Hospital Costs > In Louisiana > West Calcasieu Cameron Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 181 | 383 / 11 | $26.058,20 | 103 / 2 | $11.297,60 | 96 / 10 | $9.332,66 | 96 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 61 | 455 / 30 | $27.246,10 | 657 / 15 | $9.265,62 | 101 / 1 | $8.632,97 | 101 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 22 | $19.940,40 | 1129 / 24 | $6.197,12 | 43 / 23 | $3.969,58 | 43 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 18 | $25.025,30 | 1128 / 25 | $6.413,56 | 304 / 7 | $5.565,74 | 303 / 9 |
| Heart Failure & Shock W Cc | 37 | 241 / 33 | $13.863,30 | 450 / 13 | $4.947,46 | 53 / 2 | $4.213,19 | 53 / 3 |
| Cholecystectomy Except By Laparoscope W/O C.D.E. W/O Cc/Mcc | 33 | 1 / 1 | $10.026,80 | 1 / 1 | $7.033,09 | 2 / 1 | $5.859,91 | 2 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 20 | $16.496,70 | 477 / 10 | $5.770,39 | 141 / 4 | $4.748,33 | 141 / 6 |
| Respiratory Infections & Inflammations W Cc | 32 | 56 / 4 | $26.993,80 | 568 / 12 | $7.167,91 | 53 / 1 | $6.260,91 | 53 / 3 |
| Cellulitis W/O Mcc | 32 | 157 / 22 | $14.924,80 | 850 / 27 | $4.690,84 | 204 / 6 | $3.562,00 | 203 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 28 | $11.054,60 | 289 / 13 | $4.133,03 | 267 / 2 | $3.196,77 | 267 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 23 | $24.292,80 | 654 / 9 | $7.450,31 | 86 / 1 | $6.541,07 | 86 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 19 | $49.265,80 | 212 / 3 | $11.825,20 | 10 / 8 | $8.327,83 | 10 / 1 |
| G.I. Hemorrhage W Cc | 29 | 189 / 21 | $15.100,10 | 314 / 4 | $5.290,41 | 168 / 2 | $4.499,24 | 168 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 24 | $12.629,00 | 627 / 19 | $3.829,19 | 80 / 2 | $2.785,04 | 80 / 1 |
| Heart Failure & Shock W Mcc | 26 | 258 / 36 | $30.800,80 | 1136 / 25 | $8.700,23 | 612 / 22 | $7.828,81 | 612 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 14 | $18.911,30 | 281 / 5 | $6.546,04 | 91 / 1 | $5.583,44 | 91 / 3 |
| Respiratory Infections & Inflammations W Mcc | 25 | 111 / 11 | $31.786,90 | 455 / 9 | $9.839,24 | 66 / 2 | $9.212,08 | 66 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 23 | $18.766,40 | 871 / 17 | $5.114,76 | 172 / 5 | $4.117,96 | 172 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 20 | $26.800,30 | 124 / 1 | $9.865,85 | 27 / 1 | $8.777,85 | 27 / 2 |
| Cholecystectomy Except By Laparoscope W/O C.D.E. W Cc | 18 | 1 / 1 | $14.175,00 | 1 / 1 | $10.247,90 | 2 / 1 | $9.104,78 | 2 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 42 | $14.654,30 | 887 / 27 | $4.259,82 | 387 / 4 | $3.530,41 | 387 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 27 | $18.575,60 | 392 / 5 | $5.684,35 | 164 / 4 | $4.760,12 | 164 / 5 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 29 | $14.851,80 | 441 / 17 | $4.466,69 | 111 / 1 | $3.451,38 | 111 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 24 | $13.197,20 | 573 / 19 | $4.083,60 | 42 / 4 | $2.647,33 | 42 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 21 | $10.862,30 | 163 / 4 | $4.367,00 | 160 / 3 | $3.420,71 | 160 / 4 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 10 | $80.888,60 | 118 / 3 | $25.862,10 | 46 / 4 | $24.995,70 | 46 / 5 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 9 | $28.767,80 | 30 / 1 | $11.516,70 | 38 / 3 | $9.760,85 | 38 / 2 |
| Chest Pain | 13 | 138 / 19 | $12.046,80 | 251 / 6 | $3.410,85 | 104 / 2 | $2.354,46 | 104 / 2 |
| Transient Ischemia | 13 | 112 / 17 | $12.982,90 | 178 / 3 | $3.849,54 | 102 / 2 | $2.790,69 | 102 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 24 | $29.594,80 | 120 / 2 | $11.839,60 | 169 / 4 | $11.467,90 | 169 / 9 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 13 | $10.699,50 | 118 / 3 | $3.752,77 | 146 / 1 | $3.102,92 | 146 / 2 |
| Syncope & Collapse | 11 | 158 / 24 | $11.501,80 | 172 / 3 | $4.049,82 | 136 / 2 | $3.057,82 | 136 / 4 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 6 | $29.501,90 | 10 / 1 | $13.659,50 | 65 / 2 | $12.562,70 | 65 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 29 | $32.650,30 | 1274 / 30 | $6.724,27 | 936 / 12 | $6.285,00 | 933 / 28 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 8 | $17.816,00 | 16 / 1 | $8.219,45 | 56 / 2 | $7.230,36 | 56 / 5 |
| Cholecystectomy Except By Laparoscope W/O C.D.E. W Mcc | 11 | 4 / 1 | $35.632,90 | 1 / 1 | $18.036,20 | 3 / 1 | $16.939,50 | 3 / 1 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 20 | $27.304,30 | 33 / 1 | $11.649,00 | 25 / 1 | $11.102,10 | 25 / 3 | Total 37 procedures | 1.008 | 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.