Hospital Costs > In Wyoming > Sheridan Memorial 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 | 74 | 490 / 4 | $32.151,90 | 321 / 1 | $21.236,90 | 2594 / 6 | $19.653,80 | 2548 / 8 |
Heart Failure & Shock W Cc | 29 | 249 / 3 | $17.205,60 | 836 / 3 | $9.841,66 | 2600 / 4 | $9.115,03 | 2594 / 5 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 2 | $12.695,80 | 477 / 1 | $6.859,30 | 1836 / 2 | $5.965,67 | 1828 / 3 |
Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 4 | $12.657,40 | 603 / 1 | $7.348,88 | 2386 / 5 | $6.110,68 | 2375 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 4 | $20.045,00 | 713 / 3 | $12.121,10 | 2429 / 5 | $10.558,20 | 2421 / 5 |
Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 5 | $14.832,00 | 541 / 1 | $9.567,00 | 2649 / 6 | $8.757,86 | 2640 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 4 | $35.278,80 | 1071 / 5 | $18.756,20 | 2696 / 6 | $17.989,90 | 2651 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 3 | $10.695,80 | 263 / 1 | $7.451,78 | 2358 / 4 | $5.728,83 | 2343 / 4 |
G.I. Hemorrhage W Cc | 18 | 200 / 3 | $19.098,80 | 669 / 3 | $9.893,06 | 2246 / 5 | $8.751,72 | 2242 / 4 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 2 | $11.518,80 | 182 / 1 | $6.723,50 | 703 / 2 | $5.737,50 | 702 / 2 |
Psychoses | 14 | 261 / 1 | $9.287,57 | 44 / 1 | $9.580,79 | 519 / 1 | $8.453,93 | 519 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 4 | $15.275,90 | 373 / 1 | $10.848,30 | 2381 / 4 | $9.170,29 | 2371 / 4 |
Renal Failure W Cc | 14 | 207 / 4 | $15.294,40 | 487 / 2 | $9.253,36 | 2278 / 4 | $8.734,50 | 2268 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 14 | 182 / 3 | $60.501,90 | 463 / 2 | $20.762,40 | 1450 / 3 | $19.548,70 | 1442 / 3 |
Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 5 | $24.481,70 | 668 / 5 | $14.821,60 | 2425 / 6 | $13.898,50 | 2419 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 3 | $14.285,30 | 900 / 2 | $5.533,15 | 1818 / 4 | $4.696,23 | 1812 / 4 |
Cellulitis W/O Mcc | 12 | 177 / 4 | $15.133,60 | 874 / 4 | $8.109,42 | 2365 / 4 | $6.882,08 | 2357 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 5 | $10.701,30 | 394 / 2 | $6.948,33 | 2294 / 3 | $6.047,00 | 2286 / 4 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 3 | $12.112,80 | 455 / 1 | $6.993,55 | 1932 / 4 | $6.117,91 | 1921 / 4 |
Heart Failure & Shock W Mcc | 11 | 273 / 4 | $21.164,20 | 486 / 1 | $15.027,30 | 2494 / 5 | $14.262,20 | 2483 / 5 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 3 | $13.042,40 | 606 / 2 | $6.602,27 | 1840 / 3 | $5.840,09 | 1827 / 3 | Total 21 procedures | 410 | 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.