Hospital Costs > In Kentucky > Westlake Regional Hospital, 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/O Cc/Mcc | 14 | 106 / 35 | $12.934,40 | 539 / 22 | $5.058,50 | 1096 / 43 | $3.822,50 | 1087 / 43 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 29 | $11.945,50 | 459 / 15 | $4.795,58 | 1064 / 36 | $3.801,58 | 1056 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 31 | $11.729,80 | 520 / 20 | $4.890,80 | 1509 / 47 | $4.081,73 | 1504 / 50 |
| Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 39 | $18.147,30 | 933 / 34 | $6.797,08 | 1701 / 54 | $5.720,15 | 1693 / 58 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 40 | $19.589,90 | 361 / 9 | $9.349,73 | 1324 / 43 | $8.358,45 | 1324 / 47 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 26 | $12.716,20 | 481 / 19 | $4.921,21 | 1135 / 41 | $3.822,93 | 1129 / 45 | Total 6 procedures | 92 | 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.