Hospital Costs > In Utah > Ogden Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 2 | $12.410,80 | 216 / 2 | $5.003,23 | 307 / 2 | $3.817,54 | 307 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 6 | $38.598,50 | 443 / 6 | $7.665,71 | 353 / 3 | $5.804,14 | 352 / 4 |
| Cellulitis W/O Mcc | 14 | 175 / 7 | $22.799,30 | 1710 / 9 | $5.833,29 | 1756 / 2 | $5.056,14 | 1748 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 6 | $27.121,40 | 1275 / 7 | $7.939,90 | 322 / 3 | $5.586,70 | 321 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 9 | $18.109,10 | 1148 / 12 | $5.157,67 | 1728 / 5 | $4.371,60 | 1715 / 11 |
| G.I. Hemorrhage W Cc | 25 | 193 / 7 | $26.975,20 | 1368 / 13 | $7.222,20 | 1202 / 7 | $5.576,80 | 1200 / 8 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 8 | $43.577,40 | 825 / 8 | $10.314,70 | 540 / 2 | $9.764,91 | 541 / 3 |
| G.I. Obstruction W Cc | 11 | 81 / 7 | $21.821,90 | 782 / 7 | $6.125,36 | 1075 / 2 | $5.243,91 | 1072 / 7 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 7 | $17.805,20 | 715 / 7 | $4.632,73 | 841 / 3 | $3.530,18 | 838 / 5 |
| Heart Failure & Shock W Cc | 33 | 245 / 5 | $21.929,90 | 1396 / 12 | $6.666,42 | 1592 / 8 | $5.865,45 | 1587 / 11 |
| Heart Failure & Shock W Mcc | 20 | 264 / 9 | $27.868,30 | 965 / 7 | $8.996,55 | 781 / 3 | $8.026,95 | 781 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 6 | $222.607,00 | 1340 / 8 | $45.162,10 | 1296 / 6 | $41.641,80 | 1286 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 7 | $27.050,70 | 932 / 11 | $7.104,95 | 754 / 3 | $5.486,80 | 752 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 7 | $52.409,50 | 1006 / 7 | $11.380,30 | 793 / 3 | $10.172,90 | 792 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 7 | $20.122,80 | 580 / 7 | $5.597,17 | 782 / 4 | $3.974,25 | 778 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 7 | $24.480,60 | 885 / 8 | $7.231,82 | 1218 / 3 | $6.798,36 | 1214 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 6 | $19.870,20 | 1565 / 14 | $5.435,44 | 1677 / 7 | $4.528,44 | 1666 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 126 | 438 / 13 | $65.573,90 | 1879 / 28 | $16.720,30 | 205 / 24 | $9.741,94 | 205 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 7 | $148.273,00 | 798 / 9 | $33.604,70 | 726 / 7 | $32.566,90 | 724 / 8 |
| Medical Back Problems W/O Mcc | 12 | 109 / 7 | $18.099,80 | 397 / 3 | $6.626,25 | 711 / 5 | $4.580,50 | 708 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 16 | 180 / 10 | $89.027,60 | 1037 / 9 | $14.049,00 | 353 / 4 | $10.282,50 | 353 / 2 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 7 | $21.674,10 | 479 / 8 | $6.750,83 | 679 / 6 | $5.515,72 | 676 / 6 |
| Renal Failure W Cc | 23 | 198 / 9 | $21.304,70 | 1102 / 16 | $6.814,65 | 1064 / 11 | $5.246,78 | 1056 / 5 |
| Renal Failure W Mcc | 11 | 184 / 10 | $27.410,20 | 602 / 8 | $10.125,50 | 85 / 6 | $7.170,73 | 85 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 65 | 451 / 11 | $41.860,20 | 1402 / 21 | $11.290,70 | 663 / 6 | $9.745,00 | 662 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 10 | $26.063,30 | 1342 / 17 | $7.002,61 | 964 / 3 | $5.631,04 | 961 / 8 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 9 | $22.555,50 | 1404 / 20 | $6.900,37 | 1256 / 9 | $5.262,40 | 1252 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 9 | $36.730,70 | 1440 / 17 | $9.533,70 | 1528 / 7 | $8.748,10 | 1528 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 10 | $15.961,40 | 822 / 12 | $5.165,55 | 1312 / 8 | $4.063,00 | 1304 / 11 |
| Spinal Fusion Except Cervical W/O Mcc | 22 | 172 / 14 | $115.227,00 | 893 / 16 | $28.113,50 | 437 / 13 | $21.451,70 | 434 / 12 |
| Transient Ischemia | 12 | 113 / 3 | $20.801,80 | 720 / 3 | $5.849,17 | 799 / 4 | $3.705,08 | 795 / 3 | Total 31 procedures | 704 | 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.