Hospital Costs > In Missouri > Citizens Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 88 | 476 / 39 | $32.908,20 | 351 / 12 | $13.766,20 | 1685 / 42 | $12.513,40 | 1648 / 49 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 60 | 456 / 42 | $22.067,70 | 365 / 10 | $11.922,30 | 1455 / 43 | $10.948,80 | 1427 / 46 |
| Pulmonary Edema & Respiratory Failure | 59 | 144 / 22 | $17.974,30 | 285 / 6 | $7.911,36 | 1077 / 31 | $7.062,34 | 1075 / 34 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 36 | $12.860,30 | 343 / 6 | $6.327,97 | 1121 / 38 | $5.172,48 | 1117 / 36 |
| Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 31 | $31.872,00 | 289 / 5 | $12.739,10 | 1169 / 36 | $11.545,60 | 1155 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 36 | $14.511,20 | 312 / 5 | $6.905,84 | 1086 / 36 | $5.745,21 | 1083 / 35 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 34 | $53.072,30 | 286 / 10 | $13.146,90 | 856 / 28 | $11.891,20 | 850 / 33 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 43 | $15.903,80 | 383 / 7 | $7.409,12 | 903 / 37 | $6.155,88 | 898 / 32 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 13 | $45.577,30 | 253 / 11 | $14.368,50 | 535 / 18 | $13.113,50 | 532 / 20 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 44 | $21.557,30 | 476 / 13 | $9.412,87 | 1176 / 40 | $8.104,60 | 1176 / 35 |
| Renal Failure W Cc | 14 | 207 / 46 | $13.647,30 | 351 / 4 | $6.297,00 | 1073 / 35 | $5.257,29 | 1065 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 48 | $13.533,20 | 571 / 16 | $4.841,29 | 1307 / 30 | $3.977,14 | 1296 / 38 |
| Heart Failure & Shock W Mcc | 14 | 270 / 45 | $18.465,10 | 339 / 7 | $9.743,07 | 1396 / 42 | $8.860,29 | 1392 / 42 |
| Heart Failure & Shock W Cc | 13 | 265 / 55 | $13.221,40 | 388 / 6 | $6.427,54 | 1516 / 38 | $5.795,38 | 1511 / 46 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 45 | $11.384,60 | 475 / 11 | $4.562,08 | 610 / 29 | $3.387,50 | 608 / 25 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 12 | 35 / 3 | $61.103,90 | 3 / 1 | $40.386,50 | 66 / 3 | $39.108,20 | 66 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 33 | $17.600,80 | 321 / 6 | $6.983,17 | 983 / 34 | $5.808,58 | 980 / 32 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 31 | $41.627,30 | 369 / 9 | $14.777,90 | 929 / 28 | $13.832,70 | 921 / 29 |
| G.I. Hemorrhage W Cc | 11 | 207 / 45 | $11.917,00 | 116 / 1 | $6.482,18 | 1266 / 34 | $5.658,55 | 1263 / 38 | Total 19 procedures | 453 | 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.