Hospital Costs > In Louisiana > Caldwell Memorial Hospital Columbia, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 12 | $11.711,10 | 85 / 2 | $5.232,43 | 396 / 5 | $4.546,71 | 392 / 12 |
| Cellulitis W/O Mcc | 12 | 177 / 39 | $10.696,20 | 327 / 14 | $5.097,00 | 1154 / 14 | $4.393,00 | 1148 / 28 |
| Chronic Obstructive Pulmonary Disease W Cc | 62 | 117 / 4 | $9.671,19 | 83 / 3 | $5.528,82 | 583 / 11 | $4.624,40 | 581 / 16 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 32 | $12.612,70 | 153 / 5 | $6.417,70 | 546 / 8 | $5.812,90 | 545 / 12 |
| Diabetes W Cc | 12 | 80 / 17 | $7.397,75 | 20 / 1 | $5.027,50 | 378 / 3 | $4.123,50 | 378 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 36 | $7.508,80 | 71 / 5 | $4.604,47 | 1068 / 12 | $3.800,20 | 1060 / 25 |
| Heart Failure & Shock W Cc | 47 | 231 / 28 | $10.550,20 | 158 / 5 | $5.851,21 | 588 / 16 | $4.977,00 | 588 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 41 | $9.840,00 | 99 / 2 | $5.778,07 | 512 / 8 | $4.653,50 | 509 / 10 | Total 8 procedures | 196 | 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.