Hospital Costs > In Indiana > The Orthopaedic Hospital Of Lutheran Health Networ, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 18 | 45 / 5 | $111.138,00 | 188 / 8 | $22.354,80 | 15 / 5 | $15.575,80 | 15 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 31 | 73 / 6 | $76.176,50 | 643 / 22 | $12.025,80 | 103 / 2 | $10.415,90 | 103 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 21 | $59.503,80 | 1341 / 44 | $9.885,53 | 10 / 1 | $8.368,17 | 10 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 11 | $49.757,10 | 569 / 20 | $8.130,64 | 15 / 1 | $6.966,71 | 15 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 8 | $49.822,90 | 311 / 10 | $10.318,50 | 25 / 8 | $6.312,92 | 25 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 29 | 67 / 8 | $99.698,20 | 751 / 21 | $12.194,60 | 89 / 2 | $10.345,00 | 89 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 433 | 165 / 6 | $68.449,10 | 1952 / 59 | $12.269,60 | 114 / 7 | $9.413,60 | 114 / 4 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 7 | $98.180,80 | 399 / 11 | $14.126,00 | 92 / 2 | $12.896,80 | 92 / 5 |
| Revision Of Hip Or Knee Replacement W Cc | 23 | 63 / 5 | $108.257,00 | 489 / 11 | $18.035,50 | 116 / 1 | $17.145,70 | 116 / 4 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 30 | 39 / 3 | $96.270,20 | 404 / 12 | $14.743,60 | 103 / 1 | $13.659,20 | 103 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 99 | 95 / 2 | $139.175,00 | 1055 / 32 | $21.635,10 | 225 / 2 | $20.045,20 | 224 / 6 | Total 11 procedures | 732 | 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.