Hospital Costs > In Missouri > Lee's Summit Medical Center, 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 | 67 | 449 / 41 | $77.603,10 | 2396 / 63 | $11.588,40 | 874 / 39 | $10.025,70 | 873 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 67 | 497 / 43 | $51.239,90 | 1349 / 41 | $12.179,60 | 266 / 17 | $9.869,79 | 266 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 30 | $32.108,20 | 2252 / 60 | $4.252,28 | 163 / 11 | $3.050,76 | 163 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 28 | $28.241,80 | 2140 / 57 | $4.174,33 | 45 / 11 | $3.014,21 | 45 / 4 |
| Renal Failure W Cc | 32 | 189 / 37 | $31.637,30 | 1777 / 46 | $5.108,03 | 25 / 3 | $3.954,66 | 25 / 2 |
| Cellulitis W/O Mcc | 27 | 162 / 33 | $26.177,20 | 1940 / 57 | $4.919,63 | 81 / 19 | $3.362,11 | 81 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 31 | $31.198,40 | 1779 / 53 | $5.044,28 | 50 / 6 | $3.845,32 | 50 / 4 |
| Heart Failure & Shock W Mcc | 25 | 259 / 40 | $70.743,80 | 2359 / 63 | $8.388,64 | 416 / 12 | $7.580,32 | 416 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 34 | $40.104,50 | 2038 / 50 | $5.959,59 | 55 / 8 | $4.488,59 | 55 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 30 | $60.937,60 | 1881 / 45 | $6.383,32 | 605 / 21 | $5.336,05 | 604 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 36 | $26.335,40 | 1959 / 59 | $3.873,32 | 27 / 7 | $2.599,45 | 27 / 1 |
| Chest Pain | 22 | 129 / 20 | $32.207,60 | 1446 / 36 | $3.257,36 | 139 / 5 | $2.432,64 | 138 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 25 | $26.355,30 | 1665 / 46 | $3.001,14 | 138 / 4 | $2.019,81 | 138 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 40 | $44.917,80 | 2068 / 63 | $5.987,24 | 48 / 2 | $4.958,71 | 48 / 3 |
| Heart Failure & Shock W Cc | 20 | 258 / 49 | $39.107,80 | 2297 / 63 | $4.991,55 | 49 / 2 | $4.205,95 | 49 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 24 | $28.540,30 | 1664 / 53 | $4.063,90 | 23 / 8 | $2.579,70 | 23 / 3 |
| G.I. Obstruction W Cc | 19 | 73 / 18 | $40.683,70 | 1468 / 39 | $4.806,26 | 139 / 6 | $3.915,32 | 138 / 9 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 23 | $26.105,50 | 1316 / 37 | $4.337,95 | 87 / 5 | $3.384,68 | 87 / 7 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 42 | $31.910,20 | 1138 / 30 | $6.689,89 | 30 / 7 | $5.369,89 | 30 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 43 | $32.430,10 | 2083 / 62 | $5.633,41 | 73 / 18 | $4.062,59 | 73 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 27 | $30.692,70 | 1210 / 33 | $5.444,38 | 20 / 1 | $4.614,38 | 20 / 1 |
| Renal Failure W Mcc | 16 | 179 / 33 | $32.080,10 | 892 / 20 | $9.080,75 | 7 / 16 | $6.309,44 | 7 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 36 | $25.628,30 | 1429 / 38 | $4.266,67 | 19 / 5 | $3.028,40 | 19 / 1 |
| Syncope & Collapse | 14 | 155 / 26 | $37.746,00 | 1647 / 42 | $3.933,79 | 16 / 4 | $2.724,64 | 16 / 2 |
| G.I. Hemorrhage W Cc | 14 | 204 / 42 | $37.747,70 | 1886 / 52 | $5.410,00 | 108 / 8 | $4.379,14 | 108 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 23 | $188.453,00 | 1213 / 33 | $34.879,00 | 438 / 23 | $28.950,70 | 434 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 46 | $77.173,10 | 2321 / 63 | $9.156,50 | 1372 / 35 | $8.449,92 | 1372 / 39 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 27 | $38.862,80 | 1278 / 36 | $5.810,09 | 46 / 3 | $5.036,27 | 46 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 35 | $36.938,20 | 837 / 32 | $5.801,55 | 295 / 2 | $5.141,18 | 295 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 24 | $42.472,70 | 1011 / 33 | $6.452,73 | 105 / 4 | $5.709,45 | 105 / 9 | Total 30 procedures | 704 | 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.