Hospital Costs > In Oregon > Providence Milwaukie 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 / 18 | $12.559,00 | 463 / 3 | $6.261,14 | 2144 / 19 | $5.101,73 | 2130 / 23 |
| G.I. Hemorrhage W Cc | 18 | 200 / 21 | $15.066,00 | 312 / 1 | $7.899,17 | 1831 / 16 | $6.718,56 | 1827 / 18 |
| Heart Failure & Shock W Cc | 18 | 260 / 22 | $13.344,50 | 402 / 4 | $8.145,11 | 2147 / 23 | $6.847,61 | 2141 / 20 |
| Heart Failure & Shock W Mcc | 15 | 269 / 21 | $16.790,30 | 234 / 1 | $12.301,30 | 1810 / 20 | $9.734,27 | 1805 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 11 | $10.025,10 | 263 / 1 | $5.729,64 | 1605 / 14 | $4.743,73 | 1592 / 16 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 16 | $33.676,70 | 370 / 2 | $14.431,00 | 1577 / 13 | $13.188,60 | 1558 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 64 | 500 / 22 | $37.015,90 | 591 / 9 | $17.468,30 | 1923 / 23 | $13.337,50 | 1881 / 21 |
| Renal Failure W Cc | 12 | 209 / 20 | $9.472,00 | 68 / 1 | $7.824,00 | 1699 / 17 | $6.137,75 | 1690 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 42 | 474 / 25 | $21.330,50 | 331 / 4 | $13.374,50 | 1718 / 14 | $11.500,60 | 1685 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 19 | $11.983,00 | 253 / 1 | $7.880,82 | 2213 / 15 | $6.650,24 | 2205 / 20 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 19 | $14.633,70 | 111 / 2 | $10.771,50 | 1822 / 16 | $9.478,31 | 1822 / 15 | Total 11 procedures | 243 | 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.