Hospital Costs > In Kentucky > Three Rivers Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 19 | 170 / 30 | $27.817,10 | 2038 / 55 | $5.366,95 | 1177 / 26 | $4.412,00 | 1171 / 40 |
| Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 26 | $30.501,40 | 1741 / 53 | $5.699,77 | 850 / 21 | $4.843,00 | 847 / 32 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 30 | $33.933,60 | 1686 / 54 | $7.302,00 | 827 / 34 | $6.074,91 | 822 / 33 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 63 | 57 / 9 | $25.038,80 | 1541 / 54 | $5.017,84 | 1033 / 40 | $3.766,62 | 1024 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 37 | $29.693,80 | 2148 / 56 | $4.782,64 | 1429 / 26 | $4.068,45 | 1418 / 47 |
| Heart Failure & Shock W Cc | 30 | 248 / 31 | $29.340,30 | 1923 / 53 | $6.031,53 | 1052 / 24 | $5.327,53 | 1050 / 37 |
| Heart Failure & Shock W Mcc | 12 | 272 / 45 | $72.027,80 | 2378 / 56 | $11.127,60 | 191 / 54 | $7.225,33 | 191 / 7 |
| Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 13 | $24.943,50 | 1550 / 44 | $4.445,90 | 928 / 21 | $3.665,71 | 921 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 30 | $23.680,90 | 1902 / 55 | $4.975,52 | 1301 / 28 | $4.169,70 | 1292 / 45 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 15 | $22.801,40 | 1767 / 55 | $4.544,79 | 852 / 27 | $3.547,51 | 849 / 26 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 41 | $38.626,00 | 1455 / 48 | $7.246,09 | 699 / 17 | $6.588,64 | 699 / 31 |
| Renal Failure W Cc | 13 | 208 / 40 | $36.714,90 | 1953 / 48 | $7.997,69 | 688 / 46 | $4.908,38 | 681 / 20 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 27 | $88.162,00 | 1396 / 40 | $12.885,90 | 325 / 12 | $11.948,70 | 321 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 27 | 489 / 43 | $64.393,50 | 2188 / 56 | $10.718,80 | 477 / 23 | $9.471,37 | 477 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 28 | $38.929,60 | 2000 / 46 | $6.417,94 | 819 / 19 | $5.491,82 | 817 / 26 |
| Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 33 | $38.063,80 | 2276 / 61 | $5.910,90 | 1113 / 18 | $5.165,87 | 1109 / 41 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 14 | $29.986,10 | 1609 / 53 | $4.588,38 | 817 / 25 | $3.517,62 | 813 / 35 | Total 17 procedures | 461 | 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.