Hospital Costs > In Missouri > St Francis Hospital & Health Services, 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 | 15 | 174 / 43 | $16.096,30 | 1007 / 29 | $7.863,27 | 2310 / 63 | $6.561,80 | 2302 / 62 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 41 | $19.788,10 | 977 / 29 | $8.902,00 | 2271 / 60 | $8.294,00 | 2264 / 61 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 47 | $19.697,90 | 687 / 19 | $11.159,80 | 2386 / 63 | $10.068,90 | 2378 / 64 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 45 | $20.343,30 | 1427 / 43 | $7.044,72 | 2428 / 62 | $6.106,06 | 2413 / 63 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 40 | $16.429,60 | 1131 / 33 | $7.338,29 | 2444 / 63 | $6.358,48 | 2433 / 64 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 52 | $39.525,90 | 729 / 26 | $20.523,80 | 2581 / 63 | $19.352,90 | 2535 / 63 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 41 | $14.543,10 | 898 / 25 | $6.671,00 | 2241 / 61 | $5.759,00 | 2233 / 61 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 41 | $19.539,30 | 1079 / 31 | $9.315,57 | 2561 / 68 | $8.165,10 | 2552 / 69 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 45 | $19.751,50 | 377 / 9 | $13.835,10 | 2354 / 61 | $12.712,80 | 2348 / 62 | Total 9 procedures | 160 | 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.