Hospital Costs > In Ohio > Robinson Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Heart Failure & Shock W Mcc | 61 | 223 / 48 | $38.789,10 | 1594 / 84 | $8.887,52 | 705 / 38 | $7.936,05 | 705 / 55 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 58 | 458 / 74 | $39.129,80 | 1281 / 65 | $10.822,80 | 650 / 37 | $9.730,76 | 649 / 47 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 58 | 506 / 72 | $42.587,20 | 902 / 49 | $13.066,90 | 695 / 48 | $10.617,60 | 685 / 47 |
Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 26 | $30.209,40 | 1046 / 69 | $9.522,77 | 684 / 75 | $7.543,42 | 684 / 55 |
Pulmonary Edema & Respiratory Failure | 56 | 147 / 30 | $27.932,40 | 909 / 52 | $7.385,38 | 455 / 26 | $6.292,41 | 455 / 30 |
Heart Failure & Shock W Cc | 54 | 224 / 55 | $26.324,40 | 1768 / 93 | $6.228,94 | 566 / 51 | $4.955,87 | 566 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 43 | 232 / 53 | $23.975,60 | 1799 / 92 | $4.640,81 | 646 / 28 | $3.526,21 | 642 / 37 |
Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 38 | $21.665,50 | 1314 / 79 | $6.095,48 | 645 / 46 | $4.772,71 | 642 / 41 |
Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 44 | $17.281,40 | 1259 / 74 | $4.877,27 | 400 / 43 | $3.545,70 | 400 / 22 |
Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 44 | $20.085,40 | 1011 / 66 | $5.743,22 | 464 / 38 | $4.503,84 | 463 / 30 |
Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 48 | $26.518,70 | 1242 / 71 | $7.191,81 | 812 / 43 | $6.056,47 | 807 / 54 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 33 | $19.850,10 | 1046 / 63 | $4.893,73 | 571 / 27 | $3.888,88 | 569 / 41 |
Cellulitis W/O Mcc | 31 | 158 / 48 | $15.983,00 | 993 / 68 | $5.171,48 | 673 / 28 | $4.025,03 | 669 / 44 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 30 | $15.827,60 | 1086 / 62 | $4.191,90 | 329 / 66 | $2.296,40 | 327 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 36 | $17.959,90 | 1316 / 72 | $4.324,20 | 595 / 27 | $3.377,80 | 593 / 36 |
G.I. Hemorrhage W Cc | 27 | 191 / 52 | $28.440,40 | 1470 / 75 | $6.705,22 | 802 / 63 | $5.181,56 | 800 / 58 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 31 | $41.013,00 | 856 / 52 | $9.385,88 | 256 / 15 | $8.436,08 | 256 / 21 |
Renal Failure W Cc | 26 | 195 / 57 | $20.561,00 | 1032 / 58 | $5.908,54 | 553 / 34 | $4.807,62 | 549 / 35 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 22 | $18.885,50 | 1212 / 69 | $4.233,24 | 383 / 22 | $3.197,56 | 381 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 38 | $26.122,70 | 733 / 42 | $7.215,61 | 369 / 23 | $6.162,57 | 367 / 30 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 32 | $37.825,10 | 535 / 35 | $11.317,40 | 439 / 28 | $9.972,91 | 438 / 25 |
Syncope & Collapse | 22 | 147 / 36 | $21.896,50 | 1028 / 63 | $4.544,45 | 485 / 27 | $3.540,82 | 483 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 46 | $22.186,20 | 989 / 53 | $6.456,91 | 346 / 30 | $5.036,59 | 345 / 18 |
Renal Failure W Mcc | 21 | 174 / 56 | $29.122,30 | 710 / 42 | $8.482,90 | 246 / 15 | $7.621,57 | 246 / 20 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 35 | $15.729,70 | 871 / 58 | $4.500,32 | 383 / 26 | $3.217,37 | 382 / 29 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 36 | $22.151,10 | 714 / 47 | $6.675,50 | 261 / 36 | $5.365,50 | 261 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 31 | $32.885,40 | 1091 / 63 | $8.136,06 | 1061 / 55 | $7.256,50 | 1058 / 63 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 23 | $25.096,30 | 246 / 16 | $7.958,50 | 49 / 2 | $7.251,25 | 49 / 3 |
G.I. Hemorrhage W Mcc | 15 | 106 / 36 | $55.461,70 | 1122 / 65 | $11.374,10 | 741 / 43 | $10.371,10 | 740 / 48 |
Chest Pain | 15 | 136 / 34 | $20.392,70 | 946 / 53 | $5.423,20 | 193 / 61 | $2.541,20 | 192 / 13 |
Diabetes W Cc | 14 | 78 / 26 | $20.399,70 | 720 / 46 | $4.984,00 | 371 / 13 | $4.114,00 | 371 / 30 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 48 | $22.767,50 | 648 / 34 | $6.461,36 | 505 / 33 | $5.225,64 | 504 / 37 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 43 | $34.794,10 | 750 / 40 | $6.361,71 | 401 / 9 | $5.308,86 | 399 / 23 |
G.I. Obstruction W Cc | 13 | 79 / 30 | $16.430,00 | 397 / 28 | $5.439,38 | 491 / 19 | $4.462,15 | 490 / 35 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 29 | $46.965,20 | 331 / 20 | $15.423,60 | 153 / 28 | $12.222,80 | 152 / 17 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 25 | $84.274,20 | 234 / 12 | $28.515,60 | 275 / 17 | $27.165,20 | 273 / 27 |
Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 21 | $23.192,30 | 229 / 11 | $6.224,23 | 239 / 5 | $5.061,46 | 239 / 14 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 11 | $12.119,20 | 168 / 11 | $4.361,50 | 250 / 10 | $3.346,83 | 251 / 16 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 17 | $21.274,50 | 282 / 15 | $5.880,45 | 130 / 7 | $4.952,45 | 130 / 10 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 26 | $34.098,90 | 883 / 50 | $5.966,27 | 252 / 11 | $5.056,09 | 252 / 21 | Total 40 procedures | 1.110 | 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.