Hospital Costs > In Kansas > Western Plains Medical Complex, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 32 | 484 / 23 | $43.854,80 | 1521 / 23 | $12.055,10 | 1369 / 21 | $10.762,40 | 1342 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 17 | $24.741,00 | 1229 / 19 | $7.038,96 | 1382 / 22 | $6.096,74 | 1377 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 16 | $53.962,10 | 1997 / 27 | $10.624,10 | 1865 / 27 | $9.596,59 | 1865 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 15 | $14.901,90 | 918 / 13 | $5.233,52 | 1571 / 21 | $4.414,32 | 1560 / 24 |
| Respiratory Infections & Inflammations W Mcc | 23 | 113 / 11 | $48.279,90 | 1026 / 11 | $12.926,20 | 1103 / 16 | $12.085,80 | 1089 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 22 | $24.201,90 | 1555 / 23 | $7.042,82 | 1249 / 28 | $5.260,18 | 1245 / 22 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 14 | $38.397,20 | 1869 / 22 | $7.670,05 | 1347 / 19 | $6.635,38 | 1341 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 16 | $19.341,90 | 1493 / 23 | $4.836,05 | 1335 / 21 | $3.917,19 | 1330 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 19 | $15.464,90 | 809 / 14 | $5.072,71 | 1735 / 20 | $4.380,90 | 1722 / 28 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 34 | $54.302,10 | 1480 / 34 | $15.940,80 | 1515 / 37 | $12.085,10 | 1480 / 30 |
| G.I. Hemorrhage W Cc | 19 | 199 / 15 | $22.936,90 | 1023 / 14 | $6.728,74 | 884 / 23 | $5.256,53 | 882 / 17 |
| Heart Failure & Shock W Cc | 15 | 263 / 21 | $18.838,80 | 1031 / 14 | $6.575,00 | 1576 / 22 | $5.847,53 | 1571 / 23 |
| Heart Failure & Shock W Mcc | 15 | 269 / 23 | $37.685,90 | 1542 / 21 | $9.752,20 | 1492 / 20 | $9.029,00 | 1488 / 21 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 19 | $55.335,10 | 1853 / 22 | $8.838,40 | 1547 / 20 | $7.950,93 | 1542 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 18 | $21.582,00 | 1171 / 14 | $5.273,36 | 722 / 16 | $4.034,36 | 719 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 15 | $24.251,60 | 1414 / 21 | $4.842,77 | 1210 / 18 | $3.914,77 | 1204 / 18 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 16 | $26.086,00 | 337 / 5 | $7.336,33 | 632 / 11 | $5.628,00 | 630 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 22 | $46.838,70 | 923 / 18 | $13.723,60 | 914 / 21 | $10.822,70 | 901 / 15 |
| Transient Ischemia | 12 | 113 / 11 | $18.716,10 | 563 / 2 | $4.687,92 | 637 / 8 | $3.508,83 | 633 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 17 | $23.806,10 | 1372 / 15 | $6.250,55 | 1092 / 19 | $5.049,09 | 1088 / 17 | Total 20 procedures | 377 | 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.