Hospital Costs > In Oregon > Providence Newberg 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 | 64 | 452 / 22 | $24.113,10 | 486 / 7 | $12.509,50 | 1543 / 8 | $11.093,90 | 1512 / 9 |
| Heart Failure & Shock W Mcc | 31 | 253 / 17 | $19.254,00 | 382 / 5 | $11.465,50 | 1238 / 16 | $8.632,32 | 1235 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 31 | 533 / 28 | $37.365,70 | 605 / 10 | $15.766,30 | 1570 / 11 | $12.245,10 | 1534 / 10 |
| Pulmonary Edema & Respiratory Failure | 22 | 181 / 15 | $16.591,30 | 217 / 2 | $8.434,77 | 1382 / 3 | $7.554,77 | 1378 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 20 | $12.027,90 | 399 / 2 | $5.335,63 | 1630 / 5 | $4.262,79 | 1617 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 21 | $12.778,40 | 200 / 1 | $7.291,36 | 925 / 5 | $5.601,50 | 922 / 1 |
| Heart Failure & Shock W Cc | 12 | 266 / 24 | $12.863,10 | 357 / 3 | $7.360,83 | 1541 / 11 | $5.817,42 | 1536 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 20 | $19.170,80 | 338 / 6 | $9.776,58 | 1495 / 6 | $8.669,92 | 1495 / 5 |
| G.I. Hemorrhage W Cc | 11 | 207 / 26 | $16.661,30 | 458 / 4 | $7.315,73 | 1028 / 10 | $5.393,45 | 1026 / 3 |
| Cellulitis W/O Mcc | 11 | 178 / 20 | $11.971,50 | 466 / 5 | $6.326,82 | 1305 / 10 | $4.536,73 | 1299 / 5 | Total 10 procedures | 227 | 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.