Hospital Costs > In South Dakota > Siouxland Surgery Center Limited Partnership, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 325 | 247 / 5 | $31.169,20 | 274 / 2 | $12.478,80 | 541 / 5 | $10.379,50 | 536 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 82 | 112 / 2 | $115.450,00 | 896 / 6 | $23.562,60 | 559 / 2 | $22.178,40 | 556 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 35 | 61 / 3 | $34.544,70 | 92 / 1 | $12.772,90 | 220 / 3 | $11.162,80 | 218 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 3 | $77.827,10 | 657 / 6 | $14.155,80 | 363 / 3 | $11.957,00 | 362 / 3 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 18 | 71 / 3 | $38.033,40 | 433 / 4 | $6.405,56 | 91 / 2 | $4.726,61 | 91 / 1 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 2 | $47.013,30 | 238 / 2 | $10.472,40 | 107 / 1 | $9.408,88 | 107 / 3 | Total 6 procedures | 499 | 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.