Hospital Costs > In Missouri > Ssm Health St. Mary's Hospital-Audrain, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 24 | $15.439,40 | 613 / 13 | $6.129,24 | 1115 / 32 | $5.168,92 | 1111 / 35 |
| Heart Failure & Shock W Mcc | 47 | 237 / 33 | $18.618,50 | 347 / 8 | $9.377,77 | 1226 / 34 | $8.612,15 | 1223 / 36 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 37 | 527 / 51 | $38.480,30 | 670 / 22 | $13.446,90 | 1580 / 37 | $12.270,70 | 1544 / 48 |
| Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 33 | $15.222,40 | 331 / 6 | $7.329,83 | 1105 / 33 | $6.341,94 | 1100 / 37 |
| Heart Failure & Shock W Cc | 34 | 244 / 40 | $15.074,00 | 587 / 13 | $6.235,85 | 1045 / 32 | $5.321,97 | 1043 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 33 | 483 / 49 | $19.589,00 | 247 / 5 | $11.540,10 | 1149 / 38 | $10.402,20 | 1133 / 35 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 22 | $10.427,10 | 388 / 6 | $3.615,32 | 319 / 22 | $2.281,14 | 317 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 37 | $19.339,30 | 348 / 6 | $8.945,56 | 1059 / 30 | $7.935,52 | 1059 / 32 |
| G.I. Hemorrhage W Cc | 25 | 193 / 36 | $13.638,00 | 198 / 4 | $6.274,12 | 1044 / 28 | $5.406,92 | 1042 / 33 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 27 | $22.734,60 | 180 / 2 | $6.877,36 | 522 / 26 | $5.489,52 | 520 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 31 | $13.758,90 | 398 / 5 | $4.948,52 | 605 / 22 | $3.919,19 | 602 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 27 | $18.503,20 | 269 / 2 | $7.568,60 | 703 / 20 | $6.664,60 | 700 / 21 |
| Cellulitis W/O Mcc | 19 | 170 / 40 | $12.103,70 | 480 / 14 | $5.690,11 | 462 / 42 | $3.847,16 | 459 / 23 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 42 | $12.264,80 | 544 / 8 | $4.834,00 | 932 / 30 | $3.910,44 | 925 / 31 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 45 | $13.237,50 | 532 / 14 | $4.648,56 | 852 / 23 | $3.662,78 | 847 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 40 | $12.139,50 | 563 / 15 | $4.405,00 | 477 / 25 | $3.292,53 | 477 / 19 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 35 | $47.095,20 | 171 / 4 | $12.277,70 | 581 / 14 | $10.893,30 | 577 / 24 |
| Respiratory Infections & Inflammations W Cc | 15 | 73 / 17 | $18.494,50 | 209 / 5 | $8.715,07 | 617 / 22 | $7.602,53 | 614 / 21 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 34 | $21.071,00 | 123 / 2 | $12.386,40 | 1002 / 30 | $11.704,10 | 989 / 31 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 27 | $24.141,50 | 266 / 2 | $10.887,50 | 895 / 28 | $9.976,77 | 894 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 40 | $17.678,60 | 581 / 11 | $6.716,15 | 750 / 26 | $5.439,85 | 748 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 41 | $15.003,80 | 513 / 11 | $5.859,25 | 796 / 24 | $4.792,58 | 794 / 26 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 24 | $19.767,90 | 68 / 1 | $10.968,40 | 709 / 23 | $10.241,10 | 709 / 26 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 11 | 52 / 5 | $67.613,50 | 89 / 5 | $21.867,40 | 153 / 4 | $20.623,70 | 153 / 5 |
| Hypertension W/O Mcc | 11 | 54 / 11 | $12.077,50 | 110 / 3 | $3.877,55 | 131 / 7 | $2.743,00 | 131 / 7 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 26 | $10.737,00 | 343 / 6 | $4.232,55 | 885 / 16 | $3.627,45 | 879 / 26 | Total 26 procedures | 581 | 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.