Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc - costs for treatment in Iowa

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Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc - costs for treatment in Iowa


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Mercy Medical Center-DubuqueDubuque23$44,663.00$18,494.90$15,756.40
Mercy Hospital Iowa CityIowa City31$69,628.50$19,597.30$18,372.50
Iowa Methodist Medical CenterDes Moines33$96,555.50$21,664.40$16,635.70
Total 3 hospitals87

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.





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