Hospital Costs > In South Dakota > Avera Mckennan Hospital & University Health Center, procedure costs

Avera Mckennan Hospital & University Health Center, procedure costs

1325 S Cliff Ave Post Office Box 5045, Sioux Falls, SD 57117,

Procedure Costs @ Avera Mckennan Hospital & University Health Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc472139 / 2$48.784,601232 / 13$15.970,901714 / 15$12.588,901676 / 13
Psychoses45730 / 1$18.931,40299 / 1$8.008,26375 / 1$6.445,97375 / 1
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc353170 / 2$46.419,001647 / 9$13.936,901811 / 9$11.770,701776 / 7
G.I. Hemorrhage W Cc13979 / 2$25.289,401220 / 6$7.907,191688 / 7$6.342,121684 / 6
Hip & Femur Procedures Except Major Joint W Cc10736 / 1$41.244,70694 / 7$13.547,301314 / 6$12.013,601297 / 6
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc99176 / 3$23.635,701772 / 7$6.476,281906 / 9$4.613,441892 / 8
Heart Failure & Shock W Mcc98186 / 3$31.132,801162 / 7$10.796,701751 / 9$9.605,251746 / 9
Disorders Of Personality & Impulse Control881 / 1$14.752,101 / 1$9.516,754 / 1$8.190,554 / 1
Major Small & Large Bowel Procedures W Cc8525 / 1$56.308,60565 / 3$17.976,20915 / 5$15.310,70907 / 3
Heart Failure & Shock W Cc82196 / 3$18.360,00970 / 5$7.544,351951 / 9$6.416,771946 / 9
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs82100 / 2$26.673,00902 / 6$8.030,481411 / 6$6.585,061408 / 5
Intracranial Hemorrhage Or Cerebral Infarction W Mcc7989 / 1$36.324,10558 / 2$12.233,80899 / 3$10.629,30897 / 3
Cellulitis W/O Mcc76113 / 2$21.394,901617 / 6$6.785,091868 / 6$5.278,841860 / 6
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc72135 / 2$30.680,801660 / 10$9.217,061752 / 10$6.686,441745 / 8
Renal Failure W Cc71150 / 2$22.959,001267 / 5$7.482,441642 / 5$6.000,721633 / 5
Simple Pneumonia & Pleurisy W Cc70133 / 3$22.692,101413 / 8$7.567,902067 / 9$6.294,412059 / 9
Simple Pneumonia & Pleurisy W Mcc68137 / 3$31.225,301116 / 7$10.789,201546 / 9$8.789,511546 / 7
Renal Failure W Mcc64131 / 1$41.533,501324 / 3$11.673,501512 / 4$10.343,901511 / 4
Infectious & Parasitic Diseases W O.R. Procedure W Mcc6361 / 2$118.389,00715 / 2$36.560,40934 / 2$34.447,20928 / 2
Spinal Fusion Except Cervical W/O Mcc63131 / 5$88.864,60624 / 3$26.150,70847 / 5$24.566,80843 / 5
Respiratory System Diagnosis W Ventilator Support <96 Hours5774 / 1$60.181,80910 / 1$16.772,90984 / 2$14.066,50974 / 2
Pulmonary Edema & Respiratory Failure56147 / 3$32.753,401192 / 6$9.083,411439 / 6$7.697,621434 / 4
Kidney & Urinary Tract Infections W/O Mcc55178 / 3$18.724,801429 / 5$6.474,531842 / 6$4.746,641831 / 6
Chronic Obstructive Pulmonary Disease W Mcc53149 / 3$22.637,10944 / 3$8.639,601710 / 5$7.234,621702 / 5
Major Small & Large Bowel Procedures W Mcc4837 / 1$119.059,00550 / 3$33.664,20653 / 2$31.619,40651 / 2
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc48118 / 3$18.623,801402 / 7$5.745,191774 / 8$4.427,691769 / 7
Other Kidney & Urinary Tract Diagnoses W Cc4360 / 1$24.571,10379 / 1$8.381,09488 / 3$6.204,65488 / 2
G.I. Obstruction W Cc4349 / 1$22.943,90858 / 3$7.005,911291 / 4$5.832,331286 / 4
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4260 / 2$21.556,70687 / 3$6.348,171039 / 4$4.426,071035 / 3
Laparoscopic Cholecystectomy W/O C.D.E. W Cc3917 / 2$45.180,80374 / 2$12.311,60566 / 2$9.954,18564 / 2
Chronic Obstructive Pulmonary Disease W Cc39140 / 2$19.376,30941 / 4$7.106,641655 / 5$5.776,311648 / 5
Cardiac Arrhythmia & Conduction Disorders W Cc37124 / 3$17.974,10851 / 5$6.174,031577 / 8$5.151,761572 / 8
Craniotomy & Endovascular Intracranial Procedures W Mcc3761 / 1$78.157,4083 / 1$28.057,50190 / 1$26.452,80190 / 1
Acute Adjustment Reaction & Psychosocial Dysfunction362 / 1$11.411,9012 / 1$5.436,8642 / 1$4.227,5842 / 1
G.I. Hemorrhage W Mcc3685 / 3$31.108,10357 / 3$12.117,90964 / 4$11.090,60958 / 4
Other Digestive System Diagnoses W Cc3661 / 1$23.904,10620 / 2$7.692,50917 / 3$6.194,39913 / 1
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc3421 / 1$42.699,90181 / 1$13.969,30316 / 2$11.451,20314 / 1
Revision Of Hip Or Knee Replacement W Cc3452 / 2$82.157,00314 / 1$25.821,50340 / 2$20.000,20339 / 2
Respiratory Infections & Inflammations W Mcc34102 / 3$54.472,801163 / 5$16.368,401086 / 5$12.015,801072 / 3
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc3393 / 2$23.739,20630 / 1$8.296,331108 / 2$7.361,481105 / 2
Major Male Pelvic Procedures W/O Cc/Mcc3340 / 1$36.728,20155 / 1$10.248,90240 / 2$7.659,88240 / 2
Medical Back Problems W/O Mcc3289 / 1$22.126,50684 / 5$8.093,34868 / 6$4.903,94865 / 4
Peripheral Vascular Disorders W Cc3153 / 1$18.621,20344 / 2$7.385,45821 / 3$6.274,16818 / 4
Major Joint/Limb Reattachment Procedure Of Upper Extremities2940 / 2$58.911,40195 / 2$17.564,60325 / 3$16.138,20325 / 3
Depressive Neuroses2822 / 1$11.550,9070 / 1$5.588,5779 / 1$4.010,8679 / 1
Other Circulatory System Diagnoses W Mcc2789 / 1$64.713,00984 / 3$14.962,90951 / 3$13.130,50944 / 3
Hip & Femur Procedures Except Major Joint W Mcc2735 / 3$59.230,90295 / 2$20.100,90509 / 2$18.313,40506 / 2
Acute Myocardial Infarction, Discharged Alive W Mcc2798 / 4$40.981,60854 / 5$12.038,501082 / 5$10.582,201077 / 5
Transient Ischemia2699 / 3$17.171,80426 / 1$5.653,081067 / 3$4.174,811062 / 2
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc2614 / 1$53.008,60120 / 1$16.869,50270 / 2$15.419,40269 / 2
Kidney & Ureter Procedures For Neoplasm W Cc2618 / 1$50.578,6064 / 1$14.052,1077 / 1$12.399,1077 / 1
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc2620 / 2$31.988,50137 / 1$9.079,77111 / 2$5.568,65111 / 2
Peritoneal Adhesiolysis W Cc2514 / 1$53.226,00108 / 1$16.027,40152 / 2$14.353,90152 / 2
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc2531 / 1$51.645,60433 / 2$14.266,70446 / 2$12.689,50445 / 2
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc2551 / 1$41.821,00230 / 1$13.496,10305 / 1$12.246,50305 / 1
Pulmonary Embolism W/O Mcc2549 / 2$20.376,50402 / 2$7.302,44907 / 2$6.129,80904 / 1
Traumatic Stupor & Coma, Coma <1 Hr W Mcc2526 / 1$33.917,5058 / 1$13.618,10147 / 1$12.069,90147 / 1
Other Kidney & Urinary Tract Diagnoses W Mcc2477 / 2$36.888,30565 / 2$12.985,90869 / 4$11.538,50865 / 4
Syncope & Collapse24145 / 3$22.602,201076 / 4$6.239,711027 / 4$4.092,211020 / 2
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim2343 / 1$47.406,80242 / 3$14.073,30283 / 4$11.101,80281 / 4
Stomach, Esophageal & Duodenal Proc W Cc2327 / 1$59.970,4074 / 1$19.007,6079 / 2$15.666,0079 / 2
Neuroses Except Depressive235 / 1$14.406,3029 / 1$5.945,4317 / 1$4.334,1317 / 1
Diabetes W Cc2369 / 2$24.203,30954 / 2$6.258,611132 / 2$5.483,741127 / 3
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc23101 / 2$14.879,40331 / 2$5.592,96437 / 4$4.203,65436 / 3
Major Gastrointestinal Disorders & Peritoneal Infections W Cc2350 / 2$32.407,90709 / 4$8.805,48760 / 3$7.566,61758 / 3
Signs & Symptoms W/O Mcc2368 / 3$24.408,60869 / 3$5.693,87815 / 4$4.319,52812 / 3
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc2368 / 1$44.932,70295 / 1$8.305,48144 / 1$7.070,87144 / 1
Simple Pneumonia & Pleurisy W/O Cc/Mcc2271 / 4$16.222,90851 / 5$5.841,361345 / 6$4.120,321337 / 5
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2298 / 3$12.896,90535 / 2$5.661,321481 / 4$4.384,231470 / 4
Red Blood Cell Disorders W/O Mcc22121 / 3$14.661,60420 / 2$6.270,361452 / 4$5.348,911443 / 3
Organic Disturbances & Mental Retardation2237 / 1$24.013,60262 / 1$8.030,00311 / 1$6.438,36311 / 1
Cardiac Arrhythmia & Conduction Disorders W Mcc21102 / 4$27.296,00806 / 4$8.964,241196 / 4$7.597,571193 / 5
Postoperative & Post-Traumatic Infections W Mcc2122 / 1$35.206,7048 / 1$14.688,0063 / 2$11.041,5063 / 1
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2175 / 3$26.202,80489 / 1$8.807,62811 / 2$7.452,48806 / 2
Kidney Transplant2180 / 1$205.626,0097 / 1$30.059,0047 / 1$20.143,0047 / 1
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc2144 / 3$68.962,90365 / 3$21.784,50565 / 3$20.164,20562 / 4
Seizures W/O Mcc2088 / 1$22.569,20672 / 1$6.078,55859 / 2$4.915,65856 / 2
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc2069 / 2$32.004,70330 / 2$9.351,25474 / 4$6.375,55473 / 3
Degenerative Nervous System Disorders W/O Mcc2058 / 1$19.128,20198 / 2$7.384,05471 / 1$5.959,55471 / 1
Medical Back Problems W Mcc1920 / 1$38.906,50136 / 2$11.038,90153 / 2$9.703,11153 / 2
Poisoning & Toxic Effects Of Drugs W Mcc1854 / 2$40.837,20586 / 3$11.139,20666 / 3$9.549,56664 / 2
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1878 / 5$55.645,80421 / 5$14.971,70581 / 6$13.541,30577 / 6
Respiratory Neoplasms W Mcc1834 / 1$45.598,90324 / 2$12.491,90382 / 1$10.973,80381 / 1
Infectious & Parasitic Diseases W O.R. Procedure W Cc1818 / 1$52.703,80132 / 1$16.842,50199 / 2$15.200,10199 / 2
Major Small & Large Bowel Procedures W/O Cc/Mcc1747 / 2$36.364,50239 / 1$11.531,80499 / 1$9.928,88499 / 2
Stomach, Esophageal & Duodenal Proc W Mcc1724 / 1$126.433,0086 / 1$39.693,60119 / 2$37.415,80119 / 2
Other Digestive System Diagnoses W Mcc1745 / 1$53.424,40497 / 3$13.027,40472 / 2$11.459,00471 / 2
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc17133 / 4$13.139,40734 / 3$4.748,711464 / 7$3.439,651458 / 6
Pulmonary Embolism W Mcc1726 / 2$29.719,20156 / 1$11.041,60413 / 1$9.902,18413 / 1
Septicemia Or Severe Sepsis W Mv 96+ Hours1775 / 1$172.024,00641 / 1$39.934,40534 / 1$37.451,90533 / 1
Other Resp System O.R. Procedures W Mcc1746 / 2$77.933,50197 / 1$24.665,80314 / 2$22.867,60313 / 2
Transurethral Procedures W Cc1724 / 1$33.397,50153 / 1$9.269,71256 / 1$7.962,29256 / 1
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1753 / 2$28.376,70346 / 2$7.278,29292 / 2$5.958,53292 / 1
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1739 / 2$32.040,20238 / 2$11.465,30633 / 3$10.025,10631 / 3
Poisoning & Toxic Effects Of Drugs W/O Mcc1744 / 1$19.100,40485 / 2$5.416,06563 / 2$4.073,71562 / 1
Fractures Of Hip & Pelvis W/O Mcc1645 / 2$20.003,90517 / 1$5.991,19614 / 2$4.285,38614 / 1
Lymphoma & Non-Acute Leukemia W Mcc1620 / 1$129.976,0093 / 1$28.683,8082 / 1$26.971,9082 / 1
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc1612 / 1$38.437,2038 / 1$12.440,6015 / 2$8.087,9415 / 1
Heart Failure & Shock W/O Cc/Mcc1694 / 4$13.818,40704 / 2$5.572,191489 / 6$4.408,691477 / 6
Nonspecific Cerebrovascular Disorders W Cc1640 / 2$29.739,90292 / 1$7.618,38314 / 2$6.281,38314 / 2
Other Disorders Of Nervous System W Cc1640 / 1$27.007,10322 / 1$7.005,75345 / 2$5.508,88345 / 1
Cervical Spinal Fusion W/O Cc/Mcc1688 / 4$58.187,50435 / 2$19.152,60376 / 6$12.001,70375 / 4
Peripheral Vascular Disorders W Mcc1534 / 1$36.121,70308 / 1$10.289,20344 / 1$8.810,93344 / 1
Complications Of Treatment W Mcc1536 / 1$44.520,90142 / 2$12.229,70129 / 1$11.144,20129 / 1
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc1532 / 2$40.600,80229 / 1$11.753,50258 / 2$8.356,40258 / 1
Kidney & Urinary Tract Infections W Mcc15129 / 3$21.086,70642 / 1$8.290,871332 / 2$7.100,071328 / 2
Disorders Of The Biliary Tract W Cc1539 / 1$29.520,90203 / 2$7.942,00268 / 2$6.644,00268 / 2
G.I. Obstruction W/O Cc/Mcc1556 / 3$16.306,30615 / 1$5.625,80856 / 3$3.546,07853 / 1
Traumatic Stupor & Coma, Coma <1 Hr W Cc1452 / 2$23.019,20124 / 1$8.497,93335 / 2$7.220,64334 / 2
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1439 / 2$36.675,30291 / 2$10.794,90227 / 3$7.212,14227 / 2
Diabetes W Mcc1443 / 2$33.875,40355 / 1$11.243,80343 / 3$8.336,21343 / 1
Other Disorders Of Nervous System W Mcc1426 / 1$68.626,60267 / 1$15.197,20262 / 1$12.853,40262 / 1
Digestive Malignancy W Cc1433 / 2$36.758,00212 / 2$9.357,21230 / 2$8.115,79228 / 2
Cranial & Peripheral Nerve Disorders W/O Mcc1355 / 1$27.712,40413 / 1$7.453,23334 / 1$5.161,77334 / 1
Respiratory Infections & Inflammations W Cc1375 / 3$23.846,70420 / 3$9.757,15940 / 4$8.448,38935 / 4
Disorders Of The Biliary Tract W Mcc1326 / 2$31.477,6053 / 1$11.392,20100 / 2$10.194,20100 / 2
Postoperative & Post-Traumatic Infections W/O Mcc1341 / 2$22.517,50164 / 1$7.367,62281 / 2$6.667,00281 / 2
Peritoneal Adhesiolysis W/O Cc/Mcc1311 / 1$43.056,5030 / 1$11.267,0036 / 2$9.628,5436 / 2
Other Circulatory System Diagnoses W Cc1353 / 1$27.165,20354 / 1$7.616,23420 / 1$6.170,23419 / 1
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1334 / 3$35.924,00245 / 3$11.316,80358 / 3$7.012,46357 / 2
Cellulitis W Mcc1246 / 3$31.695,40416 / 3$11.055,80469 / 3$8.611,67467 / 3
Pancreas, Liver & Shunt Procedures W Mcc1231 / 1$124.623,0033 / 1$35.622,6014 / 1$33.500,1014 / 1
Disorders Of Pancreas Except Malignancy W Mcc1234 / 2$50.771,80197 / 2$12.560,60168 / 1$11.086,10168 / 1
Nervous System Neoplasms W Mcc1236 / 1$21.460,0022 / 1$9.536,08164 / 1$8.575,08164 / 1
Urinary Stones W/O Esw Lithotripsy W/O Mcc1135 / 3$21.965,80187 / 2$5.596,73266 / 3$4.239,64265 / 2
G.I. Obstruction W Mcc1131 / 2$23.530,7058 / 1$11.163,30301 / 1$10.223,30301 / 2
Malignancy Of Hepatobiliary System Or Pancreas W Cc1120 / 2$20.460,5021 / 1$8.475,18111 / 2$7.633,36111 / 2
Complications Of Treatment W Cc1141 / 3$43.031,50305 / 3$9.177,00288 / 3$8.114,64288 / 3
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1127 / 2$18.577,20221 / 1$5.335,18310 / 2$3.983,73309 / 1
Seizures W Mcc1155 / 2$28.366,50138 / 1$10.783,90414 / 2$9.669,73414 / 2
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc1118 / 1$90.513,4080 / 1$29.335,6021 / 1$12.583,1021 / 1
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1151 / 2$17.844,70299 / 1$6.040,45537 / 2$4.750,45535 / 1
Skin Graft For Skin Ulcer Or Cellulitis W Mcc1111 / 1$95.199,7013 / 1$25.495,7012 / 1$22.436,5012 / 1
Malignancy Of Hepatobiliary System Or Pancreas W Mcc1142 / 2$44.482,70129 / 1$12.284,60141 / 2$10.849,40142 / 2
Pleural Effusion W Mcc1119 / 1$40.889,7093 / 1$11.468,60128 / 1$10.123,20128 / 1
Bronchitis & Asthma W Cc/Mcc1165 / 3$17.453,80289 / 1$6.822,82675 / 2$5.343,73671 / 2
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant1131 / 1$94.324,3015 / 1$33.166,8038 / 1$31.478,1038 / 1
Chest Pain11140 / 4$15.795,90570 / 3$6.053,45988 / 4$3.531,91982 / 3
Total 138 procedures5.319discharges

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.