Hospital Costs > In South Dakota > Avera St Mary's Hospital, procedure costs

Avera St Mary's Hospital, procedure costs

801 E Sioux, Pierre, SD 57501,

Procedure Costs @ Avera St Mary's Hospital
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc44472 / 8$26.408,20610 / 3$12.975,001884 / 6$11.984,501849 / 8
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc42522 / 13$55.439,001521 / 16$15.160,902082 / 13$13.983,002040 / 14
Simple Pneumonia & Pleurisy W Cc18185 / 10$18.674,70987 / 5$7.360,441785 / 8$5.827,221777 / 7
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc18189 / 9$20.720,20849 / 6$8.416,111596 / 9$6.418,501589 / 6
Hip & Femur Procedures Except Major Joint W Cc14129 / 8$43.472,90784 / 8$13.887,901480 / 7$12.683,401462 / 7
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs12170 / 7$20.392,40501 / 2$7.912,001470 / 5$6.802,671467 / 6
Pulmonary Edema & Respiratory Failure12191 / 7$24.797,50718 / 4$8.863,921459 / 4$7.754,581454 / 5
Simple Pneumonia & Pleurisy W Mcc11194 / 10$25.246,10720 / 5$10.312,901851 / 7$9.544,911851 / 9
Total 8 procedures171discharges

DATA

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.