Hospital Costs > In Florida > Bayfront Health Punta Gorda, 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 | 116 | 448 / 72 | $90.040,10 | 2359 / 104 | $11.879,80 | 375 / 16 | $10.125,30 | 374 / 31 |
Kidney & Urinary Tract Infections W/O Mcc | 69 | 164 / 67 | $37.172,10 | 2437 / 125 | $4.049,16 | 159 / 9 | $3.247,42 | 159 / 21 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 64 | 211 / 87 | $42.510,80 | 2530 / 130 | $4.124,09 | 127 / 21 | $2.995,03 | 127 / 17 |
G.I. Hemorrhage W Cc | 63 | 155 / 49 | $47.255,50 | 2108 / 106 | $5.368,49 | 204 / 12 | $4.563,41 | 204 / 29 |
Heart Failure & Shock W Mcc | 62 | 222 / 69 | $56.648,30 | 2141 / 97 | $7.683,63 | 89 / 6 | $6.925,95 | 89 / 7 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 58 | 33 / 4 | $60.510,30 | 671 / 42 | $6.066,76 | 131 / 8 | $4.921,91 | 131 / 20 |
Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 59 | $41.752,40 | 2377 / 98 | $5.267,10 | 203 / 13 | $4.325,66 | 203 / 20 |
Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 65 | $64.325,10 | 2403 / 143 | $6.636,65 | 185 / 42 | $5.384,25 | 185 / 19 |
Renal Failure W Cc | 48 | 173 / 72 | $40.493,80 | 2060 / 105 | $5.172,90 | 235 / 17 | $4.443,56 | 234 / 35 |
Heart Failure & Shock W Cc | 45 | 233 / 82 | $30.537,50 | 1980 / 79 | $4.979,58 | 60 / 4 | $4.233,62 | 60 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 43 | 473 / 113 | $103.817,00 | 2668 / 143 | $11.065,60 | 338 / 78 | $9.249,37 | 338 / 33 |
Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 55 | $81.401,80 | 2352 / 134 | $8.843,74 | 1146 / 86 | $8.051,00 | 1146 / 98 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 56 | $28.390,40 | 2066 / 94 | $3.894,00 | 50 / 25 | $2.709,85 | 50 / 6 |
Respiratory Infections & Inflammations W Mcc | 38 | 98 / 27 | $89.000,30 | 1579 / 80 | $10.426,70 | 275 / 10 | $9.959,74 | 275 / 24 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 37 | 113 / 57 | $25.009,30 | 1625 / 88 | $2.993,46 | 68 / 4 | $1.880,38 | 68 / 8 |
Medical Back Problems W/O Mcc | 36 | 85 / 37 | $37.471,00 | 1199 / 89 | $4.574,47 | 220 / 16 | $3.802,92 | 220 / 37 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 74 | $60.757,20 | 2363 / 158 | $5.829,06 | 603 / 79 | $4.637,06 | 601 / 66 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 58 | $54.460,60 | 1809 / 97 | $5.831,65 | 220 / 22 | $4.856,88 | 220 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 66 | $32.893,00 | 1735 / 91 | $4.259,69 | 163 / 14 | $3.422,77 | 163 / 27 |
Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 58 | $48.572,30 | 1658 / 98 | $6.026,40 | 171 / 19 | $5.207,20 | 171 / 22 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 41 | $75.441,60 | 1511 / 81 | $9.112,96 | 229 / 25 | $8.387,20 | 229 / 30 |
Pulmonary Edema & Respiratory Failure | 24 | 179 / 52 | $57.813,90 | 1887 / 101 | $6.674,54 | 223 / 12 | $5.973,21 | 223 / 28 |
Transient Ischemia | 24 | 101 / 59 | $43.107,90 | 1490 / 101 | $3.755,12 | 65 / 11 | $2.703,12 | 65 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 48 | $81.529,50 | 1378 / 80 | $10.502,00 | 659 / 58 | $9.768,74 | 658 / 70 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 22 | 44 / 11 | $85.359,90 | 482 / 25 | $10.260,50 | 74 / 4 | $9.163,73 | 74 / 10 |
Chest Pain | 22 | 129 / 65 | $30.908,90 | 1410 / 90 | $3.249,68 | 110 / 11 | $2.375,50 | 110 / 21 |
Cellulitis W/O Mcc | 22 | 167 / 75 | $45.996,20 | 2513 / 152 | $4.550,23 | 239 / 19 | $3.614,95 | 237 / 31 |
Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 54 | $70.450,90 | 1553 / 65 | $10.447,30 | 172 / 18 | $9.415,71 | 171 / 21 |
Red Blood Cell Disorders W/O Mcc | 21 | 122 / 61 | $35.815,20 | 1686 / 108 | $4.320,86 | 203 / 12 | $3.627,52 | 203 / 29 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 51 | $24.151,80 | 1515 / 70 | $4.181,94 | 57 / 54 | $2.683,82 | 57 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 40 | $35.019,40 | 1244 / 62 | $4.057,18 | 55 / 12 | $2.852,47 | 55 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 77 | $43.352,10 | 2126 / 83 | $5.511,47 | 63 / 2 | $4.519,47 | 63 / 5 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 69 | $38.798,40 | 1928 / 126 | $3.856,75 | 207 / 15 | $3.022,75 | 207 / 36 |
Atherosclerosis W/O Mcc | 16 | 42 / 16 | $25.935,30 | 399 / 33 | $3.268,38 | / 6 | $2.594,38 | / |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 33 | $48.670,10 | 930 / 71 | $6.353,67 | 24 / 18 | $5.103,53 | 24 / 4 |
Syncope & Collapse | 15 | 154 / 87 | $31.528,10 | 1491 / 87 | $3.918,47 | 80 / 12 | $2.947,80 | 80 / 15 |
Renal Failure W Mcc | 15 | 180 / 79 | $102.283,00 | 2120 / 151 | $9.869,87 | 1181 / 99 | $9.365,33 | 1181 / 113 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 31 | $27.904,70 | 713 / 54 | $4.415,57 | 57 / 46 | $2.795,00 | 57 / 17 |
Diabetes W Cc | 14 | 78 / 40 | $30.760,60 | 1206 / 59 | $4.471,29 | 43 / 13 | $3.438,14 | 43 / 9 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 39 | $24.948,90 | 647 / 38 | $4.612,00 | 8 / 1 | $3.672,57 | 8 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 52 | $68.920,40 | 1772 / 113 | $7.658,07 | 734 / 73 | $6.711,79 | 731 / 76 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 44 | $31.289,80 | 1652 / 84 | $3.796,43 | 85 / 15 | $2.676,43 | 85 / 17 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 13 | 31 / 16 | $26.526,50 | 178 / 21 | $5.464,77 | 2 / 36 | $2.758,69 | 2 / 2 |
Cellulitis W Mcc | 13 | 45 / 21 | $57.048,70 | 791 / 46 | $7.776,31 | 71 / 9 | $6.853,23 | 71 / 8 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 56 | $210.556,00 | 1297 / 83 | $23.788,90 | 647 / 42 | $22.760,00 | 643 / 67 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 22 | $84.092,00 | 518 / 38 | $10.686,20 | 93 / 7 | $9.758,23 | 93 / 15 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 34 | $30.277,00 | 810 / 67 | $3.711,75 | 24 / 6 | $2.599,75 | 24 / 6 |
G.I. Obstruction W Cc | 12 | 80 / 46 | $29.001,80 | 1160 / 48 | $4.727,33 | 111 / 12 | $3.823,33 | 110 / 23 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 27 | $67.082,90 | 493 / 47 | $5.967,17 | 17 / 2 | $4.860,50 | 17 / 5 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 39 | $71.290,40 | 1345 / 81 | $7.140,33 | 51 / 3 | $6.239,00 | 51 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 22 | $60.921,20 | 485 / 34 | $6.626,08 | 69 / 7 | $5.423,42 | 69 / 16 |
Seizures W/O Mcc | 11 | 97 / 45 | $28.680,20 | 912 / 46 | $4.104,82 | 31 / 8 | $3.005,18 | 31 / 3 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 57 | $152.437,00 | 1779 / 127 | $14.826,60 | 979 / 83 | $14.033,90 | 969 / 94 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 36 | $254.528,00 | 1176 / 77 | $32.638,70 | 252 / 62 | $26.951,60 | 250 / 40 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 36 | $25.562,70 | 1016 / 49 | $3.281,09 | 84 / 9 | $2.297,82 | 84 / 15 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 46 | $95.509,20 | 1177 / 50 | $12.514,50 | 63 / 2 | $11.638,90 | 63 / 6 |
Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 30 | $109.429,00 | 494 / 28 | $17.621,50 | 74 / 2 | $16.521,90 | 74 / 7 | Total 57 procedures | 1.549 | 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.