Hospital Costs > In South Dakota > Sanford Aberdeen Medical Center, 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 | 13 | 176 / 6 | $12.651,50 | 545 / 1 | $4.380,08 | 251 / 1 | $3.631,77 | 249 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 6 | $19.316,60 | 937 / 3 | $5.328,67 | 132 / 1 | $4.062,73 | 132 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 6 | $18.541,10 | 607 / 2 | $5.882,92 | 98 / 1 | $5.153,58 | 98 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 8 | $12.839,30 | 489 / 2 | $3.907,00 | 233 / 1 | $3.153,00 | 233 / 2 |
| Heart Failure & Shock W Cc | 13 | 265 / 8 | $15.319,20 | 611 / 4 | $5.241,46 | 296 / 1 | $4.682,69 | 296 / 1 |
| Heart Failure & Shock W Mcc | 12 | 272 / 9 | $16.519,90 | 221 / 2 | $7.577,00 | 134 / 1 | $7.070,33 | 134 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 40 | 524 / 14 | $34.753,40 | 445 / 4 | $11.760,90 | 197 / 1 | $9.694,40 | 197 / 1 |
| Pulmonary Edema & Respiratory Failure | 18 | 185 / 6 | $21.309,90 | 489 / 3 | $6.243,61 | 271 / 1 | $6.042,72 | 271 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 46 | 470 / 7 | $26.854,70 | 642 / 4 | $9.572,46 | 124 / 1 | $8.717,52 | 124 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 7 | $15.761,50 | 414 / 2 | $5.371,24 | 38 / 1 | $4.402,28 | 38 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 8 | $17.545,10 | 857 / 4 | $5.122,11 | 96 / 1 | $4.137,22 | 96 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 8 | $25.112,70 | 713 / 4 | $7.520,04 | 138 / 1 | $6.681,09 | 138 / 1 | Total 12 procedures | 260 | 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.