Hospital Costs > In Hawaii > Wilcox Memorial Hospital, 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 Mcc | 12 | 113 / 8 | $58.765,70 | 1304 / 10 | $19.862,70 | 1784 / 9 | $19.156,00 | 1771 / 9 |
| Cellulitis W/O Mcc | 12 | 177 / 9 | $17.149,60 | 1146 / 4 | $8.437,83 | 2434 / 6 | $7.328,50 | 2426 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 8 | $17.133,60 | 1019 / 6 | $7.431,00 | 2451 / 6 | $6.224,14 | 2436 / 8 |
| G.I. Hemorrhage W Cc | 25 | 193 / 8 | $26.868,30 | 1356 / 8 | $9.990,76 | 2241 / 6 | $8.716,40 | 2237 / 8 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 5 | $38.087,20 | 625 / 3 | $17.663,80 | 1577 / 5 | $16.757,10 | 1567 / 5 |
| Heart Failure & Shock W Cc | 29 | 249 / 5 | $25.214,40 | 1685 / 7 | $10.219,00 | 2562 / 8 | $8.786,45 | 2556 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 4 | $56.316,70 | 1252 / 7 | $20.249,70 | 1963 / 8 | $17.651,90 | 1943 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 7 | $33.265,60 | 1294 / 8 | $11.563,00 | 1926 / 8 | $9.206,27 | 1922 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 8 | $58.914,00 | 1119 / 7 | $17.586,60 | 1518 / 6 | $16.622,40 | 1511 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 9 | $19.198,20 | 1478 / 4 | $7.834,36 | 2399 / 7 | $6.163,45 | 2388 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 5 | $57.376,30 | 1594 / 8 | $22.019,50 | 2521 / 8 | $18.003,40 | 2475 / 8 |
| Renal Failure W Cc | 12 | 209 / 8 | $32.225,10 | 1798 / 8 | $9.672,42 | 2275 / 4 | $8.669,75 | 2265 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 43 | 473 / 9 | $45.226,30 | 1584 / 7 | $19.568,70 | 2624 / 9 | $16.537,90 | 2579 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 8 | $31.628,50 | 1713 / 9 | $10.735,70 | 2427 / 6 | $9.671,04 | 2417 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 6 | $27.464,00 | 1808 / 8 | $9.953,82 | 2596 / 7 | $8.363,73 | 2587 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 8 | $32.194,50 | 1181 / 5 | $14.593,80 | 2407 / 5 | $13.588,40 | 2401 / 7 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 3 | $26.654,40 | 1523 / 3 | $7.147,64 | 1791 / 3 | $5.607,55 | 1783 / 3 | Total 17 procedures | 342 | 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.