Pulmonary Edema & Respiratory Failure - costs for treatment in South Dakota

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Pulmonary Edema & Respiratory Failure - costs for treatment in South Dakota


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Prairie Lakes HospitalWatertown27$12,337.90$7,247.15$6,489.81
Avera St LukesAberdeen43$18,239.80$7,228.79$5,815.40
Avera St Mary's HospitalPierre12$24,797.50$8,863.92$7,754.58
Avera Mckennan Hospital & University Health CenterSioux Falls56$32,753.40$9,083.41$7,697.62
Sanford Usd Medical CenterSioux Falls95$49,872.60$9,062.02$7,819.35
Rapid City Regional HospitalRapid City113$25,110.80$9,542.30$8,548.03
Sanford Aberdeen Medical CenterAberdeen18$21,309.90$6,243.61$6,042.72
Total 7 hospitals364

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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