Hospital Costs > In Oklahoma > Pushmataha Cty-Tn Of Antlers Hosp Auth, 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 | 28 | 247 / 24 | $5.963,96 | 17 / 5 | $4.948,46 | 1112 / 35 | $3.832,75 | 1104 / 34 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 33 | $6.277,36 | 22 / 3 | $5.072,23 | 1481 / 37 | $4.336,05 | 1472 / 46 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 37 | $7.631,76 | 20 / 3 | $6.191,90 | 1300 / 33 | $5.305,86 | 1296 / 43 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 20 | $5.699,53 | 11 / 2 | $4.705,26 | 1176 / 23 | $3.920,53 | 1167 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 24 | $5.616,29 | 18 / 2 | $4.619,12 | 1020 / 30 | $3.666,76 | 1017 / 33 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 28 | $9.389,73 | 66 / 4 | $5.919,40 | 1122 / 25 | $5.074,87 | 1118 / 34 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 20 | $7.415,86 | 62 / 4 | $4.686,50 | 935 / 32 | $3.624,43 | 930 / 32 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 36 | $10.277,30 | 47 / 5 | $7.325,85 | 1274 / 34 | $6.551,77 | 1268 / 41 |
| Chest Pain | 12 | 139 / 19 | $6.237,67 | 28 / 2 | $4.048,67 | 920 / 14 | $3.424,58 | 915 / 19 |
| Cellulitis W/O Mcc | 11 | 178 / 26 | $7.384,91 | 63 / 4 | $5.442,45 | 957 / 31 | $4.243,45 | 951 / 28 | Total 10 procedures | 172 | 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.