Hospital Costs > In Missouri > Mercy Hospital Jefferson, 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 | 402 | 137 / 5 | $35.242,40 | 1069 / 27 | $10.307,60 | 504 / 8 | $9.523,82 | 504 / 15 |
Heart Failure & Shock W Mcc | 201 | 86 / 5 | $27.333,60 | 930 / 20 | $8.347,51 | 537 / 10 | $7.729,84 | 537 / 18 |
Simple Pneumonia & Pleurisy W Mcc | 117 | 88 / 7 | $23.593,00 | 604 / 16 | $7.886,03 | 227 / 8 | $6.881,73 | 227 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 107 | 457 / 31 | $42.972,80 | 923 / 31 | $12.211,40 | 622 / 19 | $10.496,90 | 615 / 21 |
Renal Failure W Mcc | 84 | 111 / 8 | $29.576,30 | 737 / 14 | $8.787,80 | 428 / 10 | $7.966,15 | 428 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 72 | 135 / 12 | $19.842,40 | 768 / 14 | $5.955,35 | 420 / 7 | $5.117,53 | 418 / 16 |
Respiratory Infections & Inflammations W Mcc | 69 | 67 / 9 | $38.691,00 | 730 / 20 | $10.514,60 | 169 / 7 | $9.631,67 | 169 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 68 | 207 / 24 | $19.311,60 | 1311 / 40 | $4.489,96 | 398 / 17 | $3.325,90 | 396 / 18 |
Renal Failure W Cc | 65 | 156 / 21 | $18.381,00 | 813 / 17 | $5.378,58 | 258 / 14 | $4.487,82 | 257 / 16 |
Heart Failure & Shock W Cc | 56 | 222 / 28 | $17.625,60 | 887 / 24 | $5.555,29 | 488 / 13 | $4.886,14 | 488 / 21 |
G.I. Hemorrhage W Cc | 55 | 163 / 21 | $22.495,10 | 982 / 22 | $5.754,40 | 468 / 18 | $4.878,51 | 467 / 20 |
Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 19 | $19.913,00 | 702 / 20 | $6.473,78 | 376 / 14 | $5.645,33 | 375 / 18 |
Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 23 | $17.204,90 | 819 / 21 | $5.468,92 | 211 / 12 | $4.337,12 | 211 / 15 |
Pulmonary Edema & Respiratory Failure | 51 | 152 / 25 | $23.990,60 | 666 / 16 | $7.004,41 | 355 / 14 | $6.156,47 | 355 / 15 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 45 | 151 / 21 | $53.809,60 | 306 / 13 | $11.919,20 | 297 / 10 | $10.129,00 | 297 / 14 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 43 | 82 / 9 | $39.000,30 | 770 / 20 | $9.731,00 | 332 / 12 | $8.617,44 | 332 / 10 |
Cellulitis W/O Mcc | 43 | 146 / 20 | $15.319,80 | 899 / 24 | $4.834,74 | 438 / 14 | $3.824,79 | 435 / 21 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 42 | 82 / 11 | $84.314,70 | 291 / 7 | $28.668,00 | 309 / 8 | $28.065,30 | 309 / 11 |
Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 26 | $15.525,60 | 1014 / 28 | $4.495,38 | 470 / 20 | $3.600,14 | 470 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 37 | 59 / 7 | $22.932,30 | 337 / 9 | $6.853,11 | 229 / 11 | $6.066,95 | 228 / 15 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 34 | 97 / 16 | $56.678,30 | 827 / 21 | $13.163,40 | 555 / 10 | $12.595,90 | 547 / 16 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 23 | $16.125,30 | 637 / 12 | $4.646,12 | 396 / 16 | $3.728,79 | 396 / 17 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 33 | 155 / 22 | $30.507,70 | 542 / 20 | $6.282,42 | 476 / 11 | $5.407,76 | 474 / 21 |
Kidney & Urinary Tract Infections W Mcc | 33 | 111 / 16 | $16.301,90 | 321 / 4 | $6.045,36 | 194 / 11 | $5.241,48 | 194 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 22 | $46.555,60 | 911 / 27 | $10.949,70 | 510 / 12 | $10.079,70 | 509 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 19 | $20.007,90 | 340 / 8 | $6.952,37 | 388 / 10 | $6.187,57 | 386 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 28 | 72 / 10 | $79.580,50 | 273 / 10 | $21.324,10 | 150 / 19 | $16.793,50 | 150 / 6 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 26 | 39 / 8 | $58.649,70 | 232 / 10 | $18.985,40 | 351 / 14 | $18.008,20 | 349 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 25 | $31.578,60 | 394 / 11 | $9.197,85 | 241 / 4 | $8.610,15 | 240 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 28 | $24.011,10 | 727 / 19 | $6.002,08 | 308 / 10 | $4.989,60 | 307 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 20 | $16.320,70 | 211 / 5 | $6.299,67 | 274 / 8 | $5.646,33 | 271 / 16 |
G.I. Hemorrhage W Mcc | 24 | 97 / 14 | $37.184,90 | 596 / 15 | $9.552,46 | 177 / 5 | $8.796,46 | 177 / 8 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 24 | 68 / 7 | $109.083,00 | 245 / 5 | $30.204,00 | 75 / 3 | $29.235,10 | 75 / 4 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 22 | 71 / 10 | $62.626,70 | 505 / 17 | $14.564,80 | 620 / 17 | $13.907,40 | 614 / 18 |
Poisoning & Toxic Effects Of Drugs W Mcc | 22 | 50 / 10 | $25.702,30 | 233 / 7 | $7.581,77 | 61 / 4 | $6.591,23 | 61 / 5 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 17 | $25.638,80 | 259 / 8 | $8.083,77 | 93 / 3 | $7.535,41 | 93 / 9 |
Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 33 | $19.042,30 | 908 / 24 | $5.422,86 | 448 / 17 | $4.486,14 | 447 / 17 |
Transient Ischemia | 21 | 104 / 19 | $20.164,90 | 679 / 16 | $4.143,76 | 360 / 12 | $3.218,81 | 359 / 16 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 21 | $15.239,20 | 758 / 26 | $4.113,48 | 333 / 12 | $3.078,81 | 331 / 15 |
Cellulitis W Mcc | 20 | 38 / 8 | $23.993,90 | 211 / 5 | $7.927,25 | 201 / 9 | $7.442,45 | 200 / 12 |
Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 11 | $59.874,90 | 307 / 11 | $17.235,20 | 248 / 15 | $16.216,20 | 246 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 20 | $17.430,60 | 392 / 12 | $4.701,05 | 156 / 16 | $3.118,26 | 154 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 39 | $14.662,20 | 914 / 26 | $4.056,72 | 419 / 14 | $3.260,06 | 419 / 17 |
G.I. Obstruction W Cc | 18 | 74 / 19 | $16.404,40 | 396 / 8 | $5.156,78 | 76 / 12 | $3.709,33 | 76 / 3 |
Chest Pain | 18 | 133 / 24 | $17.269,70 | 713 / 18 | $3.616,06 | 345 / 13 | $2.744,94 | 344 / 17 |
Seizures W Mcc | 17 | 49 / 12 | $36.221,60 | 286 / 13 | $9.450,06 | 254 / 9 | $8.597,35 | 254 / 10 |
O.R. Procedures For Obesity W/O Cc/Mcc | 16 | 61 / 11 | $38.853,80 | 170 / 7 | $9.758,69 | 52 / 5 | $7.361,00 | 52 / 2 |
Syncope & Collapse | 16 | 153 / 25 | $19.149,60 | 775 / 21 | $4.294,12 | 411 / 13 | $3.462,12 | 409 / 19 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 6 | $49.073,30 | 146 / 4 | $10.733,20 | 64 / 7 | $8.699,94 | 64 / 4 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 18 | $42.913,90 | 568 / 13 | $9.994,56 | 226 / 5 | $9.673,56 | 226 / 10 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 16 | $18.751,90 | 214 / 6 | $7.234,56 | 142 / 5 | $6.626,56 | 142 / 9 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 18 | $17.939,40 | 282 / 6 | $5.625,62 | 158 / 12 | $4.567,62 | 156 / 10 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 13 | $24.166,90 | 486 / 10 | $5.917,44 | 192 / 10 | $4.925,00 | 192 / 8 |
Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 9 | $98.454,80 | 317 / 11 | $23.786,20 | 325 / 11 | $23.060,90 | 325 / 11 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 30 | $13.631,70 | 818 / 24 | $3.359,07 | 276 / 14 | $2.232,67 | 274 / 14 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 27 | $17.036,20 | 627 / 19 | $4.702,53 | 572 / 13 | $4.056,13 | 570 / 18 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 14 | $19.130,20 | 255 / 5 | $6.588,71 | 169 / 8 | $5.831,00 | 169 / 10 |
Other Vascular Procedures W Cc | 13 | 89 / 21 | $55.106,50 | 281 / 10 | $14.150,90 | 190 / 6 | $13.316,50 | 190 / 11 |
Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 7 | $17.392,10 | 11 / 1 | $8.209,85 | 11 / 1 | $7.468,92 | 11 / 1 |
Seizures W/O Mcc | 13 | 95 / 20 | $13.124,60 | 176 / 5 | $4.405,00 | 168 / 6 | $3.479,46 | 167 / 7 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 14 | $84.709,70 | 124 / 5 | $22.553,60 | 14 / 1 | $21.815,20 | 14 / 1 |
Other Disorders Of Nervous System W Cc | 12 | 44 / 10 | $16.580,20 | 114 / 4 | $5.057,67 | 100 / 5 | $4.353,67 | 100 / 7 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 14 | $25.397,70 | 329 / 9 | $7.165,25 | 238 / 3 | $6.663,92 | 238 / 8 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 32 | $15.107,40 | 791 / 27 | $4.237,17 | 403 / 15 | $3.231,83 | 402 / 18 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 10 | $26.400,20 | 63 / 2 | $10.473,00 | 86 / 6 | $9.774,33 | 86 / 6 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 17 | $19.841,10 | 241 / 11 | $5.400,64 | 36 / 8 | $4.411,55 | 36 / 5 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 15 | $105.350,00 | 289 / 9 | $31.859,20 | 443 / 13 | $31.417,00 | 443 / 13 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 11 | $54.844,50 | 172 / 9 | $14.841,80 | 168 / 8 | $13.855,60 | 168 / 10 |
Diabetes W Cc | 11 | 81 / 23 | $16.486,20 | 447 / 12 | $4.853,09 | 345 / 10 | $4.079,27 | 345 / 15 | Total 69 procedures | 2.651 | 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.