Hospital Costs > In Kentucky > St Elizabeth Ft Thomas, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 116 | 31 / 2 | $15.720,80 | 366 / 11 | $4.446,10 | 66 / 3 | $3.064,69 | 66 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 106 | 410 / 26 | $35.675,30 | 1084 / 34 | $11.416,00 | 552 / 39 | $9.599,62 | 551 / 20 |
Chronic Obstructive Pulmonary Disease W Mcc | 81 | 121 / 14 | $19.947,70 | 706 / 27 | $7.043,60 | 621 / 20 | $5.886,67 | 618 / 22 |
Kidney & Urinary Tract Infections W/O Mcc | 78 | 155 / 10 | $13.531,00 | 717 / 19 | $4.687,90 | 523 / 17 | $3.635,76 | 522 / 18 |
Heart Failure & Shock W Mcc | 76 | 208 / 20 | $27.976,40 | 973 / 29 | $9.222,59 | 678 / 35 | $7.895,70 | 678 / 25 |
Chronic Obstructive Pulmonary Disease W Cc | 73 | 106 / 9 | $14.637,20 | 478 / 12 | $5.674,11 | 399 / 18 | $4.430,97 | 398 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 68 | 207 / 19 | $14.178,90 | 641 / 18 | $4.751,09 | 534 / 23 | $3.433,82 | 532 / 17 |
Heart Failure & Shock W Cc | 63 | 215 / 17 | $18.371,20 | 971 / 27 | $6.341,56 | 391 / 36 | $4.772,92 | 391 / 11 |
Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 23 | $15.772,10 | 656 / 17 | $5.936,12 | 450 / 22 | $4.605,76 | 447 / 14 |
Renal Failure W Cc | 54 | 167 / 19 | $16.187,20 | 584 / 14 | $6.119,15 | 244 / 25 | $4.461,85 | 243 / 8 |
Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 25 | $21.927,30 | 503 / 14 | $8.579,55 | 892 / 20 | $7.751,41 | 892 / 32 |
Pulmonary Edema & Respiratory Failure | 50 | 153 / 22 | $24.281,00 | 678 / 23 | $7.611,02 | 500 / 27 | $6.334,74 | 500 / 20 |
Cellulitis W/O Mcc | 50 | 139 / 11 | $12.536,90 | 534 / 17 | $5.256,30 | 417 / 21 | $3.810,88 | 414 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 14 | $14.695,10 | 489 / 16 | $4.853,18 | 498 / 13 | $3.815,00 | 496 / 14 |
G.I. Hemorrhage W Cc | 42 | 176 / 19 | $19.513,10 | 708 / 21 | $6.104,43 | 521 / 21 | $4.928,43 | 520 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 15 | $11.603,30 | 498 / 18 | $4.335,31 | 513 / 16 | $3.316,31 | 511 / 15 |
Renal Failure W Mcc | 36 | 159 / 23 | $39.532,80 | 1275 / 36 | $10.552,50 | 837 / 35 | $8.606,25 | 837 / 31 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 21 | $10.251,80 | 269 / 9 | $4.317,45 | 374 / 10 | $3.212,15 | 373 / 12 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 33 | 155 / 16 | $27.098,50 | 382 / 10 | $7.238,24 | 397 / 18 | $5.305,52 | 395 / 12 |
G.I. Obstruction W Cc | 29 | 63 / 10 | $12.813,90 | 152 / 5 | $5.614,24 | 342 / 16 | $4.264,24 | 341 / 8 |
Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 15 | $18.295,40 | 454 / 11 | $6.871,11 | 334 / 17 | $5.473,29 | 333 / 10 |
Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 16 | $37.000,40 | 498 / 10 | $12.311,40 | 119 / 27 | $9.268,54 | 118 / 3 |
Chest Pain | 27 | 124 / 17 | $16.212,50 | 606 / 22 | $3.839,41 | 472 / 11 | $2.899,93 | 470 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 16 | $19.093,00 | 361 / 13 | $6.599,81 | 464 / 9 | $5.970,54 | 461 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 26 | $17.400,70 | 547 / 12 | $6.573,17 | 365 / 23 | $5.055,92 | 364 / 14 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 24 | 25 / 1 | $9.147,17 | 68 / 2 | $3.062,83 | 8 / 1 | $2.123,71 | 8 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 18 | $26.853,50 | 785 / 21 | $7.762,91 | 786 / 20 | $6.791,74 | 783 / 24 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 20 | $14.754,70 | 958 / 30 | $3.772,61 | 439 / 17 | $2.393,61 | 436 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 21 | $43.351,80 | 424 / 17 | $13.343,00 | 516 / 16 | $12.497,90 | 509 / 19 |
Transient Ischemia | 21 | 104 / 17 | $14.640,60 | 276 / 8 | $4.480,81 | 185 / 11 | $2.985,14 | 185 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 21 | $21.099,10 | 539 / 16 | $6.569,15 | 301 / 17 | $4.981,70 | 300 / 5 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 21 | $12.727,20 | 482 / 20 | $4.437,11 | 559 / 19 | $3.286,47 | 557 / 24 |
Medical Back Problems W/O Mcc | 19 | 102 / 16 | $14.478,30 | 198 / 7 | $5.115,05 | 359 / 8 | $4.047,58 | 359 / 9 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 19 | 58 / 2 | $21.090,20 | 46 / 2 | $7.363,68 | 14 / 1 | $6.187,84 | 14 / 1 |
Diabetes W Cc | 18 | 74 / 18 | $12.578,60 | 185 / 3 | $4.916,56 | 348 / 6 | $4.080,33 | 348 / 8 |
Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 12 | $86.100,90 | 250 / 7 | $28.264,40 | 258 / 6 | $26.992,50 | 256 / 8 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 24 | $14.314,40 | 766 / 29 | $4.783,18 | 151 / 34 | $2.901,82 | 149 / 4 |
G.I. Hemorrhage W Mcc | 16 | 105 / 20 | $28.154,90 | 271 / 6 | $10.927,30 | 104 / 18 | $8.486,25 | 104 / 3 |
Syncope & Collapse | 16 | 153 / 25 | $12.390,90 | 219 / 10 | $4.909,75 | 311 / 22 | $3.353,94 | 309 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 12 | $22.490,90 | 375 / 11 | $7.714,00 | 229 / 14 | $5.968,79 | 228 / 7 |
Signs & Symptoms W/O Mcc | 14 | 77 / 14 | $10.820,40 | 122 / 2 | $4.201,57 | 174 / 8 | $3.171,86 | 174 / 6 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 23 | $17.740,90 | 694 / 28 | $4.961,29 | 504 / 16 | $3.983,36 | 503 / 14 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 11 | $33.379,50 | 149 / 5 | $10.901,80 | 82 / 11 | $7.728,64 | 82 / 4 |
Seizures W/O Mcc | 14 | 94 / 17 | $14.816,70 | 253 / 7 | $5.205,79 | 221 / 12 | $3.597,79 | 220 / 7 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 17 | $60.130,30 | 641 / 20 | $15.467,60 | 695 / 15 | $14.324,60 | 689 / 20 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 13 | $41.205,40 | 172 / 3 | $14.314,30 | 22 / 11 | $9.690,08 | 22 / 2 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 25 | $35.400,90 | 634 / 19 | $10.712,50 | 70 / 24 | $7.713,23 | 70 / 5 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 12 | $32.798,70 | 468 / 8 | $8.850,25 | 227 / 4 | $8.094,92 | 227 / 6 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 14 | $20.823,60 | 855 / 19 | $4.838,58 | 984 / 18 | $3.924,08 | 981 / 20 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 8 | $11.402,90 | 89 / 4 | $4.597,42 | 96 / 6 | $3.281,75 | 96 / 5 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 12 | 16 / 2 | $28.570,20 | 11 / 1 | $9.782,58 | 32 / 1 | $8.950,50 | 32 / 1 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 9 | $16.540,70 | 137 / 4 | $6.040,92 | 323 / 3 | $5.576,50 | 323 / 7 |
Other Vascular Procedures W Cc | 11 | 91 / 16 | $71.993,00 | 541 / 12 | $18.755,60 | 270 / 15 | $13.761,00 | 269 / 9 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 8 | $89.387,20 | 474 / 10 | $26.574,70 | 549 / 11 | $22.975,00 | 549 / 11 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 25 | $28.801,30 | 351 / 8 | $10.477,90 | 163 / 7 | $9.607,27 | 163 / 8 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 15 | $16.423,40 | 212 / 5 | $5.914,55 | 67 / 9 | $4.281,73 | 66 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 17 | $20.216,80 | 213 / 8 | $7.173,91 | 404 / 10 | $6.437,00 | 402 / 16 | Total 57 procedures | 1.812 | 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.