Hospital Costs > In Oklahoma > St John Broken Arrow, 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 | 19 | 170 / 18 | $10.061,90 | 248 / 12 | $4.281,37 | 41 / 3 | $3.231,11 | 41 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 37 | $18.361,90 | 595 / 23 | $5.738,17 | 27 / 1 | $4.831,50 | 27 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 26 | $13.628,30 | 578 / 25 | $3.595,88 | 17 / 1 | $2.674,28 | 17 / 1 |
Heart Failure & Shock W Cc | 11 | 267 / 38 | $14.072,20 | 480 / 14 | $4.652,18 | 2 / 1 | $3.611,91 | 2 / 1 |
Heart Failure & Shock W Mcc | 14 | 270 / 31 | $24.852,60 | 724 / 20 | $7.245,21 | 11 / 1 | $6.205,21 | 11 / 1 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 17 | $11.746,40 | 433 / 12 | $3.343,57 | 5 / 1 | $2.305,86 | 5 / 1 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 18 | $16.932,60 | 363 / 6 | $5.886,55 | 2 / 2 | $4.307,55 | 2 / 1 |
Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 24 | $13.118,60 | 659 / 28 | $3.756,97 | 10 / 1 | $2.774,97 | 10 / 1 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 37 | 59 / 2 | $65.882,00 | 542 / 11 | $12.665,40 | 294 / 6 | $11.557,60 | 291 / 9 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 537 | 106 / 4 | $43.184,50 | 937 / 20 | $11.510,00 | 14 / 3 | $8.494,81 | 14 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 29 | $10.753,60 | 401 / 19 | $3.552,00 | 7 / 1 | $2.365,92 | 7 / 2 |
Revision Of Hip Or Knee Replacement W Cc | 16 | 70 / 6 | $87.216,20 | 361 / 6 | $24.141,90 | 436 / 10 | $21.310,20 | 434 / 8 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 44 | 25 / 1 | $74.447,50 | 290 / 7 | $17.828,80 | 282 / 6 | $15.706,80 | 281 / 7 |
Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 22 | $17.001,30 | 797 / 30 | $4.792,58 | 44 / 1 | $3.970,72 | 44 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 20 | $12.613,40 | 468 / 18 | $3.881,21 | 23 / 3 | $2.471,43 | 23 / 1 | Total 15 procedures | 834 | 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.