Hospital Costs > In Missouri > Phelps County Regional Medical Center, 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 | 16 | 75 / 13 | $40.048,40 | 1037 / 28 | $7.721,75 | 1068 / 26 | $6.963,69 | 1066 / 29 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 22 | $36.216,80 | 667 / 17 | $12.650,20 | 1392 / 36 | $12.015,20 | 1381 / 39 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 30 | $38.913,40 | 1289 / 34 | $9.199,79 | 1408 / 38 | $8.344,93 | 1405 / 37 |
| Cellulitis W/O Mcc | 24 | 165 / 36 | $21.128,00 | 1585 / 53 | $6.171,88 | 1729 / 51 | $5.018,54 | 1721 / 52 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 35 | $21.967,30 | 1201 / 37 | $6.841,58 | 1768 / 50 | $6.021,37 | 1761 / 52 |
| Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 31 | $30.218,60 | 1490 / 51 | $8.591,97 | 1888 / 55 | $7.648,41 | 1880 / 58 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 32 | $20.790,20 | 1313 / 45 | $5.239,75 | 1336 / 46 | $4.133,08 | 1325 / 42 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 31 | $38.287,20 | 888 / 37 | $7.968,42 | 1233 / 35 | $7.139,79 | 1230 / 42 |
| Diabetes W Cc | 12 | 80 / 22 | $26.322,30 | 1050 / 32 | $6.039,42 | 999 / 28 | $5.132,75 | 995 / 31 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 11 | $30.514,70 | 639 / 19 | $6.704,38 | 706 / 17 | $6.218,38 | 703 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 40 | $33.340,30 | 2292 / 61 | $7.413,38 | 1698 / 63 | $4.338,65 | 1685 / 51 |
| G.I. Hemorrhage W Cc | 56 | 162 / 20 | $34.932,20 | 1784 / 48 | $7.411,52 | 1679 / 49 | $6.322,32 | 1675 / 48 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 16 | $52.508,20 | 1057 / 28 | $13.432,20 | 1257 / 32 | $12.624,60 | 1249 / 33 |
| G.I. Obstruction W Cc | 17 | 75 / 20 | $19.355,90 | 607 / 20 | $6.497,24 | 1208 / 37 | $5.576,76 | 1204 / 37 |
| Heart Failure & Shock W Cc | 38 | 240 / 38 | $30.998,60 | 2012 / 53 | $7.562,58 | 1849 / 58 | $6.227,39 | 1844 / 53 |
| Heart Failure & Shock W Mcc | 63 | 221 / 28 | $43.233,90 | 1791 / 52 | $11.982,00 | 2187 / 56 | $11.180,20 | 2177 / 56 |
| Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 17 | $51.892,10 | 1115 / 34 | $14.439,70 | 1615 / 43 | $13.422,40 | 1596 / 43 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 13 | $72.738,90 | 452 / 21 | $22.244,90 | 682 / 27 | $20.243,70 | 679 / 26 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 19 | $118.752,00 | 721 / 17 | $40.830,40 | 1247 / 34 | $40.055,00 | 1237 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 25 | $28.206,50 | 1025 / 27 | $7.858,41 | 1519 / 39 | $6.941,45 | 1516 / 41 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 25 | $42.677,50 | 765 / 25 | $14.933,30 | 983 / 36 | $10.971,40 | 978 / 30 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 109 | 455 / 30 | $80.116,50 | 2205 / 58 | $16.664,10 | 2118 / 57 | $14.112,00 | 2075 / 55 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 15 | 54 / 8 | $84.898,10 | 356 / 16 | $19.433,40 | 388 / 15 | $18.304,90 | 388 / 17 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 23 | $63.448,80 | 719 / 20 | $18.727,70 | 1215 / 31 | $17.717,80 | 1201 / 32 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 12 | $118.092,00 | 544 / 20 | $40.239,40 | 1065 / 31 | $39.207,80 | 1063 / 31 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 13 | $49.235,00 | 454 / 17 | $12.027,80 | 581 / 19 | $10.819,80 | 581 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 41 | $22.152,40 | 1729 / 49 | $5.137,25 | 1638 / 49 | $4.235,25 | 1633 / 50 |
| Pulmonary Edema & Respiratory Failure | 91 | 112 / 12 | $32.042,10 | 1142 / 31 | $9.000,87 | 1617 / 47 | $8.153,49 | 1612 / 48 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 17 | $28.864,60 | 799 / 21 | $7.270,67 | 915 / 25 | $6.164,00 | 912 / 29 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 14 | $40.873,80 | 697 / 19 | $9.154,08 | 662 / 19 | $8.143,42 | 658 / 19 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 24 | $26.737,30 | 1351 / 38 | $5.873,00 | 1205 / 37 | $4.802,78 | 1197 / 36 |
| Renal Failure W Cc | 39 | 182 / 32 | $26.186,40 | 1502 / 42 | $7.078,08 | 1780 / 47 | $6.368,33 | 1770 / 50 |
| Renal Failure W Mcc | 55 | 140 / 17 | $40.311,80 | 1302 / 35 | $11.317,70 | 1465 / 41 | $10.177,00 | 1464 / 39 |
| Respiratory Infections & Inflammations W Cc | 26 | 62 / 9 | $33.296,20 | 799 / 29 | $10.208,30 | 1169 / 33 | $9.510,50 | 1164 / 34 |
| Respiratory Infections & Inflammations W Mcc | 67 | 69 / 10 | $49.041,60 | 1050 / 34 | $14.976,30 | 1459 / 40 | $13.967,90 | 1444 / 42 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 25 | $71.624,50 | 1167 / 36 | $17.150,60 | 1401 / 41 | $16.521,30 | 1387 / 44 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 173 | 343 / 26 | $47.907,40 | 1707 / 45 | $13.996,20 | 2149 / 55 | $12.999,20 | 2111 / 56 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 23 | $32.398,50 | 1751 / 43 | $7.822,25 | 1903 / 46 | $7.038,25 | 1895 / 50 |
| Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 38 | $31.317,90 | 2026 / 60 | $7.175,73 | 1970 / 57 | $6.111,12 | 1962 / 58 |
| Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 28 | $35.100,90 | 1357 / 40 | $11.041,20 | 1786 / 55 | $9.359,12 | 1786 / 50 | Total 40 procedures | 1.365 | 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.