Hospital Costs > In Florida > Baptist Medical Center Beaches, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 164 | 400 / 56 | $53.177,20 | 1429 / 20 | $11.831,50 | 293 / 14 | $9.942,19 | 293 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 133 | 383 / 67 | $48.164,20 | 1711 / 38 | $10.203,90 | 203 / 33 | $8.937,62 | 203 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 106 | 97 / 22 | $30.009,20 | 1948 / 57 | $5.126,67 | 117 / 6 | $4.171,43 | 117 / 11 |
| Pulmonary Edema & Respiratory Failure | 87 | 116 / 13 | $46.987,30 | 1689 / 72 | $6.984,94 | 151 / 29 | $5.809,01 | 151 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 79 | 196 / 78 | $21.413,90 | 1545 / 28 | $4.156,77 | 57 / 23 | $2.839,70 | 57 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 73 | $19.907,80 | 1570 / 41 | $4.146,89 | 52 / 21 | $3.030,69 | 52 / 3 |
| Heart Failure & Shock W Cc | 59 | 219 / 73 | $31.329,00 | 2028 / 84 | $5.350,32 | 90 / 27 | $4.321,14 | 90 / 10 |
| Cellulitis W/O Mcc | 57 | 132 / 46 | $18.093,40 | 1253 / 17 | $4.439,05 | 51 / 9 | $3.269,93 | 51 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 46 | $19.727,90 | 1529 / 46 | $3.669,29 | 129 / 6 | $2.886,86 | 129 / 22 |
| G.I. Hemorrhage W Cc | 44 | 174 / 62 | $26.515,70 | 1328 / 34 | $5.377,05 | 53 / 15 | $4.213,82 | 53 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 42 | 51 / 18 | $23.417,70 | 1386 / 54 | $3.689,26 | 95 / 3 | $2.711,74 | 95 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 42 | 165 / 54 | $27.649,30 | 1477 / 31 | $6.241,57 | 50 / 48 | $4.473,45 | 50 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 40 | 110 / 54 | $22.024,90 | 1507 / 74 | $3.231,32 | 97 / 28 | $1.925,07 | 97 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 55 | $28.455,30 | 1564 / 73 | $4.143,38 | 190 / 7 | $3.460,72 | 190 / 30 |
| Heart Failure & Shock W Mcc | 37 | 247 / 86 | $41.154,40 | 1705 / 63 | $8.383,46 | 145 / 49 | $7.100,59 | 145 / 14 |
| Renal Failure W Cc | 36 | 185 / 81 | $28.067,60 | 1608 / 57 | $5.616,83 | 86 / 54 | $4.137,92 | 86 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 50 | $19.203,40 | 1203 / 35 | $3.963,54 | 72 / 24 | $2.741,97 | 72 / 8 |
| Renal Failure W Mcc | 34 | 161 / 64 | $45.073,90 | 1446 / 64 | $9.422,03 | 915 / 84 | $8.745,32 | 915 / 99 |
| Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 65 | $44.665,70 | 1746 / 60 | $8.282,21 | 17 / 53 | $6.031,30 | 17 / 1 |
| Syncope & Collapse | 33 | 136 / 72 | $22.790,90 | 1088 / 42 | $4.008,73 | 25 / 20 | $2.762,70 | 25 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 55 | $57.102,30 | 1348 / 86 | $8.003,94 | 184 / 101 | $4.942,25 | 184 / 26 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 44 | $50.277,00 | 1055 / 17 | $10.354,60 | 130 / 12 | $9.305,84 | 129 / 15 |
| Red Blood Cell Disorders W/O Mcc | 30 | 113 / 53 | $23.714,80 | 1163 / 50 | $4.232,83 | 136 / 3 | $3.498,43 | 136 / 15 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 75 | $29.322,40 | 1684 / 59 | $4.821,20 | 73 / 2 | $3.934,80 | 73 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 57 | $33.764,00 | 1316 / 56 | $6.218,38 | 145 / 30 | $5.134,35 | 145 / 18 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 26 | 75 / 19 | $42.123,00 | 662 / 24 | $7.608,88 | 13 / 2 | $6.683,65 | 13 / 4 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 37 | $43.897,90 | 835 / 26 | $9.019,00 | 80 / 5 | $8.374,56 | 80 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 27 | $39.581,50 | 1029 / 45 | $5.417,88 | 87 / 6 | $4.663,21 | 87 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 43 | $42.615,10 | 1385 / 66 | $6.356,88 | 41 / 5 | $5.380,17 | 41 / 7 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 47 | $20.561,80 | 1319 / 53 | $3.567,00 | 131 / 10 | $2.852,82 | 129 / 21 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 21 | 35 / 17 | $43.879,00 | 476 / 13 | $9.468,86 | 21 / 34 | $7.136,38 | 21 / 1 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 11 | $20.163,20 | 307 / 8 | $3.957,95 | 65 / 4 | $3.150,33 | 65 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 45 | $61.125,90 | 1341 / 60 | $9.110,76 | 234 / 24 | $8.392,29 | 234 / 31 |
| Diabetes W Cc | 21 | 71 / 33 | $25.316,20 | 1008 / 39 | $4.370,33 | 243 / 5 | $3.907,10 | 243 / 40 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 90 | $41.932,10 | 1983 / 82 | $6.874,10 | 700 / 64 | $5.970,10 | 695 / 71 |
| G.I. Hemorrhage W/O Cc/Mcc | 20 | 48 / 26 | $16.413,40 | 397 / 15 | $3.744,70 | 5 / 9 | $2.405,80 | 5 / 1 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 24 | $31.614,20 | 881 / 37 | $5.853,63 | 6 / 27 | $3.621,42 | 6 / 2 |
| Nonspecific Cerebrovascular Disorders W Cc | 19 | 37 / 8 | $38.617,30 | 360 / 22 | $5.198,00 | 40 / 4 | $4.495,68 | 40 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 38 | $33.694,30 | 1208 / 57 | $3.969,53 | 110 / 2 | $3.021,32 | 108 / 19 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 16 | $46.100,70 | 404 / 12 | $8.681,47 | 137 / 2 | $7.757,24 | 137 / 17 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 30 | $18.368,10 | 746 / 21 | $3.375,76 | 21 / 15 | $2.031,35 | 21 / 2 |
| G.I. Obstruction W Cc | 16 | 76 / 42 | $22.606,10 | 831 / 16 | $5.134,12 | 13 / 35 | $3.371,00 | 13 / 2 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 42 | $55.065,50 | 850 / 40 | $10.079,50 | 159 / 15 | $9.437,33 | 159 / 25 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 53 | $86.599,50 | 1387 / 69 | $15.669,00 | 86 / 99 | $11.034,90 | 86 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 43 | $37.136,90 | 1231 / 58 | $5.819,80 | 31 / 4 | $4.887,53 | 31 / 2 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 30 | $131.679,00 | 395 / 13 | $27.655,10 | 14 / 2 | $26.699,60 | 14 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 49 | $117.761,00 | 712 / 21 | $24.879,90 | 42 / 1 | $24.227,60 | 42 / 3 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 31 | $61.278,90 | 959 / 75 | $7.479,77 | 309 / 34 | $6.837,31 | 308 / 43 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 44 | $70.067,30 | 858 / 23 | $17.513,10 | 54 / 81 | $11.549,40 | 54 / 5 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 27 | $21.399,50 | 417 / 27 | $3.901,85 | 19 / 2 | $2.882,77 | 19 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 36 | $29.340,70 | 631 / 31 | $6.115,75 | 160 / 8 | $5.814,42 | 160 / 21 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 27 | $46.777,00 | 659 / 38 | $8.530,25 | 101 / 27 | $6.840,50 | 101 / 15 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 20 | $19.360,40 | 213 / 28 | $3.474,17 | 12 / 2 | $2.567,50 | 12 / 2 |
| Respiratory Signs & Symptoms | 12 | 34 / 17 | $23.058,00 | 158 / 11 | $3.630,58 | 2 / 4 | $2.400,58 | 2 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 43 | $39.218,20 | 924 / 45 | $7.239,58 | 8 / 47 | $4.891,08 | 8 / 1 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 45 | $22.228,60 | 527 / 7 | $5.121,67 | 51 / 5 | $4.215,00 | 51 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 71 | $41.501,70 | 1559 / 68 | $5.336,45 | 95 / 2 | $4.568,45 | 95 / 11 |
| Chest Pain | 11 | 140 / 74 | $34.794,70 | 1496 / 110 | $4.601,18 | 468 / 97 | $2.897,45 | 466 / 64 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 27 | $88.830,30 | 566 / 22 | $17.758,30 | 214 / 17 | $16.879,70 | 213 / 30 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 40 | $17.643,80 | 520 / 15 | $3.498,91 | 232 / 2 | $3.280,73 | 231 / 39 | Total 60 procedures | 1.941 | 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.