Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc - costs for treatment in Kentucky

Hospital Costs > Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc > Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc - costs for treatment in Kentucky

Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc - costs for treatment in Kentucky


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Saint Joseph Hospital LexingtonLexington44$131,361.00$47,062.60$44,055.90
Baptist Health LouisvilleLouisville19$176,666.00$50,467.20$49,606.90
Baptist Health LexingtonLexington23$200,532.00$50,053.40$49,201.30
University Of Kentucky HospitalLexington49$218,499.00$67,763.10$60,998.20
St Elizabeth Medical Center EdgewoodEdgewood19$232,458.00$78,312.70$48,351.30
Norton Hospital/Norton Medical Pavilions/Kosair ChLouisville16$237,380.00$54,082.40$52,594.70
Jewish Hospital & St Mary's HealthcareLouisville91$247,345.00$54,724.40$50,048.10
Total 7 hospitals261

DATA

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.





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