Hospital Costs > In Kentucky > Twin Lakes Regional Medical Center, 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 | 20 | 169 / 29 | $11.244,60 | 384 / 11 | $5.113,00 | 820 / 13 | $4.139,30 | 815 / 27 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 31 | $16.278,00 | 637 / 24 | $5.748,33 | 564 / 23 | $4.604,96 | 562 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 37 | $19.334,50 | 660 / 25 | $6.510,90 | 173 / 5 | $5.349,67 | 173 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 34 | $13.386,50 | 556 / 14 | $4.749,66 | 784 / 22 | $3.614,17 | 779 / 24 |
| G.I. Hemorrhage W Cc | 11 | 207 / 40 | $18.688,60 | 635 / 19 | $6.064,45 | 723 / 19 | $5.111,73 | 722 / 25 |
| G.I. Obstruction W Cc | 16 | 76 / 18 | $14.977,20 | 288 / 13 | $5.289,00 | 268 / 8 | $4.145,62 | 267 / 7 |
| Heart Failure & Shock W Cc | 34 | 244 / 28 | $14.929,00 | 570 / 14 | $5.967,26 | 740 / 21 | $5.097,82 | 739 / 22 |
| Heart Failure & Shock W Mcc | 27 | 257 / 37 | $15.891,90 | 185 / 4 | $8.210,44 | 72 / 8 | $6.858,22 | 72 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 25 | $16.190,80 | 223 / 4 | $6.193,25 | 569 / 5 | $5.296,67 | 568 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 31 | $13.006,20 | 645 / 14 | $4.736,16 | 972 / 18 | $3.944,38 | 965 / 32 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 32 | $41.676,70 | 857 / 15 | $12.099,60 | 585 / 10 | $10.452,90 | 579 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 30 | $11.007,30 | 429 / 15 | $4.280,31 | 941 / 13 | $3.612,44 | 938 / 28 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 33 | $25.000,60 | 731 / 25 | $7.190,91 | 596 / 16 | $6.445,22 | 596 / 25 |
| Renal Failure W Cc | 15 | 206 / 38 | $11.393,30 | 172 / 1 | $5.750,27 | 640 / 12 | $4.869,13 | 634 / 17 |
| Renal Failure W Mcc | 15 | 180 / 35 | $19.538,50 | 210 / 6 | $8.555,47 | 331 / 9 | $7.791,60 | 331 / 13 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 17 | $22.427,90 | 367 / 12 | $7.980,14 | 347 / 9 | $7.071,00 | 344 / 11 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 22 | $33.214,30 | 526 / 19 | $11.028,10 | 327 / 14 | $10.081,60 | 327 / 18 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 26 | $27.573,40 | 94 / 3 | $11.268,30 | 46 / 1 | $10.688,80 | 46 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 71 | 445 / 32 | $22.764,80 | 401 / 5 | $9.656,62 | 112 / 6 | $8.675,65 | 112 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 22 | $15.758,20 | 413 / 6 | $6.072,07 | 327 / 7 | $5.024,55 | 326 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 71 | 132 / 18 | $16.831,80 | 777 / 22 | $5.954,63 | 750 / 25 | $4.861,32 | 747 / 28 |
| Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 31 | $21.617,20 | 481 / 13 | $7.957,03 | 360 / 4 | $7.127,68 | 360 / 13 | Total 22 procedures | 575 | 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.