Hospital Costs > In Arkansas > Helena Regional Medical Center, 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 | 12 | 64 / 10 | $31.798,20 | 750 / 12 | $6.097,58 | 572 / 12 | $4.993,58 | 568 / 12 |
| Cellulitis W/O Mcc | 15 | 174 / 25 | $21.533,30 | 1627 / 27 | $5.721,33 | 1517 / 30 | $4.752,80 | 1510 / 32 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 21 | $29.190,30 | 1679 / 32 | $6.414,67 | 1600 / 32 | $5.680,95 | 1593 / 35 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 32 | $34.370,30 | 1708 / 36 | $7.267,18 | 1228 / 29 | $6.496,27 | 1222 / 31 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 10 | $23.229,10 | 1463 / 32 | $5.154,62 | 1349 / 31 | $4.156,00 | 1338 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 25 | $26.118,80 | 1954 / 36 | $5.825,52 | 672 / 37 | $3.546,92 | 668 / 20 |
| Heart Failure & Shock W Cc | 45 | 233 / 18 | $31.013,80 | 2014 / 35 | $6.523,38 | 1646 / 33 | $5.934,58 | 1641 / 35 |
| Heart Failure & Shock W Mcc | 11 | 273 / 32 | $37.395,60 | 1525 / 31 | $9.175,64 | 1387 / 29 | $8.846,91 | 1383 / 31 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 18 | $25.122,00 | 1563 / 32 | $4.958,75 | 1175 / 30 | $3.938,38 | 1165 / 30 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 23 | $25.976,50 | 2024 / 38 | $5.448,42 | 1765 / 35 | $4.641,75 | 1754 / 37 |
| Medical Back Problems W/O Mcc | 11 | 110 / 16 | $22.050,50 | 677 / 16 | $6.143,82 | 687 / 18 | $4.546,18 | 684 / 17 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 18 | $31.254,10 | 1552 / 28 | $5.669,00 | 1330 / 26 | $5.063,29 | 1321 / 28 |
| Renal Failure W Cc | 13 | 208 / 23 | $23.599,20 | 1319 / 26 | $6.104,15 | 895 / 21 | $5.080,15 | 887 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 27 | 489 / 30 | $49.975,50 | 1783 / 33 | $11.324,10 | 1306 / 31 | $10.655,70 | 1284 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 28 | $39.167,30 | 2011 / 31 | $7.242,77 | 1650 / 28 | $6.496,92 | 1643 / 32 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 29 | $29.660,80 | 1930 / 35 | $8.052,04 | 1446 / 42 | $5.461,12 | 1440 / 36 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 27 | $42.389,30 | 1648 / 31 | $8.804,60 | 971 / 27 | $7.844,60 | 971 / 32 | Total 17 procedures | 326 | 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.