Hospital Costs > In Missouri > Western Missouri 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 | 45 | 519 / 47 | $40.034,20 | 757 / 27 | $18.397,60 | 2407 / 61 | $16.277,00 | 2361 / 61 |
| Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 24 | $17.818,80 | 553 / 13 | $9.834,80 | 2212 / 61 | $8.888,45 | 2204 / 62 |
| Cellulitis W/O Mcc | 38 | 151 / 24 | $12.464,20 | 527 / 16 | $7.031,24 | 2122 / 60 | $5.867,13 | 2114 / 60 |
| Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 31 | $12.651,50 | 599 / 10 | $6.481,09 | 2225 / 60 | $5.501,40 | 2214 / 60 |
| Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 35 | $24.026,50 | 637 / 18 | $12.000,00 | 2132 / 57 | $10.831,10 | 2127 / 57 |
| Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 34 | $16.440,70 | 732 / 17 | $8.203,87 | 2412 / 64 | $7.316,35 | 2403 / 65 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 38 | $12.156,40 | 415 / 8 | $6.221,83 | 2184 / 59 | $5.192,07 | 2170 / 61 |
| Respiratory Infections & Inflammations W Mcc | 28 | 108 / 24 | $21.651,80 | 138 / 3 | $16.698,10 | 1637 / 44 | $15.800,70 | 1621 / 46 |
| Heart Failure & Shock W Mcc | 25 | 259 / 40 | $20.436,00 | 447 / 10 | $12.585,20 | 2309 / 58 | $11.935,60 | 2299 / 59 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 35 | $10.822,50 | 411 / 7 | $5.883,30 | 2090 / 56 | $5.126,04 | 2082 / 58 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 22 | $11.460,20 | 386 / 11 | $5.996,14 | 1668 / 53 | $4.863,45 | 1657 / 51 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 34 | $11.936,70 | 227 / 4 | $7.846,30 | 2025 / 59 | $6.785,50 | 2018 / 58 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 20 | $12.169,70 | 490 / 12 | $5.664,32 | 1635 / 42 | $4.804,84 | 1622 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 17 | 499 / 56 | $22.378,50 | 377 / 11 | $15.564,90 | 2475 / 61 | $14.933,20 | 2431 / 62 |
| Heart Failure & Shock W Cc | 17 | 261 / 52 | $16.201,20 | 707 / 19 | $8.352,94 | 2366 / 62 | $7.627,35 | 2360 / 63 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 26 | $13.559,20 | 315 / 9 | $6.748,19 | 1305 / 41 | $5.002,62 | 1296 / 39 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 26 | $15.977,90 | 825 / 28 | $5.745,73 | 1594 / 46 | $4.707,47 | 1586 / 46 |
| Respiratory Infections & Inflammations W Cc | 15 | 73 / 17 | $16.020,00 | 131 / 3 | $11.675,10 | 1312 / 35 | $10.742,30 | 1307 / 36 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 37 | $34.126,90 | 384 / 10 | $16.519,20 | 1810 / 47 | $15.102,80 | 1791 / 47 |
| Syncope & Collapse | 14 | 155 / 26 | $12.653,20 | 239 / 6 | $6.080,79 | 1454 / 39 | $5.027,79 | 1447 / 41 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 39 | $21.634,40 | 929 / 19 | $8.971,71 | 2203 / 54 | $8.044,07 | 2194 / 54 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 37 | $15.983,70 | 621 / 11 | $6.611,14 | 1616 / 45 | $5.236,43 | 1611 / 44 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 31 | $10.827,50 | 429 / 8 | $4.646,23 | 1500 / 44 | $3.540,38 | 1494 / 43 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 9 | $12.294,20 | 183 / 4 | $6.425,67 | 592 / 16 | $4.025,08 | 588 / 15 | Total 24 procedures | 551 | 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.