Hospital Costs > In South Dakota > Avera Heart Hospital Of South Dakota, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 27 | 64 / 2 | $22.874,70 | 416 / 2 | $6.341,52 | 63 / 2 | $4.572,22 | 63 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 3 | $28.234,40 | 379 / 2 | $9.632,97 | 270 / 1 | $8.480,09 | 270 / 1 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 1 | $20.494,10 | 315 / 1 | $4.331,50 | 72 / 1 | $3.205,50 | 72 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 40 | 121 / 2 | $16.905,90 | 737 / 3 | $4.507,50 | 296 / 2 | $3.603,50 | 296 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 43 | 80 / 2 | $26.140,50 | 735 / 3 | $7.521,23 | 255 / 2 | $5.967,35 | 255 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 3 | $15.012,40 | 993 / 4 | $3.324,74 | 161 / 1 | $2.061,20 | 161 / 1 |
| Cardiac Defib Implant W Cardiac Cath W/O Ami/Hf/Shock W Mcc | 12 | 3 / 1 | $136.391,00 | 1 / 1 | $44.633,30 | 1 / 1 | $43.726,70 | 1 / 1 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 11 | 39 / 2 | $107.889,00 | 66 / 2 | $33.046,60 | 90 / 1 | $32.063,40 | 90 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 53 | 65 / 1 | $113.261,00 | 134 / 1 | $30.161,90 | 127 / 1 | $29.183,80 | 127 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 16 | 100 / 2 | $139.813,00 | 50 / 1 | $43.741,40 | 64 / 1 | $42.989,40 | 64 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 14 | 28 / 2 | $109.143,00 | 50 / 1 | $27.552,30 | 38 / 1 | $26.343,10 | 38 / 1 |
| Carotid Artery Stent Procedure W Cc | 11 | 9 / 2 | $63.976,10 | 14 / 2 | $12.444,30 | 6 / 1 | $11.673,40 | 6 / 1 |
| Carotid Artery Stent Procedure W/O Cc/Mcc | 26 | 7 / 1 | $60.141,40 | 72 / 3 | $9.847,04 | 32 / 1 | $8.925,19 | 32 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 3 | $34.706,40 | 83 / 2 | $12.216,30 | 107 / 2 | $10.507,60 | 104 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 41 | 147 / 3 | $25.655,70 | 313 / 3 | $6.254,83 | 205 / 2 | $4.986,98 | 205 / 1 |
| Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 1 | $109.780,00 | 25 / 1 | $49.081,60 | 85 / 1 | $37.402,60 | 85 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 21 | 55 / 2 | $96.122,10 | 100 / 1 | $33.586,30 | 130 / 2 | $23.904,40 | 130 / 1 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 18 | 41 / 1 | $106.386,00 | 40 / 1 | $33.431,60 | 80 / 1 | $32.695,60 | 80 / 1 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 65 | 27 / 1 | $78.308,10 | 126 / 1 | $22.521,20 | 222 / 1 | $20.338,30 | 221 / 1 |
| Extracranial Procedures W Cc | 17 | 29 / 1 | $37.177,30 | 142 / 1 | $9.129,29 | 82 / 1 | $7.992,35 | 82 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 54 | 44 / 2 | $39.677,60 | 630 / 3 | $6.324,80 | 102 / 2 | $4.667,56 | 102 / 1 |
| Heart Failure & Shock W Cc | 46 | 232 / 4 | $21.511,20 | 1349 / 6 | $5.551,59 | 300 / 2 | $4.686,89 | 300 / 2 |
| Heart Failure & Shock W Mcc | 26 | 258 / 7 | $34.570,40 | 1373 / 9 | $8.456,15 | 351 / 4 | $7.484,00 | 351 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 5 | $16.803,40 | 1041 / 5 | $3.857,14 | 121 / 1 | $2.824,00 | 120 / 1 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 2 | $95.666,00 | 102 / 1 | $30.133,00 | 40 / 1 | $26.156,80 | 40 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 92 | 20 / 1 | $94.549,90 | 530 / 2 | $19.865,00 | 250 / 1 | $18.187,20 | 250 / 1 |
| Major Chest Procedures W Cc | 17 | 57 / 1 | $54.919,10 | 155 / 1 | $14.905,60 | 149 / 1 | $13.908,00 | 149 / 2 |
| Other Resp System O.R. Procedures W Cc | 14 | 33 / 2 | $60.462,10 | 214 / 1 | $13.372,90 | 26 / 1 | $9.491,86 | 26 / 1 |
| Other Vascular Procedures W Cc | 24 | 78 / 2 | $65.113,60 | 448 / 2 | $14.381,00 | 228 / 1 | $13.525,00 | 228 / 1 |
| Other Vascular Procedures W Mcc | 13 | 84 / 3 | $72.333,50 | 294 / 2 | $18.583,90 | 159 / 1 | $17.559,80 | 159 / 1 |
| Other Vascular Procedures W/O Cc/Mcc | 18 | 38 / 2 | $56.940,70 | 360 / 2 | $10.372,10 | 250 / 1 | $9.431,67 | 249 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 38 | 62 / 3 | $82.530,40 | 309 / 3 | $18.638,90 | 272 / 1 | $17.684,80 | 270 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 134 | 64 / 1 | $60.338,10 | 460 / 5 | $12.407,90 | 344 / 3 | $10.260,50 | 344 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 32 | 13 / 1 | $66.695,80 | 57 / 1 | $16.841,30 | 43 / 1 | $15.858,30 | 43 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 60 | 14 / 1 | $46.845,40 | 121 / 2 | $11.060,60 | 78 / 2 | $8.824,75 | 78 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 27 | 68 / 1 | $59.833,40 | 183 / 3 | $12.187,90 | 45 / 1 | $9.416,74 | 44 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 3 | $42.579,20 | 110 / 2 | $15.097,90 | 184 / 1 | $13.959,10 | 184 / 1 |
| Permanent Cardiac Pacemaker Implant W Mcc | 23 | 29 / 2 | $62.235,60 | 89 / 1 | $21.009,90 | 156 / 1 | $20.118,00 | 156 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 3 | $35.081,60 | 82 / 1 | $12.350,30 | 206 / 1 | $11.361,20 | 205 / 1 | Total 39 procedures | 1.205 | discharges |
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.