Hospital Costs > In Missouri > St Mary's Medical Center Blue Springs, 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 | 140 | 424 / 26 | $49.438,40 | 1258 / 38 | $13.217,70 | 361 / 33 | $10.090,70 | 360 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 27 | $20.876,60 | 1495 / 48 | $4.332,03 | 214 / 13 | $3.128,03 | 214 / 14 |
Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 29 | $26.085,60 | 1704 / 53 | $5.588,95 | 354 / 15 | $4.517,68 | 352 / 17 |
Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 25 | $22.343,20 | 1789 / 51 | $4.374,49 | 227 / 17 | $3.337,00 | 227 / 15 |
Pulmonary Edema & Respiratory Failure | 40 | 163 / 32 | $40.004,80 | 1502 / 41 | $7.044,35 | 180 / 16 | $5.873,83 | 180 / 9 |
Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 31 | $31.539,60 | 1558 / 53 | $6.722,54 | 697 / 17 | $5.969,24 | 693 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 35 | 481 / 47 | $54.302,20 | 1930 / 51 | $10.873,90 | 566 / 25 | $9.613,51 | 565 / 18 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 12 | $21.888,80 | 1398 / 48 | $4.217,97 | 239 / 13 | $3.072,27 | 239 / 13 |
Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 33 | $39.472,30 | 1543 / 46 | $9.062,18 | 483 / 34 | $7.298,79 | 483 / 20 |
Syncope & Collapse | 31 | 138 / 17 | $21.639,60 | 1003 / 31 | $4.499,65 | 69 / 18 | $2.927,19 | 69 / 6 |
G.I. Hemorrhage W Cc | 29 | 189 / 33 | $31.318,90 | 1632 / 45 | $5.728,76 | 621 / 16 | $5.021,45 | 620 / 21 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 23 | $19.503,30 | 1370 / 39 | $3.218,00 | 162 / 9 | $2.061,89 | 162 / 10 |
Cellulitis W/O Mcc | 26 | 163 / 34 | $18.850,80 | 1345 / 42 | $4.715,65 | 298 / 10 | $3.690,42 | 295 / 14 |
Heart Failure & Shock W Cc | 24 | 254 / 46 | $32.667,50 | 2086 / 55 | $5.962,96 | 151 / 23 | $4.451,42 | 151 / 8 |
Chest Pain | 24 | 127 / 18 | $22.795,20 | 1102 / 29 | $3.569,50 | 92 / 12 | $2.335,12 | 92 / 9 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 19 | $22.020,70 | 1309 / 38 | $4.009,26 | 205 / 10 | $2.910,13 | 203 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 32 | $24.176,00 | 1393 / 45 | $5.110,30 | 217 / 9 | $4.215,70 | 217 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 37 | $18.087,30 | 1335 / 42 | $4.001,38 | 305 / 11 | $3.137,38 | 305 / 16 |
Heart Failure & Shock W Mcc | 21 | 263 / 41 | $38.620,20 | 1587 / 43 | $9.284,95 | 138 / 32 | $7.077,90 | 138 / 4 |
Renal Failure W Cc | 20 | 201 / 42 | $24.924,70 | 1409 / 40 | $5.285,35 | 99 / 11 | $4.176,00 | 99 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 33 | $80.142,80 | 868 / 32 | $13.271,20 | 639 / 29 | $11.064,00 | 635 / 26 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 31 | $40.665,90 | 967 / 38 | $6.601,89 | 33 / 16 | $4.466,89 | 33 / 3 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 14 | $17.462,50 | 694 / 21 | $3.616,18 | 103 / 8 | $2.338,65 | 103 / 6 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 35 | $45.521,40 | 865 / 24 | $11.147,80 | 555 / 13 | $10.157,60 | 553 / 21 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 7 | $19.623,90 | 547 / 17 | $3.512,62 | 98 / 7 | $2.678,62 | 97 / 8 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 27 | $29.378,10 | 1149 / 32 | $6.402,94 | 301 / 17 | $5.428,94 | 300 / 16 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 33 | $59.637,20 | 1259 / 37 | $11.423,50 | 672 / 13 | $10.856,00 | 664 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 39 | $34.621,00 | 1845 / 46 | $5.991,93 | 352 / 12 | $5.043,36 | 351 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 38 | $20.969,80 | 1125 / 31 | $4.499,38 | 347 / 11 | $3.662,46 | 347 / 15 |
Dysequilibrium | 13 | 52 / 5 | $26.403,70 | 366 / 11 | $4.795,69 | 5 / 11 | $2.074,69 | 5 / 2 |
Transient Ischemia | 12 | 113 / 23 | $24.879,40 | 951 / 25 | $4.665,50 | 48 / 19 | $2.649,58 | 48 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 33 | $30.669,90 | 1196 / 33 | $5.868,00 | 223 / 8 | $4.860,00 | 223 / 10 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 10 | $35.003,30 | 667 / 15 | $4.320,64 | 151 / 6 | $3.445,00 | 150 / 7 | Total 33 procedures | 928 | 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.