Hospital Costs > In Louisiana > University Hospital & Clinics, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 69 | 58 / 1 | $8.598,64 | 91 / 1 | $10.274,30 | 794 / 4 | $7.392,07 | 793 / 4 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 25 | 24 / 1 | $3.641,56 | 20 / 1 | $7.282,64 | 98 / 1 | $6.228,24 | 97 / 1 |
Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 43 | $16.435,70 | 731 / 15 | $11.227,00 | 2675 / 62 | $9.026,50 | 2666 / 62 |
Heart Failure & Shock W Cc | 12 | 266 / 54 | $13.935,40 | 463 / 14 | $11.629,60 | 2647 / 61 | $9.744,25 | 2641 / 63 | Total 4 procedures | 118 | 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.