Hospital Costs > In Missouri > Ssm Health St. Mary's Hospital - Jefferson City, 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 | 12 | 113 / 28 | $35.573,30 | 640 / 16 | $9.651,83 | 343 / 8 | $8.649,17 | 343 / 11 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 19 | $10.299,40 | 139 / 5 | $4.037,00 | 86 / 6 | $3.129,00 | 86 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 30 | $18.281,70 | 883 / 25 | $4.593,42 | 211 / 15 | $3.485,42 | 211 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 23 | $21.854,80 | 445 / 11 | $6.696,83 | 169 / 6 | $5.788,83 | 169 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 28 | $14.542,40 | 932 / 27 | $3.344,29 | 402 / 13 | $2.357,94 | 399 / 16 |
| Cellulitis W/O Mcc | 32 | 157 / 29 | $15.323,20 | 900 / 25 | $4.888,50 | 307 / 17 | $3.696,34 | 304 / 15 |
| Cervical Spinal Fusion W Cc | 18 | 35 / 4 | $36.783,80 | 27 / 1 | $16.086,90 | 33 / 2 | $13.970,10 | 33 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 13 | $33.966,80 | 110 / 4 | $13.053,40 | 108 / 6 | $10.459,30 | 108 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 49 | 130 / 15 | $18.494,50 | 843 / 23 | $5.296,86 | 441 / 14 | $4.474,98 | 440 / 16 |
| Chronic Obstructive Pulmonary Disease W Mcc | 71 | 131 / 13 | $23.189,10 | 997 / 32 | $6.557,61 | 326 / 15 | $5.591,82 | 325 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 14 | $16.770,20 | 1001 / 36 | $4.378,65 | 266 / 18 | $3.105,94 | 266 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 27 | $30.142,70 | 522 / 18 | $6.178,52 | 318 / 9 | $5.167,32 | 318 / 17 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 35 | 14 / 2 | $81.252,00 | 4 / 1 | $44.755,60 | 18 / 2 | $39.296,10 | 18 / 2 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 65 | 1 / 1 | $73.185,40 | 8 / 2 | $33.966,00 | 26 / 2 | $32.046,00 | 26 / 2 |
| Diabetes W Cc | 13 | 79 / 21 | $15.444,40 | 364 / 9 | $4.682,38 | 128 / 6 | $3.660,85 | 128 / 11 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 12 | $16.011,90 | 153 / 2 | $5.839,07 | 38 / 11 | $3.795,36 | 38 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 22 | $20.691,90 | 232 / 5 | $6.723,93 | 149 / 8 | $5.816,50 | 149 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 41 | 234 / 33 | $18.405,70 | 1198 / 34 | $4.938,83 | 578 / 34 | $3.469,46 | 576 / 21 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 11 | $14.017,90 | 242 / 6 | $3.957,45 | 43 / 5 | $2.744,36 | 43 / 2 |
| G.I. Hemorrhage W Cc | 56 | 162 / 20 | $22.600,00 | 992 / 23 | $5.607,14 | 295 / 13 | $4.699,71 | 295 / 16 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 21 | $36.574,60 | 568 / 14 | $10.101,70 | 134 / 12 | $8.618,27 | 134 / 7 |
| G.I. Obstruction W Cc | 13 | 79 / 24 | $19.081,00 | 590 / 17 | $4.894,38 | 101 / 7 | $3.781,77 | 100 / 7 |
| Heart Failure & Shock W Cc | 43 | 235 / 35 | $21.828,70 | 1380 / 38 | $5.634,77 | 346 / 17 | $4.722,37 | 346 / 18 |
| Heart Failure & Shock W Mcc | 102 | 182 / 19 | $33.434,90 | 1309 / 32 | $8.399,04 | 373 / 13 | $7.519,31 | 373 / 13 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 25 | $17.287,50 | 1084 / 32 | $3.854,31 | 307 / 12 | $3.108,46 | 305 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 26 | $36.894,00 | 490 / 12 | $10.700,80 | 223 / 7 | $9.540,23 | 222 / 10 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 24 | $134.413,00 | 878 / 26 | $33.664,00 | 808 / 20 | $32.788,40 | 802 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 27 | $21.708,70 | 583 / 13 | $6.007,15 | 403 / 11 | $5.112,33 | 402 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 31 | $39.117,30 | 666 / 19 | $9.680,71 | 312 / 13 | $8.818,93 | 311 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 27 | $18.468,60 | 469 / 15 | $4.365,25 | 285 / 8 | $3.359,92 | 283 / 13 |
| Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 24 | $24.274,20 | 876 / 25 | $6.140,60 | 221 / 14 | $5.294,20 | 221 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 32 | $14.123,70 | 813 / 21 | $4.427,82 | 446 / 19 | $3.576,06 | 446 / 21 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 18 | $69.599,00 | 374 / 17 | $18.701,20 | 312 / 12 | $17.679,60 | 310 / 13 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 157 | 407 / 23 | $38.971,60 | 696 / 23 | $11.878,00 | 583 / 7 | $10.450,30 | 577 / 19 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 24 | $47.453,80 | 346 / 10 | $13.734,40 | 233 / 5 | $12.595,50 | 231 / 9 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 16 | $125.715,00 | 615 / 22 | $31.022,80 | 566 / 13 | $30.268,80 | 564 / 17 |
| Medical Back Problems W/O Mcc | 22 | 99 / 20 | $19.875,20 | 507 / 10 | $4.791,27 | 274 / 7 | $3.917,09 | 274 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 32 | $16.016,10 | 1089 / 34 | $4.262,54 | 263 / 19 | $3.083,50 | 263 / 13 |
| Neuroses Except Depressive | 12 | 15 / 2 | $8.709,50 | 10 / 1 | $4.102,25 | 2 / 1 | $3.294,25 | 2 / 1 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 20 | $57.786,10 | 897 / 26 | $11.738,80 | 506 / 18 | $10.791,20 | 504 / 17 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 20 | $20.407,40 | 429 / 11 | $5.534,77 | 174 / 11 | $4.604,31 | 172 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 17 | $83.396,40 | 316 / 14 | $18.617,30 | 256 / 9 | $17.574,10 | 255 / 14 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 31 | $53.547,30 | 302 / 11 | $11.637,00 | 142 / 6 | $9.624,09 | 142 / 8 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 13 | $52.300,30 | 243 / 7 | $14.569,80 | 129 / 3 | $13.526,60 | 129 / 5 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 16 | $18.118,80 | 446 / 20 | $3.805,42 | 56 / 5 | $2.712,08 | 56 / 6 |
| Psychoses | 223 | 104 / 7 | $10.548,00 | 75 / 3 | $5.754,34 | 46 / 4 | $4.760,72 | 46 / 2 |
| Pulmonary Edema & Respiratory Failure | 61 | 142 / 21 | $23.594,70 | 639 / 14 | $6.899,10 | 269 / 11 | $6.041,34 | 269 / 14 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 18 | $23.708,00 | 587 / 12 | $5.569,45 | 246 / 9 | $4.690,91 | 246 / 10 |
| Renal Failure W Cc | 37 | 184 / 33 | $18.770,50 | 856 / 22 | $5.573,78 | 339 / 20 | $4.581,73 | 337 / 17 |
| Renal Failure W Mcc | 29 | 166 / 28 | $47.321,80 | 1508 / 40 | $8.948,28 | 748 / 14 | $8.447,38 | 748 / 22 |
| Respiratory Infections & Inflammations W Cc | 21 | 67 / 12 | $24.497,30 | 451 / 12 | $7.467,76 | 73 / 9 | $6.379,95 | 73 / 4 |
| Respiratory Infections & Inflammations W Mcc | 33 | 103 / 21 | $39.135,70 | 750 / 21 | $10.964,00 | 373 / 10 | $10.196,90 | 372 / 12 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 30 | $40.928,70 | 352 / 7 | $12.522,40 | 350 / 4 | $12.018,40 | 346 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 83 | 433 / 37 | $39.201,60 | 1286 / 31 | $10.298,10 | 304 / 7 | $9.176,58 | 304 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 28 | $17.406,80 | 548 / 10 | $6.183,83 | 248 / 17 | $4.931,97 | 247 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 27 | $21.516,30 | 1304 / 38 | $5.604,28 | 583 / 16 | $4.724,61 | 580 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 72 | 133 / 19 | $31.314,70 | 1126 / 31 | $7.969,90 | 467 / 10 | $7.284,57 | 467 / 18 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 20 | $13.712,80 | 580 / 14 | $4.131,18 | 350 / 13 | $3.091,18 | 348 / 16 |
| Spinal Fusion Except Cervical W/O Mcc | 27 | 167 / 19 | $53.762,50 | 146 / 2 | $21.231,90 | 254 / 2 | $20.204,30 | 253 / 10 |
| Syncope & Collapse | 14 | 155 / 26 | $17.570,90 | 633 / 16 | $4.255,29 | 180 / 12 | $3.135,29 | 179 / 13 | Total 60 procedures | 1.988 | 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.