Hospital Costs > In Missouri > Mercy Mccune Brooks Hospital, 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 | 42 | 474 / 46 | $27.361,60 | 661 / 15 | $8.549,07 | 8 / 1 | $7.770,40 | 8 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 50 | $40.584,80 | 786 / 29 | $10.843,00 | 100 / 1 | $9.345,85 | 100 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 33 | $18.982,30 | 1025 / 30 | $4.736,61 | 17 / 1 | $3.822,18 | 17 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 38 | $21.271,00 | 460 / 12 | $6.712,84 | 10 / 1 | $5.892,36 | 10 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 39 | $20.710,50 | 780 / 25 | $5.648,05 | 21 / 1 | $4.770,95 | 21 / 2 |
| Heart Failure & Shock W Cc | 22 | 256 / 48 | $16.495,60 | 744 / 21 | $4.635,09 | 17 / 1 | $3.973,27 | 17 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 42 | $15.195,10 | 967 / 26 | $3.751,72 | 111 / 2 | $3.150,83 | 111 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 36 | $15.313,00 | 542 / 12 | $4.275,89 | 11 / 1 | $3.541,67 | 11 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 38 | $20.059,20 | 788 / 17 | $4.648,25 | 4 / 1 | $3.814,25 | 4 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 27 | $11.768,30 | 398 / 6 | $3.428,46 | 59 / 1 | $2.596,46 | 59 / 5 |
| Renal Failure W Cc | 13 | 208 / 47 | $16.258,00 | 588 / 12 | $5.276,46 | 11 / 10 | $3.754,46 | 11 / 1 |
| Heart Failure & Shock W Mcc | 11 | 273 / 48 | $24.223,00 | 679 / 15 | $6.871,00 | 12 / 1 | $6.216,45 | 12 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 38 | $47.502,10 | 954 / 28 | $12.126,90 | 1081 / 31 | $11.251,30 | 1067 / 33 |
| Cellulitis W/O Mcc | 11 | 178 / 46 | $16.806,10 | 1098 / 31 | $3.991,45 | 14 / 1 | $2.999,45 | 14 / 1 | Total 14 procedures | 296 | 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.