Hospital Costs > In Wyoming > St Johns Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 53 | 511 / 6 | $45.798,80 | 1074 / 3 | $22.972,60 | 2639 / 8 | $21.133,70 | 2593 / 10 |
Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 4 | $106.156,00 | 805 / 2 | $48.373,70 | 1347 / 3 | $44.081,10 | 1342 / 3 |
Heart Failure & Shock W Cc | 16 | 262 / 5 | $16.431,90 | 735 / 2 | $10.671,90 | 2649 / 7 | $9.763,88 | 2643 / 7 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 7 | $21.147,40 | 1263 / 8 | $10.691,50 | 2720 / 9 | $9.648,33 | 2711 / 9 |
Cellulitis W/O Mcc | 15 | 174 / 3 | $17.110,30 | 1137 / 6 | $9.109,13 | 2515 / 8 | $8.223,80 | 2507 / 8 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 2 | $48.506,70 | 306 / 3 | $24.158,60 | 812 / 4 | $22.951,10 | 808 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 4 | $10.323,90 | 345 / 1 | $7.297,62 | 2393 / 5 | $6.736,38 | 2384 / 5 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 4 | $13.694,10 | 577 / 3 | $7.596,15 | 1826 / 4 | $5.875,23 | 1818 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 5 | $14.484,40 | 683 / 4 | $8.180,58 | 2482 / 6 | $6.417,08 | 2467 / 5 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 12 | 51 / 1 | $74.481,40 | 109 / 1 | $41.109,00 | 231 / 1 | $33.728,70 | 230 / 1 | Total 10 procedures | 182 | 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.