Hospital Costs > Simple Pneumonia & Pleurisy W Mcc > Simple Pneumonia & Pleurisy W Mcc - costs for treatment in South Dakota
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Prairie Lakes Hospital | Watertown | 24 | $18,398.10 | $8,582.17 | $7,728.83 |
| Avera St Lukes | Aberdeen | 36 | $18,805.40 | $8,097.47 | $7,119.33 |
| Spearfish Regional Hospital | Spearfish | 13 | $20,313.40 | $10,407.00 | $9,383.00 |
| Sanford Aberdeen Medical Center | Aberdeen | 23 | $25,112.70 | $7,520.04 | $6,681.09 |
| Avera St Mary's Hospital | Pierre | 11 | $25,246.10 | $10,312.90 | $9,544.91 |
| Avera Sacred Heart Hospital | Yankton | 53 | $26,151.30 | $9,793.51 | $8,317.42 |
| Avera Mckennan Hospital & University Health Center | Sioux Falls | 68 | $31,225.30 | $10,789.20 | $8,789.51 |
| Rapid City Regional Hospital | Rapid City | 136 | $31,894.80 | $11,396.70 | $10,353.40 |
| Avera Queen Of Peace | Mitchell | 29 | $34,402.30 | $9,291.62 | $8,373.55 |
| Sanford Usd Medical Center | Sioux Falls | 85 | $41,082.70 | $9,955.28 | $8,678.75 | Total 10 hospitals | 478 |
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.