Hospital Costs > In Wyoming > Sagewest Health Care, 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 | 78 | 438 / 3 | $31.712,50 | 871 / 3 | $14.580,80 | 2246 / 2 | $13.361,90 | 2206 / 2 |
| Heart Failure & Shock W Cc | 27 | 251 / 4 | $19.542,20 | 1130 / 5 | $8.075,22 | 2298 / 2 | $7.316,70 | 2292 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 27 | 537 / 9 | $78.889,00 | 2189 / 9 | $19.369,90 | 2323 / 5 | $15.522,50 | 2278 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 3 | $26.095,10 | 1347 / 4 | $8.570,19 | 1954 / 2 | $7.163,35 | 1946 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 3 | $18.508,40 | 1378 / 4 | $5.653,78 | 2038 / 1 | $4.980,00 | 2030 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 5 | $24.590,20 | 1093 / 5 | $13.473,80 | 1547 / 6 | $6.907,06 | 1540 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 4 | $17.977,80 | 803 / 3 | $7.473,38 | 2002 / 2 | $6.713,38 | 1995 / 2 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 4 | $32.669,50 | 1186 / 4 | $11.155,30 | 1699 / 3 | $8.460,60 | 1694 / 2 |
| G.I. Hemorrhage W Cc | 14 | 204 / 4 | $19.598,90 | 716 / 4 | $7.988,00 | 1959 / 2 | $7.119,43 | 1955 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 4 | $19.120,40 | 1292 / 5 | $5.648,79 | 1829 / 2 | $4.526,50 | 1816 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 4 | $16.325,80 | 1135 / 3 | $4.429,75 | 1548 / 1 | $3.627,08 | 1542 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 7 | $21.055,20 | 1678 / 8 | $6.845,00 | 1952 / 4 | $4.914,50 | 1941 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 8 | $27.157,10 | 1784 / 9 | $7.177,08 | 1950 / 2 | $6.078,42 | 1942 / 2 |
| Cellulitis W/O Mcc | 11 | 178 / 5 | $29.656,10 | 2111 / 8 | $6.909,64 | 2137 / 2 | $5.917,64 | 2129 / 2 |
| Heart Failure & Shock W Mcc | 11 | 273 / 4 | $29.882,20 | 1077 / 4 | $12.170,50 | 2239 / 2 | $11.510,10 | 2229 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 3 | $19.938,80 | 816 / 3 | $4.786,55 | 905 / 2 | $3.686,91 | 902 / 2 | Total 16 procedures | 321 | 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.