Hospital Costs > In Kentucky > Saint Joseph London, 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 | 163 | 353 / 18 | $35.045,60 | 1054 / 30 | $11.055,30 | 787 / 30 | $9.893,60 | 786 / 31 |
Pulmonary Edema & Respiratory Failure | 112 | 91 / 9 | $21.969,40 | 533 / 17 | $7.572,12 | 764 / 26 | $6.668,12 | 764 / 35 |
Heart Failure & Shock W Mcc | 104 | 180 / 12 | $26.040,50 | 823 / 24 | $8.901,94 | 886 / 27 | $8.144,71 | 886 / 36 |
Heart Failure & Shock W Cc | 94 | 184 / 11 | $18.641,80 | 1008 / 28 | $6.135,35 | 1050 / 28 | $5.326,60 | 1048 / 36 |
Renal Failure W Mcc | 77 | 118 / 11 | $30.189,80 | 777 / 28 | $9.275,99 | 686 / 25 | $8.350,06 | 686 / 26 |
Renal Failure W Cc | 76 | 145 / 13 | $18.621,10 | 839 / 28 | $6.061,42 | 963 / 22 | $5.146,89 | 955 / 31 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 61 | 503 / 25 | $45.877,20 | 1079 / 22 | $13.263,00 | 944 / 32 | $10.961,80 | 925 / 28 |
Simple Pneumonia & Pleurisy W Mcc | 53 | 152 / 24 | $26.565,50 | 808 / 22 | $8.902,17 | 928 / 32 | $7.789,92 | 928 / 33 |
Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 19 | $18.669,20 | 862 / 33 | $5.884,69 | 997 / 26 | $4.954,98 | 994 / 38 |
Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 24 | $18.571,60 | 609 / 18 | $7.185,51 | 1062 / 26 | $6.299,96 | 1057 / 45 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 42 | 154 / 18 | $48.817,30 | 203 / 5 | $12.345,50 | 409 / 10 | $10.422,40 | 409 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 41 | 82 / 12 | $20.803,90 | 379 / 9 | $7.516,85 | 772 / 16 | $6.764,46 | 769 / 23 |
Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 34 | $15.316,20 | 597 / 15 | $6.063,89 | 1105 / 30 | $5.157,41 | 1101 / 40 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 30 | $17.508,20 | 1065 / 35 | $4.978,41 | 1246 / 32 | $3.925,46 | 1235 / 41 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 16 | $51.003,20 | 650 / 28 | $13.391,30 | 532 / 17 | $12.520,20 | 525 / 20 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 13 | $31.739,20 | 505 / 15 | $10.424,60 | 727 / 20 | $9.519,75 | 726 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 19 | $18.318,00 | 618 / 15 | $6.863,09 | 820 / 34 | $5.492,24 | 818 / 27 |
G.I. Hemorrhage W Cc | 33 | 185 / 22 | $17.130,60 | 495 / 10 | $6.346,67 | 753 / 32 | $5.136,24 | 751 / 29 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 31 | 157 / 17 | $36.508,10 | 818 / 20 | $7.550,52 | 619 / 22 | $5.614,87 | 617 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 22 | $14.835,40 | 497 / 17 | $5.159,41 | 923 / 24 | $4.217,19 | 920 / 29 |
Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 13 | $28.718,50 | 686 / 22 | $7.018,27 | 360 / 22 | $5.247,08 | 359 / 11 |
Cellulitis W/O Mcc | 23 | 166 / 26 | $17.395,90 | 1173 / 39 | $5.460,39 | 1455 / 32 | $4.675,70 | 1448 / 48 |
Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 7 | $50.831,90 | 181 / 5 | $17.375,40 | 318 / 7 | $16.683,60 | 315 / 9 |
G.I. Obstruction W Cc | 21 | 71 / 15 | $18.449,70 | 544 / 22 | $5.745,81 | 755 / 21 | $4.767,52 | 753 / 26 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 18 | $37.340,40 | 669 / 28 | $11.729,20 | 728 / 23 | $10.987,50 | 720 / 27 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 17 | $94.295,50 | 424 / 10 | $28.300,40 | 222 / 4 | $27.145,70 | 222 / 6 |
G.I. Hemorrhage W Mcc | 19 | 102 / 17 | $26.045,30 | 201 / 3 | $10.269,60 | 494 / 10 | $9.634,68 | 495 / 15 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 21 | $39.214,80 | 595 / 14 | $11.681,40 | 756 / 18 | $10.536,20 | 749 / 24 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 14 | $72.601,50 | 193 / 7 | $18.554,30 | 253 / 4 | $17.548,10 | 252 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 22 | $29.586,90 | 1125 / 23 | $6.502,53 | 767 / 14 | $5.514,29 | 765 / 18 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 25 | $24.904,40 | 917 / 29 | $6.997,41 | 684 / 21 | $5.928,18 | 683 / 22 |
Disorders Of Pancreas Except Malignancy W Mcc | 16 | 30 / 4 | $31.100,60 | 72 / 2 | $10.361,30 | 27 / 2 | $8.698,25 | 27 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 25 | $15.168,80 | 1010 / 31 | $4.358,19 | 723 / 36 | $2.605,19 | 719 / 18 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 6 | $45.456,10 | 213 / 5 | $11.933,80 | 169 / 3 | $10.329,20 | 169 / 5 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 26 | $14.202,00 | 746 / 28 | $4.396,87 | 750 / 18 | $3.511,53 | 746 / 21 |
Diabetes W Cc | 13 | 79 / 23 | $16.152,50 | 412 / 15 | $5.403,69 | 594 / 15 | $4.384,62 | 593 / 17 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 13 | $15.192,30 | 191 / 6 | $6.119,69 | 545 / 12 | $5.418,15 | 543 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 14 | $60.813,90 | 271 / 9 | $17.101,80 | 119 / 7 | $16.072,80 | 119 / 7 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 14 | $18.804,20 | 339 / 10 | $6.181,69 | 533 / 14 | $5.256,15 | 530 / 18 |
Respiratory Neoplasms W Mcc | 12 | 40 / 11 | $22.256,80 | 49 / 1 | $10.237,70 | 218 / 5 | $9.635,00 | 218 / 10 |
Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 14 | $58.848,80 | 120 / 4 | $19.323,40 | 265 / 5 | $18.323,40 | 265 / 8 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 7 | $118.418,00 | 27 / 1 | $51.105,00 | 64 / 1 | $49.699,70 | 64 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 33 | $14.957,60 | 952 / 40 | $4.537,83 | 674 / 26 | $3.431,17 | 672 / 21 |
Syncope & Collapse | 12 | 157 / 28 | $21.857,80 | 1024 / 30 | $4.793,83 | 738 / 20 | $3.791,17 | 735 / 23 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 13 | $29.143,80 | 197 / 8 | $11.321,80 | 296 / 12 | $9.954,50 | 295 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 19 | $34.327,30 | 498 / 13 | $10.081,70 | 473 / 7 | $9.279,00 | 472 / 14 |
Chest Pain | 12 | 139 / 26 | $15.810,10 | 572 / 20 | $4.156,08 | 1053 / 17 | $3.652,08 | 1046 / 34 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 26 | $13.265,60 | 290 / 10 | $5.260,45 | 1063 / 29 | $4.600,09 | 1056 / 37 |
Diabetes W Mcc | 11 | 46 / 9 | $25.452,50 | 184 / 3 | $8.250,00 | 247 / 6 | $7.810,73 | 247 / 10 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 29 | $15.003,50 | 735 / 33 | $4.727,09 | 815 / 32 | $3.516,91 | 811 / 34 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 11 | $18.642,10 | 251 / 9 | $5.921,45 | 319 / 10 | $4.821,82 | 318 / 11 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 15 | $41.801,60 | 185 / 5 | $12.450,10 | 308 / 7 | $11.577,40 | 303 / 10 | Total 52 procedures | 1.680 | 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.