Hospital Costs > In Missouri > Barnes-Jewish St Peters 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 | 139 | 377 / 30 | $30.224,80 | 792 / 19 | $10.787,60 | 426 / 21 | $9.389,36 | 426 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 99 | 465 / 34 | $24.605,70 | 73 / 2 | $11.664,90 | 316 / 4 | $10.005,60 | 316 / 12 |
Pulmonary Edema & Respiratory Failure | 87 | 116 / 13 | $20.344,70 | 425 / 7 | $6.792,64 | 206 / 9 | $5.934,84 | 206 / 11 |
Heart Failure & Shock W Mcc | 82 | 202 / 22 | $32.266,30 | 1229 / 27 | $8.989,49 | 526 / 26 | $7.713,94 | 526 / 17 |
Simple Pneumonia & Pleurisy W Mcc | 70 | 135 / 20 | $24.327,00 | 656 / 19 | $8.030,34 | 126 / 13 | $6.658,81 | 126 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 27 | $15.339,80 | 798 / 21 | $4.176,88 | 76 / 8 | $2.896,53 | 76 / 4 |
Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 20 | $20.372,50 | 753 / 23 | $6.402,79 | 371 / 8 | $5.637,23 | 370 / 17 |
G.I. Hemorrhage W Cc | 48 | 170 / 22 | $16.513,90 | 440 / 8 | $5.393,96 | 90 / 6 | $4.337,29 | 90 / 7 |
Renal Failure W Cc | 44 | 177 / 30 | $14.871,30 | 449 / 9 | $5.116,59 | 242 / 4 | $4.456,23 | 241 / 15 |
Cellulitis W/O Mcc | 43 | 146 / 20 | $12.671,50 | 548 / 17 | $4.615,63 | 203 / 9 | $3.560,37 | 202 / 11 |
Heart Failure & Shock W Cc | 41 | 237 / 36 | $21.654,70 | 1360 / 37 | $5.592,46 | 278 / 14 | $4.659,85 | 278 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 24 | $15.334,60 | 376 / 6 | $5.729,73 | 56 / 3 | $4.491,49 | 56 / 3 |
Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 35 | $17.739,20 | 884 / 27 | $5.337,43 | 115 / 7 | $4.168,47 | 115 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 29 | $14.765,00 | 924 / 28 | $3.918,52 | 75 / 9 | $2.771,38 | 75 / 4 |
Renal Failure W Mcc | 29 | 166 / 28 | $21.896,10 | 315 / 5 | $7.971,66 | 89 / 3 | $7.178,28 | 89 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 29 | $16.006,50 | 606 / 16 | $5.046,11 | 234 / 7 | $4.239,00 | 234 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 27 | $18.558,00 | 391 / 9 | $5.481,30 | 75 / 2 | $4.497,59 | 75 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 30 | $44.336,20 | 121 / 2 | $11.518,20 | 115 / 4 | $9.504,12 | 115 / 5 |
Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 22 | $19.525,80 | 543 / 14 | $6.014,04 | 172 / 10 | $5.207,38 | 172 / 9 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 23 | 42 / 10 | $39.703,00 | 44 / 2 | $16.531,10 | 65 / 2 | $15.479,30 | 65 / 5 |
Major Small & Large Bowel Procedures W Cc | 23 | 85 / 19 | $28.924,10 | 48 / 2 | $13.827,00 | 330 / 6 | $12.985,20 | 328 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 31 | $15.894,30 | 611 / 10 | $4.567,81 | 112 / 14 | $3.323,24 | 112 / 6 |
G.I. Hemorrhage W Mcc | 21 | 100 / 16 | $21.372,70 | 93 / 2 | $10.193,00 | 25 / 14 | $8.050,48 | 25 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 21 | $14.702,80 | 135 / 3 | $6.512,15 | 36 / 13 | $4.916,15 | 36 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 17 | $68.315,20 | 163 / 2 | $28.200,70 | 266 / 6 | $27.539,80 | 266 / 10 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 31 | $27.044,60 | 294 / 7 | $10.793,10 | 291 / 9 | $9.987,72 | 291 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 28 | $19.087,30 | 285 / 4 | $6.573,00 | 58 / 4 | $5.443,39 | 58 / 3 |
Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 42 | $13.072,40 | 653 / 15 | $4.157,39 | 46 / 10 | $3.019,61 | 46 / 5 |
G.I. Obstruction W Cc | 17 | 75 / 20 | $19.048,80 | 587 / 16 | $6.487,12 | 608 / 36 | $4.589,24 | 607 / 23 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 24 | $42.716,40 | 920 / 27 | $11.381,60 | 540 / 31 | $9.093,75 | 539 / 18 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 26 | $10.982,70 | 152 / 2 | $4.336,81 | 174 / 3 | $3.582,81 | 174 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 30 | $25.230,80 | 212 / 2 | $8.940,06 | 124 / 3 | $8.186,06 | 123 / 4 |
Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 24 | $56.243,90 | 171 / 5 | $24.678,10 | 124 / 15 | $19.208,10 | 123 / 3 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 18 | $15.501,20 | 115 / 2 | $7.453,57 | 133 / 8 | $6.591,86 | 133 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 37 | $26.580,00 | 114 / 2 | $10.245,60 | 162 / 2 | $9.386,21 | 161 / 6 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 24 | $15.883,30 | 942 / 27 | $3.655,93 | 109 / 7 | $2.791,93 | 108 / 8 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 19 | $16.844,10 | 236 / 3 | $5.241,50 | 92 / 4 | $4.377,50 | 91 / 6 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 13 | $16.055,40 | 238 / 4 | $4.911,14 | 16 / 6 | $3.353,50 | 16 / 3 |
Transient Ischemia | 13 | 112 / 22 | $18.180,50 | 518 / 12 | $3.782,85 | 55 / 4 | $2.667,77 | 55 / 4 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 21 | $17.783,90 | 77 / 2 | $8.197,15 | 1 / 5 | $5.755,08 | 1 / 1 |
Syncope & Collapse | 13 | 156 / 27 | $13.959,30 | 325 / 9 | $3.932,31 | 63 / 3 | $2.910,77 | 63 / 4 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 34 | $25.165,60 | 293 / 4 | $5.823,85 | 162 / 3 | $4.893,38 | 162 / 9 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 16 | $37.360,50 | 39 / 1 | $16.108,60 | 101 / 4 | $15.178,20 | 101 / 4 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 31 | $12.008,50 | 582 / 16 | $3.005,15 | 73 / 5 | $1.887,62 | 73 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 23 | $23.453,90 | 366 / 13 | $6.526,58 | 99 / 5 | $5.693,17 | 99 / 8 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 17 | $24.116,70 | 611 / 14 | $5.373,00 | 109 / 7 | $4.370,33 | 109 / 6 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 16 | $88.811,50 | 125 / 2 | $33.674,70 | 245 / 7 | $32.298,70 | 244 / 11 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 15 | $24.655,30 | 295 / 8 | $6.767,64 | 148 / 2 | $6.328,36 | 148 / 3 |
Diabetes W Cc | 11 | 81 / 23 | $14.715,30 | 319 / 7 | $5.085,36 | 10 / 15 | $3.112,18 | 10 / 1 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 33 | $9.523,27 | 195 / 4 | $4.058,64 | 39 / 7 | $2.639,36 | 39 / 5 | Total 50 procedures | 1.469 | 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.