Hospital Costs > In Indiana > Pinnacle 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 | 22 | 253 / 38 | $14.171,30 | 639 / 12 | $4.254,09 | 660 / 2 | $3.538,45 | 656 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 66 | $68.091,40 | 1944 / 58 | $13.039,90 | 264 / 26 | $9.861,33 | 264 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 34 | $13.840,50 | 644 / 20 | $4.207,46 | 17 / 6 | $2.506,92 | 17 / 1 |
| Cellulitis W/O Mcc | 13 | 176 / 41 | $11.411,10 | 409 / 6 | $5.407,31 | 76 / 31 | $3.353,54 | 76 / 3 |
| Medical Back Problems W/O Mcc | 12 | 109 / 24 | $15.640,20 | 258 / 6 | $5.077,58 | 114 / 7 | $3.563,50 | 114 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 23 | $22.070,00 | 1311 / 44 | $4.029,00 | 409 / 3 | $3.150,45 | 407 / 13 |
| Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 34 | $439.331,00 | 1364 / 43 | $119.483,00 | 1365 / 43 | $118.378,00 | 1360 / 43 | Total 7 procedures | 100 | 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.