Hospital Costs > In Oklahoma > Mercy Hospital El Reno, 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 | 11 | 178 / 26 | $26.338,50 | 1953 / 43 | $4.825,45 | 453 / 11 | $3.836,36 | 450 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 36 | $29.064,60 | 2177 / 57 | $4.404,68 | 213 / 9 | $3.323,42 | 213 / 8 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 40 | $34.347,80 | 2157 / 61 | $5.555,39 | 613 / 12 | $4.750,06 | 610 / 22 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 21 | $30.127,10 | 1616 / 48 | $4.200,46 | 850 / 9 | $3.550,62 | 846 / 27 | Total 4 procedures | 61 | 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.