Hospital Costs > In Ohio > Wayne Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Cc | 52 | 226 / 57 | $16.219,10 | 713 / 40 | $6.806,75 | 1615 / 80 | $5.887,04 | 1610 / 89 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 51 | 513 / 76 | $31.241,60 | 279 / 10 | $15.157,60 | 1814 / 97 | $12.932,60 | 1773 / 105 |
| Kidney & Urinary Tract Infections W/O Mcc | 50 | 183 / 37 | $13.517,10 | 713 / 43 | $5.327,36 | 1465 / 74 | $4.319,00 | 1456 / 85 |
| Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 40 | $18.888,90 | 1013 / 61 | $7.617,36 | 1820 / 98 | $5.880,92 | 1812 / 96 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 66 | $13.251,50 | 533 / 34 | $5.830,00 | 1142 / 89 | $3.852,92 | 1134 / 72 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 17 | $14.855,80 | 719 / 40 | $4.874,12 | 1118 / 43 | $3.797,25 | 1112 / 54 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 42 | $14.368,80 | 882 / 48 | $4.869,00 | 1413 / 66 | $3.983,25 | 1408 / 80 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 41 | $14.205,80 | 440 / 32 | $5.434,29 | 1212 / 63 | $4.516,96 | 1207 / 77 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 59 | $21.893,30 | 892 / 52 | $8.320,25 | 1830 / 85 | $7.512,15 | 1822 / 96 |
| Cellulitis W/O Mcc | 17 | 172 / 60 | $14.572,00 | 801 / 58 | $5.767,00 | 1384 / 71 | $4.608,53 | 1378 / 83 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 29 | $13.523,10 | 673 / 41 | $5.512,59 | 904 / 70 | $3.647,41 | 897 / 55 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 37 | $12.176,80 | 464 / 40 | $4.968,82 | 1043 / 62 | $3.776,41 | 1034 / 75 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 40 | $13.217,20 | 748 / 42 | $3.883,94 | 1158 / 51 | $2.972,18 | 1153 / 74 |
| Renal Failure W Cc | 15 | 206 / 64 | $15.590,50 | 515 / 29 | $6.599,53 | 1274 / 67 | $5.469,53 | 1266 / 77 |
| Heart Failure & Shock W Mcc | 14 | 270 / 80 | $23.387,10 | 622 / 36 | $10.339,60 | 1688 / 81 | $9.449,86 | 1683 / 89 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 40 | $30.709,00 | 246 / 17 | $13.484,30 | 1390 / 70 | $12.346,10 | 1372 / 74 |
| Syncope & Collapse | 13 | 156 / 44 | $11.489,80 | 169 / 11 | $5.029,54 | 1052 / 54 | $4.142,69 | 1045 / 67 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 13 | 503 / 92 | $28.600,40 | 720 / 38 | $12.733,50 | 1849 / 83 | $11.879,90 | 1814 / 96 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 66 | $16.582,40 | 666 / 49 | $7.585,85 | 1086 / 93 | $5.041,92 | 1082 / 70 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 19 | $9.626,58 | 116 / 7 | $4.191,75 | 564 / 26 | $3.042,08 | 563 / 36 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 32 | $14.107,80 | 201 / 10 | $5.217,25 | 1053 / 39 | $4.459,67 | 1049 / 57 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 59 | $23.966,90 | 631 / 45 | $11.936,40 | 1363 / 98 | $8.424,25 | 1363 / 88 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 55 | $21.653,30 | 931 / 50 | $8.253,82 | 2022 / 79 | $7.383,64 | 2014 / 92 | Total 23 procedures | 507 | 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.