Hospital Costs > In Missouri > Mercy Hospital Washington, 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 | 165 | 399 / 22 | $36.279,80 | 538 / 18 | $12.203,20 | 808 / 18 | $10.773,10 | 794 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 136 | 380 / 31 | $51.326,60 | 1839 / 47 | $12.432,10 | 1338 / 46 | $10.710,20 | 1313 / 41 |
Heart Failure & Shock W Mcc | 57 | 227 / 29 | $32.489,50 | 1247 / 28 | $8.893,61 | 719 / 23 | $7.960,86 | 719 / 24 |
Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 19 | $27.794,00 | 1331 / 42 | $6.954,11 | 306 / 22 | $5.570,06 | 305 / 13 |
Heart Failure & Shock W Cc | 53 | 225 / 29 | $22.569,30 | 1448 / 40 | $5.908,26 | 792 / 21 | $5.133,62 | 791 / 25 |
Respiratory Infections & Inflammations W Mcc | 46 | 90 / 17 | $36.596,30 | 641 / 17 | $10.618,30 | 127 / 8 | $9.490,15 | 127 / 3 |
G.I. Hemorrhage W Cc | 43 | 175 / 25 | $27.433,80 | 1398 / 39 | $6.216,63 | 983 / 27 | $5.345,93 | 981 / 31 |
Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 18 | $39.490,00 | 614 / 17 | $11.186,80 | 529 / 15 | $10.111,80 | 528 / 19 |
Renal Failure W Cc | 33 | 188 / 36 | $19.049,60 | 885 / 23 | $5.748,97 | 866 / 23 | $5.054,67 | 859 / 26 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 24 | $17.727,20 | 833 / 22 | $5.020,38 | 640 / 23 | $3.956,66 | 637 / 22 |
Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 33 | $18.248,10 | 1376 / 42 | $4.724,22 | 560 / 26 | $3.667,22 | 559 / 26 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 27 | $20.793,00 | 1087 / 34 | $5.549,59 | 598 / 20 | $4.633,72 | 596 / 21 |
Cellulitis W/O Mcc | 29 | 160 / 31 | $16.672,20 | 1079 / 30 | $5.450,38 | 424 / 35 | $3.814,93 | 421 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 21 | $25.717,20 | 699 / 17 | $7.175,82 | 436 / 15 | $6.270,68 | 434 / 15 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 38 | $31.535,70 | 1138 / 32 | $9.171,04 | 945 / 36 | $7.817,04 | 945 / 28 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 41 | $19.167,30 | 1297 / 38 | $4.604,36 | 950 / 21 | $3.732,68 | 943 / 28 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 33 | $20.809,70 | 1633 / 48 | $4.297,52 | 599 / 22 | $3.379,76 | 597 / 24 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 30 | $58.236,30 | 415 / 19 | $12.715,20 | 774 / 21 | $11.507,20 | 769 / 30 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 23 | $76.902,80 | 1265 / 37 | $19.028,20 | 906 / 44 | $13.753,90 | 898 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 29 | $23.868,30 | 713 / 18 | $6.210,29 | 533 / 17 | $5.254,29 | 532 / 20 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 40 | $21.240,30 | 1274 / 37 | $5.859,48 | 689 / 25 | $4.809,04 | 686 / 25 |
Major Small & Large Bowel Procedures W Cc | 22 | 86 / 20 | $44.153,90 | 275 / 8 | $14.080,30 | 181 / 7 | $12.379,80 | 180 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 35 | $30.301,20 | 1637 / 41 | $6.553,33 | 341 / 23 | $5.032,24 | 340 / 13 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 25 | $16.036,00 | 1103 / 33 | $3.579,81 | 557 / 21 | $2.487,24 | 553 / 21 |
Respiratory Infections & Inflammations W Cc | 20 | 68 / 13 | $27.960,90 | 607 / 21 | $7.778,10 | 193 / 13 | $6.747,70 | 192 / 10 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 31 | $35.459,50 | 781 / 28 | $6.690,79 | 278 / 18 | $5.113,74 | 278 / 13 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 43 | $42.545,70 | 1592 / 44 | $8.791,06 | 1478 / 43 | $7.786,67 | 1473 / 42 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 14 | $66.573,50 | 333 / 15 | $18.321,10 | 49 / 8 | $15.183,90 | 49 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 24 | $40.350,60 | 1310 / 37 | $9.750,65 | 1418 / 38 | $8.826,47 | 1415 / 38 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 28 | $28.906,90 | 1131 / 31 | $8.362,60 | 1400 / 35 | $7.313,07 | 1396 / 35 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 20 | $47.388,70 | 760 / 27 | $9.220,27 | 136 / 16 | $7.722,60 | 136 / 15 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 25 | $41.546,90 | 875 / 23 | $9.996,00 | 371 / 15 | $8.702,60 | 371 / 14 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 10 | $38.730,50 | 236 / 10 | $9.613,20 | 247 / 9 | $8.488,93 | 247 / 14 |
G.I. Obstruction W Cc | 14 | 78 / 23 | $15.505,30 | 325 / 7 | $5.406,43 | 414 / 17 | $4.368,71 | 413 / 17 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 22 | $84.855,60 | 295 / 8 | $27.495,90 | 175 / 2 | $26.627,40 | 175 / 2 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 14 | $161.893,00 | 593 / 17 | $44.401,50 | 814 / 22 | $43.629,00 | 813 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 32 | $39.540,70 | 681 / 20 | $10.368,80 | 575 / 21 | $9.531,85 | 574 / 25 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 28 | $20.488,90 | 939 / 25 | $4.924,77 | 697 / 17 | $4.178,92 | 692 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 26 | $18.124,30 | 441 / 14 | $4.506,46 | 533 / 12 | $3.669,54 | 529 / 19 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 16 | $28.201,40 | 664 / 19 | $5.854,92 | 287 / 8 | $5.118,92 | 287 / 10 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 20 | $23.718,80 | 600 / 19 | $5.833,15 | 490 / 15 | $5.178,38 | 487 / 20 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 31 | $19.089,50 | 1191 / 40 | $4.450,85 | 728 / 19 | $3.515,46 | 726 / 25 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 17 | $23.698,10 | 585 / 11 | $5.968,67 | 485 / 11 | $5.168,67 | 483 / 18 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 9 | $51.498,90 | 173 / 6 | $10.892,20 | 235 / 9 | $9.985,50 | 235 / 11 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 16 | $36.278,20 | 116 / 7 | $12.774,00 | 300 / 6 | $11.568,70 | 297 / 12 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 15 | $126.385,00 | 422 / 15 | $32.888,90 | 483 / 14 | $32.126,70 | 482 / 17 |
Renal Failure W Mcc | 11 | 184 / 37 | $32.573,30 | 922 / 21 | $9.943,45 | 305 / 32 | $7.741,45 | 305 / 9 |
Chest Pain | 11 | 140 / 27 | $22.422,60 | 1078 / 28 | $3.836,55 | 533 / 18 | $2.958,00 | 529 / 21 | Total 48 procedures | 1.349 | 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.