Diabetes W Mcc - costs for treatment in Missouri

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Diabetes W Mcc - costs for treatment in Missouri


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Ssm St Joseph Health CenterSaint Charles16$28,482.80$8,618.25$7,788.25
Heartland Regional Medical Center Saint JosephSaint Joseph25$20,467.20$10,303.70$9,725.12
Mercy Hospital St LouisSaint Louis24$45,208.60$10,405.00$9,699.67
Barnes Jewish HospitalSaint Louis42$41,877.40$13,096.10$12,345.40
Cox Medical CenterSpringfield28$20,853.00$8,522.89$7,960.61
Mercy Hospital SpringfieldSpringfield19$35,540.80$10,301.30$8,257.21
St Anthony's Medical CenterSaint Louis28$19,018.60$6,887.07$5,270.79
Ssm St Marys Health CenterRichmond Height12$27,739.40$12,601.20$11,699.90
North Kansas City HospitalNorth Kansas Ci17$51,810.40$8,287.59$7,504.53
Ssm Depaul Health CenterBridgeton13$36,867.20$9,294.15$8,780.92
St Louis University HospitalSaint Louis14$49,719.20$15,986.80$11,373.50
Poplar Bluff Regional Medical CenterPoplar Bluff11$75,380.20$8,758.55$7,769.45
St Luke's Hospital Of Kansas CityKansas City16$51,522.60$10,105.50$8,569.44
University Of Missouri Health CareColumbia29$32,095.00$12,027.60$10,989.10
Christian Hospital Northeast-NorthwestSaint Louis25$36,138.60$8,442.48$7,716.72
Saint Francis Medical Center Cape GirardeauCape Girardeau12$60,002.20$8,711.33$8,210.00
Total 16 hospitals331

DATA

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.





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