Hospital Costs > In South Dakota > Avera Queen Of Peace, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 6 | $21.078,60 | 1137 / 8 | $5.163,62 | 941 / 4 | $4.233,15 | 938 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 6 | $16.331,10 | 1137 / 6 | $4.274,46 | 727 / 4 | $2.615,08 | 723 / 4 |
| Cellulitis W/O Mcc | 17 | 172 / 4 | $18.532,00 | 1301 / 4 | $5.632,24 | 813 / 4 | $4.135,76 | 808 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 5 | $24.403,10 | 1835 / 8 | $4.911,75 | 1236 / 6 | $3.917,46 | 1225 / 6 |
| G.I. Hemorrhage W Cc | 27 | 191 / 7 | $22.269,40 | 962 / 3 | $6.772,78 | 845 / 4 | $5.212,33 | 843 / 3 |
| Heart Failure & Shock W Cc | 27 | 251 / 7 | $21.699,20 | 1367 / 7 | $6.415,52 | 1313 / 6 | $5.563,37 | 1309 / 6 |
| Heart Failure & Shock W Mcc | 31 | 253 / 5 | $31.056,70 | 1154 / 6 | $10.107,20 | 835 / 7 | $8.091,65 | 835 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 5 | $17.386,20 | 1096 / 6 | $4.489,00 | 675 / 3 | $3.451,29 | 673 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 6 | $37.135,00 | 506 / 4 | $12.491,50 | 1125 / 3 | $11.377,60 | 1111 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 6 | $19.707,90 | 1541 / 6 | $6.764,17 | 528 / 7 | $3.639,25 | 527 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 126 | 438 / 10 | $34.269,60 | 410 / 3 | $14.172,10 | 1450 / 10 | $11.921,60 | 1417 / 10 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 5 | $74.521,90 | 929 / 6 | $18.159,80 | 1173 / 6 | $17.274,50 | 1159 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 7 | $17.306,10 | 1243 / 5 | $4.676,79 | 980 / 5 | $3.639,07 | 977 / 5 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 4 | $18.430,60 | 337 / 1 | $6.262,18 | 525 / 1 | $5.383,64 | 523 / 2 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 4 | $34.221,70 | 827 / 4 | $8.767,91 | 712 / 2 | $7.775,91 | 707 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 38 | 478 / 9 | $36.023,80 | 1101 / 7 | $11.742,20 | 1435 / 4 | $10.916,10 | 1407 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 8 | $28.062,90 | 1509 / 8 | $6.785,73 | 960 / 4 | $5.629,36 | 957 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 65 | 138 / 4 | $28.784,50 | 1885 / 9 | $6.498,98 | 1297 / 4 | $5.301,98 | 1293 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 6 | $34.402,30 | 1308 / 9 | $9.291,62 | 1334 / 4 | $8.373,55 | 1334 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 36 | 57 / 1 | $20.087,00 | 1202 / 7 | $4.761,36 | 651 / 2 | $3.374,56 | 648 / 3 | Total 20 procedures | 575 | discharges |
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.