Hospital Costs > In Louisiana > The Regional Medical Center Of Acadiana, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 14 | 18 / 2 | $134.320,00 | 160 / 5 | $21.220,20 | 130 / 4 | $19.235,10 | 130 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 19 | $23.065,50 | 1288 / 27 | $8.051,32 | 2027 / 35 | $7.290,05 | 2022 / 37 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 20 | 98 / 5 | $233.621,00 | 461 / 9 | $32.858,20 | 233 / 9 | $31.770,20 | 233 / 9 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 20 | 96 / 7 | $271.936,00 | 358 / 7 | $46.479,50 | 118 / 5 | $45.935,40 | 118 / 6 |
Cellulitis W/O Mcc | 24 | 165 / 29 | $30.816,70 | 2155 / 59 | $8.205,33 | 2410 / 56 | $7.198,67 | 2402 / 57 |
Chest Pain | 20 | 131 / 12 | $14.399,00 | 445 / 11 | $6.898,20 | 1566 / 30 | $5.814,05 | 1557 / 31 |
Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 22 | $33.000,40 | 1849 / 42 | $8.877,39 | 2258 / 46 | $8.143,68 | 2251 / 48 |
Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 27 | $29.418,70 | 1436 / 33 | $10.013,60 | 2148 / 47 | $8.531,93 | 2140 / 49 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 22 | $15.058,10 | 788 / 25 | $7.637,12 | 1996 / 48 | $6.714,76 | 1985 / 48 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 9 | $69.622,60 | 580 / 13 | $15.449,60 | 641 / 17 | $14.238,10 | 634 / 17 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 51 | 137 / 9 | $47.694,70 | 1143 / 33 | $9.766,96 | 1436 / 33 | $8.551,14 | 1433 / 37 |
Coronary Bypass W/O Cardiac Cath W Mcc | 15 | 44 / 2 | $320.138,00 | 229 / 5 | $39.439,90 | 147 / 5 | $38.189,70 | 146 / 5 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 40 | 48 / 3 | $216.807,00 | 553 / 15 | $24.137,40 | 356 / 13 | $22.706,30 | 355 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 14 | $39.369,90 | 930 / 20 | $10.318,20 | 1251 / 22 | $9.763,15 | 1246 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 23 | $34.063,50 | 2324 / 58 | $7.654,00 | 2510 / 57 | $6.581,89 | 2495 / 58 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 9 | $140.311,00 | 444 / 12 | $30.510,40 | 194 / 12 | $27.134,10 | 194 / 10 |
Extracranial Procedures W Cc | 18 | 28 / 5 | $86.621,70 | 341 / 9 | $13.083,10 | 341 / 9 | $12.281,30 | 341 / 9 |
Extracranial Procedures W/O Cc/Mcc | 55 | 43 / 3 | $65.062,70 | 853 / 19 | $9.535,13 | 853 / 20 | $8.205,80 | 850 / 20 |
G.I. Hemorrhage W Cc | 32 | 186 / 19 | $43.586,80 | 2042 / 44 | $9.260,44 | 2181 / 42 | $8.249,38 | 2177 / 43 |
Heart Failure & Shock W Cc | 22 | 256 / 45 | $37.782,90 | 2257 / 61 | $9.204,91 | 2546 / 59 | $8.659,45 | 2540 / 62 |
Heart Failure & Shock W Mcc | 25 | 259 / 37 | $46.541,40 | 1894 / 47 | $11.697,90 | 2036 / 48 | $10.513,20 | 2027 / 50 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 25 | $25.644,60 | 1582 / 43 | $7.416,00 | 1894 / 45 | $6.408,00 | 1881 / 45 |
Hypertension W/O Mcc | 12 | 53 / 9 | $19.844,50 | 409 / 12 | $6.846,17 | 713 / 15 | $5.641,50 | 711 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 26 | $31.407,40 | 1224 / 24 | $9.586,33 | 1863 / 34 | $8.653,00 | 1859 / 35 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 20 | $52.492,00 | 1712 / 39 | $9.934,22 | 1711 / 40 | $8.771,74 | 1707 / 41 |
Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 38 | $23.212,20 | 1862 / 51 | $7.825,04 | 2533 / 61 | $6.919,71 | 2522 / 63 |
Major Cardiovasc Procedures W Mcc | 14 | 54 / 9 | $246.326,00 | 577 / 12 | $35.942,10 | 237 / 11 | $31.438,50 | 237 / 9 |
Major Cardiovasc Procedures W/O Mcc | 41 | 60 / 1 | $149.492,00 | 871 / 18 | $24.577,10 | 597 / 17 | $21.276,30 | 597 / 18 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 19 | 545 / 52 | $101.118,00 | 2492 / 54 | $17.401,90 | 1844 / 54 | $13.008,10 | 1803 / 52 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 13 | $27.850,90 | 852 / 18 | $9.861,07 | 1488 / 26 | $9.323,00 | 1485 / 28 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 29 | $20.262,90 | 1578 / 43 | $7.458,52 | 2354 / 53 | $6.416,81 | 2345 / 54 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 17 | $81.865,50 | 1160 / 25 | $14.542,50 | 1040 / 24 | $13.864,40 | 1033 / 25 |
Other Vascular Procedures W Cc | 195 | 1 / 1 | $126.555,00 | 1000 / 19 | $18.684,90 | 724 / 16 | $16.586,60 | 720 / 18 |
Other Vascular Procedures W Mcc | 63 | 34 / 2 | $135.883,00 | 813 / 18 | $21.620,40 | 472 / 14 | $20.480,20 | 470 / 15 |
Other Vascular Procedures W/O Cc/Mcc | 41 | 15 / 1 | $108.955,00 | 528 / 13 | $15.067,00 | 436 / 12 | $12.026,70 | 435 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 19 | $104.255,00 | 1206 / 28 | $17.530,20 | 1075 / 31 | $13.045,00 | 1068 / 31 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 12 | 33 / 1 | $155.430,00 | 248 / 1 | $21.017,80 | 187 / 1 | $20.513,80 | 186 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 4 | $105.508,00 | 504 / 8 | $13.949,90 | 468 / 8 | $12.967,90 | 466 / 8 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 16 | 79 / 5 | $84.698,90 | 372 / 6 | $14.923,90 | 309 / 6 | $11.957,80 | 305 / 6 |
Peripheral Vascular Disorders W Cc | 27 | 57 / 3 | $34.786,80 | 915 / 19 | $8.902,89 | 1097 / 21 | $8.099,33 | 1094 / 22 |
Peripheral Vascular Disorders W Mcc | 19 | 30 / 2 | $49.672,60 | 429 / 9 | $11.203,60 | 478 / 9 | $10.804,40 | 478 / 9 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 31 | $25.236,00 | 1266 / 40 | $8.124,86 | 1823 / 43 | $7.132,86 | 1814 / 44 |
Renal Failure W Cc | 20 | 201 / 34 | $38.120,50 | 1989 / 41 | $8.838,55 | 2127 / 40 | $7.561,75 | 2117 / 41 |
Renal Failure W Mcc | 26 | 169 / 25 | $56.684,50 | 1704 / 40 | $12.148,20 | 1762 / 36 | $11.494,70 | 1759 / 38 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 17 | $110.584,00 | 1610 / 37 | $16.450,30 | 1325 / 33 | $15.900,50 | 1312 / 35 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 33 | 483 / 39 | $73.902,90 | 2342 / 52 | $13.984,10 | 2079 / 49 | $12.661,60 | 2042 / 51 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 33 | $44.205,60 | 2148 / 45 | $10.122,70 | 2187 / 45 | $7.967,21 | 2178 / 45 |
Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 43 | $31.474,50 | 2033 / 50 | $8.811,67 | 2520 / 59 | $7.806,33 | 2511 / 59 |
Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 31 | $70.975,40 | 2245 / 41 | $11.787,40 | 2160 / 41 | $11.010,20 | 2155 / 42 |
Spinal Fusion Except Cervical W/O Mcc | 17 | 177 / 17 | $140.417,00 | 1063 / 23 | $28.677,20 | 235 / 21 | $20.090,20 | 234 / 13 |
Syncope & Collapse | 18 | 151 / 19 | $24.106,90 | 1172 / 25 | $7.660,06 | 1754 / 30 | $6.485,22 | 1746 / 32 |
Transient Ischemia | 13 | 112 / 17 | $22.013,70 | 804 / 19 | $7.542,00 | 1575 / 28 | $6.616,46 | 1567 / 29 | Total 52 procedures | 1.371 | 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.