Hospital Costs > In Oklahoma > St Anthony Shawnee Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 13 | $26.892,90 | 332 / 7 | $9.924,70 | 590 / 12 | $9.198,30 | 589 / 15 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 32 | 21 / 2 | $16.172,10 | 170 / 2 | $5.020,56 | 282 / 6 | $3.737,53 | 280 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 20 | $13.190,30 | 338 / 5 | $5.096,75 | 811 / 20 | $4.116,75 | 808 / 23 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 11 | $8.448,48 | 188 / 2 | $3.800,08 | 946 / 13 | $2.782,48 | 941 / 15 |
Cellulitis W/O Mcc | 17 | 172 / 20 | $9.243,65 | 178 / 10 | $5.349,41 | 1026 / 29 | $4.285,88 | 1020 / 31 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 22 | $12.015,20 | 232 / 11 | $6.051,44 | 468 / 31 | $4.509,40 | 467 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 14 | $14.424,50 | 279 / 9 | $7.136,63 | 990 / 24 | $6.228,33 | 985 / 31 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 22 | $8.816,41 | 136 / 6 | $4.688,88 | 859 / 22 | $3.617,82 | 854 / 21 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 20 | $19.216,10 | 91 / 2 | $6.638,59 | 595 / 14 | $5.580,71 | 593 / 16 |
Diabetes W Cc | 14 | 78 / 14 | $14.744,80 | 322 / 7 | $5.309,93 | 575 / 12 | $4.361,36 | 575 / 13 |
Diabetes W/O Cc/Mcc | 11 | 27 / 3 | $10.392,70 | 46 / 1 | $3.907,82 | 76 / 2 | $2.912,91 | 76 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 29 | $10.223,10 | 230 / 15 | $4.838,14 | 1071 / 29 | $3.803,48 | 1063 / 30 |
G.I. Hemorrhage W Cc | 37 | 181 / 13 | $15.214,10 | 320 / 6 | $6.212,24 | 888 / 21 | $5.260,57 | 886 / 22 |
G.I. Obstruction W Cc | 17 | 75 / 12 | $12.007,10 | 120 / 2 | $5.780,41 | 374 / 12 | $4.318,18 | 373 / 8 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 11 | $10.251,70 | 153 / 2 | $4.098,25 | 444 / 6 | $2.890,25 | 443 / 7 |
Heart Failure & Shock W Cc | 36 | 242 / 21 | $12.045,90 | 274 / 12 | $6.180,58 | 1125 / 27 | $5.390,81 | 1123 / 32 |
Heart Failure & Shock W Mcc | 21 | 263 / 26 | $17.678,20 | 285 / 9 | $8.995,00 | 429 / 29 | $7.588,90 | 429 / 15 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 9 | $10.306,40 | 289 / 9 | $4.633,24 | 632 / 23 | $3.417,48 | 630 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 22 | $23.914,80 | 67 / 1 | $11.234,60 | 637 / 13 | $10.324,60 | 634 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 21 | $14.612,00 | 134 / 3 | $6.437,50 | 786 / 12 | $5.531,50 | 784 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 13 | $11.577,70 | 85 / 1 | $6.040,91 | 311 / 12 | $3.388,91 | 308 / 6 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 18 | $10.053,10 | 49 / 2 | $6.345,09 | 480 / 6 | $5.684,73 | 479 / 12 |
Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 43 | $10.765,00 | 366 / 15 | $4.687,92 | 1035 / 18 | $3.981,25 | 1027 / 29 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 39 | $27.635,10 | 145 / 3 | $13.041,70 | 777 / 29 | $10.728,00 | 765 / 29 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 12 | $40.597,60 | 198 / 3 | $14.892,60 | 543 / 8 | $13.777,10 | 537 / 14 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 12 | $78.324,40 | 185 / 3 | $29.381,90 | 383 / 6 | $28.341,90 | 381 / 10 |
Mastectomy For Malignancy W/O Cc/Mcc | 11 | 6 / 1 | $14.018,10 | 2 / 1 | $6.120,00 | 4 / 1 | $5.017,45 | 4 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 16 | $8.777,89 | 211 / 12 | $4.623,00 | 654 / 31 | $3.421,74 | 652 / 23 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 12 | $8.135,75 | 42 / 1 | $4.199,50 | 361 / 9 | $3.492,83 | 360 / 12 |
Pulmonary Edema & Respiratory Failure | 51 | 152 / 10 | $22.790,20 | 583 / 16 | $7.969,35 | 779 / 28 | $6.687,31 | 779 / 21 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 10 | $14.421,10 | 52 / 1 | $8.292,73 | 107 / 9 | $6.185,09 | 107 / 4 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 20 | $10.686,60 | 138 / 2 | $5.164,27 | 691 / 14 | $4.175,18 | 686 / 15 |
Renal Failure W Cc | 52 | 169 / 15 | $12.662,10 | 269 / 7 | $6.035,12 | 998 / 26 | $5.176,65 | 990 / 25 |
Renal Failure W Mcc | 32 | 163 / 14 | $16.257,50 | 100 / 2 | $8.920,62 | 498 / 12 | $8.053,22 | 498 / 13 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 9 | $10.180,40 | 125 / 2 | $4.187,47 | 297 / 7 | $3.140,00 | 296 / 5 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 11 | $19.098,60 | 231 / 3 | $8.436,57 | 648 / 13 | $7.661,71 | 645 / 16 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 16 | $25.315,00 | 246 / 2 | $10.796,70 | 390 / 4 | $10.235,80 | 389 / 8 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 20 | $35.926,70 | 229 / 5 | $13.378,80 | 596 / 16 | $12.698,80 | 588 / 23 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 201 | 315 / 11 | $20.525,00 | 286 / 16 | $10.565,70 | 555 / 20 | $9.602,91 | 554 / 19 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 11 | $12.820,90 | 202 / 13 | $6.503,07 | 774 / 19 | $5.457,82 | 772 / 22 |
Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 17 | $13.277,80 | 377 / 17 | $6.394,44 | 1444 / 45 | $5.458,09 | 1438 / 49 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 27 | $26.401,90 | 791 / 14 | $8.709,37 | 773 / 23 | $7.626,42 | 773 / 21 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 18 | $8.063,56 | 96 / 5 | $4.623,75 | 696 / 25 | $3.413,75 | 692 / 20 | Total 43 procedures | 1.133 | 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.