Hospital Costs > In Utah > Mountain West Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 8 | $14.376,40 | 668 / 4 | $5.481,38 | 1862 / 8 | $4.571,38 | 1848 / 13 |
| Heart Failure & Shock W Cc | 16 | 262 / 11 | $23.325,10 | 1524 / 15 | $7.536,62 | 1580 / 14 | $5.851,81 | 1575 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 6 | $15.723,30 | 1034 / 8 | $5.666,53 | 1353 / 8 | $4.205,88 | 1344 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 24 | $46.222,60 | 1099 / 21 | $15.502,00 | 1538 / 18 | $12.158,60 | 1503 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 10 | $14.636,60 | 910 / 8 | $5.207,85 | 1728 / 9 | $4.368,46 | 1723 / 10 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 6 | $22.816,90 | 382 / 2 | $9.557,58 | 1013 / 6 | $8.754,92 | 1008 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 13 | 503 / 20 | $35.747,70 | 1089 / 18 | $12.503,80 | 1690 / 17 | $11.430,60 | 1657 / 22 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 10 | $17.821,00 | 894 / 13 | $7.308,24 | 1010 / 16 | $5.088,00 | 1007 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 15 | $30.508,20 | 1067 / 14 | $9.662,75 | 1492 / 10 | $8.652,08 | 1492 / 14 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 10 | $14.298,80 | 647 / 10 | $5.058,27 | 1244 / 6 | $3.958,64 | 1238 / 10 | Total 10 procedures | 179 | 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.