Hospital Costs > In Oklahoma > Ponca City Medical Center, procedure costs
| 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 Mcc | 97 | 419 / 25 | $35.710,10 | 1086 / 36 | $10.049,40 | 294 / 6 | $9.164,31 | 294 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 50 | 514 / 35 | $58.602,60 | 1640 / 35 | $13.070,00 | 861 / 30 | $10.839,00 | 845 / 31 |
| G.I. Hemorrhage W Cc | 47 | 171 / 10 | $28.705,20 | 1483 / 27 | $6.034,38 | 548 / 15 | $4.952,83 | 547 / 16 |
| Chronic Obstructive Pulmonary Disease W Cc | 47 | 132 / 12 | $21.367,50 | 1150 / 31 | $5.622,43 | 547 / 15 | $4.595,02 | 545 / 17 |
| Heart Failure & Shock W Cc | 43 | 235 / 16 | $29.440,60 | 1928 / 43 | $6.299,58 | 373 / 33 | $4.755,53 | 373 / 12 |
| Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 22 | $30.313,10 | 1498 / 39 | $7.058,58 | 500 / 22 | $5.780,39 | 499 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 14 | $17.595,50 | 1279 / 37 | $4.276,16 | 480 / 18 | $3.294,16 | 480 / 18 |
| Heart Failure & Shock W Mcc | 30 | 254 / 22 | $39.623,70 | 1636 / 38 | $10.822,80 | 231 / 40 | $7.285,67 | 231 / 8 |
| Renal Failure W Cc | 30 | 191 / 23 | $17.321,90 | 708 / 19 | $5.749,27 | 573 / 16 | $4.824,47 | 569 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 27 | $18.134,10 | 1362 / 42 | $4.701,75 | 889 / 19 | $3.882,32 | 882 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 17 | $23.298,30 | 1099 / 34 | $6.271,14 | 657 / 11 | $5.362,57 | 655 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 31 | $30.514,00 | 1972 / 54 | $5.950,48 | 479 / 26 | $4.628,70 | 476 / 15 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 16 | $18.257,70 | 1128 / 27 | $4.483,87 | 693 / 13 | $3.483,52 | 691 / 15 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 12 | $22.871,60 | 783 / 15 | $6.527,05 | 449 / 12 | $5.647,05 | 448 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 28 | $18.406,10 | 1199 / 38 | $4.628,59 | 905 / 17 | $3.699,14 | 900 / 25 |
| Renal Failure W Mcc | 20 | 175 / 20 | $27.221,70 | 593 / 11 | $8.428,05 | 194 / 6 | $7.527,25 | 194 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 13 | $17.401,50 | 1232 / 19 | $3.653,53 | 479 / 9 | $2.424,79 | 476 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 18 | $23.422,50 | 1315 / 26 | $5.247,95 | 624 / 25 | $3.941,53 | 621 / 19 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 23 | $28.421,50 | 932 / 23 | $7.664,21 | 476 / 22 | $6.313,00 | 476 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 27 | $33.655,60 | 1262 / 25 | $7.660,79 | 203 / 2 | $6.842,26 | 203 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 13 | $23.509,10 | 1488 / 29 | $4.280,06 | 454 / 17 | $3.268,50 | 452 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 20 | $57.953,40 | 1301 / 24 | $11.286,70 | 580 / 15 | $10.218,30 | 577 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 20 | $24.358,90 | 749 / 17 | $6.538,24 | 287 / 15 | $4.957,41 | 286 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 15 | $22.400,50 | 554 / 9 | $6.583,86 | 112 / 7 | $5.315,50 | 111 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 20 | $18.835,20 | 1106 / 36 | $4.628,36 | 315 / 27 | $3.064,00 | 313 / 10 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 23 | $66.616,20 | 1072 / 22 | $12.043,50 | 82 / 2 | $11.024,50 | 82 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 14 | $31.378,60 | 386 / 3 | $9.930,62 | 313 / 6 | $8.820,46 | 312 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 16 | $35.163,50 | 1169 / 17 | $7.002,62 | 262 / 11 | $5.976,23 | 261 / 11 |
| Cellulitis W/O Mcc | 12 | 177 / 25 | $27.187,60 | 2003 / 44 | $4.985,08 | 738 / 16 | $4.081,08 | 734 / 22 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 15 | $24.508,90 | 159 / 2 | $9.694,09 | 263 / 3 | $9.045,36 | 263 / 6 | Total 30 procedures | 798 | 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.