Hospital Costs > In Ohio > Summa Western Reserve Hospital, 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 | 24 | 165 / 54 | $23.377,00 | 1770 / 101 | $5.644,92 | 1043 / 64 | $4.302,83 | 1037 / 68 |
| Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 52 | $35.043,10 | 1912 / 107 | $6.395,41 | 749 / 71 | $4.756,86 | 747 / 49 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 56 | $43.558,60 | 2033 / 108 | $8.270,92 | 946 / 83 | $6.195,62 | 941 / 63 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 41 | $26.672,00 | 1601 / 100 | $4.904,83 | 502 / 60 | $3.327,75 | 501 / 37 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 18 | $40.473,50 | 798 / 37 | $6.684,36 | 369 / 21 | $4.935,64 | 368 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 59 | $32.308,00 | 2257 / 112 | $5.319,11 | 871 / 74 | $3.674,39 | 866 / 49 |
| G.I. Hemorrhage W Cc | 25 | 193 / 54 | $48.563,30 | 2131 / 103 | $6.824,16 | 456 / 70 | $4.868,16 | 455 / 34 |
| Heart Failure & Shock W Cc | 22 | 256 / 75 | $39.574,40 | 2312 / 114 | $6.846,27 | 875 / 81 | $5.191,27 | 874 / 58 |
| Heart Failure & Shock W Mcc | 15 | 269 / 79 | $54.199,80 | 2097 / 102 | $10.137,60 | 1394 / 77 | $8.855,47 | 1390 / 80 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 43 | $72.912,90 | 1594 / 83 | $12.895,00 | 890 / 59 | $10.774,50 | 877 / 59 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 48 | $53.230,40 | 1795 / 83 | $7.435,64 | 894 / 59 | $5.679,86 | 892 / 55 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 42 | $47.709,00 | 1649 / 89 | $7.959,42 | 837 / 69 | $6.145,50 | 836 / 59 |
| Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 51 | $25.483,60 | 1996 / 106 | $5.311,58 | 519 / 72 | $3.635,58 | 519 / 31 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 59 | 505 / 71 | $73.222,30 | 2078 / 120 | $14.470,60 | 1453 / 82 | $11.928,70 | 1420 / 89 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 62 | $58.804,30 | 1909 / 93 | $8.568,62 | 875 / 67 | $6.786,81 | 875 / 57 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 41 | $39.878,10 | 1760 / 90 | $5.852,46 | 490 / 61 | $3.973,23 | 489 / 37 |
| Renal Failure W Cc | 11 | 210 / 66 | $36.040,80 | 1932 / 100 | $6.480,18 | 670 / 65 | $4.896,09 | 663 / 43 |
| Renal Failure W Mcc | 11 | 184 / 65 | $59.270,50 | 1751 / 91 | $10.755,70 | 965 / 72 | $8.850,91 | 965 / 68 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 38 | 478 / 79 | $86.053,10 | 2506 / 113 | $14.191,70 | 1562 / 96 | $11.135,70 | 1530 / 86 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 49 | $43.940,60 | 2139 / 97 | $7.185,05 | 784 / 61 | $5.464,00 | 782 / 48 |
| Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 46 | $36.969,30 | 2248 / 116 | $6.734,94 | 851 / 79 | $4.951,16 | 848 / 56 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 55 | $47.234,10 | 1821 / 102 | $9.292,76 | 487 / 68 | $7.310,06 | 487 / 42 |
| Transient Ischemia | 12 | 113 / 40 | $37.905,90 | 1395 / 69 | $4.731,17 | 334 / 35 | $3.194,08 | 334 / 24 | Total 23 procedures | 494 | 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.