Hospital Costs > In Missouri > Mercy Hospital Joplin, 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 | 320 | 198 / 7 | $39.823,70 | 1309 / 34 | $11.185,80 | 1070 / 28 | $10.282,30 | 1057 / 32 |
Psychoses | 93 | 198 / 16 | $15.608,90 | 195 / 12 | $5.670,65 | 51 / 2 | $4.801,83 | 51 / 3 |
Simple Pneumonia & Pleurisy W Mcc | 89 | 116 / 12 | $33.953,40 | 1282 / 39 | $8.864,91 | 1142 / 29 | $8.044,40 | 1142 / 34 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 78 | 50 / 2 | $9.585,69 | 121 / 4 | $3.816,42 | 27 / 4 | $2.770,03 | 27 / 1 |
Simple Pneumonia & Pleurisy W Cc | 71 | 132 / 15 | $22.636,30 | 1409 / 41 | $5.437,68 | 277 / 11 | $4.437,56 | 276 / 16 |
Heart Failure & Shock W Mcc | 68 | 216 / 26 | $36.038,10 | 1452 / 37 | $9.420,88 | 981 / 37 | $8.271,29 | 980 / 29 |
Pulmonary Edema & Respiratory Failure | 58 | 145 / 23 | $23.234,70 | 611 / 13 | $6.984,91 | 405 / 12 | $6.231,53 | 405 / 16 |
Heart Failure & Shock W Cc | 57 | 221 / 27 | $19.479,50 | 1115 / 31 | $5.288,12 | 312 / 7 | $4.695,84 | 312 / 16 |
Extracranial Procedures W/O Cc/Mcc | 50 | 48 / 2 | $21.139,90 | 173 / 6 | $5.673,54 | 64 / 3 | $4.513,86 | 64 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 49 | 147 / 17 | $54.736,00 | 331 / 15 | $12.859,00 | 676 / 23 | $11.166,90 | 672 / 28 |
Renal Failure W Cc | 49 | 172 / 26 | $20.944,10 | 1073 / 34 | $5.196,92 | 190 / 6 | $4.355,14 | 189 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 19 | $27.786,40 | 1493 / 38 | $6.895,70 | 872 / 35 | $5.550,26 | 870 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 17 | $18.178,20 | 877 / 24 | $4.463,11 | 183 / 8 | $3.448,58 | 183 / 9 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 18 | $26.327,60 | 348 / 6 | $6.026,40 | 54 / 8 | $4.580,98 | 54 / 4 |
Renal Failure W Mcc | 42 | 153 / 21 | $35.852,30 | 1089 / 28 | $10.662,70 | 1315 / 36 | $9.700,69 | 1315 / 36 |
Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 28 | $27.988,10 | 1345 / 43 | $6.472,25 | 450 / 12 | $5.739,05 | 449 / 19 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 16 | $13.955,70 | 863 / 26 | $3.252,92 | 434 / 11 | $2.385,67 | 431 / 18 |
G.I. Hemorrhage W Cc | 39 | 179 / 29 | $20.869,10 | 822 / 17 | $5.378,64 | 157 / 5 | $4.482,62 | 157 / 12 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 39 | 92 / 14 | $56.209,70 | 806 / 19 | $14.996,70 | 1003 / 30 | $14.130,20 | 993 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 23 | $24.876,10 | 785 / 20 | $6.245,68 | 483 / 18 | $5.206,92 | 482 / 19 |
Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 30 | $19.164,50 | 1476 / 46 | $4.364,53 | 287 / 15 | $3.420,56 | 287 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 35 | $18.989,70 | 1277 / 36 | $4.096,47 | 166 / 6 | $3.055,58 | 166 / 13 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 23 | $19.708,30 | 967 / 28 | $5.084,00 | 221 / 8 | $4.221,83 | 221 / 13 |
Cellulitis W/O Mcc | 32 | 157 / 29 | $18.959,10 | 1362 / 44 | $4.481,00 | 213 / 4 | $3.575,00 | 211 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 18 | $28.067,50 | 856 / 20 | $7.039,78 | 277 / 14 | $6.004,38 | 276 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 28 | $17.012,80 | 1210 / 39 | $4.063,16 | 297 / 15 | $3.128,97 | 297 / 15 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 12 | $36.712,10 | 559 / 19 | $11.032,10 | 718 / 26 | $10.319,00 | 716 / 28 |
Coronary Bypass W Cardiac Cath W/O Mcc | 27 | 49 / 6 | $100.569,00 | 125 / 7 | $30.462,70 | 366 / 15 | $27.922,00 | 366 / 14 |
G.I. Obstruction W Cc | 26 | 66 / 12 | $21.946,50 | 798 / 27 | $4.973,65 | 289 / 9 | $4.182,27 | 288 / 12 |
Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 13 | $68.282,00 | 231 / 9 | $19.938,20 | 252 / 8 | $18.209,60 | 252 / 10 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 25 | 39 / 5 | $130.264,00 | 34 / 1 | $49.273,90 | 46 / 3 | $48.429,00 | 46 / 4 |
Depressive Neuroses | 25 | 25 / 2 | $8.159,84 | 33 / 1 | $3.614,72 | 1 / 1 | $2.496,80 | 1 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 15 | $94.163,00 | 422 / 11 | $29.736,10 | 250 / 11 | $27.365,30 | 250 / 6 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 24 | 540 / 55 | $47.875,50 | 1182 / 36 | $11.777,30 | 665 / 5 | $10.569,30 | 656 / 26 |
Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 22 | $22.641,00 | 760 / 20 | $5.790,88 | 133 / 5 | $5.113,54 | 133 / 8 |
Transient Ischemia | 23 | 102 / 18 | $16.798,10 | 400 / 4 | $3.962,35 | 241 / 9 | $3.070,52 | 241 / 12 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 27 | $43.669,00 | 895 / 26 | $12.026,50 | 914 / 24 | $11.446,30 | 904 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 27 | $36.815,40 | 579 / 16 | $10.804,00 | 767 / 26 | $10.094,20 | 766 / 27 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 13 | $48.127,90 | 700 / 20 | $12.822,10 | 136 / 22 | $9.315,32 | 136 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 20 | $17.949,50 | 1020 / 33 | $3.888,27 | 379 / 6 | $3.121,73 | 377 / 17 |
Neuroses Except Depressive | 21 | 7 / 1 | $10.948,30 | 23 / 2 | $4.211,33 | 5 / 2 | $3.467,71 | 5 / 2 |
Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 11 | $41.222,20 | 592 / 20 | $9.819,95 | 595 / 21 | $9.070,29 | 593 / 21 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 20 | $37.400,10 | 714 / 18 | $9.635,57 | 200 / 7 | $8.299,05 | 200 / 4 |
Major Small & Large Bowel Procedures W Cc | 21 | 87 / 21 | $51.141,50 | 447 / 13 | $17.366,90 | 64 / 26 | $11.645,70 | 64 / 2 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 22 | $16.844,90 | 608 / 18 | $4.389,40 | 323 / 6 | $3.787,80 | 322 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 21 | $37.554,60 | 1242 / 35 | $7.040,55 | 598 / 22 | $6.191,00 | 595 / 21 |
Chest Pain | 20 | 131 / 22 | $16.534,80 | 641 / 16 | $3.379,60 | 188 / 8 | $2.534,80 | 187 / 13 |
G.I. Hemorrhage W Mcc | 20 | 101 / 17 | $32.363,90 | 405 / 8 | $10.055,80 | 24 / 11 | $8.049,85 | 24 / 1 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 12 | $23.796,10 | 595 / 13 | $6.521,42 | 467 / 20 | $5.131,26 | 465 / 17 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 16 | $19.764,30 | 395 / 8 | $5.314,06 | 38 / 8 | $4.156,50 | 38 / 2 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 18 | 63 / 6 | $246.547,00 | 35 / 2 | $94.799,50 | 107 / 4 | $93.816,90 | 107 / 5 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 15 | $23.476,70 | 401 / 10 | $6.682,22 | 12 / 1 | $5.843,11 | 12 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 11 | $50.221,20 | 217 / 5 | $14.098,30 | 52 / 1 | $12.955,20 | 52 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 16 | $66.689,50 | 135 / 2 | $20.871,90 | 182 / 18 | $17.029,70 | 182 / 7 |
Syncope & Collapse | 17 | 152 / 24 | $19.169,40 | 781 / 22 | $4.006,24 | 268 / 7 | $3.292,82 | 266 / 16 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 10 | $111.650,00 | 325 / 10 | $38.401,30 | 713 / 22 | $37.416,80 | 712 / 23 |
Diabetes W Cc | 16 | 76 / 18 | $19.901,40 | 691 / 19 | $4.856,19 | 59 / 11 | $3.498,19 | 59 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 12 | $26.017,20 | 520 / 15 | $6.299,50 | 73 / 5 | $5.467,50 | 73 / 5 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 15 | 21 / 3 | $44.347,10 | 76 / 3 | $13.171,00 | 45 / 2 | $12.289,90 | 45 / 3 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 17 | $103.870,00 | 415 / 10 | $31.277,90 | 586 / 14 | $30.550,50 | 584 / 19 |
G.I. Obstruction W Mcc | 15 | 27 / 6 | $28.138,10 | 109 / 5 | $8.215,60 | 11 / 3 | $7.413,47 | 11 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 25 | $20.108,70 | 579 / 19 | $4.186,79 | 94 / 5 | $2.977,64 | 93 / 6 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 14 | 74 / 14 | $82.373,50 | 150 / 4 | $23.315,40 | 92 / 11 | $18.632,60 | 92 / 5 |
Extracranial Procedures W Cc | 14 | 32 / 8 | $28.410,00 | 68 / 2 | $8.631,64 | 41 / 1 | $7.596,29 | 41 / 1 |
Hypertension W/O Mcc | 14 | 51 / 8 | $13.515,10 | 156 / 4 | $3.566,07 | 35 / 5 | $2.323,79 | 35 / 5 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 16 | $18.693,40 | 763 / 24 | $3.411,93 | 83 / 5 | $2.291,93 | 83 / 5 |
Pulmonary Embolism W Mcc | 13 | 30 / 9 | $28.061,10 | 135 / 4 | $7.956,92 | 40 / 3 | $7.124,92 | 40 / 5 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 15 | $108.701,00 | 239 / 4 | $29.236,20 | 47 / 2 | $28.303,20 | 47 / 1 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 15 | $16.724,50 | 381 / 15 | $3.627,62 | 17 / 4 | $2.405,92 | 17 / 4 |
Other Circulatory System Diagnoses W Cc | 13 | 53 / 10 | $15.271,00 | 89 / 1 | $5.136,92 | 90 / 4 | $4.671,69 | 90 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 9 | $37.398,40 | 269 / 9 | $6.585,23 | 73 / 2 | $5.467,69 | 73 / 5 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 25 | $16.260,70 | 988 / 30 | $3.693,46 | 53 / 9 | $2.669,46 | 53 / 3 |
Cellulitis W Mcc | 13 | 45 / 13 | $38.085,80 | 545 / 21 | $8.485,77 | 276 / 12 | $7.739,92 | 275 / 14 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 16 | $22.146,10 | 504 / 12 | $5.324,46 | 100 / 6 | $4.389,08 | 100 / 4 |
Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 11 | $25.494,10 | 36 / 2 | $8.989,42 | 41 / 1 | $7.986,75 | 41 / 5 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 10 | $92.543,40 | 90 / 4 | $31.707,30 | 207 / 8 | $30.702,20 | 207 / 8 |
Signs & Symptoms W/O Mcc | 12 | 79 / 19 | $17.245,30 | 489 / 16 | $3.638,75 | 31 / 4 | $2.729,42 | 31 / 5 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 12 | $16.355,60 | 432 / 11 | $3.436,82 | 63 / 5 | $2.552,45 | 62 / 7 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 11 | $35.582,30 | 92 / 1 | $11.326,80 | 45 / 2 | $10.230,10 | 45 / 2 |
Other Vascular Procedures W Cc | 11 | 91 / 23 | $28.844,60 | 33 / 1 | $13.139,80 | 31 / 2 | $12.034,40 | 31 / 1 |
Seizures W/O Mcc | 11 | 97 / 22 | $20.319,20 | 565 / 17 | $4.186,82 | 43 / 4 | $3.081,36 | 43 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 13 | $37.461,70 | 218 / 8 | $9.046,36 | 122 / 1 | $7.955,45 | 122 / 8 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 17 | $63.759,00 | 520 / 19 | $15.447,20 | 585 / 18 | $13.571,80 | 579 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 24 | $33.280,50 | 752 / 28 | $6.705,09 | 182 / 7 | $5.934,27 | 181 / 13 | Total 84 procedures | 2.565 | 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.