Hospital Costs > In Missouri > Cox Medical Center Branson, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 216 | 300 / 17 | $41.669,30 | 1390 / 38 | $10.323,60 | 452 / 9 | $9.435,38 | 452 / 11 |
Heart Failure & Shock W Mcc | 95 | 189 / 20 | $29.563,20 | 1054 / 22 | $8.169,74 | 292 / 9 | $7.408,14 | 292 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 91 | 473 / 37 | $57.660,50 | 1612 / 45 | $11.969,20 | 322 / 9 | $10.016,10 | 321 / 13 |
Pulmonary Edema & Respiratory Failure | 65 | 138 / 20 | $30.061,50 | 1047 / 28 | $6.885,15 | 120 / 10 | $5.727,68 | 120 / 6 |
Renal Failure W Cc | 50 | 171 / 25 | $18.487,20 | 820 / 20 | $5.399,50 | 231 / 17 | $4.436,20 | 230 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 49 | 156 / 29 | $29.289,10 | 991 / 26 | $8.012,14 | 375 / 12 | $7.150,75 | 375 / 15 |
G.I. Hemorrhage W Cc | 45 | 173 / 24 | $23.790,40 | 1104 / 26 | $5.581,29 | 233 / 12 | $4.614,18 | 233 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 17 | $17.494,20 | 815 / 21 | $4.482,22 | 226 / 9 | $3.517,24 | 226 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 43 | 232 / 31 | $23.895,30 | 1794 / 50 | $4.243,72 | 391 / 10 | $3.319,44 | 389 / 17 |
Renal Failure W Mcc | 41 | 154 / 22 | $29.704,80 | 745 / 15 | $8.639,61 | 329 / 7 | $7.790,80 | 329 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 22 | $26.045,70 | 1340 / 32 | $5.975,46 | 147 / 11 | $4.757,49 | 147 / 10 |
Heart Failure & Shock W Cc | 37 | 241 / 39 | $19.646,80 | 1139 / 32 | $5.517,59 | 319 / 12 | $4.701,16 | 319 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 18 | $52.155,10 | 1124 / 35 | $10.655,90 | 258 / 6 | $9.642,27 | 257 / 11 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 18 | $13.289,70 | 759 / 19 | $3.273,11 | 254 / 12 | $2.203,40 | 252 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 34 | 162 / 25 | $86.243,80 | 985 / 37 | $14.458,80 | 299 / 35 | $10.135,90 | 299 / 15 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 35 | $25.708,10 | 1178 / 37 | $6.440,00 | 227 / 10 | $5.454,79 | 226 / 11 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 33 | $22.696,40 | 1414 / 43 | $5.658,30 | 199 / 19 | $4.321,48 | 199 / 13 |
Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 35 | $18.933,90 | 1452 / 45 | $4.365,20 | 338 / 16 | $3.480,40 | 338 / 18 |
Cellulitis W/O Mcc | 28 | 161 / 32 | $17.427,20 | 1178 / 38 | $4.755,11 | 321 / 12 | $3.717,39 | 318 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 26 | $27.353,10 | 954 / 25 | $5.971,79 | 215 / 9 | $4.849,54 | 215 / 9 |
Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 30 | $22.725,00 | 1273 / 41 | $5.232,42 | 376 / 11 | $4.396,73 | 375 / 15 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 26 | $48.800,20 | 1042 / 33 | $10.993,60 | 422 / 11 | $10.304,60 | 420 / 13 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 28 | $36.064,40 | 803 / 29 | $6.006,22 | 315 / 7 | $5.163,09 | 315 / 16 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 26 | $29.986,40 | 959 / 22 | $6.667,57 | 232 / 5 | $5.933,48 | 232 / 9 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 20 | $30.929,90 | 475 / 6 | $9.163,71 | 219 / 2 | $8.361,10 | 219 / 5 |
Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 12 | $31.551,70 | 385 / 12 | $7.675,84 | 72 / 5 | $6.658,58 | 72 / 6 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 11 | $29.474,10 | 716 / 21 | $5.823,05 | 196 / 7 | $4.932,11 | 196 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 21 | $21.086,20 | 657 / 21 | $4.372,67 | 100 / 9 | $2.995,72 | 98 / 7 |
G.I. Obstruction W Cc | 18 | 74 / 19 | $19.152,20 | 593 / 19 | $4.995,44 | 247 / 10 | $4.119,00 | 246 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 29 | $44.105,80 | 814 / 28 | $9.887,00 | 335 / 15 | $8.891,24 | 334 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 41 | $16.869,10 | 1185 / 36 | $4.037,31 | 238 / 13 | $3.059,31 | 238 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 25 | $22.544,80 | 563 / 18 | $6.134,06 | 156 / 7 | $5.450,06 | 155 / 11 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 27 | $27.343,70 | 1059 / 29 | $6.191,00 | 356 / 15 | $5.511,00 | 355 / 17 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 14 | $18.166,10 | 302 / 6 | $5.503,12 | 122 / 8 | $4.416,69 | 122 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 20 | $138.914,00 | 911 / 27 | $31.893,30 | 644 / 18 | $30.913,20 | 638 / 22 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 13 | $125.693,00 | 359 / 10 | $32.030,60 | 171 / 4 | $31.348,60 | 171 / 8 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 7 | $72.682,60 | 366 / 13 | $10.303,00 | 118 / 3 | $9.093,33 | 118 / 6 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 20 | $35.141,20 | 527 / 17 | $8.534,13 | 66 / 10 | $7.362,93 | 66 / 8 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 18 | $26.295,10 | 532 / 15 | $7.571,43 | 221 / 12 | $6.798,86 | 219 / 12 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 31 | $16.408,50 | 953 / 34 | $5.001,85 | 77 / 37 | $2.756,23 | 77 / 9 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 20 | $36.177,60 | 377 / 6 | $10.165,20 | 131 / 7 | $9.287,62 | 131 / 5 |
Transient Ischemia | 13 | 112 / 22 | $19.059,10 | 580 / 14 | $4.019,77 | 147 / 11 | $2.909,62 | 147 / 9 |
G.I. Hemorrhage W Mcc | 13 | 108 / 23 | $33.898,50 | 463 / 10 | $9.211,38 | 112 / 3 | $8.529,31 | 112 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 29 | $63.644,50 | 999 / 28 | $12.655,20 | 247 / 6 | $11.732,10 | 245 / 6 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 18 | $16.247,60 | 610 / 19 | $3.601,08 | 75 / 7 | $2.261,75 | 75 / 4 |
Hypertension W/O Mcc | 12 | 53 / 10 | $16.850,50 | 295 / 11 | $3.634,42 | 30 / 6 | $2.307,75 | 30 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 23 | $19.478,90 | 186 / 2 | $6.574,75 | 66 / 6 | $5.564,08 | 66 / 5 |
Syncope & Collapse | 11 | 158 / 29 | $18.354,30 | 713 / 19 | $4.161,82 | 137 / 9 | $3.059,27 | 137 / 11 | Total 48 procedures | 1.534 | 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.