Hospital Costs > In Louisiana > Touro Infirmary, 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 | 134 | 430 / 17 | $81.157,60 | 2229 / 47 | $15.447,80 | 1840 / 51 | $12.995,30 | 1799 / 51 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 78 | 438 / 26 | $83.123,50 | 2468 / 55 | $13.766,40 | 2021 / 48 | $12.447,20 | 1984 / 48 |
Heart Failure & Shock W Cc | 63 | 215 / 19 | $36.803,90 | 2237 / 60 | $8.132,49 | 2296 / 57 | $7.308,43 | 2290 / 58 |
Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 25 | $32.781,90 | 2305 / 62 | $7.082,57 | 2348 / 60 | $5.933,89 | 2337 / 62 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 19 | $30.048,80 | 2169 / 55 | $6.662,20 | 2271 / 54 | $5.429,74 | 2256 / 56 |
Red Blood Cell Disorders W/O Mcc | 44 | 99 / 14 | $31.600,10 | 1567 / 44 | $7.110,00 | 1701 / 41 | $6.316,55 | 1692 / 43 |
G.I. Hemorrhage W Cc | 43 | 175 / 15 | $29.751,40 | 1541 / 35 | $8.306,12 | 2031 / 40 | $7.387,05 | 2027 / 42 |
Heart Failure & Shock W Mcc | 40 | 244 / 29 | $84.874,40 | 2497 / 55 | $13.858,00 | 2397 / 51 | $12.825,60 | 2386 / 54 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 38 | 88 / 8 | $61.583,40 | 1609 / 29 | $10.267,80 | 1466 / 27 | $9.200,74 | 1463 / 27 |
Cellulitis W/O Mcc | 36 | 153 / 21 | $30.271,40 | 2137 / 58 | $7.299,44 | 2303 / 55 | $6.528,78 | 2295 / 56 |
Syncope & Collapse | 32 | 137 / 10 | $30.306,00 | 1444 / 32 | $6.704,69 | 1573 / 29 | $5.423,09 | 1566 / 31 |
Renal Failure W Cc | 32 | 189 / 28 | $40.618,20 | 2068 / 43 | $7.960,16 | 1995 / 38 | $6.977,06 | 1985 / 39 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 21 | $29.969,00 | 2138 / 56 | $6.645,35 | 2093 / 52 | $5.142,97 | 2085 / 53 |
Renal Failure W Mcc | 31 | 164 / 22 | $57.959,40 | 1724 / 41 | $11.707,40 | 1486 / 35 | $10.223,40 | 1485 / 35 |
Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 26 | $50.551,70 | 2194 / 46 | $9.004,46 | 2035 / 46 | $8.060,46 | 2027 / 48 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 6 | $39.210,10 | 923 / 19 | $9.446,00 | 1111 / 21 | $8.679,71 | 1106 / 22 |
Other Vascular Procedures W Mcc | 28 | 69 / 9 | $124.798,00 | 762 / 17 | $21.898,90 | 474 / 15 | $20.486,00 | 472 / 16 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 17 | $52.862,90 | 1715 / 40 | $8.955,30 | 1487 / 39 | $7.569,63 | 1483 / 39 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 11 | $61.317,70 | 1152 / 22 | $13.778,00 | 1060 / 24 | $11.367,30 | 1055 / 24 |
Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 34 | $49.926,30 | 2552 / 60 | $8.189,26 | 2419 / 56 | $7.360,81 | 2410 / 58 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 26 | $66.548,30 | 2197 / 40 | $10.605,30 | 1879 / 40 | $9.640,16 | 1879 / 40 |
Pulmonary Edema & Respiratory Failure | 24 | 179 / 20 | $59.719,80 | 1925 / 34 | $12.125,80 | 1564 / 34 | $8.008,79 | 1559 / 32 |
Diabetes W Cc | 24 | 68 / 9 | $36.214,60 | 1330 / 27 | $7.275,58 | 1303 / 27 | $6.201,58 | 1298 / 28 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 24 | $39.225,00 | 2048 / 47 | $7.920,00 | 2088 / 45 | $7.064,00 | 2081 / 46 |
Respiratory Infections & Inflammations W Cc | 23 | 65 / 9 | $45.270,40 | 1066 / 24 | $11.817,30 | 1111 / 29 | $9.110,22 | 1106 / 30 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 12 | $71.678,50 | 1420 / 28 | $13.812,50 | 1342 / 28 | $13.182,30 | 1327 / 29 |
G.I. Obstruction W Cc | 20 | 72 / 11 | $37.417,40 | 1404 / 27 | $7.632,05 | 1485 / 26 | $6.673,65 | 1480 / 27 |
Red Blood Cell Disorders W Mcc | 19 | 52 / 10 | $49.821,60 | 827 / 17 | $10.861,90 | 672 / 18 | $8.220,74 | 668 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 25 | $46.959,30 | 1671 / 34 | $8.631,05 | 1711 / 33 | $7.677,79 | 1707 / 34 |
G.I. Hemorrhage W Mcc | 18 | 103 / 15 | $93.757,40 | 1526 / 26 | $17.141,80 | 1428 / 26 | $14.172,90 | 1418 / 27 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 14 | $59.553,40 | 923 / 24 | $13.258,90 | 707 / 22 | $11.636,20 | 705 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 30 | $43.781,50 | 2135 / 43 | $8.727,65 | 2214 / 43 | $8.072,12 | 2205 / 46 |
Signs & Symptoms W/O Mcc | 17 | 74 / 9 | $27.663,30 | 977 / 18 | $6.459,41 | 1043 / 18 | $5.107,06 | 1040 / 18 |
Chest Pain | 17 | 134 / 15 | $33.553,60 | 1474 / 32 | $6.204,47 | 1410 / 27 | $4.718,76 | 1402 / 29 |
Major Male Pelvic Procedures W/O Cc/Mcc | 17 | 56 / 4 | $59.854,50 | 287 / 7 | $10.144,10 | 279 / 7 | $8.343,88 | 279 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 20 | $40.704,00 | 1918 / 37 | $8.008,53 | 1785 / 34 | $5.774,24 | 1780 / 36 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 23 | $41.323,20 | 987 / 27 | $8.617,94 | 1222 / 30 | $7.087,19 | 1219 / 35 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 11 | $23.392,00 | 667 / 15 | $6.488,07 | 867 / 18 | $5.519,53 | 863 / 18 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 22 | $53.401,80 | 1594 / 32 | $9.463,93 | 1378 / 32 | $8.224,07 | 1375 / 32 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 24 | $25.475,40 | 1579 / 41 | $6.362,36 | 1763 / 43 | $5.416,07 | 1750 / 44 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 10 | $155.523,00 | 588 / 18 | $32.553,20 | 455 / 16 | $31.580,60 | 455 / 18 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 13 | $48.994,10 | 1252 / 21 | $8.469,21 | 1244 / 21 | $7.865,79 | 1240 / 22 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 24 | $22.046,80 | 1511 / 29 | $5.643,54 | 1788 / 31 | $4.533,38 | 1782 / 32 |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 13 | $34.871,20 | 809 / 21 | $6.913,31 | 770 / 20 | $5.802,85 | 766 / 21 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 11 | $39.459,00 | 1024 / 16 | $8.656,75 | 1197 / 17 | $7.651,42 | 1195 / 18 |
Seizures W/O Mcc | 12 | 96 / 15 | $25.795,70 | 802 / 18 | $6.872,25 | 1024 / 19 | $5.669,58 | 1022 / 20 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 13 | $43.182,10 | 1061 / 22 | $8.118,17 | 994 / 20 | $7.163,50 | 991 / 21 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 7 | $48.686,60 | 312 / 7 | $8.936,45 | 271 / 5 | $8.718,27 | 271 / 6 |
Vaginal Delivery W/O Complicating Diagnoses | 11 | 14 / 3 | $11.479,60 | 33 / 2 | $5.705,82 | 50 / 1 | $4.317,55 | 50 / 2 | Total 49 procedures | 1.354 | 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.