Hospital Costs > In Oklahoma > Wagoner Community Hospital, 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 / 26 | $8.711,18 | 144 / 9 | $6.136,82 | 1761 / 41 | $5.067,73 | 1753 / 42 |
| Chest Pain | 13 | 138 / 18 | $10.460,90 | 171 / 6 | $5.026,00 | 1042 / 21 | $3.626,69 | 1036 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 30 | $11.748,70 | 212 / 9 | $6.628,46 | 1558 / 40 | $5.606,92 | 1552 / 41 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 18 | $10.988,40 | 353 / 14 | $5.407,10 | 1605 / 38 | $4.661,95 | 1594 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 34 | $11.090,30 | 297 / 17 | $5.691,08 | 2076 / 47 | $4.950,15 | 2062 / 47 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 13 | $9.883,17 | 251 / 6 | $5.470,44 | 1335 / 31 | $4.132,72 | 1324 / 30 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 35 | $11.607,00 | 469 / 21 | $5.921,05 | 2037 / 52 | $5.073,05 | 2026 / 53 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 11 | 553 / 47 | $34.049,60 | 397 / 10 | $14.587,70 | 1966 / 42 | $13.485,20 | 1924 / 44 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 22 | $10.737,70 | 399 / 18 | $5.538,37 | 1890 / 46 | $4.645,74 | 1884 / 45 |
| Psychoses | 344 | 50 / 1 | $6.574,86 | 4 / 1 | $7.260,18 | 362 / 6 | $6.380,01 | 362 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 41 | $16.758,40 | 767 / 28 | $6.930,47 | 1949 / 55 | $6.077,76 | 1941 / 56 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 15 | $11.591,80 | 379 / 15 | $5.621,60 | 1474 / 44 | $4.368,95 | 1466 / 44 | Total 12 procedures | 520 | 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.