Hospital Costs > In South Dakota > Avera Sacred Heart Hospital, procedure costs
| 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 Mcc | 142 | 422 / 7 | $44.149,20 | 981 / 12 | $14.329,90 | 1706 / 12 | $12.577,30 | 1669 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 90 | 426 / 5 | $28.711,40 | 727 / 5 | $12.152,90 | 1552 / 5 | $11.117,80 | 1520 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 53 | 152 / 4 | $26.151,30 | 779 / 6 | $9.793,51 | 1303 / 5 | $8.317,42 | 1303 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 5 | $20.581,60 | 1191 / 6 | $6.638,94 | 1390 / 5 | $5.408,56 | 1384 / 5 |
| G.I. Hemorrhage W Cc | 31 | 187 / 6 | $23.693,50 | 1097 / 5 | $6.528,58 | 1190 / 3 | $5.565,48 | 1188 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 5 | $39.706,60 | 625 / 5 | $12.789,30 | 1260 / 4 | $11.831,10 | 1244 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 4 | $16.018,30 | 609 / 2 | $6.096,36 | 1168 / 3 | $5.115,43 | 1164 / 3 |
| Heart Failure & Shock W Cc | 28 | 250 / 6 | $25.352,90 | 1693 / 9 | $6.491,04 | 1586 / 7 | $5.860,11 | 1581 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 6 | $18.928,50 | 683 / 4 | $6.958,44 | 1366 / 5 | $6.074,15 | 1361 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 5 | $22.837,00 | 961 / 4 | $7.621,16 | 1339 / 3 | $6.619,24 | 1333 / 3 |
| Heart Failure & Shock W Mcc | 21 | 263 / 8 | $28.985,80 | 1022 / 5 | $9.762,10 | 1498 / 6 | $9.039,05 | 1494 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 6 | $19.692,80 | 1347 / 6 | $4.847,50 | 1210 / 5 | $3.897,80 | 1199 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 5 | $21.165,90 | 547 / 3 | $7.011,05 | 1044 / 3 | $5.903,79 | 1041 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 4 | $14.683,10 | 891 / 3 | $5.007,76 | 1269 / 3 | $4.141,88 | 1260 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 4 | $10.217,10 | 369 / 2 | $3.637,29 | 654 / 3 | $2.557,76 | 650 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 7 | $76.643,00 | 473 / 1 | $26.103,20 | 884 / 4 | $24.869,40 | 880 / 6 |
| Renal Failure W Cc | 16 | 205 / 5 | $17.272,80 | 701 / 3 | $6.288,62 | 1377 / 3 | $5.585,50 | 1368 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 6 | $12.212,90 | 574 / 3 | $4.570,38 | 759 / 4 | $3.491,00 | 756 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 5 | $17.077,20 | 755 / 4 | $5.841,29 | 475 / 6 | $3.799,29 | 474 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 6 | $32.404,60 | 530 / 3 | $11.235,60 | 1035 / 3 | $10.413,90 | 1032 / 4 |
| Medical Back Problems W/O Mcc | 13 | 108 / 5 | $20.058,10 | 528 / 3 | $5.541,15 | 649 / 3 | $4.482,23 | 647 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 5 | $23.617,70 | 562 / 2 | $7.865,31 | 977 / 3 | $7.096,38 | 974 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 3 | $17.282,80 | 189 / 1 | $7.649,67 | 484 / 1 | $6.612,83 | 482 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 5 | $83.407,30 | 217 / 2 | $34.576,00 | 806 / 3 | $33.683,20 | 804 / 4 |
| Cellulitis W/O Mcc | 11 | 178 / 7 | $19.151,20 | 1386 / 5 | $5.479,36 | 1351 / 3 | $4.577,91 | 1345 / 4 |
| Renal Failure W Mcc | 11 | 184 / 5 | $27.261,40 | 595 / 2 | $10.752,20 | 1407 / 2 | $9.958,00 | 1407 / 3 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 5 | $33.696,10 | 544 / 2 | $15.554,00 | 748 / 3 | $11.026,30 | 740 / 2 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 7 | $58.887,20 | 608 / 4 | $17.761,90 | 1115 / 3 | $16.717,70 | 1102 / 5 | Total 28 procedures | 766 | 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.