Hospital Costs > In Missouri > Mercy Hospital Lebanon, 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 | 89 | 475 / 38 | $33.011,40 | 354 / 13 | $14.945,50 | 2043 / 51 | $13.766,50 | 2001 / 54 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 48 | 72 / 7 | $16.158,50 | 926 / 33 | $5.137,23 | 1154 / 42 | $3.889,94 | 1145 / 38 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 29 | $15.901,20 | 1062 / 30 | $5.367,18 | 1568 / 47 | $4.410,55 | 1557 / 48 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 32 | $22.801,60 | 1430 / 45 | $6.815,09 | 1872 / 52 | $5.954,74 | 1864 / 55 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 33 | 483 / 49 | $34.004,50 | 999 / 24 | $13.094,40 | 1993 / 52 | $12.352,10 | 1956 / 54 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 28 | $26.480,00 | 1376 / 34 | $7.686,38 | 1791 / 43 | $6.778,52 | 1783 / 47 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 28 | $19.888,40 | 988 / 30 | $7.504,75 | 1433 / 56 | $5.424,61 | 1428 / 45 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 16 | $16.315,80 | 860 / 29 | $4.890,77 | 1009 / 36 | $3.684,62 | 1004 / 32 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 38 | $20.265,40 | 743 / 22 | $8.165,96 | 1702 / 52 | $7.209,96 | 1694 / 54 |
| Cellulitis W/O Mcc | 24 | 165 / 36 | $19.546,70 | 1435 / 48 | $6.954,38 | 1385 / 59 | $4.608,54 | 1379 / 45 |
| Heart Failure & Shock W Cc | 23 | 255 / 47 | $19.128,10 | 1061 / 28 | $6.932,00 | 1802 / 51 | $6.148,70 | 1797 / 51 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 39 | $20.994,60 | 467 / 8 | $8.461,65 | 1476 / 40 | $7.781,30 | 1471 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 43 | $17.087,20 | 1011 / 27 | $5.158,00 | 1603 / 40 | $4.224,18 | 1590 / 47 |
| Renal Failure W Cc | 17 | 204 / 45 | $14.611,20 | 428 / 8 | $6.719,53 | 1702 / 44 | $6.149,18 | 1693 / 46 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 22 | $14.866,60 | 836 / 23 | $4.689,94 | 1207 / 31 | $3.980,29 | 1197 / 35 |
| Heart Failure & Shock W Mcc | 15 | 269 / 44 | $26.290,00 | 849 / 18 | $10.461,90 | 1744 / 49 | $9.576,53 | 1739 / 48 |
| G.I. Hemorrhage W Cc | 14 | 204 / 42 | $22.982,90 | 1031 / 24 | $6.972,14 | 1701 / 43 | $6.368,71 | 1697 / 49 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 31 | $11.550,30 | 532 / 13 | $3.856,31 | 1010 / 28 | $2.837,23 | 1005 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 46 | $13.474,00 | 754 / 19 | $4.881,55 | 1158 / 43 | $3.781,91 | 1155 / 37 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 47 | $26.897,50 | 827 / 22 | $10.141,30 | 1791 / 48 | $9.376,18 | 1791 / 51 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 20 | $21.519,30 | 326 / 8 | $9.725,36 | 1045 / 31 | $8.843,91 | 1040 / 29 | Total 21 procedures | 551 | 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.