Hospital Costs > In Indiana > Witham Health Services, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 37 | $10.459,50 | 392 / 10 | $4.017,92 | 892 / 39 | $2.740,54 | 888 / 33 |
| Cellulitis W/O Mcc | 27 | 162 / 31 | $16.313,20 | 1031 / 33 | $5.699,85 | 1575 / 46 | $4.805,04 | 1568 / 61 |
| Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 38 | $18.808,10 | 874 / 30 | $6.496,20 | 1236 / 54 | $5.202,80 | 1231 / 50 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 52 | $21.408,50 | 850 / 25 | $7.965,64 | 1595 / 53 | $6.979,45 | 1587 / 62 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 42 | 78 / 15 | $19.071,40 | 1189 / 50 | $6.016,17 | 948 / 59 | $3.692,40 | 939 / 42 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 34 | $20.109,40 | 1403 / 47 | $5.699,90 | 1609 / 59 | $4.233,00 | 1596 / 58 |
| G.I. Obstruction W Cc | 16 | 76 / 21 | $21.556,40 | 760 / 31 | $5.704,44 | 952 / 24 | $5.026,44 | 949 / 37 |
| Heart Failure & Shock W Cc | 14 | 264 / 54 | $21.115,10 | 1305 / 45 | $6.880,57 | 1568 / 62 | $5.838,29 | 1563 / 63 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 24 | $14.842,80 | 833 / 30 | $4.752,57 | 1134 / 43 | $3.888,57 | 1125 / 45 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 36 | $46.656,60 | 915 / 29 | $13.657,70 | 1013 / 51 | $11.062,70 | 1000 / 42 |
| Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 28 | $15.366,60 | 993 / 32 | $5.373,53 | 1335 / 52 | $4.190,44 | 1326 / 52 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 44 | 520 / 51 | $58.897,50 | 1653 / 47 | $14.163,90 | 1845 / 50 | $13.009,00 | 1804 / 67 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 26 | $17.547,70 | 1272 / 45 | $4.977,11 | 1688 / 50 | $4.306,89 | 1683 / 57 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 45 | $26.802,80 | 844 / 30 | $8.212,40 | 1094 / 49 | $7.086,20 | 1092 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 28 | 488 / 60 | $40.005,00 | 1318 / 41 | $11.646,20 | 1358 / 43 | $10.741,10 | 1331 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 45 | $24.109,60 | 1173 / 39 | $6.585,64 | 1062 / 24 | $5.719,36 | 1059 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 34 | $23.955,30 | 1540 / 54 | $6.734,91 | 1718 / 55 | $5.744,85 | 1710 / 64 |
| Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 42 | $28.115,30 | 916 / 31 | $9.587,15 | 1507 / 49 | $8.689,96 | 1507 / 53 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 19 | $19.862,80 | 1189 / 40 | $5.024,44 | 1185 / 38 | $3.886,44 | 1179 / 43 | Total 19 procedures | 475 | 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.