Hospital Costs > In Kansas > Premier Surgical Institute, 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 | 285 | 282 / 8 | $41.398,20 | 840 / 20 | $9.774,66 | 16 / 1 | $8.557,57 | 16 / 1 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 60 | 2 / 1 | $82.654,80 | 14 / 1 | $29.521,90 | 4 / 1 | $28.456,20 | 4 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 46 | 148 / 6 | $68.096,20 | 340 / 6 | $18.596,40 | 34 / 1 | $17.651,70 | 34 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 32 | 72 / 2 | $44.431,40 | 266 / 1 | $10.273,80 | 14 / 1 | $9.108,81 | 14 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 30 | 66 / 2 | $39.953,00 | 173 / 5 | $10.201,70 | 8 / 1 | $8.996,33 | 8 / 1 |
| Cervical Spinal Fusion W Cc | 27 | 26 / 2 | $47.240,40 | 73 / 1 | $13.505,80 | 3 / 1 | $12.337,20 | 3 / 1 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 21 | 25 / 2 | $81.755,00 | 5 / 1 | $36.251,60 | 4 / 1 | $35.153,00 | 4 / 1 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 9 | $34.999,20 | 386 / 9 | $4.996,00 | 7 / 1 | $3.790,67 | 7 / 1 | Total 8 procedures | 513 | 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.