Hospital Costs > Simple Pneumonia & Pleurisy W Cc > Simple Pneumonia & Pleurisy W Cc - costs for treatment in South Dakota
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Avera Mckennan Hospital & University Health Center | Sioux Falls | 70 | $22,692.10 | $7,567.90 | $6,294.41 |
| Avera Queen Of Peace | Mitchell | 65 | $28,784.50 | $6,498.98 | $5,301.98 |
| Avera Sacred Heart Hospital | Yankton | 48 | $20,581.60 | $6,638.94 | $5,408.56 |
| Avera St Mary's Hospital | Pierre | 18 | $18,674.70 | $7,360.44 | $5,827.22 |
| Brookings Health System | Brookings | 43 | $15,061.00 | $5,571.72 | $4,616.93 |
| Prairie Lakes Hospital | Watertown | 41 | $10,417.00 | $5,898.32 | $4,783.76 |
| Rapid City Regional Hospital | Rapid City | 71 | $20,857.00 | $7,603.87 | $6,488.23 |
| Sanford Aberdeen Medical Center | Aberdeen | 27 | $17,545.10 | $5,122.11 | $4,137.22 |
| Sanford Usd Medical Center | Sioux Falls | 86 | $28,924.40 | $7,139.73 | $5,872.36 |
| Spearfish Regional Hospital | Spearfish | 20 | $14,878.00 | $7,009.35 | $5,801.35 | Total 10 hospitals | 489 |
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.