742,70541 / 12$7.143,76400 / 9$6.066,29399 / 11
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc2168 / 6$34.751,10383 / 9$8.366,71503 / 12$6.566,95502 / 12
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc2135 / 4$49.969,70576 / 13$12.965,50629 / 13$10.011,70627 / 13
Medical Back Problems W/O Mcc20101 / 15$29.245,10989 / 23$6.310,45933 / 20$5.046,05930 / 20
Seizures W/O Mcc2088 / 16$31.344,20991 / 22$5.657,30685 / 17$4.468,30682 / 18
Permanent Cardiac Pacemaker Implant W Cc2057 / 6$131.850,00899 / 14$19.741,20753 / 13$18.651,30750 / 13
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc2037 / 6$93.085,80633 / 12$15.919,80565 / 12$14.788,50564 / 12
Other Digestive System Diagnoses W Mcc1943 / 4$101.949,00727 / 12$14.904,40524 / 10$12.130,60523 / 9
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1919 / 6$25.321,60332 / 14$4.813,84287 / 9$3.788,84286 / 10
Major Cardiovasc Procedures W Mcc1949 / 7$216.202,00539 / 12$40.899,20491 / 9$39.762,70490 / 11
Renal Failure W/O Cc/Mcc1937 / 7$26.226,20699 / 23$4.687,84484 / 19$3.543,53483 / 19
Other Vascular Procedures W Mcc1879 / 9$100.104,00601 / 12$23.283,90621 / 10$22.354,90618 / 10
Peripheral Vascular Disorders W Cc1866 / 10$29.757,00798 / 20$7.204,11831 / 19$6.320,39828 / 19
Red Blood Cell Disorders W Mcc1853 / 10$65.663,20994 / 21$10.627,20877 / 20$9.707,50873 / 20
Poisoning & Toxic Effects Of Drugs W/O Mcc1744 / 6$27.194,60712 / 16$4.930,82499 / 12$3.879,47498 / 12
G.I. Hemorrhage W/O Cc/Mcc1652 / 9$22.101,00632 / 16$5.175,50637 / 13$4.159,62633 / 13
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1657 / 10$45.673,90907 / 18$8.790,62854 / 17$8.130,62852 / 17
Diabetes W Mcc1641 / 5$77.960,20699 / 16$12.503,70590 / 15$10.491,10589 / 15
Major Small & Large Bowel Procedures W Mcc1669 / 13$188.675,001002 / 20$42.773,70936 / 19$36.229,10934 / 19
Hypertension W/O Mcc1649 / 8$24.472,90520 / 17$4.621,06443 / 13$3.558,44441 / 14
Disorders Of The Biliary Tract W Cc1539 / 4$42.323,70343 / 7$7.821,27298 / 5$6.948,87298 / 6
Major Chest Procedures W Cc1559 / 10$116.699,00443 / 11$19.985,50394 / 10$18.737,00392 / 11
Respiratory Neoplasms W Mcc1537 / 8$95.666,10584 / 18$13.947,60536 / 16$13.185,50533 / 17
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1566 / 6$523.719,00284 / 7$136.763,00322 / 7$134.236,00321 / 8
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc1532 / 6$51.680,90334 / 11$11.224,20373 / 11$9.595,60373 / 12
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1441 / 7$65.526,80404 / 10$14.742,60499 / 7$13.841,40495 / 9
Other Resp System O.R. Procedures W Cc1433 / 5$69.902,10251 / 10$14.678,30238 / 8$13.717,60238 / 8
Coronary Bypass W/O Cardiac Cath W/O Mcc1474 / 12$131.517,00414 / 13$27.936,00486 / 11$26.918,40485 / 13
Respiratory System Diagnosis W Ventilator Support 96+ Hours1457 / 15$229.707,00825 / 22$86.136,00310 / 22$29.329,40310 / 14
Respiratory Signs & Symptoms1432 / 2$32.703,90251 / 4$5.084,57155 / 1$4.109,57155 / 1
Respiratory Neoplasms W Cc1433 / 6$41.018,60333 / 10$8.795,21288 / 9$7.454,93287 / 9
Major Chest Procedures W Mcc1435 / 5$144.247,00203 / 6$41.673,20161 / 8$31.191,40161 / 5
Infectious & Parasitic Diseases W O.R. Procedure W Cc1323 / 3$69.542,50214 / 3$18.348,00278 / 3$17.466,90277 / 3
Signs & Symptoms W Mcc1328 / 5$40.606,40201 / 5$8.403,00163 / 3$7.762,54163 / 4
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1350 / 9$168.104,00541 / 13$39.873,20528 / 10$34.226,50528 / 9
Coronary Bypass W Cardiac Cath W Mcc1343 / 5$281.003,00352 / 9$56.929,00351 / 7$53.997,40351 / 8
Degenerative Nervous System Disorders W/O Mcc1365 / 10$33.584,80576 / 13$9.048,85411 / 13$5.710,77411 / 11
Craniotomy & Endovascular Intracranial Procedures W Mcc1385 / 8$108.247,00227 / 5$32.742,30286 / 10$29.271,50286 / 9
Digestive Malignancy W Cc1334 / 5$39.739,90238 / 7$9.353,92247 / 6$8.364,38245 / 6
Diabetes W/O Cc/Mcc1325 / 5$28.831,50250 / 8$5.887,46136 / 8$3.395,77136 / 6
Other Vascular Procedures W/O Cc/Mcc1244 / 10$66.759,70422 / 10$16.589,40348 / 11$10.527,20347 / 10
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1257 / 8$98.890,20486 / 9$13.475,50433 / 9$12.147,70431 / 9
Major Small & Large Bowel Procedures W Cc1296 / 18$86.769,801076 / 28$19.002,701213 / 28$17.636,001199 / 29
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc1238 / 6$288.098,00237 / 7$43.135,90193 / 5$42.424,20193 / 7
Disorders Of Pancreas Except Malignancy W Cc1249 / 10$36.594,80745 / 20$6.842,75614 / 16$5.703,25611 / 17
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1258 / 6$30.458,20369 / 7$7.075,08257 / 5$5.724,50257 / 6
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1253 / 15$127.164,00771 / 21$25.478,80798 / 20$24.309,10795 / 20
Pulmonary Embolism W/O Mcc1262 / 12$35.847,10980 / 17$9.058,00908 / 15$6.131,58905 / 13
Cranial & Peripheral Nerve Disorders W/O Mcc1157 / 9$28.930,00446 / 7$6.527,27403 / 5$5.452,00403 / 6
Respiratory Infections & Inflammations W Mcc11125 / 25$86.175,701554 / 38$14.836,901490 / 38$14.138,901474 / 38
Bronchitis & Asthma W Cc/Mcc1165 / 9$30.344,30717 / 14$6.475,73685 / 12$5.371,36681 / 13
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1142 / 8$51.311,10389 / 7$8.882,73294 / 4$8.025,36294 / 4
Other Kidney & Urinary Tract Diagnoses W Mcc1190 / 13$64.762,60925 / 17$11.757,20831 / 15$11.119,30828 / 15
Permanent Cardiac Pacemaker Implant W Mcc1141 / 9$218.428,00585 / 11$31.528,70538 / 9$30.756,50538 / 9
Kidney & Urinary Tract Signs & Symptoms W/O Mcc1118 / 1$19.514,3078 / 1$4.965,9170 / 1$4.080,4570 / 1
Total 121 procedures4.696discharges

DATA

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.