Hospital Costs > In Kentucky > Rockcastle Regional Hospital & Respiratory Care Ct, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 51 | 69 / 15 | $10.042,60 | 246 / 7 | $4.941,69 | 933 / 37 | $3.678,94 | 924 / 36 |
| Kidney & Urinary Tract Infections W/O Mcc | 41 | 192 / 27 | $8.265,10 | 137 / 2 | $5.154,85 | 1325 / 37 | $4.185,05 | 1316 / 46 |
| Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 31 | $12.914,90 | 351 / 6 | $6.467,22 | 1367 / 49 | $5.381,76 | 1362 / 50 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 23 | $7.547,30 | 109 / 3 | $4.839,74 | 1420 / 43 | $3.987,22 | 1415 / 47 |
| Heart Failure & Shock W Cc | 19 | 259 / 38 | $10.695,80 | 164 / 3 | $6.410,26 | 1231 / 37 | $5.479,21 | 1227 / 41 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 37 | $16.681,20 | 677 / 27 | $6.439,94 | 1260 / 48 | $5.237,24 | 1255 / 50 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 29 | $15.866,20 | 4 / 1 | $12.446,80 | 226 / 8 | $11.648,10 | 224 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 29 | $10.629,20 | 282 / 7 | $4.903,09 | 950 / 39 | $3.633,82 | 945 / 41 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 30 | $9.546,18 | 221 / 8 | $4.588,45 | 869 / 27 | $3.612,64 | 865 / 27 |
| Syncope & Collapse | 11 | 158 / 29 | $9.604,82 | 90 / 3 | $4.949,82 | 832 / 23 | $3.878,55 | 828 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 40 | $27.469,90 | 870 / 29 | $10.185,10 | 1107 / 49 | $7.999,00 | 1107 / 41 | Total 11 procedures | 252 | 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.