Hospital Costs > In Louisiana > Thibodaux Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 150 | 414 / 14 | $58.991,10 | 1657 / 29 | $11.396,40 | 89 / 12 | $9.289,87 | 89 / 9 |
| Heart Failure & Shock W Cc | 102 | 176 / 10 | $21.763,60 | 1372 / 39 | $5.517,66 | 94 / 8 | $4.334,79 | 94 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 93 | 423 / 24 | $45.159,00 | 1581 / 38 | $9.819,21 | 46 / 6 | $8.373,49 | 46 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 89 | 144 / 11 | $18.569,40 | 1417 / 37 | $4.207,44 | 320 / 3 | $3.458,85 | 320 / 5 |
| Pulmonary Edema & Respiratory Failure | 85 | 118 / 5 | $25.253,20 | 746 / 12 | $6.565,86 | 106 / 1 | $5.694,62 | 106 / 3 |
| Heart Failure & Shock W Mcc | 79 | 205 / 17 | $34.387,00 | 1361 / 32 | $7.641,03 | 73 / 2 | $6.862,80 | 73 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 67 | 99 / 6 | $16.188,40 | 1104 / 30 | $3.966,03 | 249 / 3 | $3.070,64 | 249 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 10 | $16.890,30 | 982 / 26 | $4.271,78 | 141 / 5 | $3.023,28 | 141 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 60 | 134 / 4 | $82.260,80 | 558 / 8 | $22.335,80 | 10 / 6 | $16.364,20 | 10 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 11 | $26.397,10 | 1373 / 30 | $5.937,95 | 33 / 6 | $4.368,24 | 33 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 18 | $25.268,30 | 1642 / 33 | $5.420,66 | 197 / 5 | $4.316,47 | 197 / 3 |
| Renal Failure W Cc | 59 | 162 / 19 | $22.622,10 | 1243 / 24 | $5.215,14 | 301 / 2 | $4.534,73 | 299 / 7 |
| Red Blood Cell Disorders W/O Mcc | 55 | 88 / 10 | $20.068,80 | 904 / 29 | $4.484,36 | 34 / 3 | $3.168,02 | 34 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 12 | $24.740,40 | 1104 / 23 | $6.041,93 | 93 / 1 | $5.136,89 | 93 / 1 |
| G.I. Hemorrhage W Cc | 50 | 168 / 12 | $23.289,40 | 1061 / 20 | $5.346,04 | 97 / 3 | $4.358,86 | 97 / 3 |
| Renal Failure W Mcc | 50 | 145 / 18 | $32.457,70 | 915 / 20 | $8.018,78 | 29 / 2 | $6.820,54 | 29 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 44 | 135 / 12 | $23.792,80 | 1370 / 28 | $4.915,68 | 116 / 2 | $4.038,59 | 116 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 43 | 153 / 12 | $82.509,30 | 907 / 21 | $11.630,10 | 31 / 6 | $8.779,65 | 31 / 2 |
| Extracranial Procedures W/O Cc/Mcc | 41 | 57 / 6 | $23.412,20 | 236 / 3 | $5.834,95 | 19 / 3 | $4.230,78 | 19 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 40 | 110 / 10 | $12.174,70 | 610 / 14 | $3.308,40 | 172 / 3 | $2.082,27 | 172 / 3 |
| Cellulitis W/O Mcc | 39 | 150 / 19 | $19.020,30 | 1369 / 38 | $4.626,13 | 110 / 3 | $3.423,33 | 110 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 13 | $18.920,10 | 1114 / 25 | $4.103,74 | 158 / 6 | $2.832,38 | 157 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 31 | 151 / 21 | $28.017,50 | 1010 / 21 | $5.703,26 | 65 / 5 | $4.463,97 | 65 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 23 | $39.110,60 | 1532 / 25 | $7.602,24 | 188 / 5 | $6.794,38 | 188 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 15 | $17.788,10 | 840 / 14 | $4.394,14 | 259 / 4 | $3.563,24 | 259 / 8 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 14 | $14.578,90 | 738 / 23 | $4.029,29 | 285 / 2 | $3.125,11 | 285 / 8 |
| G.I. Hemorrhage W/O Cc/Mcc | 28 | 40 / 3 | $12.956,40 | 213 / 2 | $4.115,29 | 123 / 5 | $2.993,71 | 123 / 3 |
| Chest Pain | 27 | 124 / 8 | $12.774,70 | 291 / 9 | $3.510,81 | 263 / 3 | $2.636,15 | 262 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 17 | $34.426,80 | 1348 / 33 | $6.435,04 | 219 / 6 | $5.288,04 | 219 / 4 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 10 | $57.243,80 | 575 / 11 | $13.731,50 | 28 / 4 | $11.136,70 | 28 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 14 | $45.756,80 | 504 / 13 | $12.047,20 | 36 / 5 | $10.502,70 | 36 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 15 | $15.368,20 | 892 / 25 | $3.687,56 | 133 / 4 | $2.858,04 | 131 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 24 | 80 / 9 | $47.056,90 | 302 / 5 | $12.199,80 | 28 / 4 | $9.551,58 | 28 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 15 | $26.304,50 | 744 / 14 | $6.597,39 | 63 / 3 | $5.467,48 | 63 / 2 |
| Hypertension W/O Mcc | 23 | 42 / 3 | $12.621,20 | 132 / 5 | $3.557,22 | 105 / 1 | $2.666,78 | 105 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 12 | $89.727,30 | 360 / 4 | $23.621,90 | 11 / 1 | $21.939,80 | 11 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 20 | $27.418,60 | 393 / 9 | $5.879,18 | 38 / 5 | $4.498,91 | 38 / 3 |
| Diabetes W Cc | 21 | 71 / 11 | $16.311,90 | 430 / 8 | $5.032,10 | 96 / 4 | $3.599,76 | 96 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 17 | $22.297,90 | 545 / 10 | $6.286,14 | 6 / 5 | $4.605,52 | 6 / 1 |
| Transient Ischemia | 21 | 104 / 10 | $16.993,30 | 417 / 8 | $3.941,67 | 180 / 3 | $2.977,48 | 180 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 20 | $48.339,90 | 988 / 15 | $10.591,50 | 26 / 6 | $8.776,05 | 26 / 1 |
| Syncope & Collapse | 20 | 149 / 18 | $16.116,70 | 497 / 9 | $4.141,15 | 164 / 3 | $3.110,05 | 164 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 17 | $29.381,00 | 323 / 5 | $8.825,68 | 52 / 1 | $7.870,74 | 52 / 1 |
| Extracranial Procedures W Cc | 19 | 27 / 4 | $21.819,30 | 29 / 1 | $8.645,21 | 7 / 2 | $6.756,63 | 7 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 10 | $13.722,80 | 421 / 6 | $3.721,06 | 67 / 1 | $2.233,89 | 67 / 2 |
| Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 9 | $25.689,20 | 610 / 16 | $5.380,18 | 74 / 7 | $3.730,24 | 74 / 1 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 11 | $27.927,80 | 397 / 10 | $6.682,31 | 38 / 1 | $5.784,31 | 38 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 15 | $52.830,90 | 1202 / 19 | $9.560,25 | 59 / 7 | $7.605,00 | 59 / 3 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 10 | $12.479,90 | 248 / 7 | $3.484,87 | 18 / 1 | $2.318,73 | 18 / 1 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 15 | $24.509,80 | 453 / 9 | $7.455,43 | 13 / 4 | $5.850,21 | 13 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 9 | $125.146,00 | 366 / 10 | $26.107,10 | 97 / 3 | $25.142,60 | 97 / 6 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 14 | 74 / 12 | $75.399,50 | 101 / 5 | $18.205,30 | 22 / 1 | $17.165,30 | 22 / 3 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 17 | $30.943,40 | 239 / 4 | $8.215,31 | 1 / 1 | $6.658,00 | 1 / 1 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 4 | $17.383,40 | 188 / 2 | $3.696,77 | 52 / 1 | $2.672,77 | 52 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 6 | $57.009,20 | 224 / 3 | $9.530,54 | 72 / 2 | $8.792,08 | 72 / 2 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 9 | $50.549,00 | 592 / 15 | $8.428,38 | 98 / 2 | $7.682,54 | 98 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 16 | $18.828,40 | 502 / 13 | $4.226,31 | 17 / 2 | $2.638,15 | 17 / 1 |
| Seizures W/O Mcc | 12 | 96 / 15 | $17.788,30 | 409 / 8 | $4.102,00 | 99 / 1 | $3.297,08 | 99 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 8 | $104.354,00 | 720 / 14 | $18.098,80 | 396 / 11 | $17.242,80 | 393 / 12 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 7 | $45.153,20 | 394 / 9 | $8.903,67 | 36 / 5 | $6.992,83 | 36 / 2 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 3 | $19.938,70 | 153 / 3 | $3.905,25 | 83 / 1 | $3.097,25 | 83 / 2 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 7 | $20.408,70 | 66 / 3 | $6.574,67 | 22 / 1 | $5.352,17 | 22 / 2 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 6 | $15.269,80 | 134 / 3 | $3.811,36 | 27 / 1 | $2.717,55 | 27 / 1 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 21 | $36.727,50 | 574 / 12 | $9.099,36 | 42 / 2 | $8.121,91 | 42 / 2 |
| G.I. Obstruction W Cc | 11 | 81 / 17 | $24.835,90 | 984 / 17 | $4.745,73 | 219 / 1 | $4.085,36 | 218 / 4 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 6 | $10.130,90 | 54 / 1 | $3.667,82 | 45 / 1 | $2.568,18 | 45 / 2 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 10 | $15.718,40 | 114 / 2 | $6.496,36 | 1 / 6 | $1.329,91 | 1 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 7 | $16.569,00 | 359 / 7 | $4.013,27 | 127 / 2 | $3.024,18 | 128 / 2 | Total 68 procedures | 2.265 | 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.