Hospital Costs > In Missouri > Ozarks Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 23 | $23.261,60 | 242 / 1 | $10.148,00 | 551 / 18 | $9.122,56 | 550 / 19 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 40 | 84 / 9 | $8.272,35 | 81 / 1 | $4.692,55 | 265 / 11 | $3.694,68 | 265 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 30 | $20.236,50 | 1072 / 29 | $5.256,38 | 981 / 28 | $4.272,62 | 978 / 29 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 25 | $21.454,50 | 417 / 10 | $7.545,86 | 594 / 18 | $6.515,59 | 591 / 20 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 25 | $9.795,90 | 332 / 5 | $3.959,95 | 1126 / 31 | $2.930,90 | 1121 / 35 |
Cellulitis W/O Mcc | 25 | 164 / 35 | $13.475,80 | 658 / 20 | $5.427,72 | 1088 / 32 | $4.341,08 | 1082 / 34 |
Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 36 | $13.897,30 | 398 / 7 | $5.867,56 | 627 / 25 | $4.656,67 | 625 / 22 |
Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 30 | $17.063,30 | 482 / 10 | $7.136,47 | 958 / 28 | $6.201,74 | 953 / 35 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 22 | $13.534,90 | 612 / 21 | $4.792,59 | 949 / 31 | $3.692,68 | 940 / 31 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 30 | $12.707,60 | 477 / 11 | $4.931,33 | 1391 / 33 | $4.040,28 | 1380 / 42 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 20 | $26.690,50 | 329 / 15 | $6.598,00 | 398 / 13 | $5.469,45 | 397 / 14 |
G.I. Hemorrhage W Cc | 20 | 198 / 38 | $14.507,20 | 262 / 5 | $6.348,10 | 889 / 30 | $5.261,60 | 887 / 28 |
G.I. Obstruction W Cc | 17 | 75 / 20 | $13.127,40 | 170 / 2 | $5.660,82 | 738 / 22 | $4.744,82 | 737 / 27 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 19 | $11.189,70 | 217 / 4 | $4.781,18 | 259 / 24 | $2.636,00 | 259 / 12 |
Heart Failure & Shock W Cc | 29 | 249 / 42 | $16.234,90 | 716 / 20 | $6.272,83 | 1091 / 34 | $5.362,28 | 1089 / 33 |
Heart Failure & Shock W Mcc | 46 | 238 / 34 | $20.735,70 | 463 / 11 | $8.940,48 | 909 / 25 | $8.165,52 | 908 / 27 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 22 | $10.901,80 | 352 / 7 | $4.670,06 | 445 / 29 | $3.254,18 | 443 / 15 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 27 | $34.843,90 | 402 / 11 | $11.454,70 | 607 / 20 | $10.254,40 | 604 / 25 |
Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 15 | $64.742,10 | 353 / 14 | $18.065,90 | 312 / 21 | $16.672,30 | 309 / 19 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 12 | $26.680,20 | 122 / 6 | $9.729,58 | 316 / 11 | $8.538,75 | 315 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 23 | $58.086,40 | 90 / 1 | $29.675,70 | 355 / 10 | $28.387,20 | 355 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 31 | $17.334,40 | 309 / 5 | $6.702,39 | 811 / 25 | $5.561,50 | 809 / 26 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 28 | $28.746,90 | 303 / 5 | $10.234,80 | 388 / 18 | $9.058,39 | 387 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 23 | $17.115,20 | 376 / 11 | $5.025,12 | 735 / 22 | $3.910,75 | 731 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 44 | $12.856,40 | 625 / 12 | $5.128,57 | 1115 / 40 | $4.031,86 | 1107 / 38 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 20 | $52.407,50 | 147 / 4 | $19.758,40 | 424 / 18 | $18.510,50 | 422 / 19 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 45 | 519 / 47 | $37.929,60 | 637 / 21 | $12.552,00 | 1201 / 22 | $11.390,60 | 1172 / 39 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 44 | $9.873,38 | 296 / 5 | $4.608,54 | 967 / 31 | $3.631,62 | 964 / 32 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 19 | $77.080,80 | 243 / 8 | $19.211,10 | 316 / 10 | $18.060,90 | 314 / 15 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 27 | $48.639,90 | 197 / 6 | $11.987,80 | 549 / 11 | $10.754,30 | 545 / 22 |
Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 16 | $17.151,50 | 53 / 2 | $8.457,07 | 263 / 9 | $7.547,07 | 262 / 11 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 28 | 33 / 5 | $11.183,60 | 146 / 3 | $4.418,64 | 375 / 13 | $3.535,14 | 374 / 15 |
Psychoses | 207 | 114 / 8 | $10.444,70 | 70 / 2 | $6.464,74 | 197 / 10 | $5.506,37 | 197 / 9 |
Pulmonary Edema & Respiratory Failure | 40 | 163 / 32 | $14.062,40 | 103 / 2 | $7.563,52 | 578 / 21 | $6.424,73 | 578 / 22 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 30 | $13.128,40 | 282 / 7 | $5.293,64 | 757 / 24 | $4.251,64 | 752 / 25 |
Renal Failure W Cc | 22 | 199 / 41 | $15.869,50 | 549 / 10 | $6.075,23 | 1165 / 27 | $5.341,41 | 1157 / 36 |
Renal Failure W Mcc | 15 | 180 / 34 | $22.962,30 | 361 / 6 | $9.146,20 | 716 / 17 | $8.395,67 | 716 / 21 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 30 | $24.701,70 | 219 / 4 | $11.658,60 | 693 / 18 | $10.907,20 | 685 / 21 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 24 | $36.477,20 | 243 / 3 | $13.370,30 | 510 / 13 | $12.477,30 | 503 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 172 | 344 / 27 | $25.679,40 | 570 / 14 | $10.827,20 | 779 / 22 | $9.884,73 | 778 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 18 | $17.318,70 | 541 / 9 | $7.154,51 | 942 / 40 | $5.614,64 | 939 / 29 |
Signs & Symptoms W/O Mcc | 12 | 79 / 19 | $15.707,40 | 381 / 11 | $4.651,17 | 367 / 17 | $3.477,67 | 366 / 13 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 36 | $17.260,00 | 825 / 23 | $6.226,69 | 983 / 34 | $5.063,72 | 980 / 32 |
Simple Pneumonia & Pleurisy W Mcc | 59 | 146 / 27 | $23.064,00 | 571 / 15 | $8.771,70 | 993 / 25 | $7.868,27 | 993 / 29 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 23 | $15.057,60 | 740 / 24 | $4.687,68 | 979 / 28 | $3.660,21 | 974 / 30 |
Syncope & Collapse | 13 | 156 / 27 | $12.250,30 | 211 / 5 | $4.868,00 | 1070 / 28 | $4.175,08 | 1063 / 32 |
Transient Ischemia | 11 | 114 / 24 | $11.264,40 | 108 / 1 | $4.721,73 | 699 / 21 | $3.582,27 | 695 / 20 | Total 47 procedures | 1.409 | 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.