Hospital Costs > In Missouri > Ssm St Clare Health Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 10 | $24.157,20 | 485 / 9 | $5.687,43 | 85 / 3 | $4.649,71 | 85 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 11 | $49.642,80 | 1131 / 33 | $9.949,35 | 354 / 14 | $8.673,35 | 354 / 12 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 22 | $12.305,00 | 210 / 10 | $3.692,45 | 62 / 2 | $3.029,18 | 62 / 5 |
| Atherosclerosis W/O Mcc | 15 | 43 / 5 | $15.209,10 | 174 / 2 | $3.371,20 | / 2 | $2.314,87 | / |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 12 | $27.410,30 | 650 / 19 | $4.674,93 | 65 / 2 | $3.702,13 | 65 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 17 | $19.383,20 | 999 / 26 | $4.355,04 | 46 / 6 | $3.149,22 | 46 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 46 | 77 / 13 | $26.813,80 | 782 / 18 | $6.502,20 | 117 / 2 | $5.661,15 | 117 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 21 | $15.038,20 | 996 / 30 | $3.118,03 | 26 / 7 | $1.782,13 | 26 / 2 |
| Cellulitis W Mcc | 19 | 39 / 9 | $25.473,30 | 258 / 6 | $7.269,16 | 40 / 3 | $6.571,89 | 40 / 4 |
| Cellulitis W/O Mcc | 40 | 149 / 22 | $14.811,10 | 834 / 22 | $4.556,17 | 40 / 7 | $3.223,93 | 40 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 14 | $46.385,40 | 291 / 11 | $12.785,60 | 72 / 4 | $10.197,40 | 72 / 1 |
| Chest Pain | 22 | 129 / 20 | $14.585,40 | 460 / 8 | $3.295,77 | 16 / 7 | $2.049,05 | 16 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 22 | $22.998,40 | 1303 / 42 | $5.037,92 | 138 / 5 | $4.075,78 | 138 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 34 | $25.106,50 | 1133 / 36 | $6.473,41 | 54 / 13 | $5.002,85 | 54 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 29 | $19.833,50 | 1253 / 43 | $3.840,27 | 57 / 3 | $2.708,20 | 57 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 15 | $43.984,00 | 225 / 6 | $11.648,70 | 37 / 2 | $9.913,73 | 37 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 23 | $29.778,80 | 507 / 17 | $5.994,69 | 31 / 6 | $4.445,38 | 31 / 2 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 15 | 61 / 11 | $95.088,90 | 91 / 5 | $26.072,80 | 37 / 5 | $21.767,10 | 37 / 4 |
| Degenerative Nervous System Disorders W Mcc | 12 | 26 / 5 | $30.333,40 | 64 / 3 | $8.994,17 | 12 / 3 | $8.082,17 | 12 / 3 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 16 | $37.672,70 | 641 / 22 | $5.553,43 | 141 / 7 | $4.771,64 | 141 / 9 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 10 | $26.675,40 | 66 / 4 | $9.286,50 | 18 / 1 | $8.731,83 | 18 / 1 |
| Dysequilibrium | 13 | 52 / 5 | $22.547,20 | 296 / 7 | $3.336,31 | 34 / 2 | $2.317,23 | 34 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 18 | $29.372,80 | 610 / 19 | $6.404,80 | 65 / 2 | $5.560,00 | 65 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 80 | 195 / 21 | $16.346,90 | 919 / 25 | $4.019,32 | 89 / 4 | $2.920,46 | 89 / 5 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 14 | $85.025,80 | 127 / 7 | $24.216,20 | 37 / 2 | $23.126,90 | 37 / 4 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 11 | $13.995,50 | 157 / 5 | $3.935,27 | 54 / 3 | $3.065,45 | 54 / 4 |
| G.I. Hemorrhage W Cc | 56 | 162 / 20 | $25.984,70 | 1287 / 32 | $5.377,25 | 82 / 4 | $4.322,68 | 82 / 6 |
| G.I. Hemorrhage W Mcc | 27 | 94 / 12 | $44.717,60 | 858 / 22 | $9.863,81 | 266 / 7 | $9.057,89 | 266 / 12 |
| G.I. Obstruction W Cc | 15 | 77 / 22 | $19.376,10 | 610 / 21 | $4.767,33 | 126 / 3 | $3.877,73 | 125 / 8 |
| Heart Failure & Shock W Cc | 44 | 234 / 34 | $24.160,20 | 1606 / 42 | $5.032,82 | 67 / 4 | $4.263,55 | 67 / 5 |
| Heart Failure & Shock W Mcc | 113 | 171 / 16 | $36.950,90 | 1504 / 40 | $7.995,12 | 238 / 6 | $7.307,12 | 238 / 8 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 21 | $13.749,40 | 696 / 21 | $3.634,00 | 11 / 5 | $2.461,89 | 11 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 20 | $38.135,90 | 545 / 13 | $10.709,10 | 123 / 8 | $9.289,89 | 122 / 3 |
| Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 12 | $55.589,90 | 243 / 8 | $15.824,80 | 73 / 2 | $14.955,40 | 73 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 18 | $96.490,20 | 451 / 12 | $25.791,30 | 45 / 1 | $24.299,60 | 45 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 20 | $36.586,70 | 1412 / 39 | $5.865,78 | 128 / 7 | $4.658,05 | 128 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 60 | 108 / 9 | $39.851,20 | 689 / 22 | $9.253,33 | 105 / 5 | $8.119,35 | 105 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 24 | $24.191,10 | 856 / 27 | $3.920,20 | 59 / 2 | $2.868,47 | 59 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 17 | $18.673,30 | 481 / 10 | $5.856,90 | 53 / 7 | $4.848,90 | 53 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 27 | $15.785,70 | 1040 / 29 | $4.031,38 | 69 / 5 | $3.064,98 | 69 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 14 | $28.972,90 | 621 / 18 | $6.303,43 | 135 / 6 | $5.697,71 | 135 / 9 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 10 | $27.361,30 | 101 / 1 | $9.838,18 | 63 / 2 | $9.396,00 | 63 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 16 | $35.748,10 | 106 / 6 | $11.997,30 | 150 / 3 | $10.792,00 | 149 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 14 | $55.872,90 | 190 / 6 | $17.359,30 | 29 / 5 | $14.539,70 | 29 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 190 | 374 / 21 | $36.781,50 | 581 / 19 | $12.105,00 | 169 / 14 | $9.608,09 | 169 / 5 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 10 | $40.891,90 | 60 / 4 | $14.669,90 | 9 / 7 | $11.047,50 | 9 / 1 |
| Medical Back Problems W/O Mcc | 20 | 101 / 21 | $18.450,60 | 419 / 8 | $4.378,40 | 17 / 4 | $3.231,20 | 17 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 19 | $22.352,70 | 549 / 16 | $5.760,92 | 62 / 2 | $5.132,44 | 62 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 34 | $14.390,80 | 884 / 24 | $3.719,75 | 207 / 3 | $3.014,42 | 207 / 10 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 17 | $38.088,30 | 435 / 8 | $9.930,47 | 69 / 3 | $8.941,29 | 69 / 2 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 22 | $22.772,80 | 553 / 18 | $5.197,55 | 77 / 2 | $4.319,00 | 76 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 17 | $26.441,60 | 436 / 19 | $5.325,55 | 56 / 6 | $4.617,18 | 56 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 27 | 74 / 13 | $32.868,30 | 469 / 15 | $8.583,78 | 33 / 11 | $7.071,11 | 33 / 5 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 15 | $74.054,20 | 176 / 7 | $19.519,70 | 11 / 2 | $16.241,70 | 11 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 18 | $70.323,40 | 168 / 3 | $17.108,70 | 73 / 1 | $16.071,00 | 73 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 46 | 150 / 20 | $54.979,70 | 339 / 16 | $11.177,10 | 139 / 2 | $9.606,50 | 139 / 7 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 8 | $29.967,90 | 205 / 9 | $6.858,08 | 8 / 1 | $5.827,46 | 8 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 14 | $23.954,60 | 198 / 6 | $7.272,65 | 4 / 2 | $5.768,41 | 4 / 1 |
| Pulmonary Edema & Respiratory Failure | 81 | 122 / 15 | $29.109,00 | 988 / 25 | $6.585,01 | 119 / 2 | $5.725,67 | 119 / 5 |
| Pulmonary Embolism W Mcc | 11 | 32 / 10 | $51.767,20 | 436 / 12 | $8.587,27 | 9 / 5 | $6.548,91 | 9 / 2 |
| Renal Failure W Cc | 33 | 188 / 36 | $18.432,00 | 818 / 19 | $5.037,52 | 66 / 2 | $4.087,21 | 66 / 5 |
| Renal Failure W Mcc | 47 | 148 / 19 | $29.360,40 | 723 / 13 | $7.913,92 | 79 / 2 | $7.150,53 | 79 / 3 |
| Respiratory Infections & Inflammations W Mcc | 31 | 105 / 22 | $44.090,90 | 909 / 27 | $10.390,10 | 27 / 6 | $8.857,71 | 27 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 22 | $59.360,50 | 894 / 25 | $12.529,20 | 101 / 5 | $11.142,60 | 101 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 15 | $125.347,00 | 412 / 14 | $28.273,40 | 142 / 1 | $27.063,20 | 142 / 4 |
| Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 9 | $45.118,80 | 47 / 3 | $18.936,00 | 9 / 4 | $14.596,60 | 9 / 1 |
| Seizures W Mcc | 25 | 41 / 7 | $25.363,70 | 110 / 3 | $8.168,84 | 15 / 3 | $6.719,88 | 15 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 180 | 336 / 23 | $40.760,10 | 1352 / 35 | $10.175,60 | 284 / 5 | $9.128,01 | 284 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 28 | $22.742,50 | 1046 / 24 | $5.803,59 | 70 / 5 | $4.536,34 | 70 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 42 | $19.577,80 | 1086 / 32 | $4.981,94 | 65 / 2 | $4.037,94 | 65 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 60 | 145 / 26 | $27.975,70 | 907 / 24 | $7.448,17 | 51 / 5 | $6.411,15 | 51 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 24 | $11.111,20 | 326 / 4 | $3.994,50 | 4 / 9 | $2.302,33 | 4 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 34 | 160 / 16 | $71.466,30 | 396 / 12 | $22.976,70 | 65 / 7 | $18.425,80 | 65 / 1 |
| Syncope & Collapse | 29 | 140 / 19 | $18.047,90 | 681 / 17 | $3.946,07 | 90 / 5 | $2.968,86 | 90 / 8 |
| Transient Ischemia | 25 | 100 / 16 | $22.974,20 | 856 / 20 | $3.742,52 | 166 / 2 | $2.952,28 | 166 / 10 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 7 | $15.716,50 | 85 / 3 | $3.711,18 | 32 / 1 | $2.722,09 | 32 / 4 | Total 76 procedures | 2.346 | 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.