Hospital Costs > In Oregon > Samaritan Albany General Hospital, 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 | 66 | 498 / 20 | $44.329,70 | 987 / 15 | $15.827,00 | 962 / 13 | $10.988,50 | 943 / 2 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 11 | $19.060,90 | 1036 / 14 | $6.844,97 | 1485 / 6 | $5.498,45 | 1479 / 4 |
Heart Failure & Shock W Cc | 29 | 249 / 20 | $17.396,60 | 858 / 10 | $6.486,17 | 1359 / 4 | $5.608,93 | 1355 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 23 | 493 / 30 | $34.130,80 | 1008 / 17 | $11.659,80 | 1344 / 2 | $10.716,60 | 1318 / 5 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 16 | $18.152,20 | 1365 / 18 | $5.333,35 | 1647 / 4 | $4.488,55 | 1636 / 6 |
Cellulitis W/O Mcc | 18 | 171 / 15 | $16.358,30 | 1039 / 14 | $5.480,44 | 1255 / 3 | $4.476,00 | 1249 / 4 |
Renal Failure W Cc | 14 | 207 / 18 | $20.391,40 | 1016 / 14 | $6.377,29 | 1233 / 3 | $5.426,43 | 1225 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 18 | $17.718,10 | 541 / 6 | $7.585,85 | 1364 / 2 | $6.657,85 | 1358 / 5 |
Heart Failure & Shock W Mcc | 12 | 272 / 23 | $19.193,10 | 379 / 4 | $9.015,08 | 902 / 2 | $8.159,08 | 901 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 13 | $54.025,30 | 741 / 7 | $15.771,40 | 1201 / 2 | $15.070,10 | 1188 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 24 | $18.821,20 | 1252 / 22 | $5.927,83 | 1360 / 15 | $4.018,75 | 1349 / 5 |
G.I. Hemorrhage W Cc | 11 | 207 / 26 | $22.579,70 | 990 / 16 | $6.409,55 | 1245 / 3 | $5.638,64 | 1242 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 20 | $16.120,60 | 221 / 3 | $7.619,09 | 635 / 7 | $5.364,00 | 634 / 2 | Total 13 procedures | 274 | 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.