Hospital Costs > In Missouri > Saint Luke's East Lee's Summit Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 183 | 333 / 22 | $62.935,50 | 2160 / 56 | $10.585,30 | 536 / 18 | $9.574,04 | 535 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 145 | 419 / 24 | $49.963,30 | 1286 / 40 | $12.164,90 | 359 / 16 | $10.084,00 | 358 / 14 |
| Heart Failure & Shock W Cc | 123 | 155 / 11 | $34.918,20 | 2173 / 58 | $5.618,84 | 158 / 16 | $4.463,20 | 158 / 9 |
| Heart Failure & Shock W Mcc | 78 | 206 / 24 | $54.176,70 | 2096 / 56 | $8.444,10 | 482 / 14 | $7.667,56 | 482 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 77 | 198 / 22 | $33.461,00 | 2300 / 62 | $4.343,84 | 108 / 14 | $2.962,62 | 108 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 75 | 130 / 18 | $42.280,70 | 1644 / 48 | $8.432,95 | 177 / 20 | $6.768,44 | 177 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 20 | $33.566,90 | 2126 / 63 | $5.188,56 | 160 / 6 | $4.249,05 | 160 / 11 |
| G.I. Hemorrhage W Cc | 56 | 162 / 20 | $35.010,90 | 1786 / 49 | $5.732,18 | 46 / 17 | $4.180,80 | 46 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 55 | 147 / 18 | $37.783,60 | 1852 / 57 | $6.102,71 | 103 / 3 | $5.181,69 | 103 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 52 | 98 / 12 | $20.207,60 | 1404 / 40 | $3.057,71 | 173 / 6 | $2.084,83 | 173 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 48 | 75 / 12 | $37.343,70 | 1235 / 32 | $6.958,38 | 37 / 11 | $5.364,58 | 37 / 2 |
| Cellulitis W/O Mcc | 47 | 142 / 17 | $29.084,60 | 2085 / 61 | $4.935,51 | 218 / 20 | $3.584,15 | 216 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 18 | $33.600,10 | 1797 / 44 | $6.068,92 | 142 / 15 | $4.749,53 | 142 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 46 | 79 / 7 | $49.981,10 | 1137 / 34 | $9.868,46 | 63 / 13 | $7.647,70 | 63 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 7 | $26.853,60 | 1622 / 43 | $3.607,48 | 116 / 4 | $2.811,84 | 115 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 18 | $47.390,90 | 1130 / 40 | $6.724,26 | 94 / 21 | $4.726,37 | 94 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 27 | $27.609,10 | 2103 / 56 | $4.534,88 | 28 / 21 | $2.918,07 | 28 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 21 | $26.420,80 | 1471 / 42 | $4.521,41 | 99 / 13 | $3.287,33 | 99 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 21 | $33.187,70 | 1857 / 56 | $5.347,45 | 202 / 15 | $4.181,87 | 202 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 36 | 55 / 4 | $36.604,70 | 950 / 26 | $5.643,14 | 59 / 2 | $4.548,44 | 59 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 35 | 161 / 24 | $81.404,30 | 896 / 34 | $11.232,60 | 273 / 3 | $10.062,30 | 273 / 13 |
| Pulmonary Edema & Respiratory Failure | 35 | 168 / 34 | $54.033,10 | 1832 / 50 | $7.782,34 | 726 / 28 | $6.624,14 | 726 / 25 |
| Renal Failure W Cc | 34 | 187 / 35 | $38.710,90 | 2012 / 52 | $5.450,41 | 444 / 18 | $4.694,21 | 441 / 19 |
| Renal Failure W Mcc | 33 | 162 / 26 | $66.996,50 | 1861 / 47 | $9.764,09 | 1096 / 30 | $9.127,03 | 1096 / 33 |
| Chest Pain | 31 | 120 / 13 | $30.960,00 | 1414 / 35 | $3.689,10 | 93 / 15 | $2.336,45 | 93 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 28 | $28.089,00 | 2051 / 60 | $3.795,71 | 206 / 6 | $3.014,29 | 206 / 9 |
| Syncope & Collapse | 30 | 139 / 18 | $29.037,20 | 1401 / 37 | $4.756,27 | 78 / 21 | $2.944,13 | 78 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 18 | $39.230,50 | 1485 / 37 | $6.013,28 | 181 / 9 | $5.222,10 | 181 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 25 | $60.638,10 | 1368 / 40 | $10.747,00 | 314 / 9 | $9.763,33 | 313 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 13 | $41.935,50 | 1000 / 32 | $7.086,35 | 38 / 17 | $5.358,27 | 38 / 1 |
| Pulmonary Embolism W/O Mcc | 25 | 49 / 7 | $34.083,30 | 948 / 27 | $5.366,44 | 94 / 6 | $4.302,00 | 94 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 28 | $34.067,80 | 1322 / 38 | $6.126,24 | 17 / 15 | $4.181,64 | 17 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 16 | $29.867,00 | 1097 / 36 | $4.307,54 | 39 / 6 | $2.803,88 | 39 / 2 |
| G.I. Obstruction W Cc | 24 | 68 / 14 | $42.172,40 | 1492 / 40 | $5.367,21 | 397 / 16 | $4.341,79 | 396 / 15 |
| G.I. Hemorrhage W Mcc | 24 | 97 / 14 | $62.512,80 | 1237 / 32 | $10.312,80 | 463 / 16 | $9.558,12 | 464 / 18 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 21 | $32.229,20 | 1587 / 43 | $4.408,04 | 142 / 7 | $3.508,87 | 142 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 20 | $29.424,40 | 1602 / 47 | $3.931,77 | 45 / 7 | $2.563,36 | 45 / 4 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 14 | $34.584,60 | 1011 / 30 | $5.284,52 | 125 / 6 | $4.478,43 | 124 / 8 |
| Transient Ischemia | 20 | 105 / 20 | $27.885,00 | 1101 / 30 | $3.867,50 | 43 / 6 | $2.638,90 | 43 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 18 | $56.442,40 | 850 / 29 | $8.685,45 | 28 / 12 | $6.953,00 | 28 / 3 |
| Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 12 | $92.490,10 | 648 / 28 | $17.434,90 | 320 / 17 | $16.691,80 | 317 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 23 | $51.459,60 | 1507 / 40 | $7.130,00 | 125 / 24 | $5.360,11 | 124 / 8 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 31 | $70.567,90 | 1410 / 43 | $11.210,90 | 604 / 12 | $10.679,40 | 596 / 16 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 17 | 36 / 6 | $32.241,20 | 625 / 11 | $4.104,18 | 67 / 3 | $3.178,06 | 67 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 15 | $95.134,80 | 611 / 23 | $19.169,60 | 370 / 15 | $18.179,50 | 368 / 17 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 25 | $88.260,50 | 1090 / 30 | $15.144,60 | 672 / 16 | $14.242,60 | 666 / 21 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 12 | $48.858,70 | 312 / 14 | $12.193,20 | 186 / 4 | $10.981,20 | 184 / 8 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 6 | $81.880,50 | 424 / 16 | $10.260,00 | 155 / 2 | $9.284,00 | 155 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 9 | $61.868,30 | 595 / 21 | $9.118,81 | 53 / 3 | $7.513,44 | 53 / 4 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 15 | $28.656,70 | 1093 / 29 | $3.317,31 | 139 / 4 | $2.409,31 | 139 / 9 |
| Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 5 | $43.351,40 | 388 / 11 | $5.310,56 | 29 / 5 | $4.400,06 | 29 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 21 | $192.124,00 | 1234 / 34 | $35.203,20 | 565 / 25 | $30.063,90 | 560 / 20 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 15 | $35.979,10 | 612 / 21 | $5.328,87 | 83 / 4 | $4.441,40 | 83 / 7 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 12 | $29.254,10 | 691 / 21 | $4.754,73 | 96 / 4 | $3.788,33 | 96 / 8 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 9 | $60.647,60 | 211 / 11 | $14.473,60 | 132 / 5 | $13.438,10 | 132 / 9 |
| Pulmonary Embolism W Mcc | 14 | 29 / 8 | $53.586,60 | 448 / 13 | $9.067,86 | 6 / 7 | $6.400,21 | 6 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 30 | $26.921,80 | 1611 / 50 | $3.825,00 | 127 / 2 | $2.876,43 | 127 / 11 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 18 | $32.381,60 | 770 / 26 | $7.270,93 | 62 / 6 | $6.320,07 | 62 / 3 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 10 | $23.373,20 | 649 / 21 | $3.409,38 | 49 / 4 | $2.478,92 | 49 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 13 | $30.231,60 | 635 / 18 | $5.406,92 | 16 / 4 | $3.615,69 | 16 / 1 |
| Medical Back Problems W/O Mcc | 13 | 108 / 23 | $53.488,70 | 1436 / 30 | $7.156,23 | 1226 / 26 | $6.137,15 | 1222 / 29 |
| Hypertension W/O Mcc | 13 | 52 / 9 | $28.462,90 | 616 / 17 | $3.382,08 | 15 / 2 | $2.173,46 | 15 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 19 | $130.996,00 | 661 / 24 | $27.700,40 | 79 / 5 | $24.618,60 | 79 / 2 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 6 | $43.064,20 | 351 / 9 | $3.775,67 | 27 / 3 | $2.669,00 | 27 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 33 | $56.444,50 | 1075 / 34 | $9.564,91 | 155 / 9 | $8.339,36 | 154 / 5 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 14 | $49.523,50 | 458 / 18 | $8.958,64 | 183 / 4 | $7.972,45 | 183 / 9 |
| Diabetes W Cc | 11 | 81 / 23 | $34.094,90 | 1288 / 34 | $4.757,09 | 75 / 7 | $3.551,82 | 75 / 8 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 14 | $57.809,10 | 335 / 13 | $11.448,40 | 16 / 7 | $8.924,36 | 16 / 2 |
| Cellulitis W Mcc | 11 | 47 / 15 | $54.155,90 | 760 / 23 | $9.324,45 | 330 / 21 | $7.995,27 | 329 / 18 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 11 | $22.743,40 | 600 / 18 | $3.773,64 | 32 / 4 | $2.679,82 | 32 / 1 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 20 | $37.923,20 | 1181 / 29 | $10.381,80 | 67 / 30 | $2.884,55 | 67 / 6 | Total 71 procedures | 2.306 | 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.