Hospital Costs > In Oklahoma > St Mary's Regional Medical Center Enid, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 166 | 398 / 14 | $62.282,50 | 1774 / 38 | $10.984,70 | 146 / 1 | $9.524,36 | 146 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 117 | 399 / 23 | $54.885,90 | 1941 / 47 | $9.442,83 | 69 / 1 | $8.524,29 | 69 / 3 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 97 | 11 / 1 | $26.799,70 | 233 / 5 | $5.652,68 | 35 / 1 | $4.440,15 | 35 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 81 | 122 / 6 | $39.839,20 | 2318 / 64 | $5.059,20 | 113 / 2 | $4.165,17 | 113 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 71 | 134 / 9 | $47.508,80 | 1832 / 32 | $7.377,82 | 45 / 1 | $6.390,32 | 45 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 12 | $44.078,70 | 2044 / 49 | $5.901,08 | 22 / 2 | $4.772,03 | 22 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 42 | 101 / 11 | $49.868,00 | 1037 / 19 | $10.098,00 | 70 / 2 | $9.089,19 | 70 / 2 |
| Heart Failure & Shock W Mcc | 38 | 246 / 19 | $49.752,90 | 1980 / 43 | $7.479,32 | 39 / 2 | $6.716,37 | 39 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 19 | $28.025,90 | 2132 / 56 | $4.028,34 | 79 / 3 | $3.080,97 | 79 / 4 |
| Renal Failure W Cc | 38 | 183 / 19 | $32.754,50 | 1824 / 36 | $5.009,24 | 67 / 3 | $4.089,66 | 67 / 4 |
| Heart Failure & Shock W Cc | 37 | 241 / 20 | $39.996,50 | 2324 / 48 | $5.097,59 | 54 / 2 | $4.213,70 | 54 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 12 | $35.426,00 | 1374 / 25 | $5.656,38 | 51 / 1 | $4.385,65 | 51 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 36 | 57 / 4 | $25.681,70 | 1486 / 44 | $3.661,61 | 56 / 1 | $2.590,50 | 56 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 21 | $28.518,50 | 2094 / 51 | $4.087,85 | 30 / 4 | $2.768,73 | 30 / 2 |
| Cellulitis W/O Mcc | 32 | 157 / 10 | $32.268,20 | 2206 / 47 | $4.387,25 | 85 / 4 | $3.365,25 | 85 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 14 | $50.462,50 | 1216 / 21 | $5.653,16 | 17 / 1 | $4.346,38 | 17 / 1 |
| Renal Failure W Mcc | 32 | 163 / 14 | $51.102,30 | 1605 / 25 | $7.769,06 | 50 / 1 | $6.978,06 | 50 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 30 | 74 / 5 | $35.629,40 | 134 / 4 | $11.237,00 | 55 / 1 | $10.025,30 | 55 / 5 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 29 | 37 / 3 | $47.716,00 | 246 / 6 | $9.434,79 | 8 / 1 | $8.017,55 | 8 / 1 |
| Respiratory Infections & Inflammations W Mcc | 28 | 108 / 11 | $72.611,10 | 1438 / 19 | $11.317,90 | 435 / 8 | $10.331,60 | 433 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 19 | $54.383,60 | 2301 / 47 | $7.326,29 | 13 / 41 | $3.555,89 | 13 / 2 |
| G.I. Hemorrhage W Cc | 27 | 191 / 21 | $28.219,00 | 1455 / 26 | $5.025,81 | 21 / 1 | $4.045,67 | 21 / 2 |
| Syncope & Collapse | 26 | 143 / 11 | $26.530,60 | 1297 / 15 | $3.801,04 | 53 / 1 | $2.871,81 | 53 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 20 | $38.790,10 | 1995 / 46 | $5.368,36 | 88 / 1 | $4.595,24 | 88 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 13 | $30.348,80 | 1641 / 32 | $4.111,28 | 85 / 1 | $3.243,44 | 85 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 10 | $47.963,80 | 1492 / 22 | $6.400,50 | 79 / 1 | $5.544,54 | 79 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 23 | 171 / 15 | $90.167,40 | 640 / 11 | $19.898,80 | 97 / 3 | $18.952,70 | 96 / 8 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 19 | $29.645,10 | 1698 / 42 | $6.045,40 | 166 / 39 | $2.953,70 | 166 / 3 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 8 | $54.564,60 | 1206 / 19 | $6.751,53 | 30 / 1 | $6.041,82 | 30 / 1 |
| Transient Ischemia | 16 | 109 / 15 | $32.289,80 | 1250 / 17 | $3.899,44 | 7 / 1 | $2.382,88 | 7 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 11 | $29.550,20 | 1085 / 14 | $3.970,06 | 50 / 1 | $2.842,06 | 50 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 14 | $37.550,80 | 1240 / 18 | $5.694,60 | 22 / 1 | $4.809,27 | 22 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 21 | $55.986,70 | 802 / 18 | $12.274,30 | 12 / 5 | $9.761,80 | 12 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 7 | $74.772,10 | 558 / 8 | $13.145,40 | 12 / 1 | $12.183,30 | 12 / 1 |
| G.I. Obstruction W Cc | 15 | 77 / 14 | $24.318,60 | 950 / 11 | $4.548,33 | 34 / 1 | $3.503,00 | 34 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 17 | $25.307,90 | 1572 / 35 | $3.553,14 | 60 / 4 | $2.691,43 | 60 / 4 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 2 | $31.095,00 | 376 / 3 | $3.893,43 | 104 / 1 | $2.949,43 | 104 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 12 | $153.331,00 | 825 / 15 | $28.351,90 | 298 / 3 | $27.401,00 | 296 / 8 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 4 | $26.401,40 | 524 / 8 | $4.689,93 | 41 / 1 | $3.821,36 | 41 / 2 |
| G.I. Obstruction W Mcc | 14 | 28 / 4 | $65.829,40 | 438 / 5 | $10.105,00 | 189 / 3 | $9.158,71 | 189 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 28 | $24.486,20 | 1861 / 47 | $3.685,85 | 68 / 2 | $2.762,77 | 68 / 4 |
| Chest Pain | 12 | 139 / 19 | $30.012,20 | 1388 / 25 | $3.412,33 | 7 / 2 | $1.924,17 | 7 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 17 | $34.570,70 | 1351 / 22 | $5.761,00 | 13 / 1 | $4.553,00 | 13 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 10 | $56.132,80 | 257 / 5 | $14.111,20 | 6 / 1 | $13.001,80 | 6 / 1 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 14 | $60.237,20 | 1201 / 13 | $9.877,50 | 271 / 5 | $9.077,50 | 271 / 7 |
| Cervical Spinal Fusion W Cc | 12 | 41 / 4 | $57.398,90 | 117 / 3 | $16.300,80 | 84 / 3 | $15.191,40 | 84 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 20 | $19.875,40 | 1386 / 23 | $2.965,00 | 111 / 2 | $1.957,00 | 111 / 2 | Total 47 procedures | 1.536 | 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.