Hospital Costs > In South Dakota > Avera St Mary's Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 44 | 472 / 8 | $26.408,20 | 610 / 3 | $12.975,00 | 1884 / 6 | $11.984,50 | 1849 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 42 | 522 / 13 | $55.439,00 | 1521 / 16 | $15.160,90 | 2082 / 13 | $13.983,00 | 2040 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 10 | $18.674,70 | 987 / 5 | $7.360,44 | 1785 / 8 | $5.827,22 | 1777 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 9 | $20.720,20 | 849 / 6 | $8.416,11 | 1596 / 9 | $6.418,50 | 1589 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 8 | $43.472,90 | 784 / 8 | $13.887,90 | 1480 / 7 | $12.683,40 | 1462 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 7 | $20.392,40 | 501 / 2 | $7.912,00 | 1470 / 5 | $6.802,67 | 1467 / 6 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 7 | $24.797,50 | 718 / 4 | $8.863,92 | 1459 / 4 | $7.754,58 | 1454 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 10 | $25.246,10 | 720 / 5 | $10.312,90 | 1851 / 7 | $9.544,91 | 1851 / 9 | Total 8 procedures | 171 | 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.