Hospital Costs > In Missouri > Saint Lukes Northland 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 | 99 | 417 / 34 | $61.890,90 | 2126 / 54 | $11.490,40 | 1075 / 36 | $10.289,80 | 1062 / 33 |
Psychoses | 94 | 197 / 15 | $19.908,30 | 325 / 19 | $6.170,80 | 82 / 5 | $5.028,93 | 82 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 92 | 472 / 36 | $59.260,80 | 1666 / 50 | $13.449,70 | 639 / 38 | $10.530,00 | 631 / 22 |
Heart Failure & Shock W Cc | 58 | 220 / 26 | $35.458,50 | 2197 / 60 | $6.032,86 | 1156 / 27 | $5.410,52 | 1153 / 35 |
Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 19 | $32.332,20 | 1824 / 54 | $6.054,26 | 716 / 33 | $4.738,62 | 714 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 34 | $28.655,00 | 2106 / 58 | $4.742,67 | 1039 / 28 | $3.782,26 | 1031 / 31 |
Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 15 | $28.172,10 | 1103 / 30 | $6.624,38 | 548 / 22 | $5.770,74 | 547 / 19 |
G.I. Hemorrhage W Cc | 34 | 184 / 31 | $30.752,30 | 1601 / 43 | $6.118,24 | 827 / 26 | $5.197,76 | 825 / 26 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 27 | $81.553,30 | 897 / 35 | $12.243,10 | 488 / 12 | $10.617,20 | 486 / 21 |
Cellulitis W/O Mcc | 32 | 157 / 29 | $21.876,10 | 1652 / 54 | $5.936,97 | 583 / 48 | $3.955,47 | 580 / 27 |
Pulmonary Edema & Respiratory Failure | 32 | 171 / 35 | $48.487,60 | 1729 / 47 | $7.823,34 | 619 / 29 | $6.471,31 | 619 / 24 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 19 | $20.754,80 | 1438 / 43 | $3.704,78 | 815 / 24 | $2.682,78 | 811 / 27 |
Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 36 | $42.406,10 | 1651 / 49 | $8.965,21 | 711 / 31 | $7.570,93 | 711 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 31 | $19.037,60 | 1457 / 44 | $4.620,30 | 592 / 33 | $3.370,93 | 590 / 23 |
Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 37 | $33.993,40 | 2145 / 64 | $6.053,63 | 1165 / 27 | $5.206,22 | 1161 / 37 |
Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 37 | $30.143,80 | 1488 / 50 | $6.959,08 | 715 / 23 | $5.984,31 | 710 / 27 |
Heart Failure & Shock W Mcc | 25 | 259 / 40 | $47.505,80 | 1920 / 55 | $8.756,84 | 622 / 21 | $7.840,36 | 622 / 20 |
Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 38 | $25.622,60 | 2005 / 54 | $4.768,60 | 838 / 28 | $3.848,28 | 833 / 29 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 29 | $51.804,30 | 1113 / 33 | $12.259,20 | 581 / 33 | $10.218,90 | 578 / 23 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 33 | $36.394,30 | 1910 / 48 | $6.824,26 | 1198 / 30 | $5.875,35 | 1193 / 38 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 16 | $23.376,50 | 1477 / 40 | $4.333,74 | 596 / 19 | $3.384,87 | 594 / 18 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 23 | 30 / 3 | $32.857,20 | 631 / 12 | $4.821,35 | 316 / 8 | $3.821,00 | 313 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 24 | $52.204,70 | 1573 / 41 | $7.830,00 | 848 / 26 | $6.883,91 | 845 / 26 |
Chest Pain | 21 | 130 / 21 | $20.810,60 | 978 / 26 | $4.593,48 | 382 / 29 | $2.796,86 | 381 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 32 | $23.583,30 | 1324 / 37 | $4.887,90 | 729 / 21 | $4.039,90 | 726 / 26 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 22 | $24.820,90 | 1446 / 40 | $4.526,35 | 725 / 21 | $3.436,75 | 721 / 24 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 32 | $44.077,50 | 1049 / 39 | $6.604,28 | 650 / 17 | $5.663,83 | 648 / 26 |
G.I. Hemorrhage W Mcc | 18 | 103 / 19 | $54.854,40 | 1105 / 31 | $11.675,30 | 27 / 27 | $8.068,89 | 27 / 3 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 24 | $30.826,60 | 1530 / 41 | $5.762,33 | 619 / 36 | $4.110,78 | 615 / 20 |
Renal Failure W Cc | 18 | 203 / 44 | $36.155,70 | 1936 / 50 | $6.118,06 | 1117 / 29 | $5.307,39 | 1109 / 32 |
Diabetes W Cc | 17 | 75 / 17 | $35.042,40 | 1313 / 36 | $5.434,82 | 245 / 19 | $3.915,06 | 245 / 13 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 26 | $41.606,10 | 878 / 24 | $8.851,00 | 123 / 1 | $7.993,86 | 123 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 32 | $30.446,30 | 1183 / 32 | $6.333,00 | 808 / 20 | $5.560,43 | 806 / 25 |
Syncope & Collapse | 14 | 155 / 26 | $21.563,20 | 994 / 29 | $4.779,50 | 524 / 22 | $3.575,57 | 522 / 21 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 16 | $40.960,00 | 1057 / 30 | $6.335,62 | 400 / 16 | $5.311,62 | 399 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 26 | $27.892,80 | 1015 / 31 | $4.777,23 | 454 / 18 | $3.573,54 | 451 / 17 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 16 | $92.209,60 | 643 / 27 | $17.560,10 | 269 / 19 | $16.358,90 | 267 / 17 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 10 | $25.694,20 | 667 / 20 | $4.465,67 | 344 / 9 | $3.564,33 | 345 / 12 |
Transient Ischemia | 12 | 113 / 23 | $28.352,30 | 1123 / 31 | $4.498,25 | 521 / 17 | $3.399,58 | 518 / 17 |
G.I. Obstruction W Cc | 12 | 80 / 25 | $27.863,90 | 1117 / 34 | $5.365,08 | 490 / 15 | $4.461,08 | 489 / 19 |
Medical Back Problems W/O Mcc | 12 | 109 / 24 | $42.402,80 | 1301 / 29 | $5.078,75 | 643 / 12 | $4.470,75 | 641 / 18 |
Renal Failure W Mcc | 12 | 183 / 36 | $40.939,90 | 1315 / 36 | $8.844,00 | 562 / 12 | $8.145,33 | 562 / 15 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 17 | $43.016,70 | 874 / 25 | $7.955,18 | 1 / 22 | $4.158,82 | 1 / 1 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 22 | $38.250,50 | 595 / 21 | $8.295,55 | 118 / 7 | $7.635,18 | 118 / 13 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 17 | $25.806,00 | 419 / 17 | $5.763,45 | 94 / 12 | $4.826,73 | 94 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 31 | $70.656,90 | 1152 / 32 | $13.283,90 | 614 / 11 | $12.734,10 | 606 / 18 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 33 | $20.695,30 | 1309 / 44 | $4.709,18 | 251 / 26 | $3.092,00 | 251 / 14 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 19 | $19.333,90 | 789 / 25 | $4.000,27 | 451 / 15 | $2.900,64 | 450 / 15 | Total 48 procedures | 1.251 | 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.