Hospital Costs > In South Dakota > Sioux Falls Specialty Hospital Llp, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 4 | $59.979,30 | 351 / 5 | $10.735,80 | 65 / 2 | $9.125,60 | 65 / 1 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 12 | 51 / 1 | $62.708,30 | 72 / 1 | $20.087,60 | 111 / 1 | $18.986,20 | 111 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 6 | $63.810,60 | 509 / 3 | $13.296,60 | 141 / 2 | $10.675,90 | 141 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 37 | 59 / 1 | $47.371,10 | 294 / 4 | $12.838,10 | 231 / 4 | $11.273,80 | 229 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 402 | 185 / 4 | $39.087,80 | 704 / 9 | $12.676,50 | 826 / 7 | $10.795,10 | 812 / 5 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 3 | $48.406,60 | 118 / 1 | $14.785,20 | 142 / 1 | $13.579,90 | 142 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 23 | 46 / 2 | $54.873,60 | 148 / 1 | $15.787,60 | 191 / 1 | $14.685,70 | 191 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 72 | 122 / 3 | $99.366,70 | 728 / 5 | $23.890,40 | 345 / 3 | $20.898,70 | 344 / 1 | Total 8 procedures | 585 | 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.