Hospital Costs > In Missouri > Mineral Area Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 49 | 75 / 6 | $9.467,49 | 116 / 3 | $4.846,10 | 372 / 15 | $4.007,90 | 372 / 15 |
| Cellulitis W/O Mcc | 17 | 172 / 41 | $19.208,70 | 1397 / 47 | $5.693,41 | 1478 / 43 | $4.697,65 | 1471 / 48 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 36 | $20.209,40 | 1022 / 32 | $6.314,78 | 1450 / 42 | $5.443,67 | 1445 / 47 |
| Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 29 | $31.513,50 | 1554 / 52 | $7.545,18 | 1386 / 41 | $6.683,26 | 1380 / 46 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 18 | $21.173,90 | 1344 / 46 | $4.991,48 | 1392 / 36 | $4.232,96 | 1381 / 46 |
| Diabetes W Cc | 16 | 76 / 18 | $23.437,80 | 915 / 27 | $5.544,12 | 981 / 22 | $5.090,12 | 977 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 47 | $20.755,10 | 1482 / 46 | $5.228,94 | 1399 / 44 | $4.044,94 | 1388 / 43 |
| G.I. Hemorrhage W Cc | 13 | 205 / 43 | $21.124,50 | 851 / 19 | $6.086,69 | 972 / 25 | $5.340,85 | 970 / 30 |
| Heart Failure & Shock W Cc | 19 | 259 / 50 | $28.642,10 | 1884 / 51 | $6.737,11 | 1913 / 48 | $6.354,79 | 1908 / 55 |
| Heart Failure & Shock W Mcc | 16 | 268 / 43 | $42.180,90 | 1746 / 49 | $9.121,00 | 1160 / 27 | $8.517,00 | 1157 / 33 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 26 | $15.910,90 | 945 / 28 | $4.763,55 | 1219 / 33 | $3.998,45 | 1209 / 37 |
| Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 34 | $16.908,10 | 1213 / 36 | $5.209,61 | 1500 / 45 | $4.351,81 | 1489 / 46 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 27 | 537 / 53 | $75.804,80 | 2132 / 57 | $13.436,00 | 1417 / 36 | $11.848,80 | 1384 / 44 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 38 | $12.912,70 | 662 / 18 | $4.753,89 | 1192 / 41 | $3.804,00 | 1188 / 39 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 11 | $15.612,40 | 322 / 13 | $4.573,83 | 409 / 15 | $3.618,28 | 408 / 16 |
| Psychoses | 113 | 180 / 13 | $13.028,30 | 136 / 4 | $6.811,72 | 301 / 16 | $5.994,73 | 301 / 14 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 27 | $19.415,70 | 847 / 23 | $5.594,47 | 958 / 33 | $4.470,20 | 952 / 31 |
| Renal Failure W Cc | 25 | 196 / 39 | $20.030,00 | 986 / 29 | $6.480,60 | 1394 / 40 | $5.608,92 | 1385 / 43 |
| Renal Failure W Mcc | 14 | 181 / 35 | $33.615,10 | 984 / 25 | $9.270,50 | 770 / 20 | $8.493,36 | 770 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 21 | 495 / 54 | $35.050,40 | 1055 / 26 | $10.845,80 | 896 / 23 | $10.045,80 | 893 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 37 | $23.743,30 | 1138 / 25 | $6.308,71 | 775 / 20 | $5.457,88 | 773 / 25 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 39 | $31.999,20 | 2057 / 61 | $6.378,00 | 1495 / 43 | $5.511,44 | 1489 / 47 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 41 | $42.148,50 | 1641 / 47 | $9.400,32 | 1477 / 39 | $8.634,00 | 1477 / 41 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 25 | $18.304,60 | 1055 / 34 | $4.857,62 | 1171 / 34 | $3.871,62 | 1165 / 38 |
| Spinal Fusion Except Cervical W/O Mcc | 31 | 163 / 17 | $113.510,00 | 872 / 21 | $24.952,50 | 646 / 16 | $22.759,00 | 642 / 20 | Total 25 procedures | 632 | 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.