Hospital Costs > In Missouri > Hannibal Regional 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 | 253 | 312 / 16 | $58.156,70 | 1630 / 47 | $14.973,30 | 1720 / 52 | $12.613,10 | 1681 / 50 |
Chronic Obstructive Pulmonary Disease W Mcc | 102 | 100 / 4 | $16.120,20 | 402 / 8 | $7.922,82 | 1385 / 49 | $6.683,22 | 1379 / 45 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 76 | 440 / 38 | $28.004,50 | 695 / 17 | $12.288,40 | 1665 / 45 | $11.367,20 | 1633 / 48 |
Heart Failure & Shock W Mcc | 68 | 216 / 26 | $16.310,00 | 212 / 3 | $10.018,00 | 1562 / 45 | $9.191,81 | 1557 / 46 |
Heart Failure & Shock W Cc | 65 | 213 / 25 | $12.157,40 | 282 / 4 | $6.642,25 | 1591 / 44 | $5.864,58 | 1586 / 47 |
Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 20 | $14.479,90 | 855 / 22 | $5.203,04 | 1043 / 44 | $3.987,00 | 1035 / 35 |
Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 21 | $14.427,60 | 495 / 11 | $6.528,60 | 1571 / 46 | $5.582,65 | 1564 / 48 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 53 | 67 / 5 | $11.316,50 | 375 / 10 | $4.776,23 | 1031 / 30 | $3.765,51 | 1022 / 33 |
Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 14 | $14.515,90 | 466 / 8 | $6.279,49 | 1308 / 41 | $5.277,98 | 1303 / 40 |
Simple Pneumonia & Pleurisy W Mcc | 45 | 160 / 31 | $19.578,90 | 360 / 8 | $9.685,31 | 1510 / 43 | $8.695,96 | 1510 / 42 |
Heart Failure & Shock W/O Cc/Mcc | 41 | 69 / 9 | $9.776,20 | 242 / 3 | $4.500,73 | 990 / 25 | $3.724,44 | 982 / 29 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 25 | $14.738,00 | 920 / 27 | $4.668,09 | 1034 / 35 | $3.673,66 | 1031 / 34 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 37 | $19.939,50 | 1382 / 42 | $5.247,79 | 1193 / 45 | $3.884,38 | 1182 / 34 |
Cellulitis W/O Mcc | 31 | 158 / 30 | $20.329,60 | 1516 / 51 | $5.638,32 | 1178 / 41 | $4.414,16 | 1172 / 39 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 20 | $40.685,10 | 347 / 6 | $15.202,90 | 968 / 33 | $13.996,30 | 959 / 30 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 26 | $30.475,30 | 541 / 19 | $8.104,73 | 799 / 38 | $5.904,27 | 797 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 28 | $15.558,60 | 180 / 2 | $7.176,92 | 1247 / 35 | $6.225,04 | 1244 / 35 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 32 | $18.489,30 | 632 / 12 | $7.135,71 | 1343 / 39 | $6.037,58 | 1338 / 41 |
Respiratory Infections & Inflammations W Cc | 24 | 64 / 10 | $23.911,80 | 424 / 11 | $9.317,17 | 862 / 27 | $8.180,92 | 857 / 24 |
Pulmonary Edema & Respiratory Failure | 24 | 179 / 38 | $16.424,50 | 208 / 3 | $8.140,88 | 1152 / 37 | $7.170,67 | 1150 / 35 |
Renal Failure W Cc | 24 | 197 / 40 | $16.520,60 | 616 / 13 | $6.481,38 | 1137 / 41 | $5.319,17 | 1129 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 16 | $12.719,00 | 124 / 4 | $5.044,04 | 862 / 23 | $4.085,38 | 858 / 27 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 24 | $9.505,78 | 300 / 4 | $3.685,74 | 547 / 23 | $2.480,70 | 543 / 20 |
G.I. Hemorrhage W Cc | 22 | 196 / 37 | $18.101,40 | 579 / 13 | $6.677,23 | 1324 / 37 | $5.723,27 | 1321 / 40 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 9 | $41.563,80 | 490 / 14 | $7.233,73 | 394 / 11 | $5.978,73 | 393 / 12 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 21 | 75 / 9 | $78.080,60 | 652 / 25 | $14.705,90 | 580 / 19 | $13.531,90 | 576 / 22 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 33 | $70.935,80 | 708 / 31 | $13.540,80 | 963 / 34 | $12.326,40 | 956 / 35 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 29 | $29.777,30 | 378 / 8 | $13.275,60 | 1181 / 35 | $12.444,10 | 1167 / 37 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 33 | $13.886,80 | 407 / 6 | $5.261,84 | 1234 / 30 | $4.547,26 | 1229 / 34 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 33 | $48.384,00 | 990 / 29 | $13.046,80 | 1289 / 38 | $11.943,30 | 1272 / 38 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 19 | 37 / 5 | $46.885,80 | 526 / 16 | $10.809,50 | 571 / 16 | $9.585,16 | 569 / 17 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 24 | $12.729,50 | 483 / 11 | $4.680,17 | 997 / 27 | $3.676,17 | 992 / 31 |
Renal Failure W Mcc | 17 | 178 / 32 | $23.114,10 | 369 / 7 | $10.262,60 | 1222 / 33 | $9.479,29 | 1222 / 35 |
Major Chest Procedures W Mcc | 17 | 32 / 5 | $110.187,00 | 116 / 4 | $38.224,60 | 248 / 7 | $36.895,60 | 247 / 7 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 14 | $17.274,10 | 250 / 3 | $6.621,56 | 691 / 21 | $5.541,12 | 688 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 29 | $18.793,20 | 278 / 3 | $8.066,00 | 993 / 30 | $7.130,38 | 990 / 30 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 27 | $18.715,10 | 485 / 11 | $7.531,88 | 1124 / 31 | $6.612,69 | 1120 / 32 |
Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 23 | $129.249,00 | 999 / 26 | $30.329,20 | 1139 / 23 | $29.110,40 | 1134 / 24 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 7 | $14.032,90 | 278 / 7 | $4.629,79 | 348 / 8 | $3.465,57 | 345 / 9 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 28 | $12.860,70 | 271 / 6 | $5.317,15 | 753 / 25 | $4.246,31 | 748 / 24 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 13 | $15.583,20 | 75 / 1 | $8.292,08 | 475 / 14 | $7.390,54 | 473 / 12 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 27 | $30.944,50 | 476 / 7 | $11.561,90 | 1054 / 33 | $10.507,20 | 1051 / 34 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 16 | $19.103,00 | 257 / 2 | $7.053,85 | 800 / 23 | $6.133,00 | 798 / 24 |
Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 6 | $64.831,10 | 189 / 6 | $12.473,30 | 150 / 5 | $11.497,70 | 150 / 6 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 19 | $91.379,00 | 307 / 8 | $34.075,00 | 751 / 21 | $32.952,20 | 749 / 23 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 21 | $25.964,80 | 720 / 21 | $7.373,75 | 391 / 27 | $5.036,33 | 388 / 18 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 10 | $21.574,90 | 350 / 5 | $5.021,27 | 469 / 9 | $4.204,55 | 466 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 27 | $16.905,10 | 241 / 7 | $7.396,36 | 668 / 27 | $6.329,91 | 665 / 25 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 24 | $69.327,90 | 168 / 3 | $35.381,40 | 900 / 26 | $33.934,50 | 894 / 28 | Total 49 procedures | 1.600 | 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.