Hospital Costs > In Oklahoma > Southwestern Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 62 | 454 / 30 | $59.079,10 | 2062 / 49 | $13.477,50 | 2115 / 50 | $12.833,90 | 2078 / 52 |
| Psychoses | 61 | 220 / 6 | $25.751,30 | 424 / 9 | $9.100,43 | 498 / 8 | $8.081,34 | 498 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 42 | 165 / 12 | $29.493,20 | 1587 / 40 | $9.412,93 | 2245 / 48 | $8.286,76 | 2236 / 49 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 23 | $22.084,50 | 1638 / 46 | $7.652,81 | 2524 / 52 | $6.677,32 | 2509 / 52 |
| G.I. Hemorrhage W Cc | 30 | 188 / 19 | $30.828,80 | 1606 / 31 | $9.352,30 | 2142 / 37 | $7.961,20 | 2138 / 37 |
| Renal Failure W Cc | 28 | 193 / 24 | $28.006,30 | 1601 / 33 | $8.838,21 | 2147 / 38 | $7.685,11 | 2137 / 39 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 26 | 538 / 41 | $61.623,60 | 1754 / 37 | $15.427,80 | 2147 / 46 | $14.311,50 | 2104 / 47 |
| Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 14 | $158.350,00 | 1154 / 20 | $27.760,60 | 833 / 17 | $24.447,80 | 829 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 28 | $26.497,40 | 1240 / 36 | $9.778,38 | 2250 / 47 | $9.069,04 | 2242 / 50 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 32 | $19.875,60 | 1567 / 45 | $7.809,00 | 2492 / 58 | $6.639,09 | 2481 / 58 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 17 | $33.901,90 | 1319 / 23 | $9.020,68 | 1769 / 27 | $8.033,05 | 1765 / 27 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 22 | 44 / 4 | $74.703,00 | 431 / 9 | $13.994,60 | 416 / 9 | $12.892,10 | 413 / 9 |
| Heart Failure & Shock W Cc | 21 | 257 / 29 | $29.904,70 | 1951 / 44 | $9.004,48 | 2509 / 48 | $8.369,05 | 2503 / 49 |
| Heart Failure & Shock W Mcc | 18 | 266 / 28 | $44.826,10 | 1840 / 41 | $11.813,30 | 2167 / 45 | $11.109,70 | 2157 / 46 |
| Renal Failure W Mcc | 17 | 178 / 21 | $44.011,20 | 1416 / 21 | $12.081,10 | 1726 / 26 | $11.315,50 | 1724 / 28 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 42 | $31.113,50 | 2010 / 57 | $8.895,88 | 2540 / 65 | $7.989,88 | 2531 / 65 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 28 | $24.984,50 | 1449 / 34 | $8.731,73 | 2202 / 45 | $7.682,13 | 2195 / 46 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 5 | $49.466,80 | 446 / 9 | $12.711,40 | 754 / 10 | $11.745,00 | 750 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 27 | $18.396,40 | 1364 / 40 | $7.426,79 | 2381 / 51 | $6.606,21 | 2372 / 51 |
| Cellulitis W/O Mcc | 13 | 176 / 24 | $24.421,20 | 1842 / 39 | $8.335,85 | 2349 / 48 | $6.769,15 | 2341 / 48 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 12 | $49.543,70 | 788 / 9 | $12.238,60 | 853 / 10 | $11.350,00 | 850 / 12 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 13 | $50.654,30 | 1017 / 10 | $13.182,70 | 1258 / 15 | $12.626,40 | 1250 / 16 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 25 | $59.246,50 | 891 / 19 | $14.829,00 | 1053 / 24 | $14.365,00 | 1043 / 28 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 12 | $59.885,10 | 930 / 11 | $14.352,60 | 1048 / 10 | $13.916,30 | 1041 / 12 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 14 | $46.369,70 | 1083 / 17 | $11.280,70 | 1300 / 19 | $10.512,70 | 1295 / 20 | Total 25 procedures | 584 | 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.