Diabetes W Mcc - costs for treatment in Kentucky

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Diabetes W Mcc - costs for treatment in Kentucky


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Ephraim Mcdowell Regional Medical CenterDanville14$15,603.90$7,874.29$7,103.29
Lourdes HospitalPaducah11$21,259.80$6,928.00$6,180.00
Saint Joseph LondonLondon11$25,452.50$8,250.00$7,810.73
Saint Joseph Hospital LexingtonLexington12$25,547.10$8,341.25$7,538.75
Jewish Hospital & St Mary's HealthcareLouisville23$26,356.70$9,576.65$8,336.26
Jennie Stuart Medical CenterHopkinsville11$27,999.20$7,745.18$5,855.82
St Elizabeth Medical Center EdgewoodEdgewood14$28,346.20$8,245.79$7,199.57
Baptist Health LouisvilleLouisville18$29,407.60$7,436.56$6,646.22
King's Daughters' Medical CenterAshland20$30,170.60$8,607.80$7,234.80
Hazard Arh Regional Medical CenterHazard13$37,471.20$8,767.23$7,060.23
Norton Hospital/Norton Medical Pavilions/Kosair ChLouisville44$39,011.00$9,995.25$8,303.48
Baptist Health PaducahPaducah11$39,156.80$8,886.64$6,635.00
Lake Cumberland Regional HospitalSomerset11$49,766.20$8,838.27$7,835.82
Baptist Health LexingtonLexington12$50,869.20$9,469.58$8,462.17
University Of Kentucky HospitalLexington14$54,576.40$17,077.40$11,730.10
Pikeville Medical CenterPikeville16$77,960.20$12,503.70$10,491.10
Total 16 hospitals255

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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