Hospital Costs > In Utah > The Orthopedic Specialty Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 5 | $26.651,30 | 37 / 2 | $15.096,10 | 3 / 4 | $7.579,14 | 3 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 59 | 37 / 2 | $42.772,10 | 219 / 5 | $13.714,20 | 47 / 1 | $9.930,17 | 47 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 338 | 237 / 3 | $37.742,50 | 626 / 14 | $14.205,20 | 30 / 9 | $8.848,54 | 30 / 2 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 17 | 52 / 2 | $45.146,50 | 91 / 2 | $13.819,10 | 82 / 1 | $12.823,30 | 82 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 25 | 61 / 3 | $58.255,50 | 128 / 5 | $18.798,20 | 67 / 1 | $16.382,00 | 67 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 9 | $47.379,70 | 90 / 6 | $16.054,80 | 65 / 2 | $13.168,90 | 65 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 47 | 147 / 8 | $44.193,50 | 67 / 1 | $24.514,00 | 16 / 3 | $16.814,90 | 16 / 2 | Total 7 procedures | 522 | 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.