Hospital Costs > In Nevada > Sierra Surgery 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 | 172 | 392 / 7 | $59.636,70 | 1680 / 4 | $13.741,50 | 1345 / 1 | $11.688,80 | 1313 / 5 |
Spinal Fusion Except Cervical W/O Mcc | 73 | 121 / 4 | $72.134,70 | 402 / 1 | $25.118,20 | 737 / 3 | $23.521,60 | 733 / 8 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 40 | 56 / 2 | $55.217,10 | 416 / 2 | $13.976,80 | 495 / 2 | $12.768,00 | 492 / 3 |
Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 7 | $49.258,30 | 329 / 1 | $14.548,70 | 414 / 2 | $12.192,30 | 413 / 6 |
Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 3 | $26.872,50 | 52 / 1 | $7.947,83 | 131 / 1 | $6.349,58 | 131 / 1 | Total 5 procedures | 316 | 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.