Hospital Costs > In Missouri > Barnes-Jewish West County Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 13 | 176 / 44 | $9.131,77 | 171 / 4 | $4.853,54 | 442 / 16 | $3.827,08 | 439 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 44 | $13.472,90 | 565 / 15 | $5.185,85 | 221 / 43 | $3.133,00 | 221 / 15 |
| Female Reproductive System Reconstructive Procedures | 11 | 14 / 2 | $17.635,40 | 8 / 1 | $5.890,36 | 8 / 1 | $4.683,09 | 8 / 1 |
| G.I. Hemorrhage W Cc | 11 | 207 / 45 | $13.400,90 | 185 / 3 | $5.635,45 | 256 / 14 | $4.649,27 | 256 / 14 |
| Heart Failure & Shock W Cc | 14 | 264 / 54 | $12.149,40 | 281 / 3 | $5.515,14 | 275 / 11 | $4.653,43 | 275 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 46 | $13.875,00 | 781 / 20 | $4.303,73 | 289 / 13 | $3.425,18 | 289 / 17 |
| Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 15 | 8 / 2 | $22.190,00 | 9 / 2 | $8.279,80 | 2 / 2 | $4.717,40 | 2 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 246 | 318 / 17 | $31.340,50 | 283 / 8 | $12.445,60 | 244 / 20 | $9.827,80 | 244 / 7 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 42 | 34 / 1 | $20.054,20 | 21 / 3 | $8.147,21 | 99 / 7 | $6.017,12 | 99 / 6 |
| Major Small & Large Bowel Procedures W Cc | 39 | 69 / 10 | $30.412,70 | 54 / 3 | $14.191,10 | 89 / 8 | $11.842,50 | 89 / 4 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 23 | 41 / 9 | $23.249,80 | 45 / 2 | $9.524,74 | 173 / 9 | $7.920,83 | 173 / 7 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 13 | 64 / 12 | $27.180,00 | 57 / 2 | $9.184,62 | 112 / 1 | $7.968,62 | 112 / 4 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 28 | $11.372,80 | 180 / 3 | $4.641,77 | 423 / 12 | $3.895,92 | 422 / 15 |
| Renal Failure W Cc | 14 | 207 / 46 | $12.228,90 | 231 / 2 | $5.345,93 | 581 / 13 | $4.829,36 | 576 / 23 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 8 | $39.267,50 | 42 / 2 | $16.092,80 | 8 / 4 | $11.734,50 | 8 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 23 | 493 / 53 | $27.692,00 | 679 / 16 | $10.578,90 | 741 / 17 | $9.841,52 | 740 / 24 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 42 | $13.852,10 | 428 / 8 | $5.682,00 | 540 / 20 | $4.679,33 | 537 / 23 | Total 17 procedures | 541 | 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.