Hospital Costs > In Colorado > Sterling Regional Medcenter, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 19 | $22.923,00 | 967 / 5 | $8.896,73 | 1986 / 21 | $7.930,33 | 1978 / 24 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 11 | $12.333,90 | 478 / 2 | $5.902,00 | 1200 / 12 | $3.945,91 | 1191 / 8 |
| G.I. Hemorrhage W Cc | 12 | 206 / 26 | $15.674,60 | 357 / 3 | $7.627,00 | 1794 / 28 | $6.621,67 | 1790 / 29 |
| Heart Failure & Shock W Cc | 22 | 256 / 19 | $13.083,00 | 379 / 2 | $7.537,91 | 2008 / 28 | $6.547,36 | 2003 / 31 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 10 | $13.123,20 | 623 / 2 | $5.115,92 | 1428 / 13 | $4.286,38 | 1417 / 14 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 23 | $10.285,00 | 322 / 2 | $5.954,15 | 1576 / 25 | $4.419,69 | 1565 / 19 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 34 | 530 / 38 | $45.021,00 | 1029 / 5 | $16.310,50 | 2283 / 33 | $15.244,10 | 2239 / 39 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 28 | 488 / 32 | $28.045,50 | 697 / 5 | $14.057,00 | 2201 / 31 | $13.154,10 | 2161 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 27 | $18.328,40 | 620 / 3 | $8.099,71 | 1918 / 27 | $7.071,14 | 1910 / 29 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 23 | $13.073,10 | 362 / 1 | $7.411,89 | 1883 / 27 | $5.967,63 | 1875 / 25 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 13 | $11.324,90 | 349 / 2 | $5.326,50 | 1480 / 16 | $4.375,64 | 1472 / 19 | Total 11 procedures | 195 | 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.