Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc - costs for treatment in Kentucky

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Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc - costs for treatment in Kentucky


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Saint Joseph EastLexington17$14,520.00$9,527.88$8,348.65
Saint Joseph Hospital LexingtonLexington13$28,286.10$9,157.38$6,955.77
Baptist Health LouisvilleLouisville21$32,321.80$7,563.62$6,307.29
Baptist Health LexingtonLexington19$35,105.30$8,955.63$7,687.79
University Of Kentucky HospitalLexington27$41,247.60$13,743.70$10,760.30
Norton Hospital/Norton Medical Pavilions/Kosair ChLouisville22$51,941.50$10,546.50$9,408.64
Jewish Hospital & St Mary's HealthcareLouisville13$68,000.60$10,268.80$8,690.92
Total 7 hospitals132

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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