Hospital Costs > In Ohio > Southeastern Ohio Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Simple Pneumonia & Pleurisy W Cc | 76 | 127 / 15 | $12.306,80 | 278 / 13 | $6.866,88 | 1709 / 82 | $5.733,97 | 1701 / 94 |
Chronic Obstructive Pulmonary Disease W Mcc | 67 | 135 / 30 | $11.840,60 | 121 / 6 | $8.167,55 | 1685 / 78 | $7.176,54 | 1677 / 90 |
Heart Failure & Shock W Mcc | 50 | 234 / 56 | $17.395,60 | 272 / 17 | $10.707,70 | 1816 / 89 | $9.761,50 | 1811 / 97 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 49 | 467 / 76 | $21.907,40 | 355 / 20 | $13.411,40 | 2035 / 92 | $12.477,30 | 1998 / 100 |
Heart Failure & Shock W Cc | 47 | 231 / 60 | $12.532,30 | 319 / 20 | $6.958,98 | 1711 / 82 | $6.009,98 | 1706 / 91 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 41 | 234 / 55 | $10.025,90 | 216 / 6 | $5.333,76 | 1296 / 77 | $3.964,88 | 1285 / 80 |
Pulmonary Edema & Respiratory Failure | 36 | 167 / 45 | $14.208,40 | 108 / 6 | $8.672,42 | 1449 / 68 | $7.724,61 | 1444 / 79 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 35 | $12.089,10 | 153 / 7 | $7.452,58 | 1685 / 66 | $6.543,94 | 1678 / 86 |
Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 44 | $14.105,60 | 89 / 6 | $10.108,00 | 1706 / 85 | $9.165,58 | 1706 / 94 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 84 | $38.803,30 | 689 / 39 | $14.865,10 | 1973 / 90 | $13.509,50 | 1931 / 110 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 30 | $33.109,80 | 168 / 13 | $16.012,30 | 1195 / 57 | $15.053,40 | 1182 / 63 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 24 | $9.894,70 | 233 / 12 | $5.149,43 | 940 / 72 | $3.685,90 | 931 / 68 |
Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 53 | $9.643,24 | 264 / 15 | $5.467,07 | 1382 / 79 | $4.231,69 | 1373 / 78 |
Cellulitis W/O Mcc | 27 | 162 / 52 | $9.977,70 | 240 / 15 | $5.954,26 | 1442 / 79 | $4.665,74 | 1435 / 87 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 38 | $12.985,30 | 317 / 22 | $5.542,07 | 1171 / 65 | $4.468,07 | 1167 / 76 |
G.I. Hemorrhage W Cc | 27 | 191 / 52 | $14.303,30 | 248 / 13 | $7.002,19 | 1478 / 74 | $5.938,52 | 1474 / 84 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 16 | $9.998,08 | 218 / 10 | $4.933,12 | 1219 / 47 | $3.927,62 | 1213 / 59 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 33 | $11.601,20 | 92 / 6 | $7.920,00 | 1205 / 66 | $6.769,62 | 1201 / 74 |
Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 14 | $31.062,60 | 70 / 2 | $15.500,20 | 654 / 21 | $14.243,00 | 651 / 28 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 37 | $36.424,10 | 469 / 31 | $13.701,80 | 1441 / 73 | $12.525,60 | 1423 / 75 |
Renal Failure W Cc | 17 | 204 / 62 | $10.293,00 | 112 / 6 | $6.768,29 | 1360 / 74 | $5.568,00 | 1352 / 80 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 41 | $17.899,60 | 105 / 5 | $12.022,60 | 1239 / 59 | $11.184,00 | 1230 / 69 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 44 | $18.076,20 | 242 / 17 | $8.875,62 | 1217 / 67 | $7.642,25 | 1214 / 74 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 41 | $24.843,20 | 280 / 15 | $7.558,94 | 1062 / 44 | $6.548,00 | 1059 / 56 |
Diabetes W Cc | 16 | 76 / 24 | $13.581,90 | 243 / 17 | $5.810,50 | 871 / 41 | $4.837,50 | 867 / 53 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 65 | $12.452,70 | 276 / 20 | $6.569,47 | 1649 / 77 | $5.761,80 | 1642 / 89 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 23 | $11.725,80 | 59 / 3 | $7.295,43 | 951 / 41 | $6.525,00 | 949 / 55 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 33 | $85.220,60 | 302 / 24 | $45.479,50 | 1357 / 62 | $44.046,00 | 1347 / 67 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 51 | $11.230,60 | 457 / 22 | $4.924,85 | 1565 / 70 | $4.145,23 | 1560 / 86 |
G.I. Hemorrhage W Mcc | 13 | 108 / 38 | $18.525,10 | 54 / 2 | $12.198,80 | 1048 / 55 | $11.493,70 | 1040 / 64 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 44 | $9.263,15 | 260 / 17 | $4.094,85 | 686 / 62 | $2.578,46 | 682 / 39 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 33 | $7.883,46 | 105 / 5 | $4.707,92 | 1183 / 54 | $3.958,08 | 1173 / 68 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 29 | $13.015,20 | 47 / 5 | $9.741,83 | 1046 / 49 | $8.849,00 | 1041 / 55 |
Renal Failure W Mcc | 11 | 184 / 65 | $17.769,30 | 148 / 7 | $11.396,00 | 1490 / 76 | $10.235,60 | 1489 / 83 |
Diabetes W Mcc | 11 | 46 / 13 | $20.375,40 | 89 / 10 | $9.642,45 | 358 / 25 | $8.405,82 | 358 / 28 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 19 | $16.843,10 | 87 / 5 | $8.709,36 | 606 / 32 | $7.807,73 | 603 / 41 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 43 | $13.425,10 | 304 / 17 | $5.604,73 | 983 / 57 | $4.503,45 | 977 / 64 | Total 37 procedures | 950 | 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.