Hospital Costs > In Oklahoma > Sequoyah County City Of Sallisaw Hospital Authorit, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 36 | $7.135,31 | 4 / 3 | $7.272,62 | 1011 / 31 | $6.256,00 | 1006 / 32 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 26 | $10.636,50 | 17 / 2 | $7.454,40 | 746 / 14 | $6.645,93 | 746 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 54 | 462 / 32 | $7.588,06 | 2 / 2 | $11.198,10 | 1147 / 36 | $10.398,40 | 1131 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 31 | $5.219,83 | 1 / 1 | $6.568,58 | 1101 / 25 | $5.763,25 | 1098 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 43 | $6.381,47 | 6 / 2 | $6.307,40 | 1279 / 41 | $5.280,20 | 1275 / 41 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 23 | $6.024,82 | 19 / 1 | $4.629,45 | 829 / 28 | $3.532,73 | 825 / 24 | Total 6 procedures | 120 | 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.