Hospital Costs > In Ohio > Pomerene Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 13 | 176 / 64 | $9.080,08 | 164 / 7 | $5.429,46 | 1142 / 45 | $4.383,92 | 1136 / 72 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 19 | 545 / 90 | $31.032,50 | 264 / 9 | $13.828,50 | 1682 / 68 | $12.508,20 | 1645 / 100 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 53 | $9.479,82 | 261 / 12 | $4.420,18 | 512 / 34 | $3.316,27 | 510 / 29 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 30 | $12.140,80 | 33 / 2 | $7.531,73 | 156 / 9 | $6.662,09 | 156 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 35 | 481 / 81 | $12.784,00 | 26 / 1 | $11.143,50 | 1069 / 49 | $10.282,10 | 1056 / 69 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 40 | $10.525,30 | 73 / 3 | $6.720,75 | 1011 / 43 | $5.674,11 | 1008 / 61 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 59 | $9.980,65 | 108 / 4 | $5.919,41 | 801 / 30 | $4.908,00 | 798 / 54 | Total 7 procedures | 134 | 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.