Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in South Dakota
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Brookings Health System | Brookings | 20 | $15,139.00 | $4,010.55 | $2,863.35 |
| Prairie Lakes Hospital | Watertown | 11 | $7,686.91 | $5,143.00 | $2,912.09 |
| Avera Queen Of Peace | Mitchell | 36 | $20,087.00 | $4,761.36 | $3,374.56 |
| Sanford Usd Medical Center | Sioux Falls | 24 | $21,569.00 | $5,323.17 | $3,991.17 |
| Avera Mckennan Hospital & University Health Center | Sioux Falls | 22 | $16,222.90 | $5,841.36 | $4,120.32 |
| Rapid City Regional Hospital | Rapid City | 27 | $17,699.60 | $5,473.19 | $4,370.70 |
| Phs Indian Hospital At Rosebud | Rosebud | 18 | $6,096.94 | $8,919.67 | $8,176.56 |
| Phs Indian Hospital At Pine Ridge | Pine Ridge | 12 | $6,675.42 | $10,802.80 | $9,898.75 | Total 8 hospitals | 170 |
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.