Hospital Costs > In Missouri > Ssm St Joseph Hospital West, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 216 | 300 / 17 | $41.413,90 | 1381 / 37 | $10.576,70 | 500 / 16 | $9.515,11 | 500 / 14 |
| Heart Failure & Shock W Mcc | 121 | 163 / 14 | $35.231,30 | 1413 / 35 | $8.909,88 | 799 / 24 | $8.044,82 | 799 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 110 | 454 / 29 | $39.292,30 | 716 / 24 | $12.858,70 | 699 / 29 | $10.624,90 | 689 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 90 | 185 / 17 | $16.192,90 | 897 / 24 | $4.644,13 | 614 / 22 | $3.494,50 | 611 / 22 |
| Heart Failure & Shock W Cc | 82 | 196 / 20 | $25.377,20 | 1695 / 47 | $5.940,72 | 626 / 22 | $5.008,52 | 625 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 72 | 133 / 19 | $31.717,80 | 1153 / 34 | $8.255,39 | 582 / 16 | $7.418,94 | 582 / 22 |
| Renal Failure W Mcc | 69 | 126 / 13 | $35.284,90 | 1057 / 27 | $9.405,65 | 883 / 21 | $8.699,10 | 883 / 24 |
| Renal Failure W Cc | 58 | 163 / 22 | $22.234,00 | 1201 / 37 | $5.784,74 | 627 / 24 | $4.859,22 | 621 / 24 |
| Cellulitis W/O Mcc | 53 | 136 / 15 | $15.812,20 | 970 / 27 | $5.108,89 | 863 / 25 | $4.173,64 | 857 / 31 |
| G.I. Hemorrhage W Cc | 48 | 170 / 22 | $26.839,10 | 1353 / 37 | $6.059,42 | 660 / 23 | $5.054,08 | 659 / 22 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 47 | 149 / 19 | $58.959,70 | 432 / 20 | $12.607,40 | 247 / 18 | $9.968,60 | 247 / 11 |
| Pulmonary Edema & Respiratory Failure | 46 | 157 / 28 | $26.052,30 | 796 / 20 | $7.396,39 | 263 / 20 | $6.035,83 | 263 / 13 |
| Respiratory Infections & Inflammations W Mcc | 43 | 93 / 18 | $35.914,60 | 625 / 16 | $10.618,30 | 314 / 8 | $10.047,10 | 314 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 15 | $43.464,00 | 783 / 20 | $11.327,40 | 410 / 18 | $9.940,61 | 409 / 15 |
| Transient Ischemia | 38 | 87 / 8 | $23.490,80 | 885 / 21 | $4.460,68 | 259 / 15 | $3.107,50 | 259 / 14 |
| Spinal Fusion Except Cervical W/O Mcc | 34 | 160 / 16 | $59.941,90 | 218 / 8 | $23.521,30 | 252 / 11 | $20.194,00 | 251 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 23 | $32.078,10 | 616 / 22 | $6.693,09 | 270 / 20 | $5.094,41 | 270 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 25 | $19.647,80 | 1031 / 28 | $4.869,84 | 503 / 20 | $3.817,97 | 501 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 35 | $16.199,60 | 709 / 16 | $5.787,40 | 379 / 23 | $4.549,00 | 377 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 27 | $19.181,70 | 924 / 25 | $5.674,03 | 1093 / 22 | $5.050,59 | 1089 / 34 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 20 | $77.177,90 | 1272 / 38 | $14.969,50 | 1018 / 29 | $14.195,80 | 1008 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 26 | $28.622,80 | 1058 / 28 | $6.168,14 | 425 / 16 | $5.131,57 | 424 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 29 | $26.069,90 | 1343 / 33 | $6.464,50 | 495 / 21 | $5.195,07 | 493 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 22 | $17.036,90 | 1199 / 35 | $3.574,07 | 571 / 20 | $2.495,21 | 567 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 21 | $35.241,70 | 1173 / 30 | $7.850,82 | 934 / 27 | $7.031,39 | 931 / 28 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 27 | 66 / 7 | $63.372,60 | 513 / 18 | $13.513,40 | 478 / 15 | $12.757,20 | 472 / 15 |
| Medical Back Problems W/O Mcc | 27 | 94 / 17 | $18.305,50 | 408 / 7 | $5.043,44 | 538 / 11 | $4.284,93 | 536 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 37 | $22.766,70 | 953 / 31 | $6.758,50 | 508 / 19 | $5.786,19 | 507 / 20 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 16 | $40.753,50 | 839 / 21 | $9.699,15 | 447 / 10 | $8.874,23 | 447 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 14 | $23.264,40 | 355 / 12 | $7.085,40 | 356 / 16 | $6.359,64 | 354 / 21 |
| G.I. Obstruction W Cc | 25 | 67 / 13 | $22.078,30 | 806 / 28 | $5.553,84 | 417 / 19 | $4.370,64 | 416 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 20 | $19.893,00 | 402 / 11 | $6.448,04 | 328 / 11 | $5.755,38 | 325 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 26 | $29.132,30 | 315 / 6 | $9.631,96 | 350 / 12 | $8.951,61 | 349 / 15 |
| Chest Pain | 23 | 128 / 19 | $14.814,10 | 480 / 9 | $3.973,00 | 282 / 20 | $2.661,35 | 281 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 9 | $26.285,60 | 585 / 16 | $6.332,70 | 377 / 15 | $5.276,00 | 376 / 14 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 21 | $24.164,60 | 1200 / 34 | $5.090,91 | 371 / 22 | $3.842,91 | 370 / 13 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 13 | $25.782,30 | 713 / 20 | $5.851,82 | 303 / 16 | $4.867,09 | 300 / 14 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 20 | $14.245,30 | 640 / 18 | $4.390,64 | 635 / 19 | $3.349,18 | 632 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 40 | $13.760,00 | 764 / 19 | $4.737,57 | 518 / 27 | $3.634,57 | 518 / 24 |
| Hip & Femur Procedures Except Major Joint W Mcc | 20 | 42 / 10 | $64.900,20 | 355 / 15 | $16.655,80 | 162 / 7 | $15.627,00 | 162 / 7 |
| G.I. Hemorrhage W Mcc | 20 | 101 / 17 | $52.713,40 | 1060 / 29 | $11.259,40 | 842 / 25 | $10.656,20 | 838 / 27 |
| Diabetes W Cc | 20 | 72 / 15 | $17.466,00 | 514 / 13 | $5.078,75 | 414 / 14 | $4.173,15 | 414 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 13 | $57.022,60 | 208 / 9 | $18.402,20 | 276 / 10 | $17.457,40 | 274 / 12 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 25 | $19.065,40 | 514 / 12 | $6.340,47 | 235 / 16 | $5.324,89 | 235 / 15 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 18 | $99.836,90 | 488 / 14 | $28.158,20 | 221 / 4 | $27.142,70 | 221 / 4 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 19 | 36 / 9 | $41.942,90 | 165 / 6 | $11.793,70 | 107 / 8 | $9.886,79 | 107 / 8 |
| Syncope & Collapse | 19 | 150 / 23 | $21.592,10 | 995 / 30 | $4.605,47 | 350 / 19 | $3.390,74 | 348 / 18 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 15 | $46.513,30 | 662 / 17 | $10.226,60 | 184 / 8 | $9.543,53 | 184 / 8 |
| Red Blood Cell Disorders W Mcc | 18 | 53 / 9 | $37.768,00 | 645 / 17 | $7.409,00 | 216 / 6 | $6.603,67 | 216 / 7 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 13 | $33.304,90 | 432 / 14 | $8.170,83 | 208 / 8 | $7.296,17 | 207 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 18 | 22 / 5 | $48.684,20 | 86 / 6 | $13.678,10 | 67 / 3 | $12.611,40 | 67 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 8 | $31.800,90 | 122 / 3 | $9.643,18 | 267 / 10 | $8.575,88 | 267 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 41 | $23.866,40 | 1828 / 52 | $4.382,31 | 961 / 24 | $3.626,31 | 958 / 31 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 17 | $94.904,60 | 436 / 23 | $18.328,20 | 236 / 7 | $17.440,70 | 235 / 13 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 10 | $20.099,10 | 223 / 10 | $5.373,43 | 148 / 6 | $4.424,86 | 148 / 7 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 8 | $51.167,40 | 168 / 5 | $10.585,00 | 174 / 5 | $9.465,00 | 174 / 8 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 16 | $13.375,40 | 394 / 9 | $3.869,21 | 332 / 14 | $2.742,36 | 332 / 13 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 16 | $21.510,90 | 278 / 13 | $5.825,00 | 173 / 10 | $4.878,71 | 173 / 11 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 16 | $27.300,50 | 737 / 18 | $5.987,62 | 285 / 12 | $4.774,08 | 285 / 11 |
| Seizures W/O Mcc | 13 | 95 / 20 | $17.159,80 | 379 / 8 | $4.699,77 | 440 / 9 | $3.961,31 | 438 / 13 |
| Seizures W Mcc | 13 | 53 / 15 | $23.840,10 | 91 / 2 | $9.147,62 | 9 / 5 | $6.376,23 | 9 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 15 | $27.809,20 | 582 / 17 | $6.905,08 | 401 / 11 | $6.396,77 | 400 / 18 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 25 | $18.990,70 | 1218 / 36 | $4.102,77 | 567 / 14 | $3.359,38 | 565 / 17 |
| Cellulitis W Mcc | 13 | 45 / 13 | $31.971,50 | 426 / 15 | $8.204,46 | 188 / 10 | $7.372,46 | 187 / 11 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 12 | $37.815,60 | 285 / 8 | $9.397,08 | 75 / 3 | $8.651,23 | 75 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 21 | $27.579,50 | 321 / 10 | $9.124,15 | 331 / 15 | $8.471,85 | 331 / 19 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 32 | $13.916,80 | 651 / 22 | $4.461,83 | 418 / 20 | $3.251,17 | 417 / 19 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 14 | $17.628,10 | 213 / 7 | $5.687,50 | 155 / 8 | $4.358,83 | 155 / 7 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 12 | $29.627,20 | 108 / 3 | $9.839,73 | 171 / 7 | $9.287,00 | 171 / 10 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 10 | $30.830,70 | 125 / 7 | $8.645,00 | 137 / 5 | $7.446,45 | 137 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 11 | $27.067,00 | 117 / 5 | $7.697,36 | 118 / 9 | $5.731,64 | 118 / 6 |
| Hypertension W/O Mcc | 11 | 54 / 11 | $19.557,20 | 399 / 12 | $3.931,09 | 347 / 8 | $3.267,82 | 345 / 12 | Total 72 procedures | 2.271 | 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.