Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc - costs for treatment in Kentucky

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Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc - costs for treatment in Kentucky


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
King's Daughters' Medical CenterAshland16$92,955.90$28,730.30$24,907.90
Saint Joseph Hospital LexingtonLexington20$88,689.50$30,005.50$25,944.90
St Elizabeth Medical Center EdgewoodEdgewood24$121,792.00$35,253.30$30,403.00
Jewish Hospital & St Mary's HealthcareLouisville71$179,848.00$35,047.20$33,402.10
University Of Kentucky HospitalLexington44$164,490.00$48,071.50$37,767.70
Norton Hospital/Norton Medical Pavilions/Kosair ChLouisville25$158,230.00$37,705.80$31,425.20
Baptist Health LexingtonLexington35$180,731.00$39,693.10$36,931.40
Baptist Health PaducahPaducah11$175,193.00$37,332.90$36,248.50
Baptist Health LouisvilleLouisville36$152,061.00$43,886.20$41,469.40
Total 9 hospitals282

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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