Dysequilibrium - costs for treatment in Missouri

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Dysequilibrium - costs for treatment in Missouri


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Liberty HospitalLiberty13$15,731.60$4,316.69$2,008.85
St Mary's Medical Center Blue SpringsBlue Springs13$26,403.70$4,795.69$2,074.69
St Anthony's Medical CenterSaint Louis42$12,900.30$3,329.60$2,233.21
Ssm St Clare Health CenterFenton13$22,547.20$3,336.31$2,317.23
North Kansas City HospitalNorth Kansas Ci13$24,037.00$3,371.23$2,352.15
Centerpoint Medical CenterIndependence16$31,876.20$4,014.81$2,880.81
Christian Hospital Northeast-NorthwestSaint Louis12$23,470.80$4,160.58$2,952.58
Mercy Hospital SpringfieldSpringfield19$15,280.10$4,287.89$3,142.63
St Luke's Hospital Of Kansas CityKansas City16$27,610.40$4,767.75$3,514.19
Mercy Hospital St LouisSaint Louis18$15,641.10$4,881.89$3,528.94
Ssm Depaul Health CenterBridgeton16$23,880.80$4,627.62$3,569.62
Heartland Regional Medical Center Saint JosephSaint Joseph13$10,955.80$4,606.31$3,582.31
Barnes Jewish HospitalSaint Louis13$15,615.80$6,654.15$4,064.00
Total 13 hospitals217

DATA

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.





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