Hospital Costs > In Kansas > Mercy Regional Health Center, 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 | 157 | 407 / 19 | $37.431,50 | 610 / 17 | $11.933,90 | 537 / 11 | $10.378,20 | 533 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 8 | $20.822,30 | 1220 / 19 | $5.677,90 | 557 / 10 | $4.690,62 | 554 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 57 | 459 / 20 | $28.859,80 | 732 / 11 | $9.916,81 | 236 / 6 | $9.024,18 | 236 / 4 |
| Renal Failure W Cc | 41 | 180 / 13 | $16.359,00 | 600 / 7 | $5.389,15 | 250 / 7 | $4.475,98 | 249 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 10 | $19.401,80 | 731 / 11 | $5.966,65 | 370 / 7 | $5.060,25 | 369 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 10 | $9.811,69 | 333 / 4 | $3.296,23 | 207 / 6 | $2.139,60 | 206 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 12 | $32.248,50 | 308 / 6 | $10.450,90 | 213 / 4 | $9.517,43 | 212 / 6 |
| G.I. Hemorrhage W Cc | 33 | 185 / 11 | $15.878,70 | 378 / 8 | $5.576,33 | 294 / 6 | $4.697,79 | 294 / 9 |
| Cellulitis W/O Mcc | 31 | 158 / 13 | $15.062,20 | 869 / 7 | $4.817,13 | 264 / 3 | $3.644,84 | 262 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 18 | $14.836,20 | 730 / 12 | $4.221,87 | 471 / 5 | $3.378,13 | 469 / 12 |
| Heart Failure & Shock W Cc | 30 | 248 / 15 | $18.132,10 | 948 / 12 | $5.541,77 | 222 / 6 | $4.575,37 | 222 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 13 | $15.659,80 | 1027 / 15 | $4.342,76 | 329 / 7 | $3.467,72 | 329 / 10 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 16 | $25.332,20 | 751 / 8 | $7.142,46 | 730 / 7 | $6.632,88 | 730 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 26 | 170 / 13 | $54.442,40 | 321 / 6 | $12.783,20 | 116 / 5 | $9.506,77 | 116 / 6 |
| Respiratory Infections & Inflammations W Mcc | 24 | 112 / 10 | $40.416,20 | 804 / 6 | $11.952,50 | 204 / 12 | $9.758,58 | 204 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 18 | $27.076,20 | 839 / 13 | $8.232,91 | 160 / 8 | $6.737,96 | 160 / 6 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 4 | $29.444,30 | 666 / 5 | $8.265,74 | 633 / 7 | $7.638,26 | 630 / 9 |
| Renal Failure W Mcc | 23 | 172 / 11 | $21.432,00 | 291 / 4 | $8.321,17 | 256 / 2 | $7.639,43 | 256 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 15 | $12.963,30 | 673 / 13 | $4.046,18 | 443 / 6 | $3.275,27 | 443 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 14 | $17.897,60 | 847 / 9 | $4.673,86 | 314 / 8 | $3.628,05 | 314 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 12 | $22.798,70 | 1280 / 13 | $5.410,50 | 178 / 5 | $4.127,70 | 178 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 13 | $29.107,40 | 472 / 8 | $8.289,68 | 44 / 16 | $4.532,84 | 44 / 5 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 19 | 37 / 4 | $27.211,60 | 134 / 1 | $8.972,32 | 133 / 1 | $7.894,42 | 133 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 18 | 78 / 6 | $41.538,50 | 199 / 6 | $12.337,20 | 95 / 5 | $10.408,40 | 95 / 4 |
| Heart Failure & Shock W Mcc | 18 | 266 / 20 | $24.620,10 | 713 / 8 | $8.083,00 | 348 / 5 | $7.478,56 | 348 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 16 | $22.244,60 | 617 / 5 | $6.070,76 | 374 / 4 | $5.071,24 | 373 / 7 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 12 | $48.040,60 | 355 / 6 | $13.566,00 | 268 / 2 | $12.740,00 | 266 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 8 | $13.943,40 | 655 / 5 | $4.121,50 | 185 / 4 | $2.993,50 | 185 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 7 | $21.380,90 | 349 / 2 | $5.809,38 | 198 / 3 | $4.937,38 | 198 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 18 | $27.700,30 | 1327 / 13 | $6.564,87 | 478 / 5 | $5.762,73 | 477 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 9 | $17.147,60 | 381 / 2 | $4.303,36 | 139 / 4 | $3.098,79 | 137 / 5 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 12 | $47.993,90 | 565 / 4 | $13.311,10 | 411 / 6 | $12.193,40 | 406 / 7 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 5 | $44.062,60 | 91 / 3 | $10.061,30 | 90 / 3 | $8.936,71 | 90 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 11 | $25.896,00 | 313 / 3 | $9.291,69 | 31 / 3 | $7.223,00 | 31 / 1 |
| G.I. Obstruction W Cc | 13 | 79 / 12 | $15.805,50 | 350 / 3 | $5.043,23 | 243 / 4 | $4.112,77 | 242 / 5 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 6 | $39.246,40 | 179 / 4 | $10.185,40 | 15 / 8 | $5.017,50 | 15 / 2 |
| Medical Back Problems W/O Mcc | 12 | 109 / 13 | $19.351,00 | 472 / 4 | $4.838,00 | 234 / 4 | $3.830,00 | 234 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 12 | $13.873,40 | 117 / 1 | $6.193,25 | 356 / 3 | $5.793,25 | 353 / 5 |
| Respiratory Neoplasms W Cc | 12 | 35 / 4 | $22.332,80 | 90 / 1 | $6.577,92 | 37 / 1 | $5.567,25 | 36 / 2 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 9 | $14.205,10 | 128 / 1 | $5.572,50 | 128 / 3 | $4.490,58 | 127 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 16 | $24.216,90 | 603 / 4 | $6.729,00 | 384 / 6 | $6.179,18 | 382 / 7 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 9 | $13.360,10 | 391 / 3 | $3.547,55 | 158 / 3 | $2.447,91 | 158 / 4 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 10 | $18.844,50 | 334 / 2 | $5.598,36 | 203 / 2 | $4.606,36 | 203 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 12 | $12.582,40 | 542 / 6 | $3.904,45 | 245 / 4 | $3.023,00 | 243 / 5 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 13 | $27.854,50 | 259 / 4 | $9.435,64 | 201 / 3 | $8.885,82 | 201 / 4 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 11 | 33 / 3 | $49.216,50 | 60 / 1 | $11.137,50 | 17 / 1 | $10.037,90 | 17 / 1 | Total 46 procedures | 1.133 | 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.