Hospital Costs > In Missouri > Southeasthealth Center Of Stoddard County, 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 | 17 | 172 / 41 | $9.369,59 | 193 / 5 | $4.906,71 | 353 / 18 | $3.750,94 | 350 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 45 | $18.102,60 | 573 / 15 | $7.008,23 | 578 / 24 | $5.847,23 | 577 / 23 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 25 | $10.512,80 | 291 / 8 | $4.470,58 | 668 / 21 | $3.456,68 | 666 / 23 |
| Heart Failure & Shock W Cc | 14 | 264 / 54 | $13.912,10 | 458 / 9 | $5.965,57 | 1283 / 24 | $5.535,86 | 1279 / 37 |
| Heart Failure & Shock W Mcc | 28 | 256 / 38 | $14.650,00 | 132 / 1 | $8.605,07 | 626 / 17 | $7.846,61 | 626 / 22 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 39 | $9.465,83 | 237 / 4 | $4.720,26 | 645 / 25 | $3.721,48 | 641 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 44 | $11.108,80 | 435 / 9 | $4.291,31 | 433 / 21 | $3.265,15 | 433 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 60 | $16.043,70 | 99 / 1 | $10.872,60 | 1098 / 24 | $10.325,70 | 1084 / 34 |
| Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 24 | $16.029,40 | 686 / 15 | $5.955,63 | 845 / 26 | $4.944,63 | 842 / 27 |
| Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 43 | $16.433,30 | 192 / 3 | $8.240,00 | 453 / 15 | $7.256,50 | 453 / 17 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 12 | $13.721,60 | 581 / 15 | $4.352,15 | 683 / 18 | $3.401,12 | 680 / 22 | Total 11 procedures | 238 | 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.