Hospital Costs > In Missouri > Fitzgibbon Hospital, 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 | 21 | 168 / 38 | $13.211,20 | 619 / 19 | $5.373,14 | 1143 / 30 | $4.384,38 | 1137 / 37 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 39 | $15.368,70 | 550 / 14 | $5.886,00 | 1104 / 26 | $5.061,00 | 1100 / 35 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 39 | $17.842,10 | 558 / 14 | $7.206,55 | 912 / 30 | $6.166,00 | 907 / 33 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 24 | $13.232,70 | 576 / 19 | $4.510,05 | 716 / 22 | $3.504,55 | 714 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 40 | $12.133,50 | 414 / 7 | $4.690,81 | 1015 / 24 | $3.770,88 | 1007 / 29 |
| G.I. Obstruction W Cc | 14 | 78 / 23 | $15.404,10 | 316 / 6 | $5.535,07 | 706 / 18 | $4.706,50 | 705 / 25 |
| Heart Failure & Shock W Cc | 28 | 250 / 43 | $16.021,50 | 690 / 18 | $6.215,50 | 1066 / 29 | $5.340,86 | 1064 / 30 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 21 | $11.483,90 | 406 / 10 | $4.403,33 | 718 / 21 | $3.487,78 | 714 / 21 |
| Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 22 | $11.382,10 | 439 / 7 | $4.891,74 | 1185 / 31 | $4.077,78 | 1177 / 40 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 57 | $54.464,80 | 1488 / 44 | $13.069,10 | 1395 / 30 | $11.799,20 | 1362 / 43 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 35 | $9.610,65 | 275 / 4 | $4.531,43 | 860 / 28 | $3.550,57 | 857 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 26 | 490 / 52 | $21.380,80 | 334 / 7 | $11.257,80 | 1015 / 31 | $10.205,30 | 1005 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 40 | $12.912,80 | 206 / 3 | $6.502,08 | 950 / 22 | $5.622,92 | 947 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 35 | $12.208,40 | 267 / 4 | $6.112,53 | 1191 / 31 | $5.221,73 | 1187 / 39 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 21 | $12.494,40 | 458 / 9 | $4.564,71 | 646 / 22 | $3.363,86 | 643 / 20 | Total 15 procedures | 348 | 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.