Hospital Costs > In Oklahoma > Stillwater Medical Center, 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 Cc | 13 | 78 / 12 | $20.296,00 | 293 / 4 | $6.125,00 | 510 / 7 | $5.477,62 | 509 / 10 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 18 | $25.776,90 | 310 / 6 | $9.817,50 | 601 / 9 | $9.217,50 | 600 / 16 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 23 | $17.637,60 | 823 / 18 | $4.752,31 | 697 / 14 | $4.008,92 | 694 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 17 | $19.306,40 | 301 / 4 | $7.025,00 | 289 / 12 | $6.017,00 | 288 / 13 |
Cellulitis W/O Mcc | 23 | 166 / 16 | $12.076,40 | 477 / 17 | $5.042,22 | 698 / 19 | $4.047,43 | 694 / 21 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 26 | $11.932,50 | 225 / 10 | $5.590,00 | 395 / 14 | $4.424,24 | 394 / 10 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 22 | $21.548,80 | 863 / 28 | $7.304,06 | 913 / 32 | $6.168,76 | 908 / 27 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 23 | $10.656,20 | 318 / 12 | $4.358,88 | 475 / 7 | $3.298,88 | 474 / 10 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 22 | $33.435,60 | 678 / 14 | $6.320,73 | 572 / 11 | $5.549,82 | 570 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 23 | $12.677,60 | 472 / 22 | $4.978,13 | 53 / 38 | $2.828,48 | 53 / 4 |
G.I. Hemorrhage W Cc | 36 | 182 / 14 | $21.107,90 | 847 / 17 | $5.908,25 | 600 / 11 | $5.002,47 | 599 / 17 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 8 | $13.073,30 | 372 / 4 | $3.778,40 | 331 / 1 | $2.739,47 | 331 / 3 |
Heart Failure & Shock W Cc | 29 | 249 / 25 | $15.967,20 | 686 / 24 | $5.999,79 | 439 / 17 | $4.830,72 | 439 / 13 |
Heart Failure & Shock W Mcc | 15 | 269 / 30 | $24.909,70 | 732 / 21 | $8.547,73 | 682 / 17 | $7.901,33 | 682 / 23 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 19 | $16.822,90 | 1044 / 23 | $4.106,67 | 489 / 9 | $3.301,33 | 487 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 14 | $28.173,20 | 169 / 2 | $11.882,30 | 230 / 22 | $9.565,72 | 229 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 18 | $15.953,80 | 209 / 4 | $6.163,24 | 465 / 8 | $5.184,95 | 464 / 14 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 14 | $16.843,80 | 354 / 5 | $6.518,12 | 650 / 11 | $5.879,12 | 649 / 16 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 35 | $14.487,40 | 858 / 35 | $4.613,55 | 385 / 15 | $3.528,75 | 385 / 14 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 172 | 392 / 13 | $28.876,60 | 187 / 5 | $12.936,50 | 449 / 27 | $10.247,10 | 446 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 30 | $10.038,50 | 315 / 17 | $4.249,00 | 741 / 17 | $3.481,00 | 739 / 24 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 21 | $53.477,00 | 300 / 4 | $11.624,80 | 402 / 4 | $10.411,20 | 402 / 10 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 20 | $26.856,90 | 849 / 21 | $7.069,50 | 565 / 7 | $6.412,05 | 565 / 15 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 9 | $23.053,80 | 239 / 4 | $7.242,58 | 122 / 2 | $6.234,58 | 122 / 5 |
Red Blood Cell Disorders W/O Mcc | 29 | 114 / 9 | $17.797,50 | 699 / 12 | $4.792,31 | 513 / 6 | $3.998,93 | 512 / 8 |
Renal Failure W Cc | 25 | 196 / 25 | $13.199,60 | 302 / 8 | $5.664,04 | 389 / 13 | $4.646,44 | 386 / 12 |
Renal Failure W Mcc | 11 | 184 / 22 | $21.235,00 | 286 / 8 | $8.760,73 | 667 / 9 | $8.321,45 | 667 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 162 | 354 / 14 | $24.834,20 | 518 / 24 | $10.819,90 | 524 / 23 | $9.550,21 | 523 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 19 | $16.541,20 | 481 / 17 | $6.415,19 | 512 / 15 | $5.220,69 | 510 / 15 |
Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 16 | $14.591,00 | 509 / 21 | $5.903,11 | 569 / 24 | $4.704,32 | 566 / 19 |
Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 23 | $25.101,60 | 711 / 12 | $8.535,00 | 787 / 21 | $7.635,44 | 787 / 22 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 13 | $12.020,60 | 418 / 16 | $4.273,36 | 492 / 11 | $3.231,91 | 490 / 13 | Total 32 procedures | 957 | 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.