Hospital Costs > In Kentucky > Baptist Health La Grange, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 16 | 173 / 33 | $15.186,00 | 881 / 29 | $5.654,44 | 864 / 40 | $4.173,88 | 858 / 31 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 43 | $19.855,10 | 1367 / 44 | $5.019,33 | 876 / 34 | $3.677,53 | 871 / 29 |
| G.I. Hemorrhage W Cc | 22 | 196 / 30 | $21.704,40 | 912 / 29 | $7.193,41 | 655 / 45 | $5.052,68 | 654 / 24 |
| Heart Failure & Shock W Cc | 28 | 250 / 33 | $20.189,40 | 1206 / 34 | $6.581,61 | 1311 / 44 | $5.562,43 | 1307 / 43 |
| Heart Failure & Shock W Mcc | 23 | 261 / 38 | $28.596,20 | 1003 / 32 | $9.183,96 | 1029 / 34 | $8.327,96 | 1027 / 42 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 42 | $16.111,00 | 1091 / 31 | $5.064,58 | 1026 / 34 | $3.978,75 | 1018 / 34 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 8 | $42.669,50 | 180 / 4 | $13.017,20 | 6 / 5 | $8.246,08 | 6 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 10 | $38.364,50 | 202 / 6 | $9.500,27 | 77 / 7 | $7.017,00 | 77 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 29 | $56.196,00 | 1555 / 34 | $13.884,30 | 1244 / 38 | $11.471,50 | 1213 / 36 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 17 | $49.750,90 | 413 / 13 | $15.993,40 | 780 / 19 | $14.673,40 | 772 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 33 | $14.341,80 | 878 / 38 | $4.675,08 | 947 / 34 | $3.615,00 | 944 / 30 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 35 | $26.070,20 | 799 / 29 | $7.916,58 | 388 / 36 | $6.204,53 | 388 / 13 |
| Renal Failure W Cc | 19 | 202 / 36 | $13.471,80 | 338 / 7 | $6.077,26 | 869 / 23 | $5.056,26 | 862 / 29 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 23 | $31.361,90 | 431 / 13 | $11.360,20 | 404 / 21 | $10.266,60 | 403 / 20 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 30 | $47.045,80 | 540 / 21 | $14.413,60 | 901 / 27 | $13.737,70 | 893 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 32 | 484 / 40 | $37.083,30 | 1156 / 36 | $12.030,00 | 1540 / 49 | $11.085,80 | 1509 / 53 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 44 | $16.694,20 | 761 / 20 | $6.108,43 | 810 / 33 | $4.916,71 | 807 / 30 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 37 | $26.697,30 | 816 / 24 | $8.831,95 | 940 / 31 | $7.809,79 | 940 / 34 | Total 18 procedures | 332 | discharges |
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.