Hospital Costs > In Arizona > Yavapai Regional Medical Center-East Campus, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 151 | 413 / 24 | $69.993,50 | 1994 / 32 | $17.041,90 | 1833 / 38 | $12.974,20 | 1792 / 28 |
| Pulmonary Edema & Respiratory Failure | 53 | 150 / 11 | $25.160,50 | 740 / 1 | $9.475,70 | 1361 / 22 | $7.512,45 | 1357 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 42 | 163 / 18 | $26.803,20 | 822 / 3 | $9.935,74 | 1519 / 19 | $8.717,64 | 1519 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 22 | $18.385,60 | 954 / 6 | $6.813,39 | 1477 / 17 | $5.488,15 | 1471 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 39 | $32.921,60 | 936 / 1 | $11.793,70 | 1471 / 13 | $10.976,20 | 1442 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 19 | $24.265,20 | 1065 / 3 | $8.396,83 | 1518 / 22 | $6.861,79 | 1511 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 22 | $16.250,10 | 1114 / 8 | $5.579,86 | 1840 / 16 | $4.744,55 | 1829 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 30 | $22.258,10 | 996 / 4 | $7.267,74 | 1518 / 15 | $6.282,85 | 1512 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 22 | $14.719,20 | 917 / 3 | $5.237,56 | 1798 / 17 | $4.474,30 | 1793 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 34 | $18.336,20 | 1181 / 5 | $5.581,54 | 1944 / 17 | $4.676,21 | 1930 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 20 | $14.949,50 | 986 / 8 | $4.421,67 | 1382 / 17 | $3.268,14 | 1376 / 23 |
| Heart Failure & Shock W Cc | 21 | 257 / 30 | $17.860,70 | 913 / 2 | $6.770,90 | 1766 / 16 | $6.080,62 | 1761 / 20 |
| Heart Failure & Shock W Mcc | 20 | 264 / 32 | $23.029,30 | 603 / 1 | $10.122,80 | 1129 / 20 | $8.464,20 | 1126 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 20 | $18.870,90 | 939 / 7 | $6.156,32 | 1276 / 24 | $4.610,00 | 1271 / 18 |
| Renal Failure W Cc | 16 | 205 / 25 | $16.219,90 | 586 / 2 | $6.908,19 | 1667 / 18 | $6.061,19 | 1658 / 22 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 11 | $15.659,10 | 570 / 4 | $4.749,81 | 909 / 13 | $3.691,81 | 906 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 30 | $20.875,70 | 524 / 1 | $6.939,46 | 1181 / 9 | $6.105,00 | 1178 / 15 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 10 | $37.446,30 | 349 / 2 | $10.795,20 | 601 / 7 | $9.789,83 | 599 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 28 | $40.740,80 | 670 / 2 | $12.960,60 | 1236 / 16 | $11.752,60 | 1220 / 18 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 18 | $18.093,60 | 297 / 2 | $6.887,67 | 922 / 16 | $6.186,33 | 919 / 22 | Total 20 procedures | 608 | 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.