Hospital Costs > In Missouri > Texas County Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 23 | 166 / 37 | $8.577,96 | 137 / 3 | $5.575,65 | 1139 / 38 | $4.382,57 | 1133 / 36 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 36 | $10.217,70 | 112 / 2 | $6.107,67 | 1239 / 37 | $5.205,44 | 1234 / 38 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 19 | $8.899,20 | 144 / 3 | $4.774,16 | 1050 / 29 | $3.783,52 | 1041 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 39 | $8.220,07 | 104 / 1 | $4.970,75 | 1389 / 36 | $4.038,54 | 1378 / 41 |
| Heart Failure & Shock W Cc | 13 | 265 / 55 | $11.029,50 | 198 / 2 | $6.453,00 | 1667 / 40 | $5.948,92 | 1662 / 49 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 26 | $8.223,82 | 127 / 1 | $4.496,55 | 843 / 24 | $3.590,09 | 839 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 20 | $11.330,60 | 76 / 1 | $5.078,53 | 872 / 25 | $4.095,05 | 868 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 31 | $8.893,54 | 189 / 2 | $5.110,89 | 1356 / 38 | $4.208,26 | 1347 / 44 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 46 | $6.981,27 | 74 / 1 | $4.653,82 | 979 / 34 | $3.638,73 | 976 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 53 | 463 / 43 | $21.989,50 | 361 / 9 | $11.433,90 | 1203 / 33 | $10.483,10 | 1184 / 39 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 27 | $11.256,80 | 102 / 1 | $6.856,77 | 1118 / 33 | $5.772,70 | 1114 / 36 |
| Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 30 | $12.326,80 | 283 / 5 | $6.366,40 | 1210 / 42 | $5.231,60 | 1206 / 40 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 39 | 54 / 8 | $9.057,62 | 150 / 2 | $4.721,36 | 1029 / 30 | $3.703,00 | 1024 / 33 | Total 13 procedures | 348 | 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.