Hospital Costs > In Montana > Community Medical Center Missoula, 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 | 223 | 341 / 4 | $35.963,00 | 520 / 7 | $14.710,50 | 1565 / 8 | $12.232,70 | 1530 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 63 | 453 / 9 | $33.970,40 | 996 / 7 | $14.835,70 | 1582 / 9 | $11.181,60 | 1550 / 7 |
| Pulmonary Edema & Respiratory Failure | 34 | 169 / 5 | $29.741,90 | 1031 / 8 | $9.018,53 | 1593 / 8 | $8.102,79 | 1588 / 8 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 33 | 63 / 2 | $28.648,10 | 27 / 1 | $14.486,40 | 554 / 6 | $13.272,80 | 551 / 7 |
| Spinal Fusion Except Cervical W/O Mcc | 31 | 163 / 6 | $69.105,10 | 355 / 2 | $26.319,50 | 634 / 4 | $22.658,60 | 630 / 3 |
| G.I. Hemorrhage W Cc | 29 | 189 / 8 | $15.983,60 | 388 / 4 | $7.170,14 | 1643 / 8 | $6.239,79 | 1639 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 8 | $26.043,70 | 774 / 8 | $10.441,90 | 1785 / 8 | $9.358,29 | 1785 / 8 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 21 | 42 / 1 | $52.659,80 | 48 / 2 | $22.999,30 | 137 / 1 | $19.943,90 | 137 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 7 | $13.363,40 | 742 / 7 | $6.026,15 | 1518 / 9 | $4.092,90 | 1513 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 9 | $13.085,00 | 516 / 3 | $5.646,74 | 1912 / 9 | $4.618,26 | 1898 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 9 | $22.049,60 | 980 / 7 | $7.841,61 | 1400 / 8 | $6.113,89 | 1395 / 8 |
| Cellulitis W/O Mcc | 16 | 173 / 7 | $12.214,40 | 501 / 3 | $6.142,81 | 1805 / 6 | $5.148,25 | 1797 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 7 | $36.640,10 | 476 / 6 | $12.910,50 | 1266 / 7 | $11.836,10 | 1249 / 8 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 6 | $46.713,60 | 326 / 6 | $16.633,50 | 972 / 5 | $15.642,60 | 961 / 8 |
| Syncope & Collapse | 14 | 155 / 5 | $16.547,70 | 535 / 6 | $5.547,14 | 1257 / 6 | $4.498,50 | 1250 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 10 | $19.167,50 | 1048 / 9 | $7.055,08 | 1918 / 6 | $6.024,77 | 1910 / 6 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 13 | 15 / 1 | $35.702,10 | 30 / 1 | $11.116,50 | 58 / 1 | $9.989,54 | 58 / 1 |
| Heart Failure & Shock W Cc | 13 | 265 / 9 | $19.889,50 | 1175 / 8 | $6.745,85 | 1441 / 7 | $5.703,92 | 1436 / 7 |
| Renal Failure W Cc | 12 | 209 / 10 | $27.617,20 | 1587 / 10 | $7.392,58 | 1817 / 8 | $6.448,25 | 1807 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 8 | $23.442,70 | 1019 / 9 | $8.226,83 | 1697 / 8 | $7.194,08 | 1689 / 8 |
| Renal Failure W Mcc | 12 | 183 / 8 | $30.794,10 | 810 / 7 | $10.404,40 | 1255 / 7 | $9.560,00 | 1255 / 7 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 4 | $33.508,50 | 356 / 4 | $7.718,25 | 491 / 1 | $6.499,00 | 490 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 6 | $32.518,60 | 633 / 7 | $7.620,67 | 1052 / 7 | $6.501,00 | 1049 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 8 | $24.649,10 | 772 / 8 | $7.504,58 | 1408 / 8 | $6.583,25 | 1405 / 8 |
| Medical Back Problems W/O Mcc | 11 | 110 / 7 | $18.731,70 | 437 / 8 | $7.004,00 | 925 / 8 | $5.035,18 | 922 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 8 | $16.947,30 | 699 / 5 | $8.003,27 | 1321 / 7 | $5.288,64 | 1316 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 7 | $27.967,00 | 854 / 6 | $8.443,45 | 1127 / 6 | $7.437,00 | 1124 / 6 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 6 | $15.847,40 | 182 / 5 | $6.981,45 | 952 / 7 | $6.306,09 | 948 / 7 | Total 28 procedures | 729 | 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.