Hospital Costs > In Kentucky > Saint Joseph Mount Sterling, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 64 | 500 / 24 | $33.062,30 | 356 / 3 | $12.511,50 | 636 / 18 | $10.525,20 | 628 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 23 | $18.844,40 | 319 / 7 | $9.054,66 | 956 / 36 | $7.832,18 | 956 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 50 | 466 / 35 | $18.180,50 | 180 / 3 | $10.588,90 | 532 / 18 | $9.562,06 | 531 / 19 |
| Pulmonary Edema & Respiratory Failure | 37 | 166 / 26 | $13.141,90 | 76 / 1 | $7.281,92 | 295 / 20 | $6.082,22 | 295 / 9 |
| Heart Failure & Shock W Mcc | 28 | 256 / 36 | $21.310,20 | 496 / 10 | $9.597,21 | 1296 / 44 | $8.710,89 | 1293 / 49 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 36 | $15.544,10 | 356 / 12 | $7.307,36 | 1050 / 35 | $6.293,68 | 1045 / 44 |
| Renal Failure W Mcc | 22 | 173 / 29 | $17.495,50 | 140 / 2 | $9.021,18 | 456 / 15 | $8.003,27 | 456 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 35 | $14.284,60 | 449 / 10 | $5.656,53 | 744 / 17 | $4.754,53 | 742 / 25 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 41 | $11.566,30 | 216 / 3 | $5.943,95 | 964 / 24 | $5.051,00 | 961 / 35 |
| Cellulitis W/O Mcc | 17 | 172 / 32 | $9.196,41 | 175 / 3 | $5.324,71 | 1014 / 23 | $4.278,59 | 1008 / 37 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 21 | $33.878,70 | 551 / 21 | $12.117,80 | 644 / 26 | $10.792,10 | 636 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 32 | $12.002,10 | 551 / 23 | $4.670,07 | 1045 / 32 | $3.683,21 | 1042 / 34 |
| Renal Failure W Cc | 13 | 208 / 40 | $15.306,30 | 488 / 11 | $6.214,46 | 1135 / 29 | $5.317,54 | 1127 / 38 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 14 | $9.230,09 | 92 / 2 | $4.095,55 | 323 / 9 | $3.179,00 | 322 / 12 | Total 14 procedures | 387 | 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.