Hospital Costs > In Kentucky > Spring View Hospital, 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 Cc | 13 | 166 / 39 | $20.436,90 | 1045 / 42 | $6.494,77 | 1014 / 49 | $4.965,00 | 1011 / 39 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 39 | $22.756,30 | 951 / 38 | $8.130,76 | 1661 / 51 | $7.126,29 | 1653 / 56 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 30 | $15.501,00 | 840 / 40 | $5.324,80 | 1023 / 50 | $3.760,75 | 1014 / 39 |
| Heart Failure & Shock W Cc | 20 | 258 / 37 | $21.894,80 | 1390 / 42 | $7.084,30 | 1559 / 51 | $5.832,30 | 1554 / 48 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 26 | $15.778,20 | 933 / 36 | $4.938,73 | 1375 / 39 | $4.186,20 | 1364 / 40 |
| Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 29 | $13.250,10 | 674 / 17 | $5.562,20 | 1686 / 48 | $4.536,60 | 1675 / 50 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 35 | 529 / 31 | $53.964,90 | 1464 / 33 | $14.110,30 | 1663 / 40 | $12.465,00 | 1626 / 44 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 28 | $12.404,20 | 596 / 26 | $5.179,84 | 1678 / 50 | $4.295,63 | 1673 / 53 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 20 | $22.084,20 | 353 / 11 | $8.369,82 | 501 / 19 | $7.343,09 | 498 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 48 | $26.694,30 | 634 / 14 | $10.917,70 | 1011 / 27 | $10.204,10 | 1002 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 29 | $15.372,90 | 604 / 16 | $6.746,41 | 1654 / 53 | $5.674,30 | 1647 / 56 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 23 | $14.089,50 | 627 / 27 | $5.150,24 | 1270 / 46 | $3.995,65 | 1263 / 50 | Total 12 procedures | 267 | 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.