Hospital Costs > In Missouri > Parkland Health 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 | 168 | 348 / 28 | $16.220,50 | 105 / 2 | $9.780,11 | 197 / 3 | $8.920,07 | 197 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 72 | 135 / 12 | $11.365,80 | 108 / 2 | $5.971,07 | 356 / 9 | $5.047,79 | 355 / 15 |
Pulmonary Edema & Respiratory Failure | 61 | 142 / 21 | $12.042,40 | 39 / 1 | $6.681,13 | 190 / 6 | $5.888,48 | 190 / 10 |
Heart Failure & Shock W Cc | 56 | 222 / 28 | $10.902,30 | 186 / 1 | $5.614,55 | 354 / 15 | $4.730,46 | 354 / 19 |
Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 26 | $11.472,30 | 210 / 3 | $5.479,11 | 498 / 14 | $4.643,02 | 495 / 20 |
Heart Failure & Shock W Mcc | 44 | 240 / 35 | $15.255,40 | 151 / 2 | $8.166,57 | 186 / 7 | $7.212,73 | 186 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 42 | 522 / 49 | $27.034,50 | 127 / 5 | $11.644,70 | 651 / 3 | $10.550,60 | 643 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 32 | $11.141,60 | 301 / 5 | $4.328,71 | 277 / 12 | $3.205,98 | 277 / 16 |
Renal Failure W Cc | 41 | 180 / 31 | $13.041,30 | 287 / 3 | $5.390,78 | 222 / 15 | $4.416,68 | 221 / 13 |
Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 32 | $11.770,20 | 117 / 2 | $6.409,03 | 346 / 9 | $5.606,36 | 345 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 25 | $8.525,69 | 190 / 3 | $4.009,83 | 515 / 12 | $3.317,71 | 513 / 21 |
Cellulitis W/O Mcc | 33 | 156 / 28 | $10.950,20 | 353 / 10 | $4.787,52 | 522 / 13 | $3.900,97 | 519 / 25 |
Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 25 | $14.944,40 | 506 / 10 | $6.079,73 | 1214 / 36 | $5.179,48 | 1209 / 37 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 36 | $10.970,60 | 381 / 5 | $4.388,39 | 433 / 18 | $3.567,82 | 433 / 20 |
Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 39 | $13.667,20 | 74 / 1 | $8.047,42 | 370 / 14 | $7.146,08 | 370 / 14 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 30 | $25.963,90 | 98 / 1 | $10.606,50 | 210 / 5 | $9.508,32 | 209 / 9 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 19 | $9.680,70 | 232 / 2 | $3.844,80 | 315 / 11 | $3.118,40 | 313 / 13 |
G.I. Hemorrhage W Cc | 18 | 200 / 39 | $12.497,90 | 135 / 2 | $5.533,78 | 387 / 11 | $4.794,22 | 387 / 19 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 24 | $9.664,94 | 92 / 1 | $4.586,17 | 570 / 11 | $4.054,61 | 568 / 17 |
Diabetes W Cc | 17 | 75 / 17 | $14.416,10 | 295 / 6 | $5.356,53 | 159 / 17 | $3.731,47 | 159 / 12 |
Renal Failure W Mcc | 15 | 180 / 34 | $14.980,80 | 66 / 1 | $8.195,40 | 184 / 5 | $7.508,47 | 184 / 6 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 29 | $10.223,20 | 265 / 6 | $4.182,73 | 300 / 10 | $3.137,40 | 300 / 16 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 35 | $14.805,50 | 19 / 1 | $10.300,20 | 225 / 3 | $9.834,92 | 225 / 9 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 27 | $12.538,50 | 74 / 1 | $6.078,18 | 56 / 6 | $5.092,00 | 56 / 4 |
Cellulitis W Mcc | 11 | 47 / 15 | $11.694,80 | 16 / 1 | $7.614,27 | 92 / 6 | $6.953,91 | 92 / 8 |
G.I. Obstruction W Cc | 11 | 81 / 26 | $12.385,60 | 136 / 1 | $4.969,55 | 163 / 8 | $3.977,55 | 162 / 10 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 22 | $14.366,60 | 34 / 1 | $8.274,36 | 113 / 6 | $7.616,91 | 113 / 12 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 20 | $13.830,50 | 71 / 1 | $7.524,45 | 200 / 10 | $6.762,27 | 199 / 11 | Total 28 procedures | 955 | 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.