Hospital Costs > In South Dakota > Brookings Health System, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 4 | $15.779,60 | 138 / 1 | $5.909,55 | 433 / 1 | $5.362,64 | 432 / 2 |
| Cellulitis W/O Mcc | 14 | 175 / 5 | $13.144,80 | 607 / 2 | $4.764,57 | 527 / 2 | $3.902,86 | 524 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 7 | $18.122,90 | 1149 / 4 | $4.233,58 | 343 / 2 | $3.278,63 | 342 / 3 |
| Heart Failure & Shock W Cc | 13 | 265 / 8 | $14.769,30 | 552 / 3 | $5.638,23 | 336 / 4 | $4.715,15 | 336 / 3 |
| Heart Failure & Shock W Mcc | 11 | 273 / 10 | $18.758,20 | 356 / 3 | $8.343,82 | 410 / 2 | $7.575,82 | 410 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 4 | $11.064,20 | 397 / 2 | $4.369,06 | 379 / 1 | $3.520,12 | 379 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 16 | $49.369,90 | 1254 / 14 | $12.293,50 | 1021 / 3 | $11.090,60 | 999 / 8 |
| Medical Back Problems W/O Mcc | 15 | 106 / 4 | $11.302,40 | 83 / 2 | $5.026,53 | 15 / 2 | $3.223,20 | 15 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 4 | $12.395,80 | 593 / 4 | $3.972,48 | 272 / 2 | $3.097,45 | 272 / 2 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 4 | $14.640,50 | 92 / 1 | $7.857,00 | 297 / 1 | $6.975,55 | 295 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 6 | $15.061,00 | 571 / 3 | $5.571,72 | 464 / 2 | $4.616,93 | 461 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 5 | $15.139,00 | 749 / 4 | $4.010,55 | 181 / 1 | $2.863,35 | 179 / 1 | Total 12 procedures | 220 | 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.