Hospital Costs > In Missouri > Northeast Regional 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 | 175 | 341 / 25 | $60.042,90 | 2091 / 53 | $15.228,70 | 2344 / 60 | $13.870,20 | 2302 / 60 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 91 | 116 / 6 | $40.930,60 | 2063 / 51 | $8.413,54 | 2081 / 51 | $7.564,66 | 2073 / 52 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 42 | 522 / 49 | $87.072,90 | 2320 / 62 | $17.878,00 | 2331 / 59 | $15.554,30 | 2286 / 60 |
| Pulmonary Edema & Respiratory Failure | 38 | 165 / 33 | $61.880,50 | 1957 / 54 | $9.844,53 | 1855 / 48 | $9.135,87 | 1850 / 51 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 36 | 88 / 14 | $168.132,00 | 1119 / 31 | $42.493,80 | 1273 / 36 | $40.923,00 | 1263 / 38 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 26 | $24.450,30 | 1859 / 54 | $5.563,26 | 1765 / 52 | $4.413,85 | 1760 / 54 |
| Heart Failure & Shock W Cc | 20 | 258 / 49 | $41.824,30 | 2380 / 64 | $8.677,25 | 2115 / 63 | $6.772,65 | 2109 / 60 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 32 | $30.592,50 | 1651 / 44 | $6.240,00 | 1632 / 44 | $5.273,60 | 1627 / 45 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 31 | $48.372,60 | 1160 / 41 | $8.180,84 | 1258 / 39 | $7.293,26 | 1255 / 43 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 35 | $88.762,80 | 1804 / 46 | $16.262,50 | 1804 / 46 | $15.054,00 | 1785 / 46 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 46 | $24.410,20 | 1836 / 52 | $5.867,47 | 2039 / 55 | $4.875,47 | 2025 / 57 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 24 | $110.504,00 | 1295 / 32 | $21.486,80 | 1376 / 35 | $20.425,20 | 1362 / 35 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 43 | $22.312,50 | 1784 / 50 | $6.107,06 | 1992 / 57 | $4.988,00 | 1981 / 56 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 43 | $44.925,80 | 2069 / 64 | $9.279,25 | 2068 / 59 | $8.151,25 | 2060 / 60 |
| Heart Failure & Shock W Mcc | 15 | 269 / 44 | $36.859,90 | 1498 / 39 | $11.796,50 | 2181 / 55 | $11.154,30 | 2171 / 55 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 39 | $33.743,10 | 1874 / 57 | $7.409,71 | 1898 / 55 | $6.374,29 | 1891 / 56 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 28 | $23.815,20 | 1173 / 32 | $7.464,08 | 1396 / 44 | $5.195,08 | 1387 / 42 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 8 | $66.003,30 | 428 / 13 | $13.517,80 | 411 / 16 | $10.088,50 | 411 / 15 |
| Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 25 | $106.737,00 | 808 / 18 | $31.822,90 | 1196 / 25 | $30.616,80 | 1191 / 27 |
| Extracranial Procedures W Cc | 13 | 33 / 9 | $90.714,70 | 349 / 10 | $12.639,20 | 326 / 10 | $11.617,60 | 326 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 45 | $40.880,30 | 2355 / 68 | $7.740,62 | 2335 / 62 | $6.997,23 | 2326 / 64 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 19 | $115.603,00 | 732 / 27 | $27.174,40 | 838 / 31 | $26.070,40 | 834 / 31 |
| Cellulitis W/O Mcc | 12 | 177 / 45 | $32.375,20 | 2213 / 63 | $6.752,00 | 1978 / 56 | $5.518,67 | 1970 / 57 |
| G.I. Hemorrhage W Cc | 12 | 206 / 44 | $26.357,20 | 1319 / 34 | $7.945,42 | 1932 / 52 | $7.038,75 | 1928 / 53 |
| Hypertension W/O Mcc | 11 | 54 / 11 | $27.473,60 | 597 / 16 | $4.905,64 | 508 / 15 | $3.808,91 | 506 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 18 | $57.091,10 | 1269 / 34 | $8.370,27 | 1173 / 29 | $7.491,73 | 1171 / 32 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 29 | $78.184,50 | 1538 / 42 | $13.742,30 | 1510 / 40 | $12.980,10 | 1497 / 41 | Total 27 procedures | 722 | 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.