Hospital Costs > In Oregon > Tuality Community Hospital, 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 | 90 | 426 / 17 | $33.532,00 | 974 / 16 | $13.561,80 | 1945 / 18 | $12.179,90 | 1909 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 42 | 165 / 8 | $18.964,60 | 689 / 10 | $8.383,36 | 1782 / 16 | $6.767,19 | 1775 / 13 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 38 | 526 / 27 | $44.987,50 | 1027 / 18 | $16.535,30 | 1879 / 19 | $13.141,60 | 1837 / 19 |
| Heart Failure & Shock W Cc | 31 | 247 / 19 | $26.848,30 | 1797 / 28 | $7.647,13 | 2092 / 16 | $6.711,94 | 2086 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 6 | $21.406,90 | 676 / 12 | $6.098,70 | 1218 / 8 | $4.895,22 | 1214 / 11 |
| Renal Failure W Cc | 20 | 201 / 14 | $22.372,60 | 1218 / 21 | $7.684,55 | 1978 / 15 | $6.897,35 | 1968 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 18 | $17.896,60 | 901 / 9 | $9.556,35 | 1843 / 22 | $5.924,25 | 1835 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 20 | $14.424,20 | 675 / 10 | $5.981,74 | 2115 / 16 | $5.030,16 | 2101 / 22 |
| G.I. Hemorrhage W Cc | 19 | 199 / 20 | $22.719,90 | 1001 / 17 | $7.677,37 | 1900 / 14 | $6.914,42 | 1896 / 21 |
| Cellulitis W/O Mcc | 18 | 171 / 15 | $14.577,90 | 802 / 9 | $6.478,78 | 2020 / 12 | $5.605,89 | 2012 / 20 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 18 | $17.926,90 | 1345 / 17 | $6.132,33 | 2119 / 13 | $5.247,00 | 2108 / 18 |
| Heart Failure & Shock W Mcc | 14 | 270 / 22 | $33.821,90 | 1331 / 18 | $10.863,00 | 1890 / 12 | $10.001,30 | 1885 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 17 | $69.282,20 | 665 / 17 | $15.388,50 | 1222 / 9 | $14.369,50 | 1215 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 18 | $27.926,30 | 999 / 20 | $7.866,92 | 1471 / 11 | $6.803,54 | 1468 / 13 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 7 | $23.852,80 | 847 / 9 | $5.887,67 | 958 / 8 | $4.775,67 | 955 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 15 | $50.119,20 | 1529 / 18 | $10.304,60 | 1599 / 15 | $9.195,25 | 1596 / 15 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 19 | $25.864,50 | 1188 / 17 | $8.433,00 | 1794 / 9 | $7.425,00 | 1786 / 11 |
| Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 16 | $62.844,70 | 253 / 5 | $27.164,40 | 972 / 5 | $26.067,60 | 967 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 16 | $15.912,00 | 600 / 4 | $7.237,55 | 1889 / 11 | $6.353,18 | 1882 / 15 |
| Transient Ischemia | 11 | 114 / 7 | $22.719,00 | 840 / 10 | $5.687,09 | 1327 / 9 | $4.940,91 | 1320 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 14 | $20.332,20 | 1411 / 15 | $6.422,00 | 1716 / 16 | $4.149,00 | 1710 / 16 | Total 21 procedures | 455 | 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.