Hospital Costs > In Missouri > St Alexius Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 24 | 165 / 36 | $25.967,50 | 1924 / 56 | $6.770,04 | 2046 / 57 | $5.668,79 | 2038 / 59 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 41 | $24.983,20 | 1448 / 48 | $7.311,00 | 1958 / 54 | $6.564,33 | 1951 / 57 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 42 | $19.206,20 | 1302 / 39 | $6.059,30 | 2162 / 57 | $5.149,83 | 2148 / 60 |
| Heart Failure & Shock W Mcc | 12 | 272 / 47 | $30.142,60 | 1093 / 24 | $10.600,00 | 1888 / 51 | $9.994,67 | 1883 / 51 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 41 | $20.932,80 | 1668 / 48 | $6.282,84 | 2175 / 58 | $5.393,58 | 2164 / 59 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 43 | $23.110,10 | 1786 / 51 | $6.007,00 | 2113 / 58 | $5.232,14 | 2105 / 59 |
| O.R. Procedures For Obesity W Cc | 11 | 23 / 5 | $35.103,50 | 18 / 2 | $13.278,60 | 50 / 5 | $10.986,60 | 50 / 4 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 41 | 36 / 5 | $33.192,80 | 116 / 5 | $11.549,50 | 247 / 9 | $9.478,07 | 247 / 8 |
| Organic Disturbances & Mental Retardation | 20 | 39 / 4 | $27.568,40 | 314 / 13 | $7.720,05 | 375 / 10 | $7.030,45 | 375 / 10 |
| Psychoses | 599 | 15 / 1 | $24.521,00 | 404 / 22 | $7.983,83 | 407 / 20 | $6.852,44 | 407 / 20 |
| Renal Failure W Cc | 19 | 202 / 43 | $30.953,30 | 1746 / 45 | $7.454,53 | 1889 / 50 | $6.629,26 | 1879 / 51 |
| Renal Failure W Mcc | 11 | 184 / 37 | $41.421,70 | 1321 / 37 | $11.259,40 | 1611 / 39 | $10.712,50 | 1609 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 31 | $29.287,90 | 1916 / 57 | $7.590,86 | 2329 / 60 | $6.975,08 | 2320 / 63 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 45 | $43.361,70 | 1695 / 50 | $10.676,70 | 1948 / 53 | $9.904,21 | 1948 / 55 |
| Transurethral Prostatectomy W/O Cc/Mcc | 16 | 13 / 1 | $22.299,20 | 34 / 1 | $6.247,62 | 66 / 1 | $5.413,62 | 66 / 1 | Total 15 procedures | 872 | 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.