Hospital Costs > In South Dakota > Prairie Lakes Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 196 | 368 / 6 | $28.709,60 | 176 / 1 | $12.805,40 | 1106 / 8 | $11.225,20 | 1082 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 82 | 434 / 6 | $14.356,80 | 53 / 1 | $10.742,20 | 740 / 3 | $9.841,49 | 739 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 56 | 151 / 4 | $11.661,40 | 127 / 1 | $6.350,20 | 652 / 3 | $5.359,34 | 650 / 3 |
| Heart Failure & Shock W Cc | 41 | 237 / 5 | $10.900,10 | 185 / 1 | $5.963,83 | 544 / 5 | $4.937,20 | 544 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 7 | $10.417,00 | 135 / 1 | $5.898,32 | 658 / 3 | $4.783,76 | 655 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 4 | $9.992,15 | 212 / 1 | $4.523,12 | 776 / 3 | $3.610,74 | 771 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 4 | $22.082,90 | 49 / 1 | $11.508,60 | 641 / 2 | $10.330,20 | 638 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 4 | $13.075,70 | 188 / 1 | $6.990,29 | 649 / 2 | $5.925,24 | 646 / 2 |
| G.I. Hemorrhage W Cc | 32 | 186 / 5 | $12.973,30 | 165 / 1 | $6.021,16 | 685 / 2 | $5.076,16 | 684 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 2 | $8.902,87 | 176 / 1 | $4.081,87 | 518 / 2 | $3.319,20 | 516 / 2 |
| Heart Failure & Shock W Mcc | 28 | 256 / 6 | $16.259,10 | 209 / 1 | $8.779,75 | 660 / 5 | $7.881,46 | 660 / 5 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 5 | $12.337,90 | 46 / 1 | $7.247,15 | 631 / 3 | $6.489,81 | 631 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 5 | $8.523,56 | 189 / 1 | $4.275,24 | 865 / 3 | $3.553,32 | 862 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 7 | $18.398,10 | 288 / 1 | $8.582,17 | 862 / 3 | $7.728,83 | 862 / 3 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 4 | $30.767,60 | 59 / 1 | $15.485,50 | 395 / 1 | $13.207,90 | 392 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 4 | $38.567,60 | 55 / 2 | $11.961,00 | 551 / 2 | $10.757,20 | 547 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 5 | $10.297,00 | 118 / 1 | $5.601,25 | 671 / 2 | $4.697,25 | 669 / 2 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 4 | $10.202,40 | 117 / 1 | $4.848,89 | 363 / 1 | $3.833,32 | 362 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 6 | $12.154,40 | 61 / 1 | $6.352,28 | 616 / 2 | $5.347,83 | 615 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 5 | $7.466,33 | 108 / 1 | $3.436,33 | 349 / 2 | $2.314,20 | 347 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 5 | $8.489,33 | 154 / 1 | $4.680,67 | 869 / 2 | $3.870,00 | 863 / 3 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 4 | $45.884,10 | 157 / 3 | $17.189,00 | 187 / 3 | $13.983,90 | 187 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 4 | $33.892,30 | 15 / 1 | $19.318,40 | 373 / 2 | $18.189,20 | 371 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 4 | $9.750,64 | 218 / 1 | $4.363,71 | 314 / 1 | $3.152,29 | 314 / 1 |
| G.I. Hemorrhage W Mcc | 14 | 107 / 4 | $14.260,60 | 14 / 1 | $10.272,80 | 444 / 2 | $9.497,93 | 445 / 2 |
| Chest Pain | 13 | 138 / 3 | $6.938,69 | 44 / 1 | $3.710,15 | 297 / 1 | $2.686,15 | 296 / 1 |
| Renal Failure W Cc | 12 | 209 / 6 | $8.414,58 | 28 / 1 | $5.729,50 | 824 / 2 | $5.025,50 | 817 / 2 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 4 | $8.029,83 | 43 / 1 | $4.195,67 | 236 / 1 | $3.283,67 | 235 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 7 | $11.014,50 | 174 / 1 | $4.879,08 | 404 / 3 | $3.740,00 | 404 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 5 | $17.619,50 | 63 / 1 | $6.427,50 | 346 / 3 | $5.219,50 | 345 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 4 | $11.777,20 | 91 / 1 | $4.578,92 | 455 / 1 | $3.573,58 | 452 / 1 |
| Medical Back Problems W/O Mcc | 11 | 110 / 6 | $7.772,36 | 21 / 1 | $4.955,09 | 381 / 1 | $4.082,36 | 381 / 2 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 3 | $20.977,50 | 38 / 1 | $9.621,27 | 310 / 1 | $8.521,64 | 309 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 8 | $7.686,91 | 78 / 3 | $5.143,00 | 209 / 3 | $2.912,09 | 207 / 2 |
| Syncope & Collapse | 11 | 158 / 4 | $9.278,27 | 75 / 1 | $4.412,73 | 477 / 1 | $3.534,18 | 475 / 1 | Total 35 procedures | 988 | 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.