Hospital Costs > In Mississippi > Trace Regional Hosp And Swing Bed, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 32 | $20.168,50 | 271 / 6 | $11.157,90 | 1085 / 25 | $10.300,10 | 1072 / 29 |
Heart Failure & Shock W Cc | 18 | 260 / 36 | $12.241,40 | 290 / 11 | $6.009,44 | 990 / 21 | $5.286,78 | 989 / 27 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 29 | $17.706,60 | 539 / 16 | $6.913,65 | 645 / 14 | $5.923,53 | 642 / 10 |
Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 38 | $13.181,80 | 669 / 23 | $4.941,65 | 879 / 25 | $3.876,24 | 873 / 21 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 24 | $11.819,60 | 203 / 8 | $5.062,12 | 1133 / 17 | $4.705,12 | 1125 / 26 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 35 | $19.369,50 | 1070 / 30 | $6.468,67 | 715 / 34 | $4.830,47 | 712 / 17 |
Cellulitis W/O Mcc | 15 | 174 / 26 | $10.801,90 | 335 / 10 | $5.268,73 | 1039 / 22 | $4.300,20 | 1033 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 24 | $16.506,60 | 478 / 6 | $6.413,62 | 1185 / 14 | $5.854,85 | 1180 / 26 |
Heart Failure & Shock W Mcc | 12 | 272 / 36 | $17.785,40 | 293 / 8 | $9.027,67 | 859 / 26 | $8.118,33 | 859 / 23 | Total 9 procedures | 154 | 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.