O.R. Procedures For Obesity W/O Cc/Mcc - costs for treatment in Kentucky

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O.R. Procedures For Obesity W/O Cc/Mcc - costs for treatment in Kentucky


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Saint Joseph EastLexington37$24,282.90$10,881.80$7,677.08
King's Daughters' Medical CenterAshland47$25,447.70$9,483.64$7,876.19
St Elizabeth FlorenceFlorence13$32,596.70$12,069.50$6,246.92
Baptist Health LouisvilleLouisville21$40,119.10$8,574.76$6,736.90
Pikeville Medical CenterPikeville29$40,870.60$11,626.00$10,389.70
Norton Hospital/Norton Medical Pavilions/Kosair ChLouisville35$49,527.60$11,006.10$9,745.17
Baptist Health LexingtonLexington27$54,230.30$9,613.41$7,934.37
The Medical Center At Bowling GreenBowling Green23$55,636.80$9,445.61$8,246.00
Total 8 hospitals232

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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