Hospital Costs > In Missouri > Truman Medical Center Lakewood, 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 | 16 | 173 / 42 | $7.690,00 | 78 / 1 | $10.577,70 | 2572 / 67 | $9.574,69 | 2564 / 67 |
Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 40 | $8.551,54 | 38 / 1 | $11.105,30 | 2384 / 63 | $10.177,30 | 2377 / 63 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 45 | $13.312,00 | 200 / 3 | $13.083,80 | 2515 / 65 | $12.246,90 | 2507 / 66 |
Degenerative Nervous System Disorders W/O Mcc | 41 | 37 / 2 | $14.295,90 | 95 / 4 | $11.821,60 | 841 / 24 | $11.052,90 | 841 / 24 |
Depressive Neuroses | 13 | 37 / 4 | $14.199,50 | 88 / 5 | $9.467,54 | 128 / 5 | $8.721,62 | 128 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 43 | $14.332,50 | 662 / 18 | $11.105,30 | 2708 / 67 | $10.265,30 | 2693 / 67 |
Heart Failure & Shock W Cc | 26 | 252 / 45 | $12.845,10 | 352 / 5 | $11.425,40 | 2683 / 65 | $10.694,90 | 2677 / 66 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 50 | $24.898,30 | 79 / 3 | $19.160,60 | 2520 / 62 | $17.981,30 | 2474 / 62 |
Organic Disturbances & Mental Retardation | 47 | 15 / 2 | $13.248,20 | 60 / 2 | $12.258,60 | 527 / 14 | $11.122,60 | 527 / 13 |
Psychoses | 100 | 192 / 14 | $19.186,90 | 308 / 18 | $13.872,50 | 599 / 23 | $12.589,40 | 599 / 23 |
Rehabilitation W Cc/Mcc | 28 | 19 / 1 | $36.953,80 | 19 / 1 | $19.458,60 | 17 / 1 | $18.854,00 | 17 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 29 | 487 / 51 | $17.348,40 | 149 / 3 | $17.520,00 | 2626 / 64 | $16.619,60 | 2581 / 65 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 44 | $11.332,60 | 200 / 2 | $11.558,30 | 2754 / 71 | $10.591,90 | 2745 / 72 |
Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 47 | $17.157,30 | 225 / 5 | $12.948,60 | 2300 / 60 | $12.234,80 | 2294 / 61 | Total 14 procedures | 415 | 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.