Hospital Costs > In Mississippi > River Region Health System, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 137 | 162 / 6 | $47.172,10 | 577 / 13 | $6.914,55 | 278 / 10 | $5.856,44 | 278 / 9 |
| Heart Failure & Shock W Cc | 113 | 165 / 8 | $35.006,10 | 2179 / 44 | $6.643,80 | 1627 / 40 | $5.908,12 | 1622 / 45 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 102 | 20 / 1 | $42.477,60 | 72 / 3 | $7.749,51 | 29 / 2 | $7.007,24 | 29 / 3 |
| Heart Failure & Shock W Mcc | 87 | 197 / 10 | $69.096,90 | 2331 / 39 | $9.843,79 | 1516 / 38 | $9.097,14 | 1512 / 39 |
| Kidney & Urinary Tract Infections W/O Mcc | 86 | 147 / 8 | $31.764,30 | 2271 / 47 | $5.466,66 | 1811 / 39 | $4.707,59 | 1800 / 46 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 77 | 198 / 10 | $31.348,50 | 2224 / 41 | $5.329,32 | 1682 / 38 | $4.319,43 | 1669 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 11 | $55.074,20 | 2646 / 51 | $6.663,89 | 1491 / 40 | $5.501,85 | 1485 / 38 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 74 | 442 / 18 | $83.714,30 | 2473 / 42 | $11.962,20 | 948 / 40 | $10.121,60 | 943 / 22 |
| Chest Pain | 58 | 93 / 2 | $38.263,90 | 1562 / 23 | $4.589,24 | 1086 / 22 | $3.713,10 | 1079 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 9 | $66.866,00 | 2204 / 40 | $9.546,50 | 939 / 40 | $7.805,71 | 939 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 49 | 117 / 12 | $27.066,90 | 2002 / 39 | $5.262,45 | 1549 / 43 | $4.127,31 | 1544 / 37 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 46 | 142 / 10 | $62.294,00 | 1415 / 18 | $7.260,50 | 784 / 16 | $5.882,30 | 782 / 17 |
| Renal Failure W Cc | 43 | 178 / 17 | $34.461,20 | 1879 / 28 | $6.480,28 | 1140 / 28 | $5.319,65 | 1132 / 26 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 41 | 52 / 6 | $31.401,50 | 1654 / 32 | $5.140,39 | 1301 / 30 | $4.048,29 | 1294 / 32 |
| Red Blood Cell Disorders W/O Mcc | 41 | 102 / 13 | $35.346,40 | 1673 / 33 | $5.650,27 | 1163 / 27 | $4.740,22 | 1155 / 27 |
| Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 13 | $60.215,50 | 2354 / 46 | $7.623,17 | 1457 / 30 | $6.778,38 | 1451 / 38 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 40 | 524 / 20 | $73.892,80 | 2090 / 19 | $13.016,20 | 997 / 20 | $11.046,30 | 977 / 20 |
| Renal Failure W Mcc | 38 | 157 / 13 | $43.897,00 | 1412 / 24 | $9.426,61 | 913 / 17 | $8.742,82 | 913 / 20 |
| Cellulitis W/O Mcc | 37 | 152 / 12 | $37.132,80 | 2350 / 43 | $5.885,24 | 1600 / 36 | $4.836,46 | 1593 / 39 |
| Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 10 | $26.353,30 | 1604 / 31 | $5.097,25 | 1165 / 32 | $3.914,03 | 1155 / 26 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 9 | $27.648,40 | 1638 / 32 | $5.252,56 | 1309 / 32 | $4.090,44 | 1298 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 12 | $26.252,20 | 1661 / 23 | $4.362,71 | 1388 / 22 | $3.272,29 | 1382 / 21 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 34 | 162 / 12 | $123.533,00 | 1337 / 16 | $13.501,40 | 482 / 13 | $10.607,20 | 480 / 11 |
| Syncope & Collapse | 34 | 135 / 9 | $32.304,90 | 1511 / 20 | $5.266,44 | 1115 / 22 | $4.244,38 | 1108 / 23 |
| G.I. Hemorrhage W/O Cc/Mcc | 31 | 37 / 1 | $31.617,70 | 832 / 13 | $5.095,00 | 609 / 14 | $4.074,61 | 605 / 14 |
| G.I. Hemorrhage W Cc | 31 | 187 / 18 | $38.495,00 | 1908 / 29 | $6.690,84 | 1274 / 29 | $5.665,55 | 1271 / 28 |
| Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 18 | $41.091,90 | 2097 / 36 | $6.477,13 | 1027 / 36 | $4.980,06 | 1024 / 29 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 12 | $57.343,20 | 1781 / 28 | $7.249,83 | 1177 / 23 | $6.706,77 | 1173 / 28 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 14 | $125.514,00 | 1701 / 24 | $15.518,90 | 1153 / 24 | $14.846,90 | 1140 / 25 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 14 | $69.903,00 | 2056 / 34 | $7.944,48 | 1230 / 25 | $7.273,67 | 1228 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 16 | $42.629,70 | 1953 / 23 | $5.569,24 | 1259 / 20 | $4.577,76 | 1254 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 18 | $39.621,00 | 2026 / 32 | $7.011,05 | 1404 / 29 | $6.115,05 | 1399 / 33 |
| G.I. Obstruction W Cc | 20 | 72 / 9 | $35.231,10 | 1353 / 14 | $7.839,10 | 731 / 16 | $4.734,15 | 730 / 13 |
| Diabetes W Cc | 20 | 72 / 16 | $28.803,20 | 1136 / 22 | $5.793,30 | 896 / 18 | $4.887,70 | 892 / 19 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 8 | $36.793,40 | 1064 / 9 | $6.534,60 | 750 / 11 | $5.686,60 | 746 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 13 | $105.971,00 | 1723 / 18 | $11.169,70 | 1008 / 17 | $10.344,50 | 1006 / 17 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 11 | $55.681,60 | 1125 / 18 | $10.642,90 | 574 / 14 | $9.852,67 | 575 / 15 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 8 | $55.701,80 | 698 / 12 | $6.073,44 | 346 / 11 | $5.198,78 | 346 / 11 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 14 | $135.097,00 | 1406 / 21 | $15.049,90 | 639 / 17 | $14.111,30 | 633 / 18 |
| Renal Failure W/O Cc/Mcc | 17 | 39 / 7 | $27.079,50 | 710 / 16 | $4.631,06 | 556 / 16 | $3.753,53 | 555 / 16 |
| Other Vascular Procedures W Cc | 17 | 85 / 8 | $116.453,00 | 952 / 14 | $14.792,80 | 328 / 7 | $14.085,10 | 326 / 9 |
| Hypertension W/O Mcc | 17 | 48 / 5 | $31.751,00 | 658 / 11 | $4.692,06 | 468 / 11 | $3.637,94 | 466 / 11 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 16 | 33 / 2 | $16.043,70 | 98 / 4 | $3.794,31 | 43 / 2 | $3.188,31 | 42 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 17 | $69.791,80 | 1543 / 18 | $11.891,30 | 1011 / 19 | $11.061,30 | 998 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 15 | $48.092,10 | 1116 / 16 | $7.757,47 | 514 / 15 | $6.654,60 | 511 / 15 |
| Transient Ischemia | 15 | 110 / 15 | $30.745,90 | 1199 / 18 | $5.183,87 | 681 / 18 | $3.563,33 | 677 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 16 | $33.277,50 | 1195 / 17 | $5.264,53 | 1055 / 16 | $4.460,27 | 1051 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 14 | $70.224,80 | 1783 / 19 | $7.827,00 | 1012 / 11 | $7.164,60 | 1009 / 14 |
| Depressive Neuroses | 14 | 36 / 3 | $27.981,20 | 126 / 6 | $4.921,29 | 68 / 6 | $3.810,21 | 68 / 6 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 11 | $28.874,40 | 1005 / 16 | $5.053,21 | 702 / 13 | $4.035,57 | 699 / 13 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 14 | 62 / 8 | $271.479,00 | 569 / 10 | $27.148,90 | 272 / 6 | $26.204,90 | 272 / 9 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 14 | $70.508,60 | 1339 / 21 | $8.823,36 | 556 / 17 | $7.459,93 | 553 / 16 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 7 | $41.142,20 | 803 / 11 | $6.254,00 | 424 / 10 | $5.064,86 | 423 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 13 | $69.473,30 | 1368 / 16 | $7.029,85 | 702 / 17 | $5.868,00 | 700 / 16 |
| Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 13 | $43.716,80 | 944 / 18 | $6.107,46 | 609 / 16 | $5.090,85 | 605 / 17 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 5 | $37.653,90 | 837 / 9 | $4.774,31 | 576 / 7 | $4.124,46 | 575 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 13 | $49.907,00 | 1490 / 20 | $7.309,67 | 853 / 17 | $6.707,00 | 850 / 19 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 12 | $49.861,60 | 830 / 17 | $8.046,75 | 376 / 11 | $7.046,75 | 374 / 12 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 10 | $85.807,70 | 559 / 9 | $11.149,60 | 336 / 8 | $10.486,50 | 335 / 9 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 1 | $36.684,50 | 239 / 1 | $5.326,00 | 141 / 1 | $4.339,82 | 141 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 13 | $89.581,70 | 909 / 14 | $9.028,09 | 176 / 13 | $4.908,64 | 176 / 2 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 5 | $27.660,80 | 282 / 11 | $4.809,27 | 206 / 9 | $3.610,73 | 206 / 8 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 10 | $308.633,00 | 927 / 10 | $37.947,40 | 577 / 10 | $34.162,60 | 576 / 9 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 9 | $498.529,00 | 507 / 9 | $67.018,50 | 296 / 5 | $66.112,30 | 296 / 6 |
| Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 4 | $386.515,00 | 404 / 6 | $48.120,10 | 283 / 4 | $47.128,20 | 283 / 5 |
| Other Vascular Procedures W Mcc | 11 | 86 / 12 | $152.974,00 | 875 / 12 | $18.189,10 | 114 / 5 | $17.144,70 | 114 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 14 | $200.649,00 | 1048 / 13 | $28.804,40 | 336 / 5 | $27.901,20 | 334 / 7 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 12 | $55.754,20 | 665 / 15 | $10.080,00 | 466 / 15 | $9.093,82 | 464 / 16 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 16 | $191.455,00 | 1231 / 17 | $32.272,60 | 572 / 15 | $30.132,30 | 567 / 15 | Total 69 procedures | 2.170 | 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.