Hospital Costs > In Missouri > Twin Rivers Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 30 | 94 / 11 | $15.300,60 | 354 / 16 | $5.279,90 | 518 / 18 | $4.514,03 | 517 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 37 | $23.503,40 | 1318 / 36 | $5.723,07 | 1481 / 39 | $4.948,21 | 1476 / 41 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 32 | $28.569,50 | 1726 / 47 | $4.636,42 | 1501 / 43 | $3.540,42 | 1495 / 44 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 38 | $34.505,20 | 1894 / 58 | $6.422,93 | 1362 / 47 | $5.330,20 | 1357 / 42 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 39 | $37.054,70 | 1833 / 56 | $7.833,64 | 1584 / 47 | $6.958,00 | 1576 / 50 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 26 | $27.028,60 | 1614 / 51 | $5.488,00 | 1498 / 48 | $4.414,22 | 1487 / 49 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 49 | $36.328,70 | 2391 / 65 | $5.632,00 | 1914 / 51 | $4.624,00 | 1900 / 55 |
| G.I. Hemorrhage W Cc | 11 | 207 / 45 | $35.513,30 | 1801 / 50 | $6.976,64 | 1676 / 44 | $6.316,27 | 1672 / 47 |
| Heart Failure & Shock W Cc | 11 | 267 / 56 | $25.170,50 | 1683 / 46 | $6.756,55 | 1606 / 49 | $5.880,91 | 1601 / 48 |
| Heart Failure & Shock W Mcc | 25 | 259 / 40 | $37.163,70 | 1516 / 41 | $9.125,68 | 1279 / 28 | $8.690,48 | 1276 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 34 | $30.978,60 | 1210 / 35 | $6.901,64 | 1114 / 31 | $6.023,09 | 1111 / 34 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 41 | $27.560,10 | 2098 / 55 | $5.655,00 | 1807 / 52 | $4.701,74 | 1796 / 52 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 26 | 538 / 54 | $136.433,00 | 2639 / 64 | $13.073,70 | 1424 / 31 | $11.865,00 | 1391 / 45 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 38 | $24.793,70 | 1874 / 55 | $5.823,89 | 1737 / 55 | $4.375,58 | 1732 / 53 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 14 | $18.880,10 | 473 / 21 | $5.029,67 | 595 / 22 | $4.229,67 | 594 / 22 |
| Psychoses | 79 | 209 / 17 | $17.765,70 | 262 / 15 | $6.785,78 | 306 / 14 | $6.015,15 | 306 / 15 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 41 | $35.728,90 | 1322 / 35 | $8.006,10 | 1232 / 33 | $7.279,70 | 1230 / 37 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 29 | $71.224,20 | 1159 / 34 | $13.074,80 | 531 / 8 | $12.518,50 | 524 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 55 | $63.188,10 | 2164 / 57 | $10.540,30 | 736 / 13 | $9.839,68 | 735 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 28 | $36.056,80 | 2221 / 65 | $6.784,44 | 1870 / 51 | $5.953,16 | 1862 / 54 |
| Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 34 | $48.244,30 | 1857 / 54 | $9.031,72 | 1277 / 32 | $8.275,72 | 1277 / 38 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 19 | $31.436,00 | 1657 / 49 | $5.369,22 | 1511 / 43 | $4.478,78 | 1503 / 45 | Total 22 procedures | 491 | 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.