Hospital Costs > In Missouri > Golden Valley 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 | 77 | 487 / 42 | $52.951,80 | 1417 / 43 | $14.236,60 | 1523 / 47 | $12.113,80 | 1488 / 46 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 11 | $12.237,60 | 470 / 18 | $4.820,72 | 895 / 32 | $3.648,83 | 887 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 36 | $12.626,80 | 466 / 10 | $4.983,49 | 1230 / 37 | $3.914,46 | 1219 / 36 |
| Heart Failure & Shock W Cc | 30 | 248 / 41 | $15.508,40 | 631 / 15 | $6.399,93 | 1492 / 37 | $5.759,67 | 1487 / 45 |
| Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 35 | $13.525,40 | 715 / 18 | $5.151,60 | 1090 / 42 | $4.016,67 | 1082 / 36 |
| Cellulitis W/O Mcc | 29 | 160 / 31 | $11.382,20 | 404 / 12 | $5.470,17 | 1259 / 37 | $4.485,66 | 1253 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 37 | $16.737,40 | 765 / 18 | $6.347,56 | 1442 / 40 | $5.456,59 | 1436 / 45 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 18 | $12.333,10 | 441 / 7 | $4.755,50 | 1045 / 32 | $3.713,67 | 1039 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 38 | $11.113,70 | 436 / 10 | $4.719,26 | 916 / 38 | $3.591,05 | 913 / 30 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 36 | $13.315,30 | 353 / 6 | $6.130,50 | 699 / 38 | $4.725,56 | 697 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 42 | $17.673,40 | 534 / 11 | $7.800,12 | 722 / 46 | $5.989,12 | 717 / 28 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 44 | $22.571,00 | 569 / 12 | $7.744,41 | 1177 / 27 | $7.200,65 | 1175 / 36 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 12 | $53.511,30 | 394 / 17 | $14.018,90 | 515 / 16 | $12.943,40 | 512 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 57 | $21.717,90 | 350 / 8 | $11.590,10 | 1347 / 40 | $10.722,30 | 1320 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 29 | $13.429,90 | 785 / 20 | $3.890,25 | 870 / 30 | $2.725,25 | 866 / 28 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 23 | $12.638,20 | 550 / 16 | $4.598,50 | 1001 / 27 | $3.733,25 | 993 / 30 |
| Heart Failure & Shock W Mcc | 12 | 272 / 47 | $17.222,80 | 257 / 4 | $9.473,42 | 1321 / 38 | $8.752,08 | 1318 / 39 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 10 | $15.913,80 | 377 / 10 | $4.642,18 | 536 / 9 | $3.841,82 | 532 / 14 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 18 | $17.152,40 | 245 / 2 | $6.150,09 | 502 / 14 | $5.190,18 | 500 / 19 | Total 19 procedures | 457 | 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.