Hospital Costs > In Ohio > Samaritan Regional Health System, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 18 | 45 / 2 | $48.721,40 | 37 / 3 | $21.437,20 | 13 / 5 | $15.527,70 | 13 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 48 | $9.611,71 | 90 / 9 | $4.541,76 | 113 / 11 | $3.326,59 | 113 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 55 | $10.584,80 | 132 / 7 | $5.094,73 | 113 / 5 | $4.035,65 | 113 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 59 | $16.186,80 | 405 / 27 | $6.361,90 | 309 / 5 | $5.574,50 | 308 / 24 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 41 | $11.892,00 | 435 / 35 | $4.174,17 | 431 / 10 | $3.263,50 | 430 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 66 | $10.225,70 | 231 / 8 | $4.251,35 | 353 / 10 | $3.290,38 | 352 / 20 |
| G.I. Hemorrhage W Cc | 18 | 200 / 59 | $11.020,70 | 85 / 4 | $5.505,06 | 189 / 7 | $4.546,22 | 189 / 14 |
| G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 9 | $9.740,39 | 92 / 1 | $4.186,50 | 52 / 8 | $2.789,22 | 52 / 4 |
| Heart Failure & Shock W Cc | 22 | 256 / 75 | $10.169,00 | 133 / 6 | $5.495,36 | 199 / 9 | $4.529,05 | 199 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 36 | $28.245,90 | 173 / 10 | $10.451,90 | 145 / 4 | $9.336,50 | 144 / 12 |
| Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 28 | $12.590,00 | 132 / 12 | $6.047,96 | 117 / 10 | $5.056,11 | 117 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 54 | $7.767,93 | 100 / 3 | $4.390,25 | 218 / 11 | $3.330,18 | 218 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 153 | 411 / 33 | $31.266,30 | 280 / 11 | $11.657,40 | 117 / 5 | $9.434,23 | 117 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 40 | $8.015,35 | 147 / 7 | $4.081,92 | 356 / 11 | $3.191,77 | 356 / 19 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 65 | $14.279,40 | 111 / 7 | $6.804,92 | 278 / 6 | $6.048,92 | 278 / 14 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 43 | $12.649,70 | 256 / 11 | $4.603,18 | 300 / 12 | $3.758,91 | 299 / 25 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 27 | $12.970,70 | 46 / 4 | $6.703,50 | 22 / 2 | $5.926,86 | 22 / 2 |
| Signs & Symptoms W/O Mcc | 25 | 66 / 12 | $9.178,56 | 68 / 4 | $4.009,60 | 92 / 7 | $2.959,92 | 92 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 41 | $12.361,70 | 289 / 14 | $5.461,34 | 311 / 10 | $4.473,79 | 309 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 52 | $13.285,00 | 63 / 5 | $7.363,30 | 37 / 1 | $6.291,95 | 37 / 4 |
| Syncope & Collapse | 14 | 155 / 43 | $10.187,60 | 112 / 6 | $4.160,29 | 88 / 10 | $2.967,64 | 88 / 9 | Total 21 procedures | 564 | 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.