Hospital Costs > In Missouri > Progress West Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 28 | 161 / 32 | $8.043,21 | 94 / 2 | $4.398,57 | 129 / 3 | $3.448,86 | 129 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 44 | $13.429,90 | 211 / 4 | $6.166,67 | 341 / 4 | $5.603,47 | 340 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 40 | $12.714,80 | 478 / 12 | $4.384,58 | 69 / 15 | $2.879,58 | 69 / 2 |
| G.I. Hemorrhage W Cc | 15 | 203 / 41 | $16.758,30 | 468 / 9 | $5.224,07 | 35 / 2 | $4.133,93 | 35 / 2 |
| Heart Failure & Shock W Cc | 22 | 256 / 48 | $15.677,20 | 650 / 16 | $5.234,73 | 255 / 5 | $4.629,64 | 255 / 12 |
| Heart Failure & Shock W Mcc | 19 | 265 / 42 | $19.562,90 | 403 / 9 | $7.857,37 | 299 / 4 | $7.414,42 | 299 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 30 | $11.434,00 | 85 / 1 | $5.732,54 | 47 / 3 | $4.802,08 | 47 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 44 | $9.109,00 | 207 / 3 | $4.015,50 | 217 / 4 | $3.329,79 | 217 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 102 | 462 / 32 | $24.200,00 | 63 / 1 | $12.079,90 | 109 / 12 | $9.400,72 | 109 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 46 | $14.117,50 | 853 / 21 | $3.793,64 | 45 / 5 | $2.694,00 | 45 / 2 |
| Pulmonary Edema & Respiratory Failure | 49 | 154 / 26 | $17.705,90 | 267 / 5 | $6.604,18 | 74 / 4 | $5.598,94 | 74 / 3 |
| Renal Failure W Cc | 17 | 204 / 45 | $14.249,40 | 398 / 5 | $5.396,65 | 215 / 16 | $4.402,82 | 214 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 50 | $19.765,10 | 258 / 6 | $9.466,74 | 36 / 2 | $8.248,29 | 36 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 41 | $14.372,20 | 491 / 10 | $5.122,14 | 46 / 4 | $3.971,67 | 46 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 32 | $16.375,60 | 190 / 2 | $7.407,06 | 52 / 4 | $6.414,12 | 52 / 6 | Total 15 procedures | 417 | 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.