Hospital Costs > In Louisiana > Springhill Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 13 | 176 / 38 | $6.989,69 | 41 / 3 | $4.990,31 | 623 / 11 | $3.990,08 | 620 / 16 |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 33 | $8.005,50 | 22 / 2 | $5.060,58 | 232 / 4 | $4.235,25 | 232 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 34 | $10.272,70 | 46 / 1 | $7.074,94 | 1052 / 22 | $6.293,76 | 1047 / 28 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 26 | $7.317,62 | 62 / 3 | $4.447,54 | 739 / 11 | $3.522,00 | 736 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 32 | $7.994,30 | 94 / 8 | $4.709,09 | 620 / 16 | $3.501,43 | 616 / 14 |
Heart Failure & Shock W Cc | 24 | 254 / 43 | $7.562,25 | 23 / 2 | $5.587,54 | 359 / 9 | $4.734,21 | 359 / 11 |
Heart Failure & Shock W Mcc | 24 | 260 / 38 | $12.149,20 | 55 / 2 | $8.281,29 | 567 / 9 | $7.775,96 | 567 / 16 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 26 | $9.777,86 | 44 / 2 | $6.829,57 | 649 / 20 | $5.878,71 | 648 / 17 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 36 | $8.257,58 | 135 / 6 | $4.982,81 | 927 / 23 | $3.904,54 | 920 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 32 | $5.784,22 | 23 / 3 | $4.464,61 | 1009 / 13 | $3.659,28 | 1006 / 22 |
Pulmonary Edema & Respiratory Failure | 34 | 169 / 15 | $14.679,40 | 136 / 3 | $7.538,74 | 748 / 15 | $6.648,12 | 748 / 16 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 28 | $10.277,90 | 126 / 3 | $6.065,48 | 1251 / 19 | $5.260,64 | 1247 / 32 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 26 | $14.266,80 | 96 / 2 | $8.233,92 | 526 / 11 | $7.354,24 | 526 / 15 | Total 13 procedures | 276 | 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.