Hospital Costs > In Missouri > Cameron Regional Medical Center, 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 | 29 | 160 / 31 | $10.634,40 | 318 / 9 | $5.430,45 | 1055 / 34 | $4.313,00 | 1049 / 33 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 40 | $14.618,80 | 477 / 9 | $5.934,15 | 1078 / 31 | $5.037,85 | 1074 / 33 |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 36 | $19.428,40 | 665 / 18 | $7.367,39 | 1162 / 35 | $6.409,79 | 1156 / 39 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 16 | $10.065,70 | 250 / 5 | $4.712,76 | 1101 / 27 | $3.827,03 | 1092 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 45 | $15.506,60 | 816 / 22 | $4.718,89 | 1164 / 27 | $3.866,06 | 1156 / 33 |
| Heart Failure & Shock W Cc | 23 | 255 / 47 | $14.638,00 | 536 / 11 | $6.084,00 | 1115 / 28 | $5.382,17 | 1113 / 34 |
| Heart Failure & Shock W Mcc | 16 | 268 / 43 | $23.681,80 | 641 / 13 | $9.194,56 | 1158 / 30 | $8.514,69 | 1155 / 32 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 29 | $16.906,60 | 361 / 5 | $7.192,07 | 962 / 29 | $6.322,64 | 959 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 19 | $14.885,40 | 915 / 23 | $5.040,34 | 1143 / 36 | $4.051,71 | 1135 / 39 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 43 | 521 / 48 | $43.236,80 | 942 / 32 | $13.184,20 | 1380 / 32 | $11.767,30 | 1347 / 42 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 40 | $18.077,70 | 1333 / 41 | $4.729,00 | 1350 / 40 | $3.929,94 | 1345 / 44 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 11 | $30.356,30 | 702 / 24 | $9.709,43 | 1074 / 29 | $8.969,61 | 1069 / 32 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 34 | $34.133,60 | 563 / 14 | $13.199,70 | 1118 / 33 | $12.146,30 | 1104 / 35 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 19 | 10 / 1 | $16.512,20 | 33 / 3 | $6.185,79 | 53 / 4 | $5.326,16 | 53 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 30 | $39.915,90 | 325 / 5 | $13.659,40 | 671 / 19 | $12.895,20 | 663 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 60 | $23.314,20 | 437 / 12 | $10.732,50 | 680 / 20 | $9.758,36 | 679 / 21 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 13 | 34 / 4 | $12.025,10 | 51 / 2 | $4.605,46 | 66 / 4 | $3.529,31 | 66 / 4 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 17 | $13.388,50 | 239 / 7 | $4.521,88 | 481 / 15 | $3.634,06 | 480 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 19 | $17.332,90 | 830 / 24 | $6.352,24 | 1338 / 41 | $5.350,29 | 1333 / 42 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 42 | $20.494,00 | 423 / 11 | $8.402,29 | 546 / 19 | $7.375,24 | 546 / 21 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 39 | 54 / 8 | $13.607,00 | 566 / 13 | $4.667,97 | 901 / 25 | $3.594,59 | 896 / 28 |
| Syncope & Collapse | 14 | 155 / 26 | $15.422,50 | 435 / 11 | $4.786,93 | 724 / 23 | $3.772,71 | 721 / 24 | Total 22 procedures | 524 | 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.