Hospital Costs > In Missouri > Southeasthealth, 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 | 229 | 335 / 18 | $65.588,10 | 1880 / 53 | $12.045,80 | 644 / 11 | $10.534,50 | 636 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 207 | 309 / 19 | $32.743,80 | 926 / 23 | $10.525,10 | 667 / 12 | $9.748,44 | 666 / 20 |
| Heart Failure & Shock W Mcc | 103 | 181 / 18 | $30.724,80 | 1130 / 26 | $8.733,03 | 888 / 20 | $8.145,84 | 888 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 99 | 106 / 10 | $32.571,40 | 1196 / 35 | $8.480,01 | 696 / 21 | $7.553,50 | 696 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 88 | 114 / 6 | $20.085,10 | 718 / 21 | $7.032,01 | 673 / 25 | $5.949,12 | 669 / 25 |
| Spinal Fusion Except Cervical W/O Mcc | 87 | 107 / 8 | $187.110,00 | 1242 / 27 | $32.676,90 | 1176 / 26 | $29.979,30 | 1171 / 26 |
| Pulmonary Edema & Respiratory Failure | 79 | 124 / 16 | $23.729,60 | 651 / 15 | $7.197,57 | 535 / 19 | $6.374,92 | 535 / 21 |
| Heart Failure & Shock W Cc | 78 | 200 / 22 | $18.635,10 | 1006 / 26 | $5.860,47 | 790 / 19 | $5.133,50 | 789 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 68 | 207 / 24 | $16.830,50 | 978 / 26 | $4.692,97 | 1021 / 25 | $3.773,07 | 1013 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 65 | 138 / 16 | $18.171,30 | 936 / 28 | $5.842,32 | 889 / 24 | $4.988,17 | 886 / 29 |
| G.I. Hemorrhage W Cc | 62 | 156 / 18 | $25.535,20 | 1246 / 30 | $5.863,27 | 702 / 20 | $5.093,66 | 701 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 54 | 114 / 11 | $27.569,10 | 273 / 4 | $9.587,24 | 233 / 10 | $8.581,00 | 232 / 8 |
| Renal Failure W Cc | 47 | 174 / 27 | $19.375,00 | 913 / 24 | $5.961,72 | 722 / 25 | $4.931,40 | 715 / 25 |
| Renal Failure W Mcc | 46 | 149 / 20 | $27.208,40 | 591 / 11 | $9.176,48 | 623 / 18 | $8.242,91 | 623 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 19 | $22.554,90 | 1021 / 23 | $6.299,87 | 686 / 19 | $5.378,83 | 684 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 45 | 137 / 18 | $16.403,30 | 231 / 3 | $6.077,00 | 322 / 13 | $5.002,51 | 321 / 14 |
| Syncope & Collapse | 45 | 124 / 11 | $13.712,90 | 303 / 7 | $4.477,84 | 590 / 17 | $3.643,71 | 587 / 22 |
| Cellulitis W/O Mcc | 45 | 144 / 18 | $14.563,50 | 800 / 21 | $5.120,60 | 648 / 26 | $4.011,11 | 645 / 28 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 14 | $11.286,20 | 495 / 12 | $3.536,35 | 609 / 18 | $2.523,51 | 605 / 24 |
| Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 26 | $13.125,20 | 660 / 16 | $4.587,81 | 776 / 24 | $3.809,90 | 771 / 28 |
| Cervical Spinal Fusion W/O Cc/Mcc | 40 | 64 / 6 | $97.402,30 | 760 / 18 | $15.723,00 | 523 / 15 | $12.958,30 | 520 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 38 | 158 / 23 | $68.387,80 | 643 / 30 | $11.737,80 | 458 / 8 | $10.534,40 | 456 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 37 | 151 / 20 | $35.255,20 | 770 / 27 | $6.483,11 | 495 / 15 | $5.437,49 | 493 / 22 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 35 | 96 / 15 | $53.115,10 | 713 / 16 | $13.377,00 | 547 / 15 | $12.583,40 | 539 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 34 | 92 / 15 | $20.165,40 | 419 / 12 | $6.682,12 | 169 / 16 | $5.468,68 | 167 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 17 | $31.191,50 | 1017 / 26 | $7.976,85 | 995 / 29 | $7.133,24 | 992 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 23 | $16.724,40 | 720 / 16 | $4.832,61 | 531 / 19 | $3.842,55 | 529 / 20 |
| Extracranial Procedures W/O Cc/Mcc | 32 | 66 / 9 | $42.891,20 | 680 / 23 | $6.248,00 | 329 / 8 | $5.267,00 | 329 / 11 |
| Major Small & Large Bowel Procedures W Cc | 32 | 76 / 15 | $69.941,20 | 854 / 27 | $14.400,30 | 439 / 9 | $13.379,30 | 436 / 18 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 32 | 41 / 2 | $62.253,00 | 298 / 12 | $7.651,59 | 145 / 4 | $6.477,62 | 145 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 28 | $14.330,80 | 875 / 23 | $4.280,10 | 498 / 20 | $3.306,68 | 496 / 20 |
| Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 24 | $44.913,00 | 837 / 23 | $11.207,80 | 512 / 16 | $10.081,40 | 511 / 18 |
| Other Vascular Procedures W Cc | 30 | 72 / 12 | $74.698,70 | 588 / 23 | $14.840,10 | 340 / 10 | $14.117,90 | 338 / 17 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 29 | 40 / 4 | $90.150,10 | 383 / 8 | $17.605,20 | 331 / 9 | $16.480,80 | 330 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 18 | $17.354,50 | 390 / 7 | $6.560,90 | 594 / 21 | $5.813,86 | 593 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 13 | $12.653,20 | 121 / 3 | $4.664,64 | 467 / 15 | $3.590,36 | 464 / 18 |
| Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 15 | $16.186,80 | 978 / 29 | $4.194,07 | 822 / 15 | $3.573,04 | 818 / 24 |
| Medical Back Problems W/O Mcc | 26 | 95 / 18 | $14.068,50 | 178 / 2 | $5.011,73 | 534 / 10 | $4.268,35 | 532 / 13 |
| Chest Pain | 25 | 126 / 17 | $14.862,40 | 482 / 10 | $3.797,00 | 605 / 16 | $3.026,44 | 601 / 22 |
| Transient Ischemia | 24 | 101 / 17 | $16.218,70 | 369 / 3 | $4.199,12 | 253 / 14 | $3.095,12 | 253 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 15 | $19.580,60 | 189 / 3 | $7.050,25 | 327 / 15 | $6.291,92 | 325 / 18 |
| Red Blood Cell Disorders W/O Mcc | 24 | 119 / 20 | $16.379,60 | 569 / 15 | $4.890,75 | 791 / 16 | $4.288,08 | 786 / 27 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 16 | $74.421,80 | 211 / 4 | $28.009,60 | 241 / 3 | $27.325,00 | 241 / 5 |
| Other Disorders Of Nervous System W Cc | 23 | 33 / 4 | $22.288,60 | 216 / 10 | $5.335,09 | 90 / 6 | $4.324,30 | 90 / 6 |
| Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 14 | $113.243,00 | 700 / 20 | $20.695,90 | 416 / 14 | $19.543,90 | 416 / 16 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 22 | 50 / 10 | $29.269,10 | 330 / 9 | $8.592,95 | 246 / 11 | $7.466,50 | 245 / 10 |
| G.I. Obstruction W Cc | 21 | 71 / 16 | $16.593,30 | 408 / 9 | $5.333,67 | 496 / 14 | $4.471,19 | 495 / 20 |
| Red Blood Cell Disorders W Mcc | 20 | 51 / 8 | $30.967,90 | 478 / 11 | $7.772,05 | 379 / 11 | $7.053,65 | 377 / 9 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 14 | $46.892,20 | 671 / 18 | $11.784,30 | 625 / 19 | $11.228,20 | 623 / 21 |
| Psychoses | 20 | 255 / 20 | $13.334,90 | 146 / 6 | $6.317,90 | 275 / 7 | $5.833,05 | 275 / 12 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 12 | $12.869,20 | 356 / 7 | $3.822,16 | 667 / 12 | $3.188,89 | 665 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 35 | $16.202,90 | 625 / 17 | $5.638,11 | 903 / 21 | $4.876,84 | 900 / 28 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 18 | $39.033,40 | 663 / 19 | $10.289,60 | 525 / 15 | $9.720,37 | 526 / 20 |
| Respiratory Neoplasms W Mcc | 19 | 33 / 6 | $30.245,60 | 111 / 4 | $9.864,05 | 150 / 8 | $9.161,74 | 150 / 9 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 31 | $45.865,10 | 958 / 28 | $11.611,60 | 708 / 17 | $10.936,00 | 700 / 22 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 18 | 70 / 11 | $147.236,00 | 465 / 15 | $22.749,80 | 301 / 9 | $21.674,40 | 300 / 12 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 16 | $17.507,50 | 263 / 4 | $5.682,56 | 307 / 13 | $4.875,44 | 304 / 15 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 26 | $10.830,60 | 335 / 9 | $4.355,50 | 613 / 17 | $3.415,06 | 612 / 22 |
| Other Disorders Of Nervous System W Mcc | 18 | 22 / 2 | $27.140,30 | 54 / 2 | $8.520,50 | 29 / 2 | $7.718,72 | 29 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 9 | $43.397,50 | 334 / 18 | $10.290,40 | 168 / 15 | $8.165,25 | 168 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 25 | $12.443,40 | 452 / 8 | $4.351,56 | 746 / 17 | $3.449,56 | 742 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 16 | $82.005,60 | 502 / 22 | $18.907,40 | 315 / 13 | $17.691,40 | 313 / 14 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 6 | $66.218,00 | 218 / 12 | $15.464,30 | 207 / 10 | $14.491,50 | 206 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 13 | $69.956,90 | 587 / 21 | $12.776,40 | 317 / 7 | $11.652,10 | 314 / 13 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 14 | $28.120,30 | 658 / 18 | $6.302,67 | 418 / 13 | $5.336,27 | 417 / 16 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 14 | $17.000,40 | 269 / 5 | $5.660,20 | 295 / 9 | $4.858,07 | 294 / 9 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 8 | $169.341,00 | 89 / 3 | $45.782,80 | 23 / 2 | $44.402,00 | 23 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 17 | $107.822,00 | 461 / 13 | $28.799,30 | 337 / 6 | $27.914,10 | 335 / 10 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 12 | $51.895,80 | 479 / 19 | $9.453,87 | 202 / 6 | $8.088,13 | 202 / 11 |
| Other Vascular Procedures W Mcc | 14 | 83 / 16 | $111.560,00 | 670 / 20 | $20.291,70 | 394 / 15 | $19.596,90 | 392 / 16 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 14 | $25.688,60 | 508 / 14 | $6.951,14 | 320 / 13 | $6.198,00 | 319 / 12 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 8 | $127.324,00 | 248 / 7 | $31.616,40 | 212 / 7 | $30.752,40 | 212 / 9 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 9 | $13.138,90 | 206 / 4 | $4.409,14 | 221 / 8 | $3.286,86 | 222 / 7 |
| Seizures W Mcc | 14 | 52 / 14 | $26.615,10 | 118 / 5 | $8.683,21 | 125 / 4 | $7.908,36 | 125 / 6 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 10 | $48.241,10 | 543 / 17 | $9.665,57 | 319 / 9 | $8.545,57 | 318 / 12 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 14 | 81 / 9 | $53.868,70 | 134 / 7 | $11.357,90 | 159 / 4 | $10.578,40 | 157 / 7 |
| Diabetes W Cc | 13 | 79 / 21 | $19.095,80 | 626 / 16 | $5.037,15 | 510 / 13 | $4.291,31 | 510 / 19 |
| Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 7 | $26.250,60 | 76 / 3 | $9.072,92 | 47 / 3 | $8.238,46 | 47 / 4 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 14 | $101.346,00 | 220 / 13 | $28.680,90 | 237 / 14 | $27.839,10 | 237 / 16 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 12 | $172.176,00 | 432 / 15 | $29.642,50 | 392 / 12 | $28.524,90 | 392 / 15 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 10 | $54.795,50 | 339 / 15 | $12.385,50 | 217 / 8 | $11.452,50 | 216 / 11 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 8 | $15.462,80 | 357 / 8 | $4.318,77 | 363 / 5 | $3.484,31 | 360 / 10 |
| Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 11 | $67.275,60 | 428 / 19 | $9.872,00 | 137 / 5 | $8.765,33 | 136 / 14 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 16 | $15.039,80 | 304 / 11 | $3.988,67 | 329 / 7 | $3.391,33 | 328 / 11 |
| G.I. Obstruction W Mcc | 12 | 30 / 9 | $24.177,20 | 63 / 2 | $8.244,67 | 24 / 4 | $7.647,33 | 24 / 4 |
| Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 6 | $31.694,70 | 76 / 2 | $9.969,58 | 47 / 1 | $9.060,25 | 47 / 2 |
| Seizures W/O Mcc | 12 | 96 / 21 | $18.339,00 | 453 / 10 | $4.661,75 | 357 / 8 | $3.853,75 | 355 / 11 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 17 | $70.606,60 | 420 / 17 | $17.080,40 | 229 / 13 | $16.075,10 | 228 / 14 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 9 | $65.364,40 | 313 / 12 | $10.545,30 | 179 / 4 | $9.537,33 | 179 / 9 |
| Cervical Spinal Fusion W Cc | 11 | 42 / 8 | $96.897,20 | 275 / 9 | $17.110,70 | 141 / 6 | $16.016,70 | 140 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 29 | $38.350,70 | 744 / 19 | $10.092,30 | 653 / 17 | $9.321,36 | 652 / 20 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 11 | 20 / 6 | $47.202,70 | 43 / 6 | $10.713,80 | 29 / 3 | $9.835,27 | 29 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 17 | $43.340,50 | 218 / 5 | $12.096,80 | 174 / 4 | $10.936,10 | 171 / 3 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 11 | 43 / 4 | $77.008,70 | 75 / 2 | $18.926,50 | 9 / 3 | $14.868,50 | 9 / 1 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 11 | 29 / 3 | $66.473,60 | 122 / 4 | $8.795,82 | 28 / 2 | $7.594,36 | 28 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 15 | $11.660,10 | 47 / 1 | $5.653,09 | 241 / 7 | $4.595,00 | 241 / 10 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 16 | $49.357,60 | 60 / 1 | $19.321,10 | 77 / 1 | $18.663,60 | 77 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 11 | $26.132,80 | 57 / 1 | $10.331,00 | 55 / 5 | $9.339,00 | 55 / 3 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 16 | $61.127,70 | 366 / 14 | $15.196,50 | 243 / 9 | $14.315,00 | 242 / 14 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 12 | $99.053,30 | 321 / 12 | $27.854,50 | 478 / 13 | $26.973,00 | 478 / 14 | Total 100 procedures | 3.122 | 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.