Hospital Costs > In Kentucky > Saint Joseph East, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 25 | $16.793,00 | 83 / 2 | $10.340,50 | 291 / 19 | $8.519,23 | 291 / 11 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 8 | $13.191,20 | 130 / 4 | $6.188,08 | 566 / 8 | $4.981,75 | 562 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 23 | $11.337,20 | 196 / 4 | $5.723,15 | 1335 / 33 | $4.710,27 | 1330 / 34 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 21 | $12.433,20 | 54 / 1 | $8.086,81 | 1084 / 26 | $7.305,06 | 1081 / 28 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 29 | $9.120,58 | 244 / 8 | $4.390,17 | 1346 / 37 | $3.224,75 | 1341 / 37 |
Cellulitis W/O Mcc | 15 | 174 / 34 | $17.146,80 | 1145 / 36 | $6.172,47 | 1544 / 50 | $4.773,33 | 1537 / 49 |
Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 29 | $12.611,10 | 287 / 5 | $6.415,54 | 1408 / 47 | $5.388,85 | 1403 / 51 |
Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 33 | $14.516,30 | 284 / 7 | $7.760,15 | 1460 / 46 | $6.787,30 | 1454 / 50 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 31 | $13.208,30 | 528 / 13 | $5.433,41 | 1704 / 48 | $4.347,38 | 1691 / 50 |
G.I. Hemorrhage W Cc | 28 | 190 / 26 | $15.858,90 | 374 / 7 | $6.931,68 | 1400 / 42 | $5.820,43 | 1397 / 44 |
G.I. Hemorrhage W Mcc | 11 | 110 / 23 | $31.383,40 | 371 / 11 | $10.599,50 | 576 / 15 | $9.854,82 | 577 / 17 |
G.I. Obstruction W Cc | 16 | 76 / 18 | $12.397,80 | 138 / 4 | $6.152,44 | 974 / 28 | $5.072,06 | 971 / 30 |
Heart Failure & Shock W Cc | 33 | 245 / 29 | $13.435,10 | 408 / 8 | $6.777,27 | 1689 / 46 | $5.984,33 | 1684 / 51 |
Heart Failure & Shock W Mcc | 52 | 232 / 28 | $21.010,80 | 481 / 9 | $9.614,44 | 1080 / 45 | $8.409,10 | 1077 / 44 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 23 | $29.365,40 | 206 / 3 | $11.957,30 | 833 / 24 | $10.666,00 | 823 / 26 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 10 | $21.494,50 | 45 / 2 | $10.730,60 | 287 / 10 | $8.423,64 | 286 / 8 |
Hypertension W/O Mcc | 13 | 52 / 11 | $12.302,00 | 117 / 5 | $4.773,31 | 482 / 15 | $3.679,46 | 480 / 15 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 14 | $62.961,30 | 127 / 5 | $27.638,30 | 159 / 3 | $26.373,90 | 159 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 25 | $16.737,80 | 257 / 5 | $7.352,00 | 1207 / 27 | $6.155,50 | 1204 / 27 |
Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 14 | $18.886,10 | 498 / 12 | $7.502,00 | 1062 / 31 | $6.508,97 | 1059 / 30 |
Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 40 | $14.133,80 | 816 / 23 | $5.706,53 | 1441 / 50 | $4.295,53 | 1432 / 49 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 9 | $53.861,20 | 403 / 5 | $13.764,40 | 470 / 7 | $12.586,40 | 467 / 9 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 166 | 398 / 14 | $38.987,80 | 698 / 9 | $13.283,60 | 570 / 33 | $10.426,70 | 565 / 14 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 8 | $48.227,10 | 117 / 2 | $15.923,80 | 231 / 6 | $14.750,70 | 231 / 8 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 15 | $38.517,80 | 160 / 4 | $15.678,20 | 707 / 17 | $14.376,70 | 701 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 23 | $19.115,80 | 362 / 14 | $7.501,55 | 794 / 19 | $6.573,55 | 791 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 24 | $13.545,70 | 765 / 35 | $5.191,69 | 1761 / 51 | $4.410,12 | 1756 / 56 |
O.R. Procedures For Obesity W/O Cc/Mcc | 37 | 40 / 2 | $24.282,90 | 40 / 1 | $10.881,80 | 73 / 5 | $7.677,08 | 73 / 3 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 10 | $27.143,70 | 307 / 7 | $11.420,80 | 750 / 14 | $10.518,80 | 748 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 20 | $37.663,40 | 52 / 4 | $13.144,20 | 609 / 13 | $10.968,80 | 605 / 15 |
Pulmonary Edema & Respiratory Failure | 48 | 155 / 23 | $20.915,00 | 458 / 12 | $8.208,04 | 1241 / 40 | $7.299,54 | 1239 / 45 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 26 | $12.039,10 | 218 / 6 | $5.775,18 | 1068 / 37 | $4.604,73 | 1061 / 38 |
Renal Failure W Cc | 47 | 174 / 21 | $19.513,40 | 931 / 31 | $6.809,85 | 1467 / 39 | $5.703,13 | 1458 / 40 |
Renal Failure W Mcc | 26 | 169 / 26 | $20.050,80 | 231 / 8 | $10.006,30 | 1071 / 32 | $9.069,73 | 1071 / 34 |
Renal Failure W/O Cc/Mcc | 18 | 38 / 8 | $11.122,80 | 163 / 6 | $5.270,11 | 186 / 21 | $2.900,39 | 185 / 6 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 24 | $28.790,60 | 349 / 7 | $12.257,60 | 783 / 28 | $11.105,10 | 775 / 28 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 22 | $39.525,60 | 313 / 12 | $14.220,60 | 830 / 24 | $13.443,70 | 822 / 29 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 17 | $82.532,90 | 129 / 8 | $29.927,60 | 276 / 9 | $28.887,70 | 276 / 11 |
Revision Of Hip Or Knee Replacement W Cc | 16 | 70 / 7 | $47.689,10 | 59 / 1 | $20.568,60 | 10 / 5 | $14.672,60 | 10 / 1 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 13 | $99.598,50 | 182 / 7 | $37.749,30 | 410 / 12 | $35.195,40 | 409 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 122 | 394 / 25 | $27.490,10 | 666 / 15 | $11.714,60 | 1260 / 46 | $10.569,40 | 1239 / 47 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 25 | $16.390,30 | 470 / 7 | $7.228,28 | 1348 / 41 | $6.045,44 | 1343 / 40 |
Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 38 | $14.755,40 | 528 / 13 | $6.935,75 | 1413 / 57 | $5.429,54 | 1407 / 51 |
Simple Pneumonia & Pleurisy W Mcc | 71 | 134 / 19 | $19.072,40 | 329 / 8 | $9.272,27 | 1195 / 40 | $8.131,31 | 1195 / 44 |
Spinal Fusion Except Cervical W/O Mcc | 39 | 155 / 10 | $41.898,70 | 53 / 1 | $24.100,50 | 508 / 4 | $21.840,80 | 505 / 7 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 17 | 31 / 5 | $14.520,00 | 2 / 1 | $9.527,88 | 89 / 4 | $8.348,65 | 89 / 4 |
Syncope & Collapse | 12 | 157 / 28 | $11.688,70 | 181 / 7 | $5.320,25 | 888 / 29 | $3.931,50 | 883 / 29 |
Transient Ischemia | 11 | 114 / 23 | $13.196,70 | 189 / 6 | $5.207,55 | 1001 / 26 | $4.041,09 | 996 / 27 |
Transurethral Procedures W Cc | 14 | 27 / 5 | $21.276,60 | 37 / 2 | $8.456,14 | 176 / 7 | $7.127,29 | 176 / 7 | Total 49 procedures | 1.324 | 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.