Hospital Costs > In Florida > Bayfront Health Dade City, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 40 | 476 / 115 | $76.153,50 | 2380 / 97 | $11.337,30 | 450 / 86 | $9.432,58 | 450 / 51 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 103 | $34.644,90 | 2341 / 105 | $4.623,00 | 700 / 63 | $3.566,33 | 696 / 70 |
| Heart Failure & Shock W Mcc | 24 | 260 / 94 | $51.035,80 | 2012 / 85 | $8.369,21 | 374 / 48 | $7.522,96 | 374 / 41 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 88 | $49.058,20 | 2154 / 99 | $6.881,09 | 629 / 66 | $5.897,82 | 626 / 68 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 103 | $34.250,50 | 2349 / 113 | $4.618,95 | 595 / 66 | $3.683,68 | 593 / 67 |
| Renal Failure W Mcc | 21 | 174 / 73 | $65.625,60 | 1842 / 110 | $8.163,62 | 163 / 17 | $7.471,81 | 163 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 19 | 545 / 118 | $133.851,00 | 2635 / 151 | $12.864,90 | 511 / 71 | $10.334,60 | 508 / 49 |
| Heart Failure & Shock W Cc | 19 | 259 / 103 | $39.133,40 | 2298 / 109 | $5.897,89 | 891 / 66 | $5.197,26 | 890 / 82 |
| Renal Failure W Cc | 18 | 203 / 97 | $45.281,80 | 2166 / 119 | $5.439,44 | 514 / 33 | $4.771,00 | 510 / 64 |
| G.I. Hemorrhage W Cc | 17 | 201 / 87 | $48.625,50 | 2132 / 111 | $5.942,24 | 551 / 59 | $4.954,00 | 550 / 67 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 16 | 180 / 68 | $101.026,00 | 1175 / 67 | $11.812,60 | 224 / 27 | $9.911,75 | 224 / 21 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 60 | $128.977,00 | 2014 / 136 | $11.285,50 | 597 / 62 | $10.233,70 | 594 / 72 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 89 | $35.405,70 | 1928 / 90 | $5.685,33 | 802 / 67 | $4.797,87 | 800 / 80 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 79 | $28.535,20 | 1723 / 107 | $4.148,79 | 345 / 95 | $2.310,93 | 343 / 47 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 72 | $54.389,80 | 1301 / 78 | $6.443,79 | 524 / 41 | $5.492,93 | 522 / 65 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 52 | $71.047,90 | 1473 / 73 | $9.891,64 | 475 / 55 | $8.940,79 | 475 / 57 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 70 | $41.308,80 | 1971 / 135 | $4.495,64 | 384 / 60 | $3.218,21 | 383 / 48 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 80 | $69.441,40 | 2486 / 141 | $6.764,08 | 1394 / 80 | $6.111,85 | 1389 / 106 |
| Cellulitis W/O Mcc | 12 | 177 / 84 | $34.412,60 | 2286 / 114 | $5.176,67 | 597 / 66 | $3.968,67 | 594 / 61 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 81 | $30.660,30 | 2153 / 101 | $4.401,36 | 973 / 74 | $3.636,27 | 970 / 83 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 92 | $50.261,40 | 2565 / 124 | $5.823,73 | 458 / 64 | $4.613,55 | 455 / 56 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 86 | $48.992,30 | 1884 / 67 | $8.229,00 | 707 / 44 | $7.568,64 | 707 / 76 |
| Medical Back Problems W/O Mcc | 11 | 110 / 61 | $41.908,50 | 1283 / 103 | $5.021,73 | 521 / 46 | $4.253,73 | 519 / 67 | Total 23 procedures | 412 | 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.