Hospital Costs > Simple Pneumonia & Pleurisy W Mcc > Simple Pneumonia & Pleurisy W Mcc - costs for treatment in North Dakota
Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
---|---|---|---|---|---|
Sanford Medical Center Bismarck | Bismarck | 61 | $17,960.50 | $9,805.39 | $8,099.84 |
St Alexius Medical Center Bismarck | Bismarck | 54 | $19,422.80 | $8,904.67 | $7,907.48 |
Essentia Health-Fargo | Fargo | 46 | $20,291.80 | $8,520.09 | $7,570.54 |
Sanford Medical Center Fargo | Fargo | 75 | $30,995.90 | $10,563.90 | $9,231.87 |
Altru Hospital | Grand Forks | 51 | $23,139.50 | $9,746.24 | $8,455.92 |
Trinity Hospitals | Minot | 62 | $17,863.10 | $9,352.61 | $8,107.10 | Total 6 hospitals | 349 |
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.