Hospital Costs > In Florida > Baptist Medical Center Nassau, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Pulmonary Edema & Respiratory Failure | 47 | 156 / 30 | $28.217,10 | 918 / 17 | $7.487,60 | 737 / 64 | $6.640,62 | 737 / 76 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 46 | 470 / 111 | $30.879,30 | 821 / 4 | $11.196,30 | 651 / 82 | $9.731,02 | 650 / 68 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 99 | $20.026,60 | 1393 / 21 | $4.778,98 | 1114 / 78 | $3.833,59 | 1106 / 95 |
| Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 67 | $23.845,00 | 1527 / 26 | $6.118,71 | 1162 / 82 | $5.203,98 | 1158 / 97 |
| Heart Failure & Shock W Cc | 32 | 246 / 93 | $22.850,20 | 1471 / 39 | $6.741,22 | 879 / 114 | $5.192,94 | 878 / 80 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 62 | $19.240,00 | 1477 / 41 | $4.513,65 | 1115 / 82 | $3.733,26 | 1112 / 92 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 60 | $18.153,70 | 1123 / 28 | $4.617,48 | 1063 / 72 | $3.795,72 | 1054 / 95 |
| Cellulitis W/O Mcc | 25 | 164 / 72 | $15.660,00 | 942 / 9 | $5.506,20 | 978 / 91 | $4.256,28 | 972 / 86 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 73 | $21.716,10 | 938 / 8 | $6.974,82 | 381 / 89 | $5.076,82 | 380 / 45 |
| Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 75 | $41.408,50 | 1610 / 45 | $9.541,45 | 660 / 106 | $7.512,68 | 660 / 71 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 36 | $21.919,10 | 1304 / 47 | $4.551,23 | 809 / 65 | $3.509,77 | 805 / 79 |
| Renal Failure W Cc | 20 | 201 / 95 | $24.277,40 | 1371 / 35 | $5.977,40 | 512 / 80 | $4.769,40 | 508 / 63 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 106 | $17.305,20 | 1263 / 20 | $4.781,37 | 987 / 79 | $3.952,74 | 979 / 87 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 49 | $17.966,60 | 1145 / 38 | $4.248,63 | 641 / 59 | $3.425,05 | 639 / 70 |
| G.I. Hemorrhage W Cc | 17 | 201 / 87 | $22.955,50 | 1027 / 15 | $6.515,59 | 528 / 92 | $4.931,71 | 527 / 63 |
| Heart Failure & Shock W Mcc | 17 | 267 / 98 | $36.901,80 | 1500 / 37 | $9.064,00 | 1108 / 86 | $8.438,12 | 1105 / 102 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 52 | $41.781,80 | 374 / 4 | $13.625,60 | 662 / 54 | $12.865,60 | 654 / 75 |
| Renal Failure W Mcc | 15 | 180 / 79 | $31.880,10 | 873 / 14 | $9.294,40 | 812 / 79 | $8.569,07 | 812 / 92 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 90 | $23.950,10 | 1382 / 34 | $5.779,21 | 1290 / 75 | $5.262,64 | 1285 / 109 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 35 | $17.634,00 | 455 / 19 | $4.484,64 | 430 / 48 | $3.611,91 | 426 / 63 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 82 | $18.307,50 | 1292 / 53 | $3.979,45 | 421 / 86 | $2.371,82 | 418 / 54 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 70 | $18.619,30 | 766 / 21 | $5.086,45 | 617 / 74 | $4.106,09 | 613 / 69 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 22 | $55.940,40 | 530 / 26 | $9.958,45 | 354 / 26 | $8.858,82 | 354 / 42 | Total 23 procedures | 540 | 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.