Hospital Costs > In Kentucky > Muhlenberg Community Hospital, 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 | 35 | 154 / 20 | $12.725,80 | 551 / 18 | $5.824,03 | 1364 / 44 | $4.590,11 | 1358 / 45 |
| Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 28 | $17.596,80 | 760 / 30 | $6.707,44 | 609 / 52 | $4.642,44 | 607 / 20 |
| Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 33 | $19.222,70 | 653 / 23 | $7.643,74 | 1440 / 43 | $6.756,22 | 1434 / 49 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 57 | 63 / 12 | $12.815,90 | 527 / 21 | $5.044,12 | 1261 / 42 | $4.022,68 | 1251 / 49 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 33 | $10.588,40 | 258 / 5 | $5.224,37 | 1503 / 45 | $4.128,83 | 1492 / 48 |
| G.I. Hemorrhage W Cc | 14 | 204 / 38 | $18.142,00 | 582 / 16 | $6.986,29 | 808 / 43 | $5.185,21 | 806 / 32 |
| Heart Failure & Shock W Mcc | 11 | 273 / 46 | $21.950,10 | 530 / 14 | $9.519,09 | 1287 / 40 | $8.698,27 | 1284 / 48 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 27 | $12.059,90 | 478 / 16 | $4.785,79 | 1365 / 35 | $4.177,43 | 1354 / 39 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 27 | $38.199,00 | 550 / 12 | $11.938,50 | 849 / 23 | $10.695,10 | 838 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 55 | 178 / 19 | $12.191,60 | 535 / 11 | $5.512,60 | 1436 / 46 | $4.291,29 | 1427 / 48 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 37 | $41.134,50 | 818 / 13 | $13.001,50 | 1388 / 26 | $11.790,20 | 1355 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 20 | $10.512,10 | 372 / 12 | $5.004,63 | 1457 / 49 | $4.022,97 | 1452 / 48 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 26 | $17.702,50 | 690 / 27 | $5.580,91 | 1047 / 35 | $4.579,00 | 1040 / 35 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 19 | $19.457,80 | 243 / 5 | $8.886,17 | 626 / 28 | $7.629,75 | 623 / 22 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 29 | $36.954,60 | 252 / 9 | $13.847,60 | 706 / 20 | $12.985,80 | 698 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 24 | 492 / 46 | $23.577,10 | 452 / 6 | $10.710,20 | 726 / 22 | $9.821,96 | 725 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 33 | $15.732,90 | 412 / 5 | $7.029,64 | 1438 / 39 | $6.161,27 | 1432 / 42 |
| Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 26 | $17.045,50 | 803 / 25 | $6.879,87 | 1414 / 56 | $5.432,42 | 1408 / 52 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 11 | $13.754,10 | 587 / 24 | $5.212,91 | 1039 / 47 | $3.708,72 | 1033 / 42 | Total 19 procedures | 483 | 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.