Hospital Costs > In Missouri > Ssm St Marys 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 | 19 | 72 / 11 | $27.280,50 | 622 / 17 | $10.423,30 | 1334 / 34 | $9.281,37 | 1332 / 34 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 21 | $46.504,40 | 1047 / 31 | $15.078,80 | 1619 / 43 | $14.229,20 | 1606 / 43 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 19 | 105 / 17 | $15.115,10 | 347 / 15 | $7.791,26 | 775 / 22 | $6.912,11 | 774 / 23 |
| Bone Diseases & Arthropathies W/O Mcc | 16 | 28 / 4 | $17.275,60 | 130 / 4 | $8.135,69 | 261 / 5 | $7.385,69 | 261 / 6 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 11 | $26.804,80 | 632 / 18 | $8.621,56 | 978 / 22 | $7.561,56 | 974 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 21 | $18.169,20 | 875 / 23 | $8.604,51 | 2053 / 48 | $7.652,92 | 2048 / 49 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 49 | 74 / 11 | $32.199,20 | 1053 / 28 | $11.580,50 | 1748 / 42 | $10.533,80 | 1745 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 26 | $15.616,60 | 1072 / 32 | $6.883,95 | 1899 / 48 | $5.450,84 | 1893 / 49 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 11 | 107 / 13 | $122.966,00 | 175 / 5 | $38.694,60 | 401 / 12 | $37.816,10 | 401 / 13 |
| Cellulitis W Mcc | 18 | 40 / 10 | $35.605,60 | 499 / 19 | $13.158,20 | 875 / 26 | $12.354,70 | 873 / 26 |
| Cellulitis W/O Mcc | 71 | 118 / 10 | $17.242,80 | 1156 / 36 | $8.801,77 | 2488 / 64 | $7.868,24 | 2480 / 65 |
| Cesarean Section W Cc/Mcc | 11 | 12 / 3 | $38.626,50 | 31 / 3 | $10.809,60 | 28 / 3 | $9.707,09 | 28 / 3 |
| Chest Pain | 24 | 127 / 18 | $18.887,50 | 835 / 21 | $7.329,92 | 1616 / 38 | $6.576,58 | 1607 / 38 |
| Chronic Obstructive Pulmonary Disease W Cc | 48 | 131 / 16 | $21.912,60 | 1196 / 36 | $9.420,56 | 2274 / 61 | $8.304,98 | 2267 / 62 |
| Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 23 | $29.905,00 | 1472 / 49 | $11.164,40 | 2422 / 64 | $10.440,40 | 2414 / 65 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 27 | $16.107,60 | 918 / 31 | $7.654,82 | 1998 / 56 | $6.730,59 | 1987 / 57 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 21 | 72 / 11 | $50.031,80 | 323 / 9 | $17.582,50 | 771 / 20 | $16.843,50 | 764 / 22 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 26 | $33.082,70 | 660 / 24 | $10.690,00 | 1499 / 45 | $9.240,27 | 1496 / 46 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 9 | $21.192,70 | 247 / 12 | $9.169,53 | 671 / 18 | $7.930,53 | 671 / 19 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 15 | 83 / 10 | $78.247,30 | 84 / 7 | $29.694,00 | 280 / 13 | $29.051,90 | 280 / 13 |
| Degenerative Nervous System Disorders W Mcc | 14 | 24 / 3 | $28.853,60 | 55 / 2 | $14.159,50 | 168 / 7 | $13.490,40 | 168 / 7 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 17 | $22.129,10 | 299 / 14 | $9.593,58 | 776 / 22 | $8.886,92 | 776 / 23 |
| Diabetes W Cc | 30 | 62 / 9 | $19.358,70 | 648 / 18 | $8.804,43 | 1492 / 36 | $7.728,70 | 1487 / 37 |
| Diabetes W Mcc | 12 | 45 / 11 | $27.739,40 | 234 / 4 | $12.601,20 | 653 / 14 | $11.699,90 | 652 / 15 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 15 | $22.725,50 | 398 / 15 | $9.483,00 | 895 / 24 | $8.389,18 | 892 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 34 | 62 / 8 | $29.503,30 | 618 / 20 | $11.358,80 | 1303 / 35 | $10.400,90 | 1298 / 36 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 82 | 193 / 20 | $19.113,90 | 1290 / 37 | $8.129,70 | 2576 / 64 | $7.148,04 | 2561 / 65 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 14 | $75.823,30 | 77 / 2 | $32.596,50 | 440 / 18 | $31.873,90 | 440 / 20 |
| Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 6 | $14.224,20 | 252 / 8 | $8.079,71 | 890 / 22 | $7.014,29 | 889 / 22 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 7 | $15.883,60 | 221 / 9 | $7.955,94 | 756 / 18 | $6.977,94 | 754 / 19 |
| G.I. Hemorrhage W Cc | 66 | 152 / 17 | $26.492,60 | 1327 / 36 | $10.022,00 | 2277 / 55 | $9.083,11 | 2273 / 56 |
| G.I. Hemorrhage W Mcc | 40 | 81 / 8 | $38.455,20 | 637 / 18 | $15.157,80 | 1460 / 35 | $14.523,40 | 1450 / 37 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 8 | $15.468,20 | 358 / 9 | $7.977,23 | 963 / 17 | $6.864,62 | 959 / 19 |
| G.I. Obstruction W Cc | 28 | 64 / 11 | $23.696,60 | 906 / 29 | $9.137,00 | 1657 / 42 | $8.277,57 | 1652 / 42 |
| G.I. Obstruction W Mcc | 11 | 31 / 10 | $38.817,60 | 236 / 10 | $13.493,40 | 442 / 15 | $12.504,30 | 442 / 15 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 14 | $17.141,60 | 676 / 20 | $7.371,53 | 1283 / 29 | $6.286,35 | 1280 / 29 |
| Heart Failure & Shock W Cc | 87 | 191 / 19 | $24.561,00 | 1637 / 45 | $9.939,99 | 2594 / 64 | $9.065,69 | 2588 / 65 |
| Heart Failure & Shock W Mcc | 157 | 127 / 11 | $36.758,30 | 1493 / 38 | $13.281,10 | 2376 / 60 | $12.591,00 | 2365 / 61 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 21 | $20.491,70 | 1314 / 37 | $7.827,78 | 1938 / 45 | $7.024,22 | 1925 / 46 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 20 | $44.045,00 | 808 / 22 | $16.531,70 | 1843 / 48 | $15.469,50 | 1823 / 49 |
| Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 12 | $59.764,20 | 304 / 10 | $22.934,40 | 787 / 29 | $22.130,90 | 784 / 30 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 6 | $58.345,60 | 159 / 5 | $19.915,10 | 305 / 9 | $19.112,40 | 304 / 10 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 44 | 80 / 10 | $124.191,00 | 779 / 21 | $41.046,30 | 1235 / 35 | $39.753,20 | 1225 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 49 | 133 / 16 | $25.311,60 | 814 / 22 | $10.079,70 | 1895 / 44 | $8.924,84 | 1891 / 45 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 24 | $35.112,60 | 525 / 15 | $14.486,80 | 1359 / 34 | $13.548,10 | 1353 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 15 | $22.196,60 | 729 / 23 | $8.239,08 | 1527 / 38 | $7.133,16 | 1523 / 39 |
| Kidney & Urinary Tract Infections W Mcc | 72 | 72 / 2 | $22.796,00 | 774 / 21 | $10.528,60 | 1796 / 41 | $9.658,79 | 1792 / 42 |
| Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 23 | $17.691,00 | 1310 / 40 | $8.429,37 | 2588 / 64 | $7.520,51 | 2577 / 65 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 13 | $39.356,10 | 246 / 11 | $14.406,50 | 783 / 23 | $12.391,00 | 779 / 23 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 9 | $62.048,40 | 188 / 10 | $20.052,90 | 413 / 15 | $19.354,20 | 412 / 15 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 20 | $70.487,90 | 265 / 11 | $26.687,60 | 844 / 25 | $25.759,50 | 843 / 26 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 10 | $26.108,20 | 526 / 16 | $10.997,10 | 1052 / 28 | $10.454,70 | 1050 / 29 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 10 | $36.835,10 | 241 / 6 | $15.924,90 | 583 / 14 | $15.375,10 | 582 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 16 | $65.629,90 | 319 / 14 | $26.468,30 | 826 / 29 | $25.420,80 | 823 / 29 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 142 | 422 / 25 | $39.377,10 | 719 / 25 | $18.099,20 | 2241 / 60 | $14.910,00 | 2197 / 59 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 25 | $55.600,30 | 545 / 16 | $20.611,90 | 1337 / 34 | $19.483,90 | 1323 / 34 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 17 | $113.268,00 | 506 / 18 | $37.147,00 | 939 / 26 | $36.265,90 | 937 / 28 |
| Medical Back Problems W/O Mcc | 25 | 96 / 19 | $20.106,30 | 534 / 12 | $8.709,48 | 1397 / 30 | $7.699,56 | 1392 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 51 | 75 / 7 | $25.721,60 | 748 / 24 | $10.549,60 | 1548 / 39 | $9.845,57 | 1545 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 22 | $16.986,80 | 1207 / 38 | $7.916,87 | 2418 / 62 | $6.978,47 | 2409 / 63 |
| Other Antepartum Diagnoses W Medical Complications | 12 | 13 / 1 | $17.991,30 | 12 / 2 | $7.927,17 | 14 / 2 | $6.889,67 | 14 / 2 |
| Other Circulatory System Diagnoses W Mcc | 75 | 41 / 2 | $49.012,60 | 722 / 22 | $16.377,90 | 1167 / 28 | $15.357,00 | 1159 / 28 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 18 | $27.017,40 | 759 / 23 | $9.812,94 | 1344 / 34 | $8.984,94 | 1340 / 35 |
| Other Digestive System Diagnoses W Mcc | 16 | 46 / 10 | $41.709,10 | 344 / 11 | $14.835,60 | 624 / 16 | $13.852,60 | 623 / 16 |
| Other Disorders Of Nervous System W Cc | 20 | 36 / 5 | $19.321,20 | 167 / 7 | $8.859,65 | 580 / 17 | $8.254,85 | 579 / 18 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 23 | 80 / 9 | $21.288,40 | 283 / 13 | $9.674,30 | 779 / 25 | $9.044,04 | 779 / 25 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 46 | 55 / 6 | $46.433,60 | 748 / 25 | $14.734,70 | 993 / 32 | $13.685,00 | 989 / 32 |
| Other Resp System O.R. Procedures W Mcc | 14 | 49 / 13 | $82.434,20 | 236 / 11 | $28.241,50 | 473 / 17 | $27.635,80 | 472 / 18 |
| Other Vascular Procedures W Cc | 21 | 81 / 16 | $74.205,10 | 576 / 22 | $20.392,60 | 948 / 27 | $19.586,50 | 943 / 27 |
| Other Vascular Procedures W Mcc | 23 | 74 / 11 | $97.070,00 | 568 / 18 | $27.984,60 | 854 / 22 | $27.172,10 | 851 / 24 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 14 | $97.032,80 | 459 / 25 | $25.202,40 | 818 / 27 | $24.112,80 | 813 / 29 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 28 | $66.570,20 | 607 / 29 | $17.093,40 | 1344 / 42 | $16.080,70 | 1337 / 43 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 11 | $16.031,90 | 225 / 3 | $9.494,53 | 1150 / 23 | $8.670,95 | 1147 / 24 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 11 | $103.036,00 | 347 / 14 | $28.376,20 | 497 / 14 | $27.466,80 | 497 / 15 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 15 | $35.048,70 | 474 / 16 | $14.441,50 | 920 / 26 | $13.909,50 | 917 / 26 |
| Pulmonary Edema & Respiratory Failure | 52 | 151 / 24 | $35.760,50 | 1325 / 36 | $11.115,90 | 2028 / 51 | $10.420,50 | 2022 / 52 |
| Pulmonary Embolism W/O Mcc | 24 | 50 / 8 | $31.742,70 | 887 / 24 | $9.772,00 | 1163 / 32 | $7.890,79 | 1160 / 32 |
| Red Blood Cell Disorders W Mcc | 18 | 53 / 9 | $32.401,70 | 518 / 13 | $11.657,40 | 919 / 23 | $10.011,50 | 915 / 23 |
| Red Blood Cell Disorders W/O Mcc | 46 | 97 / 7 | $20.508,10 | 940 / 26 | $8.684,15 | 1872 / 46 | $7.669,37 | 1863 / 47 |
| Renal Failure W Cc | 67 | 154 / 20 | $23.658,60 | 1325 / 38 | $9.673,85 | 2251 / 54 | $8.514,91 | 2241 / 55 |
| Renal Failure W Mcc | 100 | 95 / 6 | $36.100,80 | 1105 / 29 | $13.871,60 | 1941 / 46 | $13.122,10 | 1937 / 46 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 8 | $17.774,20 | 478 / 13 | $7.201,93 | 826 / 22 | $6.270,07 | 824 / 23 |
| Respiratory Infections & Inflammations W Mcc | 50 | 86 / 15 | $41.106,70 | 827 / 23 | $16.460,40 | 1631 / 43 | $15.700,10 | 1615 / 45 |
| Respiratory Neoplasms W Mcc | 21 | 31 / 5 | $50.753,60 | 390 / 14 | $15.469,00 | 579 / 19 | $14.601,90 | 576 / 19 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 21 | $63.236,90 | 986 / 27 | $19.222,20 | 1574 / 45 | $18.506,30 | 1560 / 46 |
| Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 11 | $63.132,30 | 164 / 6 | $26.392,50 | 568 / 15 | $25.406,40 | 566 / 15 |
| Seizures W Mcc | 19 | 47 / 10 | $34.095,20 | 247 / 11 | $13.818,70 | 648 / 18 | $13.276,40 | 648 / 18 |
| Seizures W/O Mcc | 26 | 82 / 13 | $18.638,00 | 472 / 13 | $8.345,65 | 1225 / 26 | $7.513,31 | 1223 / 27 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 13 | $143.174,00 | 479 / 13 | $43.687,80 | 801 / 20 | $43.159,80 | 800 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 296 | 222 / 12 | $47.665,20 | 1694 / 44 | $16.194,10 | 2508 / 63 | $15.298,50 | 2464 / 63 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 67 | 140 / 14 | $27.811,80 | 1497 / 39 | $10.464,60 | 2385 / 55 | $9.204,04 | 2375 / 56 |
| Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 30 | $22.792,20 | 1428 / 44 | $9.559,12 | 2599 / 69 | $8.384,35 | 2590 / 70 |
| Simple Pneumonia & Pleurisy W Mcc | 76 | 129 / 17 | $36.382,40 | 1427 / 42 | $12.916,10 | 2285 / 59 | $12.054,00 | 2279 / 60 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 27 | $15.417,70 | 777 / 27 | $7.849,62 | 1886 / 49 | $6.495,77 | 1878 / 50 |
| Syncope & Collapse | 29 | 140 / 19 | $20.757,00 | 926 / 27 | $8.168,48 | 1829 / 43 | $7.396,07 | 1821 / 44 |
| Transient Ischemia | 21 | 104 / 19 | $20.704,40 | 711 / 17 | $7.941,05 | 1578 / 34 | $6.737,76 | 1570 / 35 |
| Vaginal Delivery W/O Complicating Diagnoses | 11 | 14 / 2 | $15.554,90 | 49 / 2 | $6.818,82 | 65 / 2 | $5.356,64 | 65 / 2 | Total 97 procedures | 3.315 | 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.