Hospital Costs > In Oklahoma > Saint Francis Hospital South, Llc, 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 | 123 | 393 / 21 | $27.098,30 | 654 / 30 | $10.506,90 | 293 / 18 | $9.163,89 | 293 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 69 | 495 / 27 | $34.765,30 | 447 / 13 | $13.312,40 | 62 / 33 | $9.119,57 | 62 / 5 |
| Heart Failure & Shock W Mcc | 64 | 220 / 10 | $23.271,80 | 612 / 16 | $8.542,75 | 428 / 16 | $7.588,73 | 428 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 9 | $17.544,70 | 568 / 22 | $6.546,33 | 223 / 23 | $4.882,85 | 222 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 17 | $19.179,10 | 340 / 4 | $8.309,63 | 214 / 16 | $6.860,93 | 214 / 7 |
| Respiratory Infections & Inflammations W Mcc | 40 | 96 / 8 | $25.325,10 | 247 / 3 | $10.463,20 | 56 / 2 | $9.125,17 | 56 / 2 |
| Renal Failure W Cc | 38 | 183 / 19 | $14.654,00 | 433 / 14 | $5.706,74 | 365 / 15 | $4.610,58 | 362 / 11 |
| G.I. Hemorrhage W Cc | 37 | 181 / 13 | $15.301,40 | 323 / 7 | $5.916,08 | 429 / 12 | $4.838,46 | 428 / 11 |
| Pulmonary Edema & Respiratory Failure | 36 | 167 / 13 | $20.928,90 | 461 / 13 | $7.266,58 | 132 / 11 | $5.751,00 | 132 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 20 | $14.213,70 | 644 / 27 | $4.677,89 | 599 / 18 | $3.482,09 | 596 / 17 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 23 | $14.940,40 | 307 / 11 | $6.684,06 | 601 / 11 | $5.862,39 | 599 / 18 |
| Renal Failure W Mcc | 27 | 168 / 18 | $20.957,10 | 268 / 5 | $8.637,26 | 354 / 7 | $7.834,89 | 354 / 11 |
| Heart Failure & Shock W Cc | 19 | 259 / 30 | $12.414,40 | 304 / 13 | $6.234,53 | 240 / 32 | $4.608,74 | 240 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 23 | $15.624,20 | 1033 / 34 | $4.495,50 | 1066 / 26 | $3.692,00 | 1063 / 35 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 17 | $15.438,50 | 490 / 9 | $4.870,07 | 663 / 8 | $4.151,13 | 659 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 23 | $33.109,40 | 344 / 9 | $10.665,90 | 247 / 6 | $9.614,13 | 246 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 7 | $54.084,80 | 170 / 3 | $17.538,30 | 157 / 2 | $16.420,60 | 157 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 16 | $29.445,30 | 423 / 8 | $9.931,93 | 491 / 13 | $8.978,79 | 490 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 17 | $12.623,10 | 547 / 14 | $4.173,29 | 613 / 13 | $3.398,43 | 611 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 19 | $13.163,90 | 740 / 11 | $3.834,00 | 583 / 14 | $2.505,31 | 579 / 12 |
| Cellulitis W/O Mcc | 11 | 178 / 26 | $13.479,30 | 659 / 20 | $4.916,45 | 430 / 13 | $3.816,82 | 427 / 12 |
| Syncope & Collapse | 11 | 158 / 17 | $14.673,50 | 365 / 5 | $4.491,27 | 351 / 7 | $3.391,64 | 349 / 6 | Total 22 procedures | 733 | 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.