Hospital Costs > In Missouri > Research Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 238 | 93 / 3 | $29.304,90 | 463 / 23 | $7.370,64 | 370 / 18 | $6.421,91 | 370 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 175 | 341 / 25 | $102.765,00 | 2660 / 66 | $14.225,60 | 1767 / 58 | $11.650,30 | 1732 / 50 |
Pulmonary Edema & Respiratory Failure | 97 | 106 / 10 | $58.842,80 | 1911 / 53 | $8.864,60 | 1615 / 44 | $8.151,53 | 1610 / 47 |
Renal Failure W Cc | 91 | 130 / 12 | $44.397,70 | 2134 / 56 | $7.213,38 | 1723 / 49 | $6.203,65 | 1713 / 47 |
Chest Pain | 88 | 63 / 1 | $40.165,70 | 1596 / 39 | $4.914,07 | 1195 / 33 | $3.979,89 | 1188 / 34 |
Heart Failure & Shock W Mcc | 79 | 205 / 23 | $60.679,70 | 2205 / 58 | $10.441,90 | 1497 / 48 | $9.035,79 | 1493 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 74 | 201 / 23 | $40.197,40 | 2480 / 67 | $6.024,69 | 2038 / 56 | $4.875,41 | 2024 / 56 |
Kidney & Urinary Tract Infections W/O Mcc | 65 | 168 / 16 | $42.405,20 | 2543 / 65 | $5.885,22 | 2033 / 56 | $5.063,31 | 2022 / 57 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 62 | 145 / 15 | $55.465,30 | 2350 / 56 | $8.383,06 | 1757 / 50 | $6.696,24 | 1750 / 46 |
Renal Failure W Mcc | 62 | 133 / 15 | $66.624,70 | 1855 / 46 | $10.973,50 | 1387 / 38 | $9.925,52 | 1387 / 38 |
Simple Pneumonia & Pleurisy W Mcc | 61 | 144 / 25 | $62.640,80 | 2137 / 60 | $10.093,30 | 1641 / 47 | $8.996,54 | 1641 / 49 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 60 | 34 / 2 | $36.346,20 | 226 / 9 | $8.129,75 | 199 / 7 | $7.546,15 | 199 / 8 |
Kidney Transplant | 53 | 51 / 2 | $381.600,00 | 168 / 5 | $29.571,80 | 81 / 1 | $21.922,30 | 81 / 2 |
Syncope & Collapse | 50 | 119 / 9 | $45.845,90 | 1788 / 45 | $6.382,32 | 1291 / 41 | $4.576,16 | 1284 / 38 |
Medical Back Problems W/O Mcc | 49 | 72 / 6 | $53.738,80 | 1440 / 31 | $7.887,88 | 1051 / 29 | $5.398,31 | 1048 / 26 |
Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 22 | $49.923,90 | 2180 / 66 | $8.132,43 | 1782 / 50 | $7.395,12 | 1774 / 55 |
Heart Failure & Shock W Cc | 48 | 230 / 32 | $52.616,60 | 2584 / 67 | $7.246,83 | 1979 / 54 | $6.492,83 | 1974 / 57 |
Spinal Fusion Except Cervical W/O Mcc | 46 | 148 / 14 | $109.056,00 | 823 / 20 | $28.493,70 | 554 / 21 | $22.145,80 | 551 / 19 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 45 | 519 / 47 | $71.643,00 | 2036 / 56 | $15.626,90 | 1245 / 53 | $11.473,50 | 1214 / 40 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 44 | 80 / 8 | $31.872,30 | 719 / 23 | $5.406,07 | 548 / 19 | $4.623,00 | 547 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 19 | $33.079,40 | 2215 / 64 | $5.454,69 | 1868 / 51 | $4.592,21 | 1862 / 55 |
G.I. Hemorrhage W Cc | 40 | 178 / 28 | $50.825,60 | 2182 / 56 | $7.476,12 | 1627 / 50 | $6.207,20 | 1623 / 45 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 21 | $78.936,00 | 2025 / 46 | $8.399,46 | 1480 / 41 | $6.820,44 | 1477 / 40 |
Cellulitis W/O Mcc | 39 | 150 / 23 | $35.670,40 | 2311 / 67 | $6.338,79 | 1881 / 54 | $5.315,90 | 1873 / 56 |
Seizures W/O Mcc | 38 | 70 / 9 | $52.568,20 | 1250 / 28 | $5.802,32 | 837 / 22 | $4.851,58 | 834 / 22 |
Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 31 | $54.251,40 | 2632 / 73 | $7.360,00 | 1856 / 58 | $5.935,30 | 1848 / 53 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 36 | 88 / 14 | $247.233,00 | 1417 / 39 | $39.684,90 | 909 / 31 | $34.110,10 | 903 / 29 |
Transient Ischemia | 34 | 91 / 11 | $56.325,20 | 1613 / 35 | $5.641,44 | 1132 / 31 | $4.319,56 | 1126 / 31 |
Signs & Symptoms W/O Mcc | 34 | 57 / 7 | $56.119,10 | 1317 / 30 | $5.714,41 | 1036 / 25 | $5.077,24 | 1033 / 27 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 32 | 136 / 22 | $104.382,00 | 1531 / 39 | $16.145,50 | 976 / 37 | $10.949,80 | 971 / 29 |
Other Vascular Procedures W Cc | 31 | 71 / 11 | $111.016,00 | 921 / 27 | $19.981,60 | 304 / 25 | $13.960,70 | 302 / 16 |
Red Blood Cell Disorders W/O Mcc | 31 | 112 / 15 | $39.535,80 | 1753 / 48 | $8.233,68 | 1234 / 45 | $4.860,48 | 1226 / 37 |
Other Vascular Procedures W Mcc | 30 | 67 / 7 | $142.087,00 | 841 / 23 | $20.320,60 | 317 / 16 | $18.905,20 | 316 / 14 |
Diabetes W Cc | 30 | 62 / 9 | $34.912,90 | 1311 / 35 | $6.153,00 | 1094 / 31 | $5.389,27 | 1090 / 33 |
Major Cardiovasc Procedures W/O Mcc | 28 | 73 / 11 | $123.180,00 | 752 / 23 | $21.822,20 | 554 / 19 | $20.869,10 | 554 / 19 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 20 | $106.446,00 | 1574 / 44 | $15.266,40 | 1101 / 34 | $14.560,10 | 1089 / 35 |
Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 29 | $41.734,50 | 2111 / 64 | $6.795,48 | 1817 / 49 | $6.146,00 | 1810 / 54 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 12 | $48.315,10 | 1123 / 35 | $10.321,90 | 835 / 34 | $7.545,78 | 830 / 28 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 18 | $54.108,70 | 1540 / 41 | $7.633,41 | 998 / 31 | $7.072,81 | 995 / 33 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 16 | $112.227,00 | 1744 / 44 | $12.764,50 | 1284 / 37 | $11.436,70 | 1274 / 36 |
Degenerative Nervous System Disorders W/O Mcc | 26 | 52 / 8 | $47.520,60 | 750 / 24 | $6.993,73 | 555 / 17 | $6.433,73 | 555 / 19 |
Extracranial Procedures W/O Cc/Mcc | 25 | 73 / 13 | $42.633,60 | 675 / 22 | $7.743,00 | 643 / 23 | $6.267,12 | 641 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 29 | $35.669,00 | 1819 / 47 | $6.035,12 | 1561 / 42 | $5.118,64 | 1556 / 42 |
Other Circulatory System Diagnoses W Mcc | 24 | 92 / 12 | $37.658,00 | 424 / 7 | $11.358,30 | 514 / 15 | $10.805,00 | 512 / 18 |
Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 22 | $64.179,20 | 1853 / 42 | $8.993,08 | 1639 / 39 | $8.337,08 | 1635 / 39 |
G.I. Hemorrhage W Mcc | 23 | 98 / 15 | $69.308,60 | 1330 / 36 | $11.863,60 | 1025 / 29 | $11.377,40 | 1017 / 30 |
G.I. Obstruction W Cc | 23 | 69 / 15 | $44.264,20 | 1518 / 41 | $6.265,52 | 1232 / 34 | $5.663,78 | 1228 / 39 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 30 | $97.739,50 | 1873 / 48 | $12.907,50 | 1247 / 37 | $11.791,20 | 1231 / 37 |
Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 6 | $46.061,40 | 979 / 24 | $6.668,38 | 603 / 20 | $5.080,57 | 599 / 17 |
Hypertension W/O Mcc | 21 | 44 / 4 | $42.871,30 | 752 / 20 | $5.216,48 | 472 / 17 | $3.640,19 | 470 / 14 |
Pulmonary Embolism W/O Mcc | 21 | 53 / 10 | $52.665,90 | 1186 / 33 | $6.879,38 | 880 / 23 | $6.057,29 | 877 / 28 |
Major Small & Large Bowel Procedures W Cc | 20 | 88 / 22 | $123.411,00 | 1359 / 34 | $18.038,20 | 896 / 28 | $15.218,60 | 888 / 26 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 20 | 69 / 11 | $56.929,60 | 639 / 17 | $8.431,10 | 421 / 16 | $6.092,25 | 420 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 19 | $78.189,80 | 1602 / 39 | $6.327,80 | 1216 / 34 | $4.894,05 | 1212 / 35 |
Organic Disturbances & Mental Retardation | 19 | 40 / 5 | $41.395,30 | 453 / 14 | $6.793,63 | 240 / 8 | $5.901,00 | 240 / 8 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 10 | $249.533,00 | 897 / 24 | $38.529,70 | 549 / 15 | $37.704,40 | 548 / 16 |
Pulmonary Embolism W Mcc | 18 | 25 / 5 | $75.591,40 | 531 / 15 | $11.269,40 | 354 / 13 | $9.314,72 | 354 / 11 |
Respiratory Neoplasms W Mcc | 18 | 34 / 7 | $101.034,00 | 594 / 19 | $11.915,50 | 408 / 15 | $11.311,00 | 406 / 15 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 27 | $41.561,70 | 1934 / 49 | $5.301,28 | 1662 / 46 | $3.941,50 | 1656 / 46 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 27 | $38.030,40 | 1913 / 58 | $5.517,41 | 1538 / 49 | $4.521,65 | 1527 / 50 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 32 | $83.925,10 | 1537 / 44 | $13.169,50 | 1026 / 32 | $11.798,30 | 1013 / 33 |
Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 13 | $50.189,60 | 750 / 24 | $7.187,56 | 549 / 20 | $6.583,56 | 549 / 22 |
Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 11 | $41.743,80 | 810 / 22 | $6.810,81 | 681 / 18 | $6.016,81 | 678 / 19 |
Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 8 | $76.384,00 | 467 / 20 | $13.306,90 | 204 / 19 | $9.165,06 | 203 / 16 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 33 | $50.841,90 | 1225 / 43 | $8.379,25 | 781 / 41 | $5.876,00 | 779 / 31 |
Seizures W Mcc | 15 | 51 / 13 | $105.899,00 | 746 / 19 | $11.705,70 | 532 / 16 | $10.980,50 | 532 / 17 |
Respiratory Neoplasms W Cc | 15 | 32 / 7 | $84.572,50 | 497 / 15 | $9.527,80 | 384 / 15 | $8.800,33 | 383 / 15 |
Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 15 | $67.339,00 | 551 / 15 | $16.605,00 | 501 / 16 | $12.816,20 | 498 / 12 |
Other Disorders Of Nervous System W Cc | 15 | 41 / 8 | $44.056,00 | 516 / 18 | $6.523,93 | 377 / 13 | $5.717,53 | 377 / 14 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 7 | $41.316,20 | 427 / 17 | $5.188,27 | 351 / 13 | $4.307,20 | 350 / 15 |
Other Resp System O.R. Procedures W Mcc | 15 | 48 / 12 | $126.687,00 | 438 / 18 | $23.561,40 | 175 / 13 | $20.229,40 | 175 / 8 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 8 | $77.994,20 | 405 / 15 | $12.244,50 | 374 / 16 | $11.122,20 | 372 / 16 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 19 | $49.694,00 | 1264 / 34 | $7.614,71 | 811 / 29 | $5.822,43 | 807 / 27 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 24 | $35.765,60 | 1832 / 46 | $5.350,36 | 1518 / 41 | $4.484,07 | 1506 / 42 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 15 | $50.998,20 | 1157 / 24 | $7.498,21 | 934 / 20 | $6.805,64 | 931 / 21 |
Renal Failure W/O Cc/Mcc | 14 | 42 / 9 | $39.835,60 | 815 / 23 | $5.708,64 | 616 / 21 | $3.993,79 | 615 / 19 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 14 | $74.090,70 | 623 / 23 | $15.386,90 | 494 / 22 | $12.755,60 | 491 / 18 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 14 | 20 / 2 | $48.424,30 | 14 / 2 | $15.864,60 | 10 / 1 | $15.693,20 | 10 / 1 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 13 | $48.925,50 | 817 / 24 | $8.795,77 | 644 / 17 | $8.000,69 | 640 / 16 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 21 | $72.348,10 | 967 / 31 | $11.525,90 | 111 / 27 | $7.606,92 | 111 / 11 |
Other Kidney & Urinary Tract Procedures W Cc | 13 | 13 / 2 | $76.594,80 | 64 / 3 | $14.716,60 | 40 / 2 | $13.695,10 | 40 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 15 | $24.619,30 | 640 / 25 | $5.115,38 | 565 / 23 | $4.091,38 | 564 / 21 |
Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 14 | $138.259,00 | 908 / 22 | $17.310,50 | 562 / 19 | $16.382,50 | 561 / 19 |
Other Circulatory System Diagnoses W Cc | 13 | 53 / 10 | $35.668,60 | 493 / 15 | $6.853,00 | 440 / 10 | $6.294,23 | 439 / 12 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 18 | $181.700,00 | 981 / 29 | $36.314,80 | 430 / 23 | $28.886,80 | 428 / 12 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 13 | $165.915,00 | 635 / 21 | $30.697,20 | 372 / 12 | $30.259,60 | 372 / 12 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 10 | $214.225,00 | 536 / 18 | $38.447,80 | 45 / 15 | $26.379,30 | 45 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 12 | 104 / 11 | $353.494,00 | 418 / 12 | $60.981,50 | 85 / 11 | $44.177,00 | 85 / 3 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 12 | $54.095,80 | 694 / 20 | $6.583,08 | 482 / 13 | $5.879,08 | 482 / 16 |
O.R. Proc W Diagnoses Of Other Contact W Health Services W Cc | 12 | 3 / 1 | $73.794,60 | 3 / 1 | $11.893,20 | 1 / 1 | $11.287,80 | 1 / 1 |
Signs & Symptoms W Mcc | 12 | 29 / 5 | $91.439,50 | 281 / 6 | $8.572,25 | 161 / 2 | $7.736,25 | 161 / 3 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 5 | $51.315,80 | 368 / 9 | $5.556,75 | 215 / 7 | $4.647,42 | 215 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 36 | $96.187,60 | 1121 / 40 | $13.538,80 | 1003 / 33 | $12.530,80 | 996 / 37 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 17 | $69.492,80 | 1369 / 35 | $8.704,25 | 1214 / 32 | $7.802,92 | 1212 / 33 |
Major Chest Procedures W Mcc | 12 | 37 / 7 | $204.115,00 | 276 / 8 | $36.109,20 | 227 / 6 | $35.306,60 | 226 / 6 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 10 | $89.540,50 | 490 / 17 | $11.661,10 | 158 / 13 | $7.590,00 | 158 / 10 |
Disorders Of The Biliary Tract W Cc | 11 | 43 / 9 | $72.624,30 | 459 / 12 | $8.276,73 | 344 / 9 | $7.505,82 | 344 / 10 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 13 | $81.962,50 | 738 / 23 | $12.471,90 | 35 / 21 | $7.388,00 | 35 / 2 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 11 | $701.183,00 | 375 / 18 | $113.288,00 | 217 / 11 | $111.823,00 | 217 / 13 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 11 | 38 / 2 | $29.424,30 | 111 / 2 | $4.019,00 | 56 / 2 | $3.475,00 | 55 / 2 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc | 11 | 18 / 2 | $91.638,80 | 83 / 3 | $15.903,40 | 53 / 1 | $15.212,50 | 52 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 17 | $58.567,80 | 1010 / 29 | $8.234,55 | 735 / 23 | $7.491,27 | 733 / 26 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 12 | $184.791,00 | 416 / 15 | $28.370,90 | 221 / 11 | $27.573,10 | 221 / 11 | Total 103 procedures | 3.185 | 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.