Hospital Costs > In Kentucky > Whitesburg Arh Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 97 | 24 / 4 | $16.966,50 | 1011 / 45 | $5.231,17 | 63 / 47 | $2.717,01 | 63 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 81 | 121 / 14 | $24.591,10 | 1094 / 43 | $8.524,35 | 14 / 53 | $4.603,52 | 14 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 21 | $25.147,60 | 1634 / 51 | $5.917,47 | 31 / 19 | $3.909,67 | 31 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 20 | $14.375,60 | 667 / 20 | $4.405,59 | 131 / 8 | $3.000,27 | 131 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 52 | 127 / 18 | $22.887,90 | 1289 / 45 | $5.250,00 | 182 / 4 | $4.140,00 | 182 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 45 | 160 / 27 | $34.513,90 | 1317 / 45 | $9.881,29 | 22 / 48 | $6.146,04 | 22 / 1 |
| Heart Failure & Shock W Mcc | 45 | 239 / 30 | $31.068,80 | 1156 / 39 | $8.167,47 | 260 / 6 | $7.349,58 | 260 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 43 | 473 / 36 | $40.009,30 | 1319 / 43 | $9.451,49 | 55 / 3 | $8.441,93 | 55 / 5 |
| Heart Failure & Shock W Cc | 42 | 236 / 24 | $18.819,00 | 1024 / 30 | $5.656,79 | 38 / 9 | $4.151,48 | 38 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 28 | $16.712,20 | 1180 / 37 | $4.462,25 | 166 / 6 | $3.254,77 | 166 / 4 |
| Respiratory Infections & Inflammations W Mcc | 38 | 98 / 11 | $39.749,20 | 779 / 30 | $10.129,30 | 47 / 3 | $9.055,42 | 47 / 3 |
| Cellulitis W/O Mcc | 37 | 152 / 18 | $15.375,80 | 903 / 30 | $4.739,41 | 268 / 4 | $3.646,59 | 266 / 7 |
| G.I. Hemorrhage W Cc | 26 | 192 / 27 | $21.152,10 | 856 / 27 | $5.557,08 | 36 / 2 | $4.135,58 | 36 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 20 | $14.926,50 | 848 / 33 | $3.771,67 | 234 / 3 | $3.007,24 | 232 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 19 | $17.649,80 | 975 / 44 | $4.117,38 | 90 / 6 | $2.691,81 | 90 / 3 |
| Atherosclerosis W/O Mcc | 20 | 38 / 6 | $15.523,50 | 185 / 7 | $3.500,40 | / 2 | $2.402,90 | / |
| Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 22 | $25.917,70 | 976 / 31 | $5.959,30 | 22 / 3 | $4.625,15 | 22 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 23 | $31.841,20 | 150 / 4 | $12.102,60 | 2 / 4 | $8.863,89 | 2 / 1 |
| Pulmonary Edema & Respiratory Failure | 18 | 185 / 36 | $25.787,70 | 782 / 27 | $8.308,61 | 4 / 42 | $4.869,28 | 4 / 1 |
| Diabetes W Cc | 17 | 75 / 19 | $22.873,20 | 875 / 23 | $4.777,71 | 146 / 2 | $3.711,24 | 146 / 3 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 21 | $14.120,60 | 363 / 13 | $4.350,94 | 155 / 3 | $3.533,50 | 155 / 9 |
| Renal Failure W Cc | 16 | 205 / 37 | $17.779,40 | 760 / 24 | $5.163,12 | 119 / 2 | $4.233,69 | 119 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 31 | $12.134,50 | 562 / 24 | $4.082,07 | 153 / 4 | $2.935,80 | 153 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 17 | $29.381,50 | 324 / 8 | $9.857,60 | 13 / 5 | $7.350,20 | 13 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 15 | $22.549,30 | 316 / 11 | $6.306,21 | 80 / 2 | $5.626,07 | 80 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 32 | $16.358,90 | 671 / 25 | $4.340,50 | 270 / 2 | $3.577,21 | 270 / 7 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 17 | $31.694,70 | 742 / 26 | $7.473,00 | 160 / 3 | $6.665,43 | 160 / 4 |
| Syncope & Collapse | 12 | 157 / 28 | $13.561,20 | 298 / 11 | $4.049,42 | 29 / 2 | $2.781,42 | 29 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 32 | $26.024,50 | 1337 / 36 | $5.679,00 | 42 / 3 | $4.425,67 | 42 / 1 |
| Chest Pain | 11 | 140 / 27 | $14.603,50 | 461 / 17 | $3.842,36 | 52 / 12 | $2.225,18 | 52 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 30 | $13.247,50 | 752 / 24 | $3.238,73 | 376 / 3 | $2.334,00 | 373 / 7 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 13 | $15.246,90 | 137 / 4 | $4.240,36 | 127 / 2 | $3.397,27 | 127 / 6 | Total 32 procedures | 974 | 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.