Hospital Costs > In South Dakota > Spearfish Regional Hospital, 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 | 128 | 436 / 9 | $36.166,40 | 531 / 7 | $15.541,20 | 2114 / 14 | $14.103,90 | 2072 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 9 | $14.878,00 | 544 / 2 | $7.009,35 | 1764 / 6 | $5.801,35 | 1756 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 10 | $19.394,40 | 237 / 2 | $13.225,60 | 1892 / 8 | $12.015,60 | 1857 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 10 | $18.662,40 | 650 / 3 | $7.639,79 | 1805 / 7 | $6.802,07 | 1797 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 9 | $20.313,40 | 409 / 3 | $10.407,00 | 1794 / 8 | $9.383,00 | 1794 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 9 | $36.503,20 | 472 / 2 | $14.115,30 | 1558 / 8 | $13.096,20 | 1540 / 8 | Total 6 procedures | 204 | 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.