Hospital Costs > In Kentucky > Paul B Hall Regional Medical Center, procedure costs

Paul B Hall Regional Medical Center, procedure costs

625 James S Trimble Boulevard, Paintsville, KY 41240,

Procedure Costs @ Paul B Hall Regional Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc56460 / 33$111.975,002718 / 59$10.749,70942 / 24$10.114,50937 / 36
Simple Pneumonia & Pleurisy W Mcc56149 / 23$83.288,102369 / 55$8.248,89739 / 13$7.602,04739 / 24
Chronic Obstructive Pulmonary Disease W Mcc54148 / 21$70.304,802448 / 60$7.073,26992 / 22$6.231,48987 / 39
Simple Pneumonia & Pleurisy W Cc46157 / 29$71.597,402774 / 65$6.108,871464 / 34$5.476,521458 / 53
Chronic Obstructive Pulmonary Disease W Cc33146 / 25$50.732,802256 / 58$5.682,64808 / 19$4.803,12805 / 28
Kidney & Urinary Tract Infections W/O Mcc32201 / 31$49.298,402638 / 60$5.146,881297 / 35$4.164,971288 / 44
Heart Failure & Shock W Mcc27257 / 37$99.776,302566 / 57$8.520,37790 / 15$8.037,41790 / 30
G.I. Hemorrhage W Cc20198 / 32$66.537,202357 / 51$6.296,801026 / 29$5.391,201024 / 41
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc19256 / 40$49.784,602640 / 57$4.957,531078 / 30$3.810,581070 / 38
Kidney & Urinary Tract Infections W Mcc16128 / 26$67.723,801875 / 39$6.651,56894 / 14$6.218,56892 / 28
Cellulitis W/O Mcc16173 / 33$75.821,902636 / 58$5.488,001199 / 33$4.428,001193 / 43
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc14106 / 35$48.734,202043 / 57$4.809,571044 / 32$3.776,431035 / 41
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1383 / 16$55.690,301228 / 25$7.095,00408 / 8$6.442,69406 / 17
Respiratory Infections & Inflammations W Mcc13123 / 23$88.378,901574 / 39$10.328,20315 / 5$10.047,50315 / 17
Heart Failure & Shock W Cc12266 / 43$78.040,502745 / 57$6.093,83996 / 26$5.291,17994 / 32
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc12138 / 29$40.096,601925 / 42$3.961,001053 / 24$2.865,001048 / 30
Cardiac Arrhythmia & Conduction Disorders W Mcc11112 / 25$104.578,001899 / 35$7.149,45732 / 7$6.707,27729 / 21
Red Blood Cell Disorders W/O Mcc11132 / 26$43.203,501813 / 45$5.259,641057 / 28$4.596,361050 / 36
Total 18 procedures461discharges

DATA

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.