Hospital Costs > In Missouri > St Joseph Medical Center Kansas City, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 120 | 155 / 11 | $20.451,80 | 1443 / 44 | $4.493,48 | 402 / 18 | $3.328,59 | 400 / 19 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 116 | 448 / 28 | $45.144,70 | 1038 / 34 | $12.554,40 | 431 / 23 | $10.225,30 | 429 / 17 |
Heart Failure & Shock W Cc | 105 | 173 / 14 | $30.709,70 | 1992 / 52 | $5.864,70 | 618 / 20 | $4.999,79 | 617 / 22 |
Simple Pneumonia & Pleurisy W Cc | 99 | 104 / 9 | $36.818,20 | 2242 / 66 | $6.094,77 | 535 / 29 | $4.675,62 | 532 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 89 | 427 / 36 | $72.529,00 | 2321 / 61 | $12.533,40 | 1174 / 49 | $10.446,90 | 1156 / 38 |
G.I. Hemorrhage W Cc | 81 | 137 / 13 | $26.428,70 | 1325 / 35 | $5.925,09 | 373 / 21 | $4.777,88 | 373 / 17 |
Simple Pneumonia & Pleurisy W Mcc | 69 | 136 / 21 | $50.391,30 | 1924 / 55 | $8.812,64 | 936 / 27 | $7.799,78 | 936 / 27 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 68 | 82 / 6 | $15.441,30 | 1044 / 31 | $3.721,81 | 262 / 25 | $2.210,57 | 260 / 13 |
Kidney & Urinary Tract Infections W/O Mcc | 66 | 167 / 15 | $21.279,00 | 1704 / 49 | $4.550,71 | 545 / 22 | $3.650,17 | 544 / 25 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 65 | 131 / 12 | $61.033,80 | 476 / 22 | $11.730,50 | 236 / 7 | $9.938,08 | 236 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 58 | 121 / 11 | $32.867,40 | 1840 / 55 | $5.349,53 | 578 / 16 | $4.620,16 | 576 / 20 |
Respiratory Infections & Inflammations W Mcc | 52 | 84 / 14 | $63.984,30 | 1338 / 40 | $11.664,80 | 732 / 19 | $10.990,90 | 724 / 24 |
Heart Failure & Shock W Mcc | 51 | 233 / 31 | $41.829,80 | 1733 / 48 | $8.363,51 | 593 / 11 | $7.806,33 | 593 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 48 | 75 / 12 | $38.281,20 | 1269 / 33 | $7.664,65 | 764 / 22 | $6.749,65 | 761 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 48 | 113 / 14 | $26.217,70 | 1465 / 41 | $4.651,38 | 420 / 17 | $3.748,71 | 420 / 18 |
Medical Back Problems W/O Mcc | 46 | 75 / 7 | $21.282,90 | 622 / 16 | $4.949,48 | 253 / 9 | $3.875,41 | 253 / 9 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 23 | $39.099,50 | 1885 / 58 | $6.839,49 | 511 / 20 | $5.790,29 | 510 / 21 |
Renal Failure W Cc | 45 | 176 / 29 | $26.704,50 | 1530 / 43 | $5.555,60 | 447 / 19 | $4.696,58 | 444 / 20 |
Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 7 | $22.897,50 | 1446 / 38 | $4.374,73 | 267 / 20 | $3.058,05 | 265 / 11 |
Cellulitis W/O Mcc | 44 | 145 / 19 | $19.196,60 | 1396 / 46 | $4.993,48 | 478 / 23 | $3.860,07 | 475 / 24 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 44 | 144 / 17 | $38.170,60 | 883 / 36 | $6.691,09 | 289 / 19 | $5.129,98 | 289 / 14 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 41 | 79 / 8 | $31.386,90 | 1752 / 56 | $4.219,54 | 402 / 14 | $3.231,44 | 401 / 17 |
Syncope & Collapse | 39 | 130 / 15 | $19.944,70 | 846 / 24 | $4.421,72 | 267 / 16 | $3.292,41 | 265 / 15 |
Extracranial Procedures W/O Cc/Mcc | 39 | 59 / 8 | $23.936,40 | 252 / 12 | $6.384,33 | 94 / 10 | $4.637,46 | 94 / 6 |
Renal Failure W Mcc | 38 | 157 / 24 | $45.338,70 | 1451 / 39 | $8.727,97 | 584 / 8 | $8.175,55 | 584 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 24 | $22.811,60 | 1769 / 50 | $4.143,28 | 544 / 16 | $3.337,06 | 542 / 22 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 36 | 57 / 9 | $25.043,30 | 1455 / 41 | $4.146,92 | 396 / 14 | $3.138,92 | 394 / 18 |
Chest Pain | 33 | 118 / 12 | $19.586,60 | 893 / 23 | $3.482,42 | 239 / 10 | $2.605,82 | 238 / 14 |
Signs & Symptoms W/O Mcc | 33 | 58 / 8 | $19.634,90 | 635 / 19 | $4.066,39 | 318 / 7 | $3.406,03 | 317 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 23 | $38.257,90 | 555 / 14 | $10.886,70 | 371 / 11 | $9.874,03 | 370 / 14 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 19 | $81.492,40 | 1323 / 41 | $15.126,00 | 1105 / 31 | $14.592,60 | 1093 / 36 |
Pulmonary Edema & Respiratory Failure | 29 | 174 / 36 | $46.424,20 | 1676 / 45 | $6.989,86 | 597 / 13 | $6.446,97 | 597 / 23 |
Major Small & Large Bowel Procedures W Cc | 29 | 79 / 17 | $65.383,30 | 756 / 23 | $13.543,40 | 231 / 4 | $12.588,90 | 229 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 23 | $38.975,80 | 661 / 18 | $9.555,52 | 266 / 8 | $8.679,38 | 265 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 26 | $30.048,10 | 1163 / 31 | $6.024,50 | 346 / 12 | $5.032,50 | 345 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 30 | $27.099,90 | 1433 / 36 | $6.073,52 | 482 / 16 | $5.179,89 | 480 / 18 |
G.I. Hemorrhage W Mcc | 27 | 94 / 12 | $40.590,20 | 712 / 20 | $9.820,48 | 274 / 6 | $9.085,67 | 274 / 13 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 15 | $141.713,00 | 942 / 28 | $33.634,90 | 440 / 19 | $28.964,80 | 436 / 16 |
G.I. Obstruction W Cc | 25 | 67 / 13 | $26.531,60 | 1064 / 32 | $5.224,72 | 365 / 13 | $4.305,68 | 364 / 14 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 25 | 39 / 7 | $43.760,30 | 370 / 16 | $9.464,44 | 167 / 7 | $7.898,16 | 167 / 6 |
Respiratory Infections & Inflammations W Cc | 24 | 64 / 10 | $40.867,90 | 981 / 32 | $7.809,08 | 318 / 14 | $7.006,42 | 315 / 15 |
Other Digestive System Diagnoses W Cc | 24 | 73 / 11 | $22.504,40 | 536 / 16 | $5.822,00 | 97 / 14 | $4.394,83 | 96 / 7 |
Pulmonary Embolism W/O Mcc | 23 | 51 / 9 | $30.971,30 | 863 / 23 | $6.348,87 | 154 / 18 | $4.507,26 | 154 / 9 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 18 | $44.214,10 | 969 / 30 | $9.551,04 | 327 / 6 | $8.607,74 | 327 / 9 |
Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 10 | $140.985,00 | 742 / 25 | $31.625,10 | 516 / 16 | $29.766,70 | 514 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 17 | $22.403,80 | 745 / 25 | $4.449,82 | 450 / 11 | $3.571,27 | 447 / 16 |
Spinal Fusion Except Cervical W/O Mcc | 22 | 172 / 21 | $75.408,10 | 455 / 13 | $23.084,70 | 228 / 10 | $20.066,40 | 227 / 7 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 23 | $31.505,50 | 1234 / 34 | $6.429,86 | 576 / 18 | $5.799,00 | 575 / 20 |
Other Vascular Procedures W/O Cc/Mcc | 20 | 36 / 5 | $31.706,20 | 78 / 6 | $11.452,30 | 29 / 16 | $7.814,60 | 29 / 4 |
Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 9 | $58.327,30 | 323 / 11 | $14.895,90 | 179 / 6 | $13.927,90 | 179 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 18 | $31.288,70 | 685 / 23 | $6.841,30 | 244 / 10 | $6.116,50 | 243 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 22 | $33.002,20 | 1099 / 31 | $6.400,26 | 282 / 10 | $5.666,79 | 279 / 17 |
Transient Ischemia | 19 | 106 / 21 | $24.098,40 | 922 / 23 | $4.152,68 | 341 / 13 | $3.202,79 | 341 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 13 | $73.984,70 | 430 / 20 | $18.375,60 | 259 / 9 | $17.297,70 | 257 / 11 |
Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 11 | $72.290,10 | 445 / 20 | $16.852,60 | 182 / 10 | $15.771,30 | 181 / 9 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 15 | $93.803,80 | 422 / 22 | $17.939,90 | 196 / 3 | $17.136,40 | 195 / 9 |
Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 12 | $35.962,10 | 936 / 25 | $5.993,56 | 325 / 11 | $5.186,44 | 324 / 12 |
Cellulitis W Mcc | 18 | 40 / 10 | $33.215,10 | 442 / 16 | $7.690,17 | 117 / 7 | $7.085,72 | 117 / 9 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 13 | $18.013,60 | 726 / 22 | $3.779,06 | 171 / 11 | $2.481,72 | 171 / 11 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 16 | 24 / 3 | $43.349,60 | 60 / 2 | $11.028,60 | 24 / 1 | $10.044,60 | 24 / 1 |
Diabetes W Cc | 15 | 77 / 19 | $22.180,10 | 827 / 24 | $4.766,53 | 82 / 8 | $3.567,93 | 82 / 9 |
Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 14 | $23.116,80 | 337 / 16 | $5.643,13 | 135 / 11 | $4.976,47 | 135 / 11 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 27 | $26.011,80 | 1312 / 36 | $4.483,07 | 66 / 9 | $3.321,47 | 66 / 4 |
Organic Disturbances & Mental Retardation | 15 | 44 / 7 | $23.505,80 | 250 / 11 | $5.844,47 | 63 / 4 | $4.884,47 | 63 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 10 | $51.379,80 | 479 / 20 | $9.390,73 | 213 / 7 | $8.339,00 | 213 / 13 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 15 | 103 / 10 | $153.326,00 | 296 / 13 | $34.481,30 | 10 / 10 | $24.668,30 | 10 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 13 | $29.161,70 | 623 / 19 | $6.904,40 | 121 / 10 | $5.656,53 | 121 / 8 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 20 | $51.383,50 | 808 / 28 | $8.870,47 | 252 / 13 | $8.205,93 | 252 / 17 |
Seizures W/O Mcc | 14 | 94 / 19 | $22.927,00 | 693 / 22 | $4.492,57 | 136 / 7 | $3.409,14 | 135 / 6 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 20 | $22.442,30 | 547 / 20 | $3.853,07 | 42 / 5 | $2.904,50 | 42 / 4 |
Other Vascular Procedures W Mcc | 13 | 84 / 17 | $77.900,30 | 356 / 10 | $17.596,50 | 45 / 2 | $16.315,30 | 45 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 14 | $109.419,00 | 286 / 16 | $27.332,30 | 53 / 10 | $23.955,10 | 53 / 5 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 11 | $21.441,90 | 593 / 19 | $3.751,83 | 161 / 9 | $2.845,17 | 160 / 9 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 10 | $22.563,60 | 445 / 15 | $4.523,58 | 58 / 7 | $3.085,00 | 58 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 9 | $57.598,90 | 477 / 13 | $10.408,70 | 81 / 4 | $9.598,00 | 81 / 4 |
Respiratory Neoplasms W Cc | 12 | 35 / 9 | $37.394,00 | 286 / 11 | $6.749,50 | 51 / 6 | $5.741,50 | 50 / 4 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 10 | $14.071,90 | 246 / 7 | $4.229,50 | 238 / 7 | $3.325,50 | 239 / 9 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 14 | $32.278,30 | 335 / 13 | $6.298,75 | 194 / 5 | $5.186,75 | 194 / 5 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 9 | $18.476,10 | 219 / 12 | $4.028,75 | 48 / 5 | $2.653,00 | 48 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 10 | $41.676,80 | 329 / 11 | $7.032,25 | 136 / 5 | $5.824,25 | 136 / 7 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 11 | $54.682,50 | 335 / 14 | $12.124,30 | 142 / 6 | $11.030,50 | 141 / 7 |
G.I. Obstruction W Mcc | 11 | 31 / 10 | $37.597,30 | 216 / 9 | $8.811,45 | 71 / 5 | $8.213,64 | 71 / 7 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 13 | $42.891,20 | 358 / 13 | $9.376,36 | 60 / 2 | $8.497,82 | 60 / 2 |
Respiratory Signs & Symptoms | 11 | 35 / 5 | $39.403,50 | 285 / 8 | $4.059,36 | 45 / 1 | $3.177,91 | 45 / 1 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 6 | $30.605,80 | 292 / 7 | $4.213,00 | 52 / 2 | $3.445,00 | 52 / 3 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 13 | $35.361,70 | 310 / 12 | $9.240,36 | 198 / 4 | $8.143,64 | 198 / 7 | Total 86 procedures | 2.746 | 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.