Hospital Costs > In Kansas > Pratt Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 19 | $6.712,08 | 64 / 1 | $4.445,15 | 1589 / 18 | $3.704,23 | 1583 / 19 |
| Cellulitis W/O Mcc | 13 | 176 / 20 | $8.492,00 | 132 / 1 | $6.755,08 | 2104 / 23 | $5.822,15 | 2096 / 25 |
| Heart Failure & Shock W Cc | 15 | 263 / 21 | $10.968,30 | 193 / 3 | $8.003,93 | 2268 / 29 | $7.195,40 | 2262 / 30 |
| Heart Failure & Shock W Mcc | 14 | 270 / 24 | $12.018,70 | 50 / 1 | $12.071,50 | 2190 / 28 | $11.205,20 | 2180 / 28 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 21 | $24.289,00 | 70 / 2 | $15.867,70 | 1783 / 25 | $14.807,70 | 1764 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 128 | 436 / 21 | $28.152,70 | 161 / 7 | $17.422,20 | 2359 / 39 | $15.794,90 | 2314 / 39 |
| Revision Of Hip Or Knee Replacement W Cc | 24 | 62 / 3 | $39.734,20 | 28 / 4 | $27.540,50 | 597 / 14 | $26.632,50 | 595 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 24 | $21.010,10 | 308 / 5 | $14.950,00 | 2393 / 32 | $14.211,90 | 2350 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 19 | $13.422,10 | 243 / 5 | $8.607,67 | 2121 / 30 | $7.684,24 | 2113 / 31 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 28 | $10.818,90 | 160 / 5 | $7.858,71 | 2305 / 33 | $6.907,86 | 2297 / 36 |
| Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 22 | $17.033,70 | 218 / 3 | $11.714,20 | 2119 / 29 | $10.736,20 | 2114 / 29 | Total 11 procedures | 305 | 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.