Hospital Costs > In Louisiana > St Elizabeth Hospital Gonzales, 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 | 57 | 459 / 33 | $26.833,80 | 641 / 14 | $10.313,40 | 400 / 12 | $9.351,96 | 400 / 16 |
| Heart Failure & Shock W Mcc | 41 | 243 / 28 | $18.686,50 | 353 / 8 | $8.228,37 | 417 / 7 | $7.580,56 | 417 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 31 | 533 / 43 | $40.155,50 | 766 / 11 | $12.778,40 | 289 / 29 | $9.932,23 | 289 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 32 | $16.622,80 | 752 / 16 | $6.067,21 | 336 / 21 | $4.489,69 | 334 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 28 | $16.659,40 | 490 / 11 | $6.473,90 | 144 / 16 | $4.751,90 | 144 / 7 |
| Heart Failure & Shock W Cc | 20 | 258 / 46 | $16.310,00 | 720 / 22 | $5.698,50 | 458 / 12 | $4.852,10 | 458 / 13 |
| Cellulitis W/O Mcc | 19 | 170 / 33 | $11.738,50 | 432 / 18 | $4.841,58 | 663 / 9 | $4.019,68 | 659 / 17 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 23 | $40.762,10 | 671 / 10 | $10.820,90 | 316 / 9 | $9.764,88 | 315 / 9 |
| Renal Failure W Mcc | 14 | 181 / 32 | $25.841,40 | 507 / 8 | $8.079,64 | 212 / 3 | $7.567,64 | 212 / 5 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 16 | $27.103,40 | 576 / 13 | $7.800,38 | 293 / 7 | $6.963,46 | 291 / 10 |
| G.I. Hemorrhage W Cc | 12 | 206 / 33 | $16.154,90 | 409 / 8 | $6.462,50 | 144 / 25 | $4.455,83 | 144 / 4 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 28 | $19.504,00 | 380 / 5 | $7.102,75 | 382 / 5 | $6.198,75 | 382 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 47 | $15.982,20 | 1071 / 32 | $4.689,91 | 778 / 13 | $3.811,36 | 773 / 17 | Total 13 procedures | 296 | 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.