Hospital Costs > In Colorado > Platte Valley Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 17 | $30.702,10 | 1521 / 11 | $8.853,56 | 1980 / 20 | $7.916,67 | 1972 / 23 |
| Heart Failure & Shock W Cc | 21 | 257 / 20 | $25.800,80 | 1731 / 15 | $8.193,48 | 1967 / 33 | $6.456,24 | 1962 / 30 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 21 | $20.118,80 | 1589 / 10 | $6.392,75 | 2286 / 29 | $5.714,75 | 2275 / 29 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 40 | 524 / 35 | $55.549,60 | 1529 / 14 | $17.677,80 | 1939 / 37 | $13.383,50 | 1897 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 15 | $19.777,60 | 395 / 1 | $8.140,75 | 1193 / 12 | $7.636,75 | 1190 / 18 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 14 | $62.637,90 | 508 / 4 | $17.111,50 | 1104 / 23 | $13.201,50 | 1097 / 24 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 22 | $26.887,30 | 851 / 7 | $9.896,04 | 1552 / 30 | $7.967,21 | 1547 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 49 | 467 / 28 | $44.341,80 | 1537 / 13 | $13.533,50 | 2041 / 26 | $12.525,50 | 2004 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 23 | $25.869,10 | 1322 / 11 | $8.250,33 | 1991 / 28 | $7.276,62 | 1983 / 30 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 26 | $37.011,80 | 1450 / 13 | $10.174,60 | 1747 / 24 | $9.239,23 | 1747 / 27 | Total 10 procedures | 236 | 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.