Hospital Costs > In Oregon > Providence Medford Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 211 | 353 / 9 | $44.417,00 | 991 / 16 | $14.201,40 | 1430 / 4 | $11.871,70 | 1397 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 110 | 406 / 12 | $44.868,20 | 1566 / 27 | $12.249,40 | 1597 / 5 | $11.228,20 | 1565 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 4 | $21.055,70 | 1253 / 20 | $6.437,24 | 1082 / 3 | $5.145,40 | 1079 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 52 | 142 / 8 | $74.372,20 | 443 / 13 | $24.701,20 | 732 / 1 | $23.495,00 | 728 / 3 |
| Cellulitis W/O Mcc | 49 | 140 / 3 | $18.937,70 | 1359 / 19 | $5.597,63 | 1217 / 5 | $4.442,92 | 1211 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 6 | $31.042,50 | 1104 / 19 | $9.812,34 | 1141 / 8 | $8.044,36 | 1141 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 10 | $17.957,00 | 1121 / 19 | $5.110,89 | 1271 / 2 | $3.943,20 | 1260 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 41 | 192 / 7 | $16.444,80 | 1135 / 9 | $5.196,66 | 1329 / 3 | $4.187,41 | 1320 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 9 | $21.943,60 | 965 / 17 | $7.043,92 | 1077 / 4 | $5.736,35 | 1074 / 3 |
| Heart Failure & Shock W Mcc | 38 | 246 / 14 | $39.363,10 | 1625 / 23 | $9.970,76 | 1586 / 4 | $9.239,76 | 1581 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 4 | $29.519,40 | 1443 / 22 | $7.729,84 | 1334 / 3 | $6.614,68 | 1328 / 4 |
| Heart Failure & Shock W Cc | 37 | 241 / 14 | $18.930,50 | 1041 / 14 | $6.473,38 | 1434 / 3 | $5.691,54 | 1429 / 5 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 34 | 62 / 4 | $43.749,60 | 227 / 6 | $14.401,60 | 458 / 2 | $12.487,20 | 455 / 3 |
| G.I. Hemorrhage W Cc | 33 | 185 / 10 | $21.820,80 | 926 / 15 | $6.558,00 | 1291 / 4 | $5.680,42 | 1288 / 5 |
| Renal Failure W Mcc | 32 | 163 / 7 | $33.469,00 | 977 / 14 | $10.209,50 | 1003 / 4 | $8.945,41 | 1003 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 6 | $25.657,00 | 960 / 15 | $7.513,44 | 1154 / 3 | $6.663,67 | 1150 / 5 |
| Pulmonary Edema & Respiratory Failure | 25 | 178 / 13 | $45.236,50 | 1652 / 23 | $9.044,08 | 1421 / 8 | $7.643,36 | 1417 / 5 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 25 | 48 / 4 | $40.699,40 | 191 / 6 | $11.112,40 | 111 / 3 | $6.109,76 | 111 / 1 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 24 | 23 / 1 | $120.248,00 | 36 / 3 | $40.128,90 | 64 / 1 | $38.919,60 | 64 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 14 | $22.879,10 | 654 / 12 | $7.211,87 | 839 / 3 | $5.597,70 | 837 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 12 | $47.829,50 | 964 / 17 | $12.408,10 | 1085 / 2 | $11.259,00 | 1071 / 5 |
| Syncope & Collapse | 22 | 147 / 5 | $18.540,20 | 728 / 13 | $4.869,36 | 893 / 2 | $3.934,09 | 888 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 11 | $43.008,60 | 780 / 11 | $13.404,10 | 1254 / 11 | $12.560,90 | 1248 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 10 | $23.737,40 | 1366 / 21 | $6.501,16 | 921 / 5 | $4.890,37 | 918 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 3 | $16.699,50 | 989 / 6 | $4.805,89 | 1130 / 1 | $3.850,95 | 1121 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 7 | $26.552,10 | 290 / 5 | $9.821,17 | 472 / 1 | $9.010,50 | 471 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 12 | $30.042,30 | 962 / 13 | $8.683,11 | 1325 / 5 | $8.009,33 | 1322 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 9 | $72.725,40 | 1190 / 13 | $16.241,60 | 1142 / 3 | $14.793,10 | 1129 / 2 |
| Renal Failure W Cc | 17 | 204 / 16 | $22.232,40 | 1200 / 19 | $6.271,53 | 1169 / 2 | $5.347,29 | 1161 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 11 | $157.263,00 | 1067 / 11 | $44.278,60 | 1343 / 8 | $43.336,70 | 1333 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 7 | $32.139,90 | 715 / 10 | $8.055,44 | 681 / 1 | $7.073,50 | 676 / 1 |
| Transient Ischemia | 15 | 110 / 4 | $15.947,60 | 353 / 4 | $4.705,00 | 638 / 3 | $3.510,33 | 634 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 5 | $19.153,70 | 1132 / 9 | $4.732,87 | 1006 / 2 | $3.683,27 | 1001 / 3 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 14 | 32 / 2 | $129.065,00 | 20 / 1 | $49.810,70 | 51 / 1 | $48.775,30 | 51 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 14 | 182 / 16 | $64.224,90 | 545 / 15 | $13.164,70 | 873 / 1 | $11.957,80 | 867 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 12 | $22.528,70 | 172 / 2 | $7.070,50 | 817 / 1 | $5.945,93 | 815 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 12 | $20.394,40 | 1595 / 16 | $4.638,21 | 1275 / 2 | $3.865,64 | 1271 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 17 | $16.294,40 | 666 / 7 | $5.160,86 | 1175 / 3 | $4.475,14 | 1171 / 3 |
| G.I. Hemorrhage W Mcc | 14 | 107 / 10 | $34.475,80 | 483 / 5 | $10.857,30 | 682 / 1 | $10.164,70 | 683 / 2 |
| Diabetes W Cc | 13 | 79 / 7 | $23.930,40 | 935 / 13 | $5.488,15 | 635 / 2 | $4.428,46 | 634 / 3 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 11 | $26.479,20 | 226 / 9 | $8.363,15 | 145 / 5 | $4.977,15 | 145 / 1 |
| G.I. Obstruction W Cc | 13 | 79 / 8 | $21.845,50 | 786 / 13 | $5.853,77 | 659 / 3 | $4.645,15 | 658 / 3 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 15 | $68.491,40 | 827 / 15 | $17.030,30 | 1039 / 3 | $16.097,50 | 1027 / 7 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 6 | $27.890,30 | 765 / 13 | $6.470,23 | 773 / 2 | $5.726,85 | 770 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 14 | $40.241,50 | 812 / 12 | $11.062,80 | 1033 / 2 | $10.410,40 | 1030 / 2 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 11 | $52.136,70 | 1120 / 13 | $14.302,80 | 1357 / 7 | $13.294,70 | 1342 / 9 |
| Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 8 | $27.624,80 | 368 / 4 | $6.823,08 | 489 / 1 | $5.721,75 | 488 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 13 | $11.973,00 | 579 / 6 | $3.839,67 | 882 / 3 | $2.733,00 | 878 / 2 |
| Other Vascular Procedures W Mcc | 12 | 85 / 7 | $53.976,00 | 105 / 2 | $20.334,90 | 409 / 1 | $19.732,20 | 407 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 12 | $23.491,90 | 619 / 9 | $7.160,92 | 635 / 1 | $6.259,58 | 632 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 9 | $27.427,10 | 288 / 6 | $9.008,42 | 412 / 1 | $8.200,42 | 411 / 2 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 6 | $36.268,30 | 326 / 6 | $10.353,30 | 499 / 2 | $9.250,73 | 497 / 3 | Total 52 procedures | 1.466 | 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.