Hospital Costs > In Louisiana > Teche Regional 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 / 10 | $23.487,50 | 447 / 10 | $7.116,15 | 492 / 11 | $5.454,92 | 491 / 7 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 19 | $44.451,50 | 975 / 15 | $11.189,90 | 1095 / 19 | $10.640,10 | 1090 / 24 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 7 | $21.991,40 | 362 / 4 | $6.045,54 | 207 / 9 | $3.591,77 | 206 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 23 | $29.515,00 | 1609 / 34 | $5.103,00 | 1196 / 17 | $4.497,67 | 1192 / 25 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 25 | $12.984,70 | 709 / 17 | $3.958,08 | 453 / 17 | $2.403,25 | 450 / 9 |
Cellulitis W/O Mcc | 28 | 161 / 25 | $27.744,10 | 2033 / 55 | $5.442,32 | 1398 / 25 | $4.622,89 | 1391 / 38 |
Chest Pain | 17 | 134 / 15 | $20.723,90 | 972 / 23 | $4.074,94 | 581 / 12 | $3.005,76 | 577 / 13 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 27 | $31.745,40 | 1799 / 41 | $7.039,60 | 189 / 44 | $4.156,80 | 189 / 6 |
Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 33 | $42.195,30 | 1994 / 44 | $7.588,56 | 1602 / 36 | $7.000,56 | 1594 / 45 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 14 | $21.509,80 | 1373 / 40 | $4.657,68 | 836 / 18 | $3.604,54 | 832 / 21 |
Diabetes W Mcc | 13 | 44 / 9 | $38.247,50 | 435 / 11 | $8.969,62 | 164 / 9 | $7.346,23 | 164 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 29 | $21.200,00 | 1516 / 40 | $4.802,41 | 1111 / 18 | $3.831,93 | 1103 / 27 |
G.I. Hemorrhage W Cc | 21 | 197 / 27 | $26.999,40 | 1370 / 31 | $6.498,48 | 1342 / 27 | $5.748,76 | 1339 / 33 |
Heart Failure & Shock W Cc | 44 | 234 / 30 | $25.139,10 | 1678 / 49 | $6.430,82 | 1456 / 37 | $5.718,82 | 1451 / 41 |
Heart Failure & Shock W Mcc | 37 | 247 / 30 | $43.016,00 | 1782 / 46 | $9.975,05 | 1584 / 46 | $9.231,73 | 1579 / 47 |
Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 13 | $19.541,90 | 1266 / 35 | $5.728,07 | 536 / 42 | $3.333,24 | 534 / 16 |
Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 29 | $25.356,40 | 1987 / 56 | $4.993,72 | 1126 / 24 | $4.039,05 | 1118 / 25 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 16 | 548 / 54 | $94.896,90 | 2412 / 52 | $14.055,60 | 1808 / 46 | $12.919,60 | 1767 / 50 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 20 | $80.125,90 | 1006 / 20 | $16.578,10 | 966 / 18 | $15.589,00 | 955 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 61 | 105 / 7 | $18.446,30 | 1370 / 37 | $4.622,20 | 944 / 21 | $3.614,10 | 941 / 19 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 14 | $24.688,50 | 630 / 14 | $6.677,64 | 263 / 16 | $4.772,00 | 262 / 5 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 22 | $33.487,40 | 1228 / 20 | $7.904,83 | 494 / 21 | $6.330,61 | 494 / 11 |
Red Blood Cell Disorders W/O Mcc | 29 | 114 / 19 | $22.227,00 | 1087 / 34 | $5.176,31 | 989 / 15 | $4.512,03 | 983 / 27 |
Renal Failure W Cc | 14 | 207 / 39 | $27.920,30 | 1595 / 34 | $6.254,36 | 1204 / 21 | $5.388,07 | 1196 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 44 | 472 / 36 | $54.831,20 | 1939 / 47 | $12.385,70 | 1829 / 45 | $11.816,60 | 1794 / 46 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 23 | $24.104,30 | 1171 / 23 | $6.933,22 | 1210 / 25 | $5.884,93 | 1205 / 31 |
Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 35 | $35.243,80 | 2194 / 53 | $6.336,85 | 1623 / 32 | $5.639,00 | 1616 / 42 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 29 | $30.583,80 | 1631 / 40 | $4.592,20 | 942 / 13 | $3.627,93 | 937 / 23 |
Syncope & Collapse | 16 | 153 / 21 | $24.977,40 | 1217 / 26 | $4.834,25 | 610 / 16 | $3.660,19 | 607 / 12 | Total 29 procedures | 672 | 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.