Hospital Costs > In Missouri > Poplar Bluff 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 Mcc | 22 | 103 / 19 | $72.629,20 | 1486 / 41 | $10.304,80 | 711 / 19 | $9.480,09 | 710 / 22 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 23 | 101 / 14 | $15.612,80 | 362 / 17 | $4.777,00 | 298 / 13 | $3.780,83 | 298 / 13 |
| Atherosclerosis W/O Mcc | 27 | 31 / 1 | $26.511,80 | 407 / 11 | $4.636,70 | / 6 | $3.234,11 | / |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 15 | $42.752,10 | 934 / 23 | $5.507,50 | 428 / 10 | $4.608,42 | 424 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 53 | 108 / 12 | $33.367,70 | 1753 / 46 | $5.274,40 | 1179 / 31 | $4.479,23 | 1175 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 39 | 84 / 14 | $48.496,50 | 1503 / 39 | $8.712,10 | 1039 / 35 | $7.212,28 | 1036 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 14 | $23.705,40 | 1582 / 44 | $4.064,74 | 1276 / 35 | $3.136,00 | 1271 / 37 |
| Cellulitis W Mcc | 16 | 42 / 11 | $60.034,30 | 810 / 25 | $8.842,50 | 379 / 17 | $8.238,50 | 377 / 21 |
| Cellulitis W/O Mcc | 36 | 153 / 26 | $32.716,70 | 2225 / 65 | $5.611,42 | 1376 / 39 | $4.603,42 | 1370 / 44 |
| Chest Pain | 51 | 100 / 6 | $28.050,20 | 1321 / 33 | $4.777,12 | 794 / 30 | $3.252,29 | 789 / 27 |
| Chronic Obstructive Pulmonary Disease W Cc | 72 | 107 / 4 | $39.546,70 | 2060 / 63 | $6.075,25 | 1195 / 35 | $5.150,81 | 1191 / 36 |
| Chronic Obstructive Pulmonary Disease W Mcc | 130 | 72 / 2 | $43.507,40 | 2032 / 61 | $7.742,01 | 1149 / 44 | $6.393,05 | 1143 / 38 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 63 | 57 / 2 | $30.289,50 | 1719 / 55 | $5.092,51 | 1173 / 40 | $3.917,52 | 1164 / 39 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 15 | $80.065,50 | 662 / 23 | $12.393,40 | 312 / 5 | $11.589,10 | 307 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 126 | 65 / 3 | $61.247,50 | 1404 / 46 | $7.244,48 | 747 / 31 | $5.805,25 | 745 / 29 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 13 | $251.689,00 | 555 / 17 | $27.159,10 | 253 / 8 | $25.951,00 | 253 / 12 |
| Diabetes W Cc | 17 | 75 / 17 | $40.892,00 | 1422 / 37 | $5.548,71 | 659 / 23 | $4.483,29 | 657 / 23 |
| Diabetes W Mcc | 11 | 46 / 12 | $75.380,20 | 697 / 16 | $8.758,55 | 240 / 7 | $7.769,45 | 240 / 4 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 11 | $516.891,00 | 279 / 14 | $95.577,30 | 114 / 5 | $94.474,60 | 114 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 99 | 176 / 16 | $33.471,30 | 2302 / 63 | $5.425,74 | 1375 / 49 | $4.025,34 | 1364 / 40 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 11 | $110.743,00 | 345 / 13 | $16.354,70 | 124 / 8 | $15.476,20 | 123 / 9 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 14 | $230.559,00 | 678 / 25 | $29.369,40 | 296 / 16 | $28.719,50 | 296 / 17 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 17 | $98.855,90 | 921 / 26 | $6.739,35 | 520 / 15 | $5.815,12 | 519 / 18 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 10 | $21.098,50 | 549 / 16 | $4.734,17 | 374 / 13 | $3.632,83 | 375 / 14 |
| G.I. Hemorrhage W Cc | 42 | 176 / 26 | $47.769,60 | 2117 / 55 | $6.509,55 | 1079 / 35 | $5.441,00 | 1077 / 34 |
| G.I. Hemorrhage W Mcc | 16 | 105 / 20 | $75.948,80 | 1403 / 37 | $10.538,40 | 550 / 17 | $9.780,44 | 551 / 23 |
| G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 4 | $39.786,70 | 915 / 19 | $4.798,26 | 447 / 13 | $3.658,89 | 443 / 12 |
| Heart Failure & Shock W Cc | 93 | 185 / 17 | $33.483,70 | 2121 / 56 | $6.355,94 | 1348 / 36 | $5.598,77 | 1344 / 40 |
| Heart Failure & Shock W Mcc | 122 | 162 / 13 | $61.033,70 | 2214 / 59 | $9.629,25 | 1272 / 41 | $8.684,62 | 1269 / 37 |
| Heart Failure & Shock W/O Cc/Mcc | 41 | 69 / 9 | $26.487,20 | 1610 / 42 | $4.698,46 | 1190 / 32 | $3.964,02 | 1180 / 33 |
| Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 19 | $98.775,80 | 1881 / 49 | $11.955,50 | 949 / 28 | $10.914,60 | 936 / 30 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 13 | $135.240,00 | 843 / 30 | $18.710,00 | 470 / 23 | $17.936,40 | 467 / 23 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 4 | $81.328,20 | 847 / 20 | $9.905,75 | 431 / 12 | $8.936,15 | 429 / 15 |
| Hypertension W/O Mcc | 17 | 48 / 6 | $28.722,50 | 619 / 18 | $4.502,71 | 321 / 12 | $3.210,41 | 319 / 11 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 18 | $199.077,00 | 1259 / 35 | $31.442,50 | 607 / 17 | $30.455,60 | 602 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 15 | $40.092,20 | 1517 / 42 | $6.788,17 | 1004 / 27 | $5.844,59 | 1001 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 35 | 133 / 21 | $51.386,20 | 986 / 33 | $10.361,00 | 560 / 20 | $9.498,83 | 559 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 27 | $26.438,50 | 967 / 29 | $5.114,92 | 732 / 26 | $3.906,92 | 728 / 23 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 21 | $49.300,90 | 1675 / 40 | $7.110,32 | 995 / 27 | $6.383,28 | 992 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 67 | 166 / 14 | $33.302,30 | 2329 / 62 | $5.191,76 | 1454 / 43 | $4.308,18 | 1445 / 45 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 11 | $89.678,70 | 551 / 17 | $12.562,70 | 111 / 10 | $9.925,27 | 111 / 9 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 8 | $69.391,40 | 445 / 15 | $11.727,20 | 148 / 14 | $7.523,23 | 148 / 9 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 22 | $180.294,00 | 949 / 27 | $20.146,50 | 361 / 10 | $19.049,70 | 361 / 13 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 17 | $49.055,20 | 931 / 27 | $7.235,36 | 519 / 17 | $6.688,45 | 517 / 20 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 18 | $183.945,00 | 886 / 31 | $23.318,80 | 714 / 25 | $22.292,20 | 711 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 83 | 481 / 41 | $100.769,00 | 2489 / 63 | $13.235,20 | 1138 / 34 | $11.279,00 | 1111 / 37 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 23 | $138.013,00 | 1413 / 35 | $15.612,60 | 734 / 18 | $14.469,40 | 726 / 22 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 10 | $226.410,00 | 1116 / 30 | $31.405,40 | 581 / 15 | $30.459,30 | 579 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 23 | $43.952,70 | 1382 / 39 | $6.997,94 | 665 / 20 | $6.325,94 | 662 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 60 | 106 / 14 | $29.072,70 | 2103 / 62 | $5.049,72 | 1214 / 47 | $3.821,93 | 1210 / 40 |
| Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 8 | $55.789,80 | 293 / 11 | $9.956,25 | 36 / 7 | $8.011,83 | 36 / 3 |
| Other Circulatory System Diagnoses W Cc | 16 | 50 / 7 | $28.142,80 | 379 / 11 | $6.175,44 | 251 / 8 | $5.341,44 | 250 / 8 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 21 | $54.448,60 | 1314 / 35 | $6.305,67 | 757 / 21 | $5.697,67 | 753 / 24 |
| Other Vascular Procedures W Cc | 29 | 73 / 13 | $144.403,00 | 1047 / 28 | $19.619,20 | 225 / 24 | $13.505,10 | 225 / 12 |
| Other Vascular Procedures W Mcc | 13 | 84 / 17 | $169.749,00 | 927 / 24 | $18.986,50 | 226 / 10 | $18.152,00 | 225 / 9 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 12 | $111.006,00 | 532 / 21 | $16.879,60 | 89 / 20 | $8.378,00 | 89 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 51 | 145 / 16 | $146.552,00 | 1428 / 43 | $12.975,50 | 580 / 26 | $10.889,90 | 576 / 23 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 15 | $53.420,40 | 1171 / 25 | $6.257,43 | 490 / 13 | $5.306,57 | 488 / 11 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 7 | $44.073,50 | 389 / 7 | $5.008,45 | 208 / 5 | $3.795,36 | 208 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 10 | $101.065,00 | 777 / 21 | $17.062,20 | 154 / 18 | $13.724,50 | 154 / 7 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 11 | $73.989,10 | 541 / 17 | $12.788,50 | 243 / 13 | $11.575,40 | 242 / 14 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 15 | $48.834,90 | 695 / 23 | $8.860,81 | 351 / 14 | $7.882,81 | 350 / 13 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 27 | 34 / 6 | $24.994,40 | 648 / 26 | $4.564,70 | 288 / 14 | $3.310,56 | 287 / 9 |
| Psychoses | 248 | 85 / 2 | $14.702,20 | 176 / 11 | $6.505,80 | 231 / 11 | $5.643,23 | 231 / 10 |
| Pulmonary Edema & Respiratory Failure | 58 | 145 / 23 | $48.331,20 | 1724 / 46 | $7.594,14 | 810 / 23 | $6.717,93 | 810 / 27 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 13 | $45.372,20 | 1122 / 31 | $6.260,94 | 607 / 16 | $5.386,28 | 604 / 22 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 15 | $45.643,70 | 772 / 22 | $7.727,00 | 383 / 10 | $7.063,73 | 381 / 10 |
| Red Blood Cell Disorders W/O Mcc | 40 | 103 / 10 | $31.061,40 | 1536 / 42 | $5.382,88 | 984 / 26 | $4.506,08 | 978 / 32 |
| Renal Failure W Cc | 53 | 168 / 23 | $37.525,20 | 1970 / 51 | $6.252,36 | 1203 / 33 | $5.387,75 | 1195 / 37 |
| Renal Failure W Mcc | 71 | 124 / 11 | $51.049,60 | 1603 / 41 | $9.436,72 | 981 / 22 | $8.891,83 | 981 / 27 |
| Renal Failure W/O Cc/Mcc | 17 | 39 / 6 | $23.600,60 | 657 / 22 | $4.447,29 | 452 / 15 | $3.453,41 | 451 / 13 |
| Respiratory Infections & Inflammations W Cc | 15 | 73 / 17 | $58.661,50 | 1242 / 35 | $8.550,13 | 649 / 20 | $7.662,67 | 646 / 22 |
| Respiratory Infections & Inflammations W Mcc | 21 | 115 / 28 | $113.924,00 | 1714 / 46 | $14.600,30 | 726 / 38 | $10.981,10 | 718 / 23 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 49 | 82 / 10 | $93.825,50 | 1451 / 43 | $13.668,50 | 714 / 20 | $13.004,30 | 706 / 23 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 12 | $170.739,00 | 649 / 22 | $29.250,00 | 226 / 8 | $28.285,70 | 226 / 6 |
| Seizures W/O Mcc | 15 | 93 / 18 | $29.940,00 | 948 / 26 | $5.178,20 | 575 / 16 | $4.207,53 | 572 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 191 | 325 / 21 | $70.299,00 | 2289 / 58 | $11.204,20 | 987 / 30 | $10.162,60 | 978 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 51 | 156 / 17 | $49.396,60 | 2245 / 54 | $6.720,69 | 1074 / 28 | $5.733,71 | 1071 / 34 |
| Simple Pneumonia & Pleurisy W Cc | 103 | 100 / 8 | $46.212,80 | 2493 / 71 | $6.343,32 | 1490 / 39 | $5.501,69 | 1484 / 46 |
| Simple Pneumonia & Pleurisy W Mcc | 63 | 142 / 24 | $62.101,20 | 2127 / 59 | $8.862,54 | 1184 / 28 | $8.115,37 | 1184 / 36 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 53 | 40 / 2 | $35.064,20 | 1735 / 50 | $5.212,34 | 1078 / 41 | $3.756,87 | 1072 / 36 |
| Syncope & Collapse | 31 | 138 / 17 | $29.902,70 | 1425 / 38 | $4.995,71 | 898 / 30 | $3.938,68 | 893 / 29 |
| Transient Ischemia | 27 | 98 / 15 | $26.769,10 | 1043 / 28 | $5.098,11 | 893 / 25 | $3.856,48 | 889 / 25 | Total 83 procedures | 3.227 | 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.