Hospital Costs > In Ohio > Salem Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 29 | $15.271,90 | 590 / 37 | $5.543,40 | 315 / 14 | $4.475,67 | 313 / 25 |
Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 39 | $14.667,60 | 293 / 16 | $6.546,90 | 184 / 14 | $5.384,20 | 184 / 9 |
Heart Failure & Shock W Cc | 48 | 230 / 59 | $12.237,90 | 289 / 16 | $5.620,19 | 288 / 12 | $4.679,02 | 288 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 50 | $12.407,50 | 444 / 27 | $4.277,07 | 273 / 12 | $3.204,22 | 273 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 45 | 519 / 79 | $30.865,70 | 254 / 8 | $11.940,70 | 333 / 11 | $10.034,50 | 332 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 43 | 473 / 78 | $22.820,10 | 405 / 23 | $10.130,90 | 425 / 16 | $9.387,84 | 425 / 32 |
Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 37 | $21.322,30 | 462 / 33 | $8.365,05 | 641 / 27 | $7.490,88 | 641 / 53 |
Cellulitis W/O Mcc | 41 | 148 / 40 | $10.985,20 | 356 / 26 | $5.345,17 | 63 / 38 | $3.321,71 | 63 / 4 |
Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 44 | $10.251,90 | 317 / 18 | $4.415,75 | 251 / 12 | $3.367,25 | 251 / 16 |
Pulmonary Edema & Respiratory Failure | 38 | 165 / 43 | $17.557,40 | 257 / 15 | $6.979,00 | 323 / 13 | $6.118,39 | 323 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 31 | $11.911,50 | 538 / 30 | $4.097,74 | 291 / 12 | $3.117,09 | 291 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 36 | $15.489,30 | 393 / 24 | $5.897,50 | 282 / 9 | $4.968,84 | 281 / 16 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 26 | $10.992,40 | 354 / 23 | $4.177,82 | 149 / 11 | $2.921,21 | 149 / 14 |
Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 53 | $13.481,90 | 367 / 26 | $5.415,54 | 227 / 14 | $4.225,29 | 227 / 14 |
Renal Failure W Cc | 27 | 194 / 56 | $15.084,00 | 475 / 27 | $5.502,89 | 300 / 15 | $4.534,44 | 298 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 34 | $12.463,50 | 55 / 4 | $6.570,89 | 128 / 3 | $5.700,52 | 128 / 8 |
Heart Failure & Shock W Mcc | 26 | 258 / 70 | $17.370,80 | 271 / 16 | $8.786,92 | 159 / 34 | $7.152,81 | 159 / 7 |
Syncope & Collapse | 24 | 145 / 34 | $11.188,90 | 157 / 9 | $4.204,58 | 263 / 12 | $3.285,42 | 261 / 20 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 24 | $10.054,70 | 267 / 16 | $3.921,30 | 263 / 10 | $3.055,52 | 261 / 16 |
G.I. Hemorrhage W Cc | 23 | 195 / 55 | $14.567,10 | 267 / 15 | $6.083,52 | 118 / 29 | $4.406,26 | 118 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 41 | $16.761,40 | 260 / 11 | $6.571,91 | 110 / 37 | $4.600,73 | 110 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 34 | $26.348,60 | 109 / 7 | $10.595,30 | 211 / 8 | $9.514,10 | 210 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 25 | $13.627,30 | 158 / 7 | $4.346,53 | 360 / 8 | $3.442,89 | 357 / 23 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 23 | $20.988,60 | 300 / 23 | $7.670,50 | 173 / 11 | $6.703,94 | 172 / 14 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 36 | $16.446,50 | 578 / 36 | $4.569,17 | 187 / 9 | $3.603,22 | 187 / 15 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 48 | $9.181,00 | 78 / 8 | $4.476,76 | 204 / 10 | $3.479,06 | 204 / 15 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 24 | $11.706,60 | 394 / 22 | $4.110,41 | 275 / 8 | $3.020,94 | 273 / 17 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 19 | $15.200,00 | 160 / 8 | $5.461,38 | 275 / 6 | $4.752,38 | 275 / 22 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 43 | $26.344,30 | 271 / 17 | $11.960,00 | 893 / 45 | $11.373,00 | 883 / 60 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 42 | $7.498,73 | 111 / 7 | $3.396,67 | 278 / 15 | $2.238,00 | 276 / 17 |
Renal Failure W Mcc | 14 | 181 / 62 | $19.298,40 | 203 / 12 | $8.400,00 | 210 / 11 | $7.562,71 | 210 / 18 |
Seizures W/O Mcc | 13 | 95 / 27 | $12.137,50 | 136 / 8 | $4.380,54 | 162 / 7 | $3.472,77 | 161 / 11 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 10 | $9.361,54 | 66 / 4 | $4.158,92 | 78 / 7 | $2.868,38 | 79 / 6 |
Signs & Symptoms W/O Mcc | 13 | 78 / 22 | $10.931,20 | 126 / 11 | $4.053,62 | 86 / 8 | $2.945,77 | 86 / 8 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 45 | $18.410,70 | 114 / 6 | $9.404,00 | 186 / 16 | $8.270,83 | 186 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 36 | $14.940,20 | 147 / 8 | $6.176,75 | 145 / 7 | $5.412,33 | 144 / 10 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 42 | $13.813,20 | 180 / 15 | $6.229,17 | 295 / 16 | $5.422,58 | 294 / 25 |
Medical Back Problems W/O Mcc | 12 | 109 / 35 | $10.929,50 | 75 / 5 | $4.872,58 | 157 / 11 | $3.672,42 | 157 / 10 |
Diabetes W Cc | 12 | 80 / 27 | $11.584,30 | 132 / 11 | $4.752,83 | 79 / 7 | $3.559,67 | 79 / 9 |
Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 26 | $61.904,80 | 147 / 9 | $22.182,50 | 571 / 24 | $20.997,50 | 571 / 32 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 17 | $7.389,91 | 23 / 4 | $4.371,82 | 61 / 5 | $3.092,00 | 61 / 5 |
Chest Pain | 11 | 140 / 38 | $9.316,64 | 119 / 4 | $3.557,45 | 514 / 7 | $2.946,27 | 511 / 26 | Total 42 procedures | 1.043 | 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.