Hospital Costs > In South Dakota > Black Hills Surgical Hospital Llp, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 25 | 64 / 1 | $24.803,00 | 188 / 1 | $6.304,88 | 125 / 1 | $4.899,52 | 125 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 45 | 59 / 1 | $69.648,00 | 575 / 4 | $13.005,70 | 279 / 1 | $11.485,50 | 278 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 28 | 68 / 4 | $39.174,80 | 162 / 3 | $12.697,70 | 285 / 2 | $11.492,00 | 282 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 408 | 180 / 3 | $42.470,50 | 893 / 11 | $12.568,40 | 711 / 6 | $10.640,70 | 701 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 67 | 127 / 4 | $77.380,30 | 490 / 2 | $23.030,10 | 420 / 1 | $21.365,80 | 417 / 2 | Total 5 procedures | 573 | 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.