Other Resp System O.R. Procedures W Mcc - costs for treatment in Kentucky

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Other Resp System O.R. Procedures W Mcc - costs for treatment in Kentucky


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Ephraim Mcdowell Regional Medical CenterDanville14$46,497.80$19,173.00$18,219.10
The Medical Center At Bowling GreenBowling Green23$49,128.00$19,619.00$18,658.50
Baptist Health PaducahPaducah14$77,495.90$19,848.50$18,535.90
Saint Joseph Hospital LexingtonLexington25$62,926.30$20,911.60$19,663.20
Baptist Health LouisvilleLouisville36$64,679.20$21,075.50$20,340.80
St Elizabeth Medical Center EdgewoodEdgewood20$67,220.90$22,435.80$21,109.10
Norton Hospital/Norton Medical Pavilions/Kosair ChLouisville39$87,349.90$23,239.20$21,296.40
Jewish Hospital & St Mary's HealthcareLouisville22$59,263.10$23,606.90$20,621.90
King's Daughters' Medical CenterAshland11$101,199.00$27,132.90$26,130.00
Pikeville Medical CenterPikeville27$142,408.00$27,471.90$25,785.60
Owensboro Health Regional HospitalOwensboro16$58,950.90$28,284.10$27,109.30
University Of Louisville HospitalLouisville13$165,515.00$31,105.00$27,953.50
University Of Kentucky HospitalLexington32$86,792.00$31,666.80$24,589.70
Total 13 hospitals292

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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