Hospital Costs > In Missouri > Missouri Delta Medical Center, 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 | 97 | 419 / 35 | $44.925,30 | 1571 / 40 | $12.436,40 | 1731 / 47 | $11.552,30 | 1698 / 49 |
Heart Failure & Shock W Mcc | 95 | 189 / 20 | $33.064,00 | 1287 / 29 | $10.007,10 | 1633 / 44 | $9.346,94 | 1628 / 47 |
Pulmonary Edema & Respiratory Failure | 82 | 121 / 14 | $26.492,20 | 820 / 21 | $8.077,11 | 1264 / 35 | $7.343,60 | 1262 / 39 |
Simple Pneumonia & Pleurisy W Mcc | 66 | 139 / 23 | $31.717,40 | 1152 / 33 | $9.694,45 | 1532 / 44 | $8.761,61 | 1532 / 43 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 60 | 504 / 44 | $80.302,00 | 2209 / 59 | $14.471,50 | 1821 / 48 | $12.953,80 | 1780 / 52 |
Renal Failure W Cc | 51 | 170 / 24 | $21.544,30 | 1129 / 35 | $6.439,84 | 1408 / 38 | $5.626,35 | 1399 / 44 |
Renal Failure W Mcc | 49 | 146 / 18 | $33.772,40 | 989 / 26 | $10.282,90 | 1055 / 34 | $9.022,49 | 1055 / 30 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 37 | $18.514,70 | 1212 / 35 | $4.945,50 | 1275 / 35 | $3.946,91 | 1264 / 37 |
Heart Failure & Shock W Cc | 27 | 251 / 44 | $20.005,60 | 1187 / 34 | $6.631,78 | 1352 / 43 | $5.602,44 | 1348 / 41 |
Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 37 | $20.774,70 | 1211 / 34 | $6.526,74 | 1439 / 45 | $5.454,15 | 1433 / 44 |
G.I. Hemorrhage W Cc | 26 | 192 / 35 | $25.861,90 | 1278 / 31 | $6.698,00 | 1322 / 38 | $5.722,00 | 1319 / 39 |
Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 37 | $21.127,60 | 821 / 28 | $7.791,50 | 1522 / 45 | $6.863,50 | 1515 / 48 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 31 | $23.954,50 | 1154 / 27 | $8.049,64 | 1255 / 47 | $5.931,08 | 1250 / 39 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 28 | $54.004,00 | 1179 / 37 | $13.132,30 | 1334 / 39 | $12.121,60 | 1316 / 39 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 18 | $31.191,90 | 483 / 8 | $11.518,80 | 1115 / 32 | $10.732,70 | 1110 / 35 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 29 | $46.107,30 | 974 / 29 | $13.255,80 | 1180 / 34 | $12.443,00 | 1166 / 36 |
Syncope & Collapse | 19 | 150 / 23 | $18.595,70 | 735 / 20 | $4.825,53 | 903 / 25 | $3.941,32 | 898 / 30 |
Cellulitis W/O Mcc | 19 | 170 / 40 | $23.841,80 | 1804 / 55 | $5.612,42 | 1558 / 40 | $4.788,84 | 1551 / 49 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 26 | $53.838,40 | 737 / 17 | $15.188,50 | 1061 / 32 | $14.381,40 | 1051 / 34 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 25 | $22.543,40 | 562 / 17 | $7.417,00 | 803 / 28 | $6.587,00 | 800 / 28 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 21 | $30.387,90 | 644 / 22 | $7.943,00 | 721 / 24 | $7.185,00 | 716 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 42 | $19.732,50 | 1530 / 46 | $4.673,00 | 1277 / 36 | $3.866,60 | 1273 / 42 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 38 | $24.488,90 | 1417 / 46 | $6.235,93 | 1439 / 40 | $5.427,40 | 1434 / 46 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 37 | $22.852,80 | 1268 / 34 | $5.251,86 | 1098 / 27 | $4.392,43 | 1094 / 31 |
Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 44 | $15.063,10 | 951 / 25 | $5.140,57 | 1338 / 41 | $4.194,29 | 1329 / 43 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 12 | $24.114,30 | 274 / 5 | $8.319,57 | 513 / 15 | $7.544,71 | 511 / 13 |
G.I. Obstruction W Cc | 12 | 80 / 25 | $25.582,10 | 1023 / 30 | $5.908,92 | 1103 / 29 | $5.303,58 | 1100 / 33 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 17 | $74.500,40 | 627 / 24 | $14.875,70 | 589 / 21 | $13.668,50 | 585 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 33 | $20.713,60 | 105 / 1 | $11.539,60 | 909 / 27 | $10.661,10 | 907 / 28 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 17 | $17.103,00 | 406 / 18 | $4.245,45 | 356 / 10 | $3.483,27 | 355 / 13 | Total 30 procedures | 937 | 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.