Hospital Costs > In Louisiana > Ochsner Medical Center - Baton Rouge, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 19 | $29.663,90 | 433 / 6 | $11.181,00 | 440 / 18 | $8.862,45 | 440 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 24 | $13.613,50 | 383 / 7 | $5.732,09 | 1355 / 29 | $4.740,09 | 1350 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 21 | $16.044,50 | 157 / 2 | $7.941,19 | 890 / 23 | $6.959,19 | 887 / 23 |
| Cellulitis W/O Mcc | 15 | 174 / 36 | $17.885,50 | 1233 / 37 | $5.705,47 | 1431 / 34 | $4.653,73 | 1424 / 39 |
| Chest Pain | 12 | 139 / 20 | $12.626,80 | 279 / 8 | $4.742,92 | 1144 / 22 | $3.833,58 | 1137 / 26 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 29 | $21.263,80 | 835 / 14 | $7.829,12 | 1244 / 40 | $6.510,83 | 1238 / 31 |
| Diabetes W Cc | 16 | 76 / 14 | $19.185,80 | 631 / 12 | $6.096,88 | 735 / 25 | $4.580,62 | 733 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 15 | $26.185,10 | 488 / 7 | $7.846,17 | 562 / 14 | $6.762,17 | 557 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 35 | $17.611,40 | 1077 / 28 | $5.481,06 | 1804 / 47 | $4.485,29 | 1791 / 48 |
| G.I. Hemorrhage W Cc | 36 | 182 / 18 | $21.904,50 | 936 / 16 | $6.717,94 | 1438 / 33 | $5.871,50 | 1435 / 36 |
| Heart Failure & Shock W Cc | 40 | 238 / 31 | $14.167,70 | 492 / 15 | $6.582,10 | 1306 / 42 | $5.555,98 | 1302 / 40 |
| Heart Failure & Shock W Mcc | 60 | 224 / 20 | $24.297,10 | 684 / 15 | $9.108,65 | 1137 / 34 | $8.482,52 | 1134 / 37 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 26 | $56.278,20 | 1249 / 21 | $11.879,10 | 931 / 24 | $10.857,50 | 918 / 26 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 15 | $90.566,90 | 377 / 8 | $25.498,40 | 52 / 3 | $24.532,00 | 52 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 43 | $22.228,70 | 1775 / 49 | $5.586,75 | 1795 / 50 | $4.682,75 | 1784 / 50 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 44 | $58.520,00 | 1637 / 28 | $12.979,20 | 1442 / 30 | $11.895,50 | 1409 / 46 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 18 | $15.961,40 | 186 / 4 | $7.408,50 | 600 / 18 | $6.191,25 | 597 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 36 | $20.627,00 | 1614 / 44 | $5.604,69 | 1188 / 50 | $3.802,08 | 1185 / 30 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 28 | $94.489,00 | 1101 / 25 | $14.513,20 | 1130 / 27 | $13.398,10 | 1123 / 32 |
| Pulmonary Edema & Respiratory Failure | 42 | 161 / 13 | $19.963,40 | 400 / 6 | $8.224,62 | 1009 / 25 | $6.976,36 | 1008 / 23 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 26 | $16.387,20 | 570 / 19 | $5.998,26 | 999 / 37 | $4.519,74 | 993 / 29 |
| Renal Failure W Cc | 30 | 191 / 29 | $16.486,20 | 612 / 11 | $6.549,57 | 1258 / 31 | $5.452,87 | 1250 / 27 |
| Renal Failure W Mcc | 20 | 175 / 30 | $30.292,10 | 780 / 14 | $9.806,20 | 744 / 29 | $8.444,45 | 744 / 24 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 24 | $60.337,10 | 915 / 23 | $13.929,50 | 816 / 23 | $13.375,70 | 808 / 30 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 14 | $116.424,00 | 296 / 6 | $31.670,10 | 152 / 6 | $31.012,60 | 152 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 98 | 418 / 22 | $32.253,70 | 900 / 20 | $10.909,70 | 832 / 26 | $9.963,20 | 831 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 20 | $25.934,40 | 1328 / 28 | $7.089,70 | 1490 / 29 | $6.247,03 | 1484 / 36 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 37 | $17.673,60 | 872 / 18 | $6.937,70 | 1241 / 48 | $5.255,78 | 1237 / 31 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 23 | $27.770,50 | 889 / 15 | $8.899,83 | 829 / 26 | $7.688,72 | 829 / 25 |
| Syncope & Collapse | 11 | 158 / 24 | $15.994,90 | 480 / 7 | $5.387,55 | 1313 / 24 | $4.622,45 | 1306 / 28 | Total 30 procedures | 719 | 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.