Hospital Costs > In Missouri > Bates County Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 25 | $25.629,30 | 1669 / 52 | $8.672,50 | 2529 / 66 | $7.916,50 | 2520 / 68 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 12 | $20.841,30 | 1254 / 36 | $6.215,42 | 1759 / 48 | $5.408,64 | 1751 / 49 |
| Cellulitis W/O Mcc | 31 | 158 / 30 | $17.463,00 | 1181 / 39 | $7.450,26 | 2337 / 61 | $6.710,13 | 2329 / 64 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 56 | $80.444,60 | 2214 / 60 | $21.778,80 | 2626 / 65 | $20.690,80 | 2580 / 65 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 30 | $19.045,90 | 1188 / 39 | $6.331,57 | 1787 / 55 | $5.296,14 | 1776 / 54 |
| Heart Failure & Shock W Mcc | 13 | 271 / 46 | $35.836,10 | 1439 / 36 | $13.351,10 | 2405 / 61 | $12.888,30 | 2394 / 62 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 45 | $19.278,50 | 1491 / 47 | $6.826,69 | 2357 / 62 | $5.989,77 | 2346 / 62 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 19 | $19.849,10 | 812 / 26 | $5.373,00 | 1116 / 27 | $4.378,09 | 1113 / 27 | Total 8 procedures | 183 | 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.