Hospital Costs > In Louisiana > Sabine Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 17 | $11.511,00 | 213 / 6 | $6.320,47 | 1398 / 30 | $5.420,93 | 1392 / 36 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 19 | $9.341,00 | 172 / 4 | $4.669,41 | 1007 / 16 | $3.683,33 | 1002 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 26 | $7.050,96 | 79 / 6 | $4.623,16 | 1134 / 22 | $3.754,04 | 1131 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 37 | $11.162,40 | 418 / 15 | $5.081,84 | 1455 / 30 | $4.308,72 | 1446 / 35 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 21 | $11.952,70 | 460 / 11 | $4.502,00 | 955 / 21 | $3.693,11 | 947 / 25 |
| Heart Failure & Shock W Cc | 14 | 264 / 52 | $13.310,50 | 398 / 11 | $6.430,14 | 1138 / 36 | $5.397,00 | 1135 / 34 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 34 | $8.368,36 | 47 / 2 | $5.256,27 | 970 / 17 | $4.485,36 | 964 / 25 | Total 7 procedures | 180 | 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.