Hospital Costs > In Kentucky > Tug Valley Arh Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 128 | 11 / 3 | $15.385,50 | 829 / 39 | $5.197,34 | 566 / 46 | $3.379,17 | 565 / 23 |
| Chronic Obstructive Pulmonary Disease W Mcc | 62 | 140 / 18 | $20.563,70 | 764 / 30 | $7.374,23 | 651 / 37 | $5.926,69 | 647 / 26 |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 19 | $18.994,70 | 900 / 38 | $5.895,18 | 1016 / 30 | $4.967,29 | 1013 / 40 |
| Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 28 | $20.721,20 | 1203 / 44 | $6.185,53 | 920 / 38 | $5.017,86 | 917 / 32 |
| Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 26 | $14.738,00 | 898 / 26 | $4.999,64 | 1210 / 30 | $4.094,43 | 1201 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 41 | $28.525,00 | 713 / 16 | $10.417,00 | 296 / 15 | $9.167,45 | 296 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 32 | $14.007,70 | 619 / 17 | $4.718,55 | 1085 / 20 | $3.815,10 | 1077 / 39 |
| Heart Failure & Shock W Cc | 30 | 248 / 31 | $20.492,30 | 1236 / 37 | $6.311,10 | 703 / 34 | $5.067,13 | 702 / 21 |
| Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 15 | $13.436,10 | 653 / 22 | $4.642,36 | 720 / 30 | $3.489,29 | 716 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 14 | $16.808,40 | 913 / 41 | $4.948,85 | 799 / 43 | $3.502,85 | 795 / 32 |
| Renal Failure W Cc | 26 | 195 / 31 | $15.740,20 | 537 / 12 | $6.056,23 | 631 / 21 | $4.861,12 | 625 / 16 |
| Cellulitis W/O Mcc | 18 | 171 / 31 | $11.837,30 | 446 / 12 | $5.238,89 | 859 / 20 | $4.169,17 | 853 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 24 | $19.157,60 | 1347 / 37 | $3.817,53 | 1094 / 19 | $2.904,41 | 1089 / 31 |
| Renal Failure W Mcc | 16 | 179 / 34 | $23.677,60 | 396 / 14 | $8.832,12 | 580 / 11 | $8.170,06 | 580 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 31 | $14.992,00 | 956 / 41 | $4.845,40 | 655 / 44 | $3.422,00 | 653 / 20 |
| G.I. Hemorrhage W Cc | 15 | 203 / 37 | $23.236,30 | 1054 / 35 | $6.170,20 | 747 / 25 | $5.133,80 | 745 / 28 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 14 | $75.040,10 | 91 / 3 | $27.860,90 | 37 / 4 | $24.779,80 | 37 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 30 | $18.741,30 | 660 / 17 | $6.627,50 | 230 / 27 | $4.899,14 | 229 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 38 | $33.147,70 | 1232 / 44 | $8.772,93 | 760 / 29 | $7.614,00 | 760 / 26 |
| Heart Failure & Shock W Mcc | 13 | 271 / 44 | $30.649,10 | 1125 / 37 | $10.167,10 | 202 / 50 | $7.242,62 | 202 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 28 | $32.382,80 | 158 / 5 | $12.566,10 | 285 / 9 | $11.848,50 | 282 / 10 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 39 | $33.184,50 | 1209 / 39 | $7.487,54 | 758 / 24 | $6.657,31 | 758 / 34 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 25 | $18.056,10 | 719 / 29 | $5.170,00 | 515 / 24 | $4.000,33 | 514 / 15 |
| Chest Pain | 11 | 140 / 27 | $17.027,20 | 692 / 27 | $4.072,64 | 627 / 16 | $3.053,18 | 623 / 22 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 10 | $16.665,80 | 142 / 5 | $6.392,09 | 244 / 9 | $5.328,55 | 244 / 6 | Total 25 procedures | 701 | 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.