Hospital Costs > In Missouri > Nevada Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 28 | $12.168,90 | 462 / 16 | $5.920,62 | 1672 / 52 | $4.867,38 | 1661 / 52 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 48 | $10.777,40 | 268 / 4 | $6.062,29 | 2094 / 58 | $4.981,21 | 2080 / 58 |
Heart Failure & Shock W Cc | 16 | 262 / 53 | $13.536,60 | 416 / 7 | $7.457,00 | 2018 / 57 | $6.557,69 | 2013 / 59 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 26 | $11.470,20 | 404 / 9 | $5.675,55 | 1667 / 43 | $4.928,82 | 1654 / 44 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 41 | $8.355,69 | 175 / 2 | $5.709,31 | 1878 / 54 | $4.604,62 | 1872 / 56 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 12 | 504 / 59 | $19.326,20 | 236 / 4 | $13.182,30 | 1978 / 53 | $12.296,20 | 1941 / 53 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 42 | $17.341,70 | 832 / 25 | $8.336,22 | 2446 / 65 | $7.446,06 | 2437 / 66 | Total 7 procedures | 103 | 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.