Heart Failure & Shock W Mcc - costs for treatment in South Dakota

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Heart Failure & Shock W Mcc - costs for treatment in South Dakota


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Prairie Lakes HospitalWatertown28$16,259.10$8,779.75$7,881.46
Brookings Health SystemBrookings11$18,758.20$8,343.82$7,575.82
Avera Sacred Heart HospitalYankton21$28,985.80$9,762.10$9,039.05
Avera Queen Of PeaceMitchell31$31,056.70$10,107.20$8,091.65
Avera St LukesAberdeen57$20,012.50$8,346.84$7,560.40
Avera Mckennan Hospital & University Health CenterSioux Falls98$31,132.80$10,796.70$9,605.25
Sanford Usd Medical CenterSioux Falls102$42,772.00$10,446.90$9,376.11
Rapid City Regional HospitalRapid City154$32,382.60$11,801.50$10,955.50
Avera Heart Hospital Of South DakotaSioux Falls26$34,570.40$8,456.15$7,484.00
Sanford Aberdeen Medical CenterAberdeen12$16,519.90$7,577.00$7,070.33
Total 10 hospitals540

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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