Hospital Costs > In Arizona > Tuba City Regional Health Care Corporation, 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 | 11 | 178 / 38 | $8.079,55 | 100 / 1 | $10.218,50 | 2552 / 42 | $9.121,82 | 2544 / 42 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 37 | $9.455,57 | 169 / 2 | $9.205,50 | 2642 / 44 | $8.167,79 | 2627 / 44 |
| Heart Failure & Shock W Cc | 11 | 267 / 35 | $11.027,40 | 197 / 1 | $11.603,30 | 2679 / 44 | $10.620,00 | 2673 / 45 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 22 | $23.540,50 | 823 / 4 | $12.825,80 | 1912 / 31 | $12.223,20 | 1908 / 32 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 31 | $6.573,85 | 35 / 1 | $9.580,46 | 2634 / 40 | $8.381,69 | 2623 / 41 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 48 | 516 / 38 | $22.074,30 | 28 / 1 | $22.015,00 | 2628 / 46 | $20.803,00 | 2582 / 47 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 25 | $9.284,92 | 16 / 1 | $12.659,00 | 1664 / 34 | $11.853,70 | 1660 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 30 | $7.362,79 | 95 / 1 | $8.843,79 | 2465 / 41 | $7.892,93 | 2456 / 42 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 25 | $12.944,50 | 353 / 4 | $11.454,90 | 2744 / 47 | $10.340,40 | 2735 / 47 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 31 | $21.046,60 | 448 / 1 | $15.762,20 | 2464 / 42 | $15.069,60 | 2458 / 42 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 19 | $8.760,75 | 128 / 3 | $8.949,83 | 1934 / 23 | $7.840,50 | 1926 / 23 | Total 11 procedures | 189 | 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.