Hospital Costs > Simple Pneumonia & Pleurisy W Mcc > Simple Pneumonia & Pleurisy W Mcc - costs for treatment in Idaho

Simple Pneumonia & Pleurisy W Mcc - costs for treatment in Idaho

Hospital	City	Discharges	Avg Covered Charges	Avg Total Payment	Avg Medicare Payment
St Luke's Magic Valley Rmc	Twin Falls	66	$18,083.10	$9,117.95	$8,117.65
St Joseph Regional Medical Center	Lewiston	43	$35,526.60	$11,578.70	$9,894.30
St Luke's Regional Medical Center	Boise	55	$33,698.50	$11,440.90	$9,628.71
St Alphonsus Regional Medical Center	Boise	35	$22,705.10	$8,956.46	$7,949.46
West Valley Medical Center	Caldwell	13	$23,415.00	$8,643.31	$7,616.85
Eastern Idaho Regional Medical Center	Idaho Falls	51	$29,331.40	$9,125.75	$8,177.67
Portneuf Medical Center	Pocatello	36	$31,998.40	$12,058.10	$10,811.90
Kootenai Health	Coeur D'Alene	76	$26,831.00	$9,308.55	$8,339.29
Total 8 hospitals		375

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.