Hospital Costs > In Missouri > Ozarks Community Hospital, 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 | 14 | 106 / 30 | $14.216,50 | 691 / 24 | $4.211,50 | 743 / 12 | $3.523,50 | 740 / 26 |
| Degenerative Nervous System Disorders W/O Mcc | 31 | 47 / 4 | $11.321,40 | 48 / 2 | $5.641,29 | 150 / 8 | $4.795,35 | 150 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 58 | $57.995,50 | 1623 / 46 | $12.141,80 | 1022 / 15 | $11.096,50 | 1000 / 34 |
| Organic Disturbances & Mental Retardation | 59 | 10 / 1 | $9.242,36 | 24 / 1 | $5.756,29 | 64 / 3 | $4.887,81 | 64 / 4 |
| Psychoses | 31 | 245 / 19 | $7.721,42 | 19 / 1 | $5.750,97 | 55 / 3 | $4.851,61 | 55 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 42 | $13.666,70 | 412 / 7 | $5.606,28 | 534 / 17 | $4.672,94 | 531 / 21 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 47 | $16.639,60 | 199 / 4 | $7.278,73 | 49 / 3 | $6.400,18 | 49 / 4 | Total 7 procedures | 179 | 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.