Hospital Costs > In Indiana > Kentuckiana Medical Center Llc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 12 | 57 / 4 | $203.012,00 | 82 / 3 | $57.582,10 | 83 / 2 | $56.675,40 | 83 / 4 |
| Cellulitis W/O Mcc | 15 | 174 / 39 | $19.408,40 | 1411 / 48 | $4.829,07 | 68 / 5 | $3.330,93 | 68 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 48 | $26.320,00 | 1537 / 60 | $4.999,00 | 277 / 1 | $4.289,67 | 276 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 50 | $29.625,20 | 1448 / 57 | $6.336,27 | 51 / 2 | $4.978,07 | 51 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 21 | 72 / 10 | $52.386,30 | 362 / 16 | $11.408,40 | 157 / 1 | $10.832,40 | 154 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 71 | 117 / 11 | $31.643,70 | 592 / 24 | $5.831,58 | 110 / 2 | $4.769,25 | 110 / 3 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 8 | $86.191,50 | 60 / 1 | $30.624,70 | 40 / 8 | $21.840,60 | 40 / 2 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 18 | 70 / 12 | $72.117,40 | 83 / 1 | $20.348,60 | 46 / 1 | $17.673,90 | 46 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 41 | $16.752,20 | 969 / 26 | $4.077,32 | 55 / 1 | $2.833,79 | 55 / 2 |
| Heart Failure & Shock W Cc | 21 | 257 / 48 | $20.778,60 | 1268 / 41 | $5.361,95 | 308 / 3 | $4.692,05 | 308 / 6 |
| Heart Failure & Shock W Mcc | 19 | 265 / 48 | $32.799,50 | 1273 / 49 | $8.228,68 | 433 / 4 | $7.595,37 | 433 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 51 | $15.163,60 | 963 / 30 | $4.092,19 | 88 / 1 | $3.104,19 | 88 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 44 | $9.218,73 | 236 / 4 | $3.834,36 | 55 / 3 | $2.723,55 | 55 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 20 | $84.090,90 | 324 / 12 | $18.640,70 | 291 / 6 | $17.829,70 | 289 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 38 | 158 / 23 | $53.117,20 | 289 / 8 | $11.611,80 | 155 / 4 | $9.658,42 | 155 / 4 |
| Renal Failure W Cc | 15 | 206 / 44 | $18.017,90 | 773 / 23 | $5.097,27 | 296 / 1 | $4.531,93 | 294 / 4 |
| Renal Failure W Mcc | 23 | 172 / 31 | $42.392,70 | 1363 / 46 | $9.511,83 | 1126 / 27 | $9.195,96 | 1126 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 37 | 479 / 54 | $46.306,00 | 1639 / 54 | $12.932,80 | 1589 / 64 | $11.203,00 | 1557 / 56 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 47 | $30.733,20 | 1665 / 60 | $5.698,33 | 574 / 1 | $5.293,00 | 572 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 46 | $32.160,60 | 2070 / 70 | $5.390,07 | 562 / 3 | $4.697,50 | 559 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 49 | $46.093,90 | 1794 / 59 | $10.123,60 | 144 / 57 | $6.691,27 | 144 / 2 | Total 21 procedures | 438 | 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.