Hospital Costs > In Missouri > Ssm St Joseph Health Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 230 | 99 / 6 | $15.874,60 | 205 / 13 | $6.772,30 | 281 / 13 | $5.869,61 | 281 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 115 | 401 / 32 | $41.103,40 | 1366 / 36 | $11.495,40 | 1348 / 37 | $10.722,70 | 1321 / 43 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 94 | 470 / 35 | $34.956,50 | 461 / 15 | $13.554,60 | 950 / 39 | $10.972,70 | 931 / 33 |
| Simple Pneumonia & Pleurisy W Mcc | 81 | 124 / 14 | $37.911,70 | 1483 / 45 | $9.270,56 | 1272 / 37 | $8.272,14 | 1272 / 37 |
| Heart Failure & Shock W Mcc | 77 | 207 / 25 | $34.791,00 | 1381 / 33 | $9.412,23 | 923 / 36 | $8.177,86 | 922 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 25 | $19.880,50 | 1373 / 41 | $5.272,27 | 1631 / 47 | $4.263,30 | 1618 / 48 |
| Pulmonary Edema & Respiratory Failure | 65 | 138 / 20 | $36.407,10 | 1358 / 37 | $7.946,58 | 1051 / 32 | $7.020,46 | 1049 / 33 |
| Respiratory Infections & Inflammations W Mcc | 65 | 71 / 11 | $46.666,90 | 994 / 31 | $12.142,20 | 1013 / 26 | $11.732,60 | 1000 / 32 |
| G.I. Hemorrhage W Cc | 61 | 157 / 19 | $23.916,60 | 1113 / 27 | $6.707,26 | 1383 / 39 | $5.794,48 | 1380 / 41 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 52 | 144 / 15 | $64.834,70 | 562 / 26 | $13.326,80 | 444 / 30 | $10.508,50 | 443 / 18 |
| Heart Failure & Shock W Cc | 47 | 231 / 33 | $27.288,30 | 1825 / 48 | $6.643,81 | 1444 / 45 | $5.708,62 | 1439 / 43 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 28 | $25.257,00 | 1641 / 50 | $6.618,51 | 1673 / 49 | $5.693,36 | 1666 / 50 |
| Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 25 | $27.188,20 | 1281 / 38 | $7.577,37 | 1417 / 42 | $6.731,74 | 1411 / 47 |
| Cellulitis W/O Mcc | 42 | 147 / 21 | $18.889,30 | 1355 / 43 | $5.820,31 | 1676 / 45 | $4.940,36 | 1669 / 51 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 23 | $24.900,50 | 788 / 21 | $6.904,00 | 963 / 32 | $5.777,54 | 960 / 30 |
| Syncope & Collapse | 36 | 133 / 16 | $22.788,90 | 1087 / 32 | $5.239,58 | 1149 / 34 | $4.305,44 | 1142 / 34 |
| Renal Failure W Cc | 36 | 185 / 34 | $18.404,40 | 814 / 18 | $6.354,47 | 1087 / 36 | $5.272,31 | 1079 / 31 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 36 | 132 / 20 | $32.644,40 | 428 / 13 | $10.461,50 | 557 / 22 | $9.488,17 | 556 / 22 |
| Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 14 | $22.454,90 | 742 / 19 | $7.257,00 | 1017 / 30 | $6.430,49 | 1014 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 18 | $14.893,10 | 977 / 28 | $4.268,11 | 1325 / 37 | $3.199,31 | 1320 / 39 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 27 | $15.761,50 | 1056 / 32 | $5.024,12 | 1531 / 46 | $4.109,70 | 1526 / 47 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 23 | $28.721,20 | 454 / 11 | $7.224,22 | 810 / 30 | $5.931,00 | 808 / 33 |
| Transient Ischemia | 31 | 94 / 13 | $23.600,50 | 891 / 22 | $5.067,48 | 1047 / 24 | $4.133,29 | 1042 / 28 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 16 | $29.214,00 | 934 / 28 | $7.592,26 | 919 / 30 | $6.819,61 | 916 / 30 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 13 | $42.437,70 | 914 / 26 | $10.985,50 | 959 / 30 | $10.170,10 | 957 / 32 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 26 | $23.301,50 | 1330 / 43 | $6.386,67 | 1368 / 45 | $5.335,70 | 1363 / 43 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 28 | $19.469,30 | 1006 / 27 | $5.613,54 | 1181 / 38 | $4.480,58 | 1177 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 22 | $36.063,80 | 1195 / 31 | $8.082,12 | 780 / 31 | $6.772,84 | 777 / 24 |
| Medical Back Problems W/O Mcc | 25 | 96 / 19 | $23.816,40 | 772 / 21 | $5.824,92 | 782 / 21 | $4.715,16 | 779 / 21 |
| Degenerative Nervous System Disorders W/O Mcc | 25 | 53 / 9 | $17.612,80 | 149 / 7 | $6.276,00 | 375 / 13 | $5.551,52 | 375 / 14 |
| G.I. Hemorrhage W Mcc | 24 | 97 / 14 | $37.440,30 | 604 / 16 | $10.751,00 | 622 / 21 | $9.994,96 | 623 / 25 |
| Other Digestive System Diagnoses W Cc | 23 | 74 / 12 | $21.312,80 | 474 / 14 | $6.513,43 | 379 / 22 | $5.009,70 | 376 / 17 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 11 | $26.132,60 | 520 / 14 | $8.891,17 | 852 / 24 | $8.152,39 | 847 / 23 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 39 | $18.354,70 | 1392 / 43 | $5.402,91 | 1559 / 48 | $4.403,96 | 1548 / 47 |
| Extracranial Procedures W/O Cc/Mcc | 23 | 75 / 14 | $22.662,70 | 214 / 8 | $7.142,17 | 540 / 19 | $5.884,61 | 539 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 34 | $26.492,40 | 1378 / 35 | $6.986,09 | 1497 / 37 | $6.258,45 | 1491 / 42 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 17 | $24.583,10 | 415 / 14 | $7.832,41 | 670 / 23 | $7.050,95 | 665 / 23 |
| Renal Failure W Mcc | 22 | 173 / 30 | $36.941,80 | 1149 / 32 | $9.664,41 | 1091 / 27 | $9.114,59 | 1091 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 18 | $21.321,80 | 674 / 22 | $5.413,38 | 1043 / 30 | $4.433,57 | 1039 / 31 |
| Major Cardiovasc Procedures W/O Mcc | 21 | 80 / 16 | $56.840,40 | 106 / 4 | $21.238,50 | 107 / 16 | $17.012,60 | 107 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 31 | $46.187,20 | 890 / 26 | $12.071,00 | 1025 / 30 | $11.091,20 | 1012 / 31 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 21 | 74 / 5 | $44.978,80 | 69 / 3 | $12.476,20 | 208 / 8 | $11.044,80 | 206 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 24 | $17.524,20 | 1064 / 37 | $5.234,75 | 847 / 45 | $3.610,55 | 842 / 28 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 19 | 79 / 7 | $65.336,80 | 44 / 4 | $20.811,50 | 2 / 2 | $17.979,80 | 2 / 2 |
| Seizures W/O Mcc | 19 | 89 / 17 | $18.696,20 | 476 / 14 | $5.413,68 | 721 / 17 | $4.529,47 | 718 / 19 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 15 | $87.607,20 | 360 / 17 | $22.349,10 | 132 / 22 | $16.621,60 | 132 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 19 | $30.302,20 | 397 / 12 | $9.619,94 | 396 / 19 | $8.730,61 | 395 / 20 |
| Diabetes W Cc | 18 | 74 / 16 | $20.209,60 | 709 / 20 | $5.919,33 | 821 / 27 | $4.735,11 | 817 / 26 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 11 | $16.929,30 | 394 / 17 | $4.708,39 | 532 / 18 | $3.972,39 | 531 / 20 |
| Other Vascular Procedures W Mcc | 17 | 80 / 14 | $76.963,50 | 344 / 9 | $19.601,30 | 323 / 13 | $18.959,40 | 321 / 15 |
| Chest Pain | 17 | 134 / 25 | $20.149,70 | 932 / 25 | $4.534,71 | 991 / 28 | $3.537,06 | 985 / 29 |
| Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 6 | $14.716,30 | 276 / 9 | $5.147,24 | 594 / 17 | $4.219,24 | 594 / 18 |
| Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 8 | $42.563,10 | 217 / 13 | $11.255,80 | 51 / 15 | $8.063,31 | 51 / 6 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 13 | $104.620,00 | 283 / 12 | $22.519,00 | 211 / 7 | $20.128,60 | 210 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 14 | $55.650,80 | 411 / 13 | $12.812,20 | 359 / 11 | $11.910,20 | 354 / 12 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 27 | $79.661,50 | 1303 / 39 | $16.425,60 | 1245 / 37 | $15.346,60 | 1232 / 38 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 23 | $16.381,40 | 1008 / 31 | $4.944,56 | 1129 / 37 | $3.886,56 | 1120 / 32 |
| G.I. Obstruction W Cc | 16 | 76 / 21 | $26.436,80 | 1060 / 31 | $6.126,50 | 1160 / 31 | $5.450,50 | 1157 / 34 |
| Organic Disturbances & Mental Retardation | 16 | 43 / 6 | $19.963,70 | 177 / 5 | $6.799,62 | 282 / 9 | $6.158,62 | 282 / 9 |
| Diabetes W Mcc | 16 | 41 / 8 | $28.482,80 | 252 / 5 | $8.618,25 | 243 / 5 | $7.788,25 | 243 / 5 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 13 | $88.299,80 | 141 / 9 | $27.010,70 | 146 / 8 | $26.127,30 | 146 / 11 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 22 | $132.111,00 | 860 / 25 | $34.059,20 | 818 / 21 | $32.966,60 | 812 / 25 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 15 | $56.240,00 | 259 / 9 | $18.214,40 | 417 / 22 | $17.439,60 | 414 / 22 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 17 | $21.307,40 | 137 / 4 | $8.735,50 | 345 / 12 | $7.869,21 | 344 / 12 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 7 | $16.065,40 | 382 / 11 | $5.015,57 | 603 / 14 | $4.062,43 | 599 / 16 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 13 | 46 / 9 | $133.250,00 | 85 / 4 | $33.880,90 | 36 / 3 | $30.334,60 | 36 / 2 |
| Other Resp System O.R. Procedures W Mcc | 13 | 50 / 14 | $108.089,00 | 381 / 17 | $25.510,30 | 399 / 14 | $24.951,50 | 398 / 15 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 20 | $41.993,40 | 536 / 12 | $11.442,80 | 539 / 17 | $10.888,90 | 537 / 19 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 12 | 39 / 8 | $30.131,40 | 37 / 1 | $11.331,30 | 34 / 3 | $10.199,30 | 34 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 19 | $110.138,00 | 478 / 15 | $29.965,80 | 482 / 11 | $29.461,70 | 480 / 15 |
| Cellulitis W Mcc | 12 | 46 / 14 | $34.021,30 | 468 / 18 | $9.071,25 | 378 / 20 | $8.237,92 | 376 / 20 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 29 | $21.787,90 | 1055 / 29 | $5.650,67 | 1025 / 35 | $4.544,00 | 1018 / 34 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 28 | $14.809,50 | 716 / 23 | $5.096,25 | 1322 / 38 | $4.085,58 | 1314 / 41 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 15 | $23.601,90 | 534 / 16 | $6.035,75 | 580 / 17 | $5.025,08 | 576 / 16 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 9 | $15.992,50 | 89 / 4 | $5.504,64 | 118 / 8 | $3.822,09 | 118 / 6 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 19 | $14.647,90 | 505 / 15 | $4.742,09 | 652 / 23 | $3.162,64 | 650 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 20 | $53.303,70 | 161 / 5 | $19.843,60 | 126 / 21 | $16.127,60 | 126 / 6 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 26 | $35.743,30 | 116 / 4 | $14.768,70 | 33 / 12 | $11.259,70 | 33 / 1 | Total 78 procedures | 2.389 | 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.