Hospital Costs > In Missouri > Des Peres 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 | 220 | 344 / 19 | $62.535,70 | 1788 / 51 | $13.681,30 | 795 / 40 | $10.756,20 | 781 / 30 |
Spinal Fusion Except Cervical W/O Mcc | 119 | 76 / 5 | $98.034,90 | 711 / 16 | $24.360,20 | 506 / 13 | $21.834,40 | 503 / 17 |
O.R. Procedures For Obesity W/O Cc/Mcc | 84 | 8 / 1 | $52.031,80 | 277 / 10 | $9.667,48 | 120 / 4 | $8.039,04 | 120 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 53 | 463 / 43 | $71.481,00 | 2305 / 59 | $12.440,80 | 1168 / 48 | $10.427,50 | 1150 / 37 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 50 | 225 / 29 | $29.495,30 | 2137 / 59 | $4.695,80 | 707 / 26 | $3.570,32 | 703 / 23 |
Heart Failure & Shock W Cc | 47 | 231 / 33 | $38.465,90 | 2279 / 61 | $6.659,66 | 1034 / 46 | $5.315,28 | 1032 / 27 |
Cervical Spinal Fusion W/O Cc/Mcc | 38 | 66 / 8 | $57.822,00 | 428 / 13 | $14.604,60 | 209 / 13 | $11.126,00 | 209 / 7 |
O.R. Procedures For Obesity W Cc | 35 | 3 / 1 | $71.109,40 | 91 / 7 | $12.393,20 | 21 / 2 | $9.719,71 | 21 / 2 |
Cellulitis W/O Mcc | 35 | 154 / 27 | $27.563,30 | 2016 / 60 | $5.379,94 | 552 / 31 | $3.933,17 | 549 / 26 |
Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 34 | $35.331,90 | 1763 / 54 | $7.438,59 | 553 / 38 | $5.818,29 | 552 / 22 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 33 | 63 / 6 | $57.190,00 | 443 / 18 | $13.325,00 | 374 / 13 | $11.983,20 | 371 / 16 |
Renal Failure W Cc | 32 | 189 / 37 | $33.432,70 | 1843 / 48 | $6.230,34 | 1029 / 32 | $5.215,75 | 1021 / 29 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 27 | $86.442,10 | 991 / 38 | $12.413,90 | 628 / 15 | $11.021,50 | 624 / 25 |
Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 34 | $29.644,00 | 1929 / 58 | $6.236,55 | 934 / 36 | $5.029,68 | 931 / 30 |
G.I. Hemorrhage W Cc | 26 | 192 / 35 | $33.655,10 | 1743 / 46 | $6.290,77 | 727 / 29 | $5.114,62 | 726 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 37 | $28.265,50 | 2143 / 58 | $4.908,27 | 398 / 33 | $3.541,88 | 398 / 19 |
Heart Failure & Shock W Mcc | 26 | 258 / 39 | $68.415,50 | 2320 / 62 | $10.295,70 | 1325 / 46 | $8.755,38 | 1322 / 41 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 32 | $25.816,30 | 1929 / 58 | $4.619,08 | 269 / 32 | $3.094,23 | 269 / 14 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 32 | $26.990,10 | 1573 / 50 | $6.054,65 | 158 / 34 | $4.099,91 | 158 / 9 |
Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 15 | $107.557,00 | 653 / 19 | $20.755,00 | 365 / 15 | $19.060,50 | 365 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 34 | $42.464,00 | 2111 / 53 | $6.882,14 | 744 / 34 | $5.433,23 | 742 / 22 |
Revision Of Hip Or Knee Replacement W Cc | 21 | 65 / 6 | $112.933,00 | 512 / 15 | $22.228,20 | 220 / 11 | $18.281,00 | 220 / 8 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 21 | 48 / 7 | $90.394,10 | 385 / 9 | $16.350,80 | 201 / 6 | $14.793,70 | 201 / 8 |
Pulmonary Edema & Respiratory Failure | 21 | 182 / 40 | $41.080,80 | 1538 / 42 | $8.268,19 | 1010 / 39 | $6.977,33 | 1009 / 31 |
Signs & Symptoms W/O Mcc | 20 | 71 / 13 | $26.457,20 | 943 / 24 | $4.436,30 | 243 / 12 | $3.290,80 | 242 / 11 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 40 | $54.149,60 | 1999 / 56 | $10.246,10 | 1556 / 49 | $8.808,00 | 1556 / 44 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 30 | $36.405,00 | 814 / 30 | $6.810,80 | 384 / 23 | $5.288,80 | 382 / 20 |
Extracranial Procedures W/O Cc/Mcc | 19 | 79 / 16 | $38.600,60 | 607 / 20 | $6.315,37 | 372 / 9 | $5.408,16 | 372 / 13 |
Renal Failure W Mcc | 19 | 176 / 31 | $37.032,10 | 1152 / 33 | $9.462,26 | 645 / 24 | $8.274,68 | 645 / 19 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 24 | $28.149,20 | 1420 / 40 | $5.032,78 | 621 / 20 | $4.113,83 | 617 / 21 |
Chest Pain | 18 | 133 / 24 | $25.844,70 | 1243 / 31 | $3.881,67 | 73 / 19 | $2.284,11 | 73 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 34 | $32.345,80 | 1716 / 45 | $5.051,50 | 381 / 24 | $3.714,33 | 381 / 16 |
Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 12 | $78.136,50 | 603 / 19 | $15.789,50 | 248 / 11 | $14.340,90 | 247 / 15 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 36 | $74.968,80 | 1633 / 42 | $12.133,60 | 194 / 32 | $9.476,44 | 193 / 7 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 24 | $65.164,70 | 1397 / 39 | $11.938,70 | 976 / 34 | $10.229,10 | 974 / 33 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 17 | $145.572,00 | 801 / 28 | $23.651,50 | 694 / 24 | $21.931,10 | 690 / 26 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 15 | $44.791,80 | 1113 / 31 | $6.765,36 | 485 / 20 | $5.450,86 | 484 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 31 | $43.668,40 | 1411 / 36 | $7.568,31 | 497 / 19 | $6.373,08 | 494 / 18 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 29 | $118.134,00 | 1666 / 46 | $15.446,20 | 993 / 35 | $14.087,50 | 983 / 31 |
Atherosclerosis W/O Mcc | 12 | 46 / 8 | $23.927,70 | 381 / 9 | $3.863,08 | / 4 | $2.180,75 | / |
Other Vascular Procedures W Cc | 12 | 90 / 22 | $64.648,60 | 438 / 15 | $14.622,20 | 186 / 7 | $13.308,80 | 186 / 9 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 19 | $134.176,00 | 795 / 29 | $22.449,60 | 591 / 24 | $20.528,50 | 588 / 24 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 32 | $18.317,30 | 1294 / 36 | $3.477,08 | 408 / 17 | $2.362,92 | 405 / 17 |
Medical Back Problems W/O Mcc | 12 | 109 / 24 | $25.690,50 | 857 / 24 | $5.732,75 | 48 / 18 | $3.370,17 | 48 / 5 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 29 | $25.876,80 | 1495 / 42 | $4.671,91 | 127 / 26 | $2.779,36 | 126 / 10 |
G.I. Obstruction W Cc | 11 | 81 / 26 | $32.417,10 | 1276 / 38 | $5.690,82 | 404 / 24 | $4.348,27 | 403 / 16 | Total 46 procedures | 1.415 | 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.