Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Hawaii

Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Hawaii

Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Hawaii


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Pali Momi Medical CenterAiea14$28,215.10$5,994.29$4,780.57
Wahiawa General HospitalWahiawa14$14,748.90$6,941.86$4,810.93
Wilcox Memorial HospitalLihue11$26,654.40$7,147.64$5,607.55
Maui Memorial Medical CenterWailuku16$18,711.70$9,008.56$7,954.56
Total 4 hospitals55

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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