Hospital Costs > In Missouri > Belton Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 35 | $35.712,10 | 1821 / 48 | $4.263,62 | 132 / 4 | $3.363,62 | 132 / 8 |
| Cellulitis W/O Mcc | 20 | 169 / 39 | $35.269,90 | 2301 / 66 | $5.017,00 | 66 / 24 | $3.329,80 | 66 / 6 |
| Chest Pain | 19 | 132 / 23 | $36.518,50 | 1529 / 38 | $3.255,37 | 39 / 4 | $2.170,74 | 39 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 37 | $36.380,80 | 1965 / 62 | $5.013,94 | 206 / 4 | $4.185,94 | 206 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 44 | $53.497,90 | 2255 / 67 | $8.588,20 | 2 / 54 | $4.244,60 | 2 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 13 | $32.072,40 | 1766 / 57 | $3.986,44 | 62 / 5 | $2.715,59 | 62 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 36 | $33.774,60 | 2315 / 64 | $4.011,57 | 114 / 2 | $2.975,69 | 114 / 8 |
| G.I. Hemorrhage W Cc | 12 | 206 / 44 | $31.068,00 | 1615 / 44 | $5.317,75 | 13 / 3 | $3.969,33 | 13 / 1 |
| Heart Failure & Shock W Cc | 18 | 260 / 51 | $45.259,30 | 2463 / 66 | $7.244,39 | 4 / 53 | $3.764,33 | 4 / 1 |
| Heart Failure & Shock W Mcc | 14 | 270 / 45 | $44.100,50 | 1820 / 54 | $7.652,00 | 6 / 3 | $5.945,57 | 6 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 34 | $77.925,20 | 1679 / 45 | $11.504,30 | 42 / 22 | $8.865,28 | 42 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 29 | $35.819,00 | 2397 / 64 | $4.140,03 | 32 / 9 | $2.931,76 | 32 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 15 | $70.388,50 | 594 / 22 | $12.863,80 | 65 / 10 | $10.104,60 | 65 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 100 | 464 / 33 | $58.172,50 | 1631 / 48 | $12.573,20 | 255 / 24 | $9.851,94 | 255 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 17 | $27.085,50 | 449 / 21 | $5.281,55 | 59 / 5 | $4.624,09 | 59 / 8 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 25 | $37.668,40 | 1725 / 46 | $5.018,24 | 80 / 19 | $3.358,59 | 80 / 6 |
| Renal Failure W Cc | 19 | 202 / 43 | $42.384,80 | 2107 / 55 | $5.200,47 | 74 / 7 | $4.105,58 | 74 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 31 | $80.026,50 | 1309 / 40 | $11.170,60 | 28 / 1 | $10.402,50 | 28 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 14 | 502 / 58 | $72.248,60 | 2315 / 60 | $10.556,60 | 696 / 15 | $9.779,57 | 695 / 22 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 18 | $27.132,10 | 965 / 26 | $3.610,77 | 11 / 2 | $2.584,31 | 11 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 40 | $41.809,80 | 2378 / 69 | $5.419,22 | 18 / 10 | $3.827,26 | 18 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 45 | $60.569,70 | 2102 / 58 | $8.585,71 | 14 / 22 | $5.937,57 | 14 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 29 | $30.027,50 | 1611 / 48 | $4.025,82 | 5 / 11 | $2.342,82 | 5 / 2 |
| Syncope & Collapse | 11 | 158 / 29 | $42.376,00 | 1735 / 44 | $3.976,27 | 8 / 6 | $2.661,09 | 8 / 1 | Total 24 procedures | 510 | 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.