Hospital Costs > In Louisiana > West Jefferson Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 9 | $30.614,20 | 757 / 12 | $7.664,60 | 945 / 15 | $6.520,67 | 943 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 11 | $44.933,00 | 989 / 16 | $11.502,00 | 1026 / 23 | $10.384,30 | 1023 / 23 |
| Atherosclerosis W/O Mcc | 13 | 45 / 7 | $17.347,80 | 250 / 6 | $5.104,92 | / 9 | $4.224,85 | / |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 12 | $25.428,70 | 599 / 15 | $9.766,21 | 606 / 22 | $5.081,79 | 602 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 18 | $20.741,10 | 1103 / 20 | $6.492,73 | 1295 / 33 | $4.643,55 | 1290 / 28 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 11 | $30.369,30 | 981 / 21 | $8.563,37 | 1175 / 30 | $7.537,93 | 1172 / 30 |
| Cellulitis W/O Mcc | 28 | 161 / 25 | $17.721,60 | 1206 / 36 | $6.586,43 | 1799 / 54 | $5.143,75 | 1791 / 52 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 13 | $59.735,40 | 460 / 10 | $14.333,60 | 544 / 13 | $13.149,80 | 541 / 17 |
| Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 16 | $20.007,20 | 1003 / 21 | $6.653,54 | 1542 / 41 | $5.583,24 | 1536 / 41 |
| Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 15 | $24.924,00 | 1120 / 24 | $8.155,32 | 1497 / 44 | $6.833,32 | 1490 / 40 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 26 | $15.236,40 | 808 / 26 | $5.831,46 | 1368 / 45 | $4.193,38 | 1357 / 38 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 11 | 44 / 4 | $74.764,50 | 80 / 2 | $19.804,50 | 86 / 1 | $18.519,00 | 86 / 4 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 6 | $83.312,80 | 111 / 4 | $23.662,90 | 50 / 2 | $22.652,70 | 50 / 3 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 12 | 62 / 4 | $64.621,40 | 120 / 3 | $16.119,20 | 12 / 3 | $10.966,90 | 12 / 1 |
| Diabetes W Cc | 25 | 67 / 8 | $21.071,30 | 773 / 19 | $7.046,80 | 1037 / 26 | $5.226,72 | 1033 / 25 |
| Diabetes W Mcc | 25 | 32 / 3 | $31.985,00 | 316 / 9 | $9.443,96 | 391 / 13 | $8.613,68 | 391 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 11 | $24.927,30 | 432 / 6 | $8.438,44 | 888 / 20 | $7.733,56 | 883 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 24 | $19.729,80 | 1354 / 33 | $5.886,32 | 1901 / 53 | $4.609,41 | 1887 / 54 |
| G.I. Hemorrhage W Cc | 44 | 174 / 14 | $23.370,50 | 1069 / 21 | $7.332,57 | 1682 / 39 | $6.333,70 | 1678 / 39 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 14 | $32.045,10 | 391 / 9 | $10.858,00 | 559 / 15 | $9.802,81 | 560 / 18 |
| G.I. Obstruction W Cc | 16 | 76 / 14 | $24.583,40 | 967 / 16 | $6.774,88 | 1244 / 25 | $5.697,00 | 1240 / 25 |
| Heart Failure & Shock W Cc | 112 | 166 / 8 | $19.437,20 | 1109 / 31 | $6.976,66 | 1669 / 55 | $5.950,40 | 1664 / 46 |
| Heart Failure & Shock W Mcc | 80 | 204 / 16 | $28.687,00 | 1008 / 20 | $9.565,79 | 1212 / 40 | $8.594,01 | 1209 / 38 |
| Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 19 | $48.759,70 | 1005 / 16 | $12.703,10 | 1135 / 30 | $11.410,50 | 1121 / 30 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 15 | $92.693,30 | 408 / 11 | $31.032,90 | 458 / 20 | $29.141,00 | 454 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 62 | 120 / 10 | $31.891,20 | 1243 / 25 | $7.908,10 | 1402 / 32 | $6.567,85 | 1399 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 12 | $43.569,90 | 801 / 14 | $10.801,00 | 651 / 15 | $9.750,38 | 650 / 18 |
| Kidney & Urinary Tract Infections W Mcc | 38 | 106 / 12 | $22.452,90 | 741 / 15 | $7.498,89 | 1057 / 32 | $6.500,53 | 1054 / 32 |
| Kidney & Urinary Tract Infections W/O Mcc | 68 | 165 / 17 | $17.858,20 | 1333 / 36 | $6.005,60 | 1954 / 59 | $4.923,68 | 1943 / 58 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 10 | $65.567,90 | 318 / 5 | $19.012,40 | 313 / 9 | $17.680,20 | 311 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 79 | 485 / 24 | $53.467,90 | 1447 / 24 | $14.379,80 | 788 / 48 | $10.741,70 | 775 / 30 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 17 | $57.062,10 | 570 / 10 | $16.616,30 | 549 / 19 | $13.793,30 | 543 / 19 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 39 | 87 / 7 | $24.100,90 | 649 / 13 | $7.738,79 | 864 / 24 | $6.726,54 | 861 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 18 | $15.948,60 | 1081 / 29 | $5.516,18 | 1742 / 49 | $4.384,53 | 1737 / 45 |
| Other Circulatory System Diagnoses W Mcc | 28 | 88 / 8 | $35.047,80 | 346 / 9 | $11.804,20 | 508 / 16 | $10.793,80 | 506 / 21 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 16 | $27.845,50 | 789 / 17 | $7.205,73 | 880 / 20 | $6.057,00 | 876 / 19 |
| Other Vascular Procedures W Mcc | 30 | 67 / 8 | $60.150,00 | 162 / 2 | $20.049,50 | 301 / 10 | $18.756,50 | 300 / 10 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 14 | 182 / 27 | $64.340,50 | 548 / 12 | $12.981,90 | 94 / 16 | $9.381,43 | 94 / 7 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 27 | $30.392,30 | 1063 / 15 | $8.626,46 | 1376 / 31 | $7.537,31 | 1372 / 29 |
| Red Blood Cell Disorders W/O Mcc | 28 | 115 / 20 | $17.779,50 | 698 / 23 | $6.140,86 | 1461 / 40 | $5.373,68 | 1452 / 41 |
| Renal Failure W Cc | 73 | 148 / 14 | $19.953,50 | 979 / 19 | $6.850,41 | 1383 / 36 | $5.596,77 | 1374 / 30 |
| Renal Failure W Mcc | 58 | 137 / 14 | $31.566,50 | 854 / 17 | $10.379,80 | 1233 / 33 | $9.512,17 | 1233 / 33 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 12 | $17.325,90 | 465 / 18 | $5.144,08 | 497 / 20 | $3.577,67 | 496 / 16 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 15 | $28.156,40 | 612 / 16 | $10.424,50 | 621 / 27 | $7.614,07 | 618 / 21 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 15 | $41.406,40 | 837 / 15 | $12.213,70 | 776 / 23 | $11.081,90 | 768 / 21 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 14 | $55.907,60 | 800 / 21 | $16.534,20 | 915 / 34 | $13.775,90 | 907 / 33 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 8 | $74.278,20 | 86 / 1 | $29.136,10 | 193 / 9 | $27.872,00 | 193 / 13 |
| Seizures W Mcc | 20 | 46 / 4 | $33.836,30 | 242 / 6 | $10.174,70 | 305 / 8 | $8.944,25 | 305 / 9 |
| Seizures W/O Mcc | 15 | 93 / 13 | $18.372,90 | 454 / 9 | $5.813,87 | 758 / 18 | $4.628,87 | 755 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 131 | 385 / 17 | $35.127,10 | 1060 / 25 | $11.541,00 | 1159 / 36 | $10.414,40 | 1141 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 17 | $25.787,20 | 1311 / 26 | $7.668,95 | 1659 / 40 | $6.509,27 | 1652 / 39 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 33 | $22.176,10 | 1370 / 31 | $7.096,21 | 1863 / 54 | $5.942,82 | 1855 / 52 |
| Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 24 | $27.383,10 | 862 / 14 | $9.180,57 | 1196 / 33 | $8.132,64 | 1196 / 33 |
| Spinal Fusion Except Cervical W/O Mcc | 30 | 164 / 12 | $111.341,00 | 848 / 15 | $25.432,40 | 701 / 16 | $23.135,30 | 697 / 22 |
| Syncope & Collapse | 17 | 152 / 20 | $17.879,80 | 665 / 14 | $5.877,29 | 1221 / 27 | $4.422,53 | 1214 / 26 |
| Transient Ischemia | 15 | 110 / 15 | $20.990,90 | 736 / 18 | $5.653,00 | 1007 / 26 | $4.052,40 | 1002 / 22 | Total 56 procedures | 1.743 | 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.