Hospital Costs > In Mississippi > Merit Health River Oaks, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 6 | $58.341,50 | 656 / 7 | $7.398,42 | 439 / 6 | $6.187,75 | 438 / 7 |
| Cervical Spinal Fusion W/O Cc/Mcc | 38 | 66 / 3 | $78.710,50 | 664 / 10 | $13.831,30 | 331 / 10 | $11.780,80 | 330 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 29 | $44.943,00 | 2162 / 37 | $6.636,82 | 1533 / 40 | $5.568,91 | 1527 / 38 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 28 | $52.531,20 | 2236 / 41 | $7.802,78 | 1565 / 38 | $6.933,44 | 1557 / 41 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 25 | $44.251,90 | 2003 / 42 | $5.369,56 | 1519 / 37 | $4.465,56 | 1508 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 31 | $42.712,40 | 2532 / 47 | $5.512,80 | 1764 / 44 | $4.420,00 | 1751 / 44 |
| G.I. Hemorrhage W Cc | 13 | 205 / 26 | $50.346,90 | 2172 / 31 | $6.930,31 | 1133 / 35 | $5.506,08 | 1131 / 25 |
| Heart Failure & Shock W Mcc | 15 | 269 / 34 | $63.734,60 | 2252 / 37 | $8.940,27 | 1124 / 24 | $8.458,13 | 1121 / 30 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 35 | $30.988,30 | 2255 / 45 | $5.503,50 | 1398 / 40 | $4.243,65 | 1389 / 37 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 7 | $103.410,00 | 505 / 9 | $9.632,09 | 293 / 8 | $8.640,09 | 293 / 8 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 9 | $83.706,50 | 678 / 9 | $13.554,50 | 427 / 9 | $12.347,30 | 424 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 243 | 321 / 5 | $96.451,60 | 2429 / 23 | $13.573,00 | 916 / 23 | $10.913,70 | 897 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 30 | $32.278,20 | 2205 / 43 | $5.211,75 | 1697 / 41 | $4.313,75 | 1692 / 43 |
| Renal Failure W Cc | 15 | 206 / 29 | $51.275,00 | 2271 / 37 | $6.576,67 | 1396 / 29 | $5.610,27 | 1387 / 30 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 3 | $106.067,00 | 436 / 4 | $18.063,20 | 68 / 3 | $13.207,60 | 68 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 41 | $89.317,90 | 2540 / 44 | $11.520,10 | 1166 / 34 | $10.426,30 | 1148 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 36 | $56.346,10 | 2662 / 53 | $6.707,36 | 1851 / 42 | $5.932,50 | 1843 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 26 | $75.789,00 | 2302 / 46 | $11.211,20 | 985 / 45 | $7.860,44 | 985 / 28 |
| Spinal Fusion Except Cervical W/O Mcc | 33 | 161 / 7 | $102.463,00 | 756 / 8 | $23.413,80 | 309 / 10 | $20.603,60 | 308 / 8 | Total 19 procedures | 547 | 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.