Hospital Costs > In South Carolina > Beaufort County Memorial Hospital, 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 | 256 | 309 / 12 | $42.362,60 | 884 / 4 | $14.675,20 | 1709 / 31 | $12.581,30 | 1671 / 39 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 87 | 188 / 13 | $20.175,60 | 1413 / 20 | $5.001,62 | 1266 / 25 | $3.939,64 | 1255 / 35 |
Kidney & Urinary Tract Infections W/O Mcc | 80 | 153 / 10 | $19.115,20 | 1468 / 20 | $5.299,91 | 1429 / 30 | $4.277,05 | 1420 / 38 |
Chronic Obstructive Pulmonary Disease W Cc | 77 | 102 / 7 | $19.676,60 | 962 / 10 | $6.277,29 | 1383 / 25 | $5.347,96 | 1378 / 33 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 61 | 455 / 30 | $45.778,30 | 1608 / 27 | $13.426,90 | 1916 / 43 | $12.090,70 | 1881 / 44 |
Red Blood Cell Disorders W/O Mcc | 60 | 83 / 9 | $21.992,90 | 1069 / 21 | $5.428,97 | 953 / 23 | $4.467,08 | 947 / 23 |
Cellulitis W/O Mcc | 57 | 132 / 10 | $16.097,90 | 1008 / 13 | $5.850,72 | 1175 / 31 | $4.409,84 | 1169 / 31 |
Renal Failure W Cc | 53 | 168 / 18 | $25.143,70 | 1435 / 30 | $6.527,53 | 1281 / 33 | $5.473,83 | 1273 / 36 |
Heart Failure & Shock W Cc | 52 | 226 / 22 | $19.245,10 | 1083 / 13 | $6.676,50 | 1624 / 33 | $5.905,10 | 1619 / 42 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 49 | 117 / 14 | $16.941,00 | 1199 / 17 | $4.730,80 | 1081 / 23 | $3.706,76 | 1078 / 24 |
Chest Pain | 44 | 107 / 7 | $15.707,60 | 561 / 6 | $4.033,30 | 624 / 13 | $3.051,45 | 620 / 16 |
Renal Failure W Mcc | 44 | 151 / 20 | $36.641,20 | 1131 / 22 | $11.269,40 | 1550 / 34 | $10.458,60 | 1548 / 36 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 15 | $13.648,20 | 825 / 10 | $3.930,02 | 787 / 19 | $2.663,88 | 783 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 42 | 84 / 10 | $22.053,70 | 528 / 8 | $7.519,98 | 764 / 17 | $6.516,74 | 761 / 19 |
Kidney & Urinary Tract Infections W Mcc | 42 | 102 / 12 | $25.333,70 | 938 / 13 | $7.628,40 | 1168 / 24 | $6.694,86 | 1164 / 28 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 37 | 83 / 8 | $17.374,80 | 1050 / 16 | $4.849,27 | 864 / 24 | $3.621,49 | 859 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 16 | $17.436,80 | 800 / 8 | $5.292,97 | 966 / 21 | $4.255,67 | 963 / 24 |
Spinal Fusion Except Cervical W/O Mcc | 36 | 158 / 20 | $67.853,30 | 333 / 4 | $27.612,30 | 883 / 20 | $24.861,50 | 879 / 23 |
Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 25 | $26.359,80 | 1728 / 29 | $6.660,56 | 1692 / 35 | $5.715,14 | 1685 / 44 |
Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 26 | $25.378,20 | 1155 / 14 | $7.861,78 | 1561 / 31 | $6.924,83 | 1553 / 38 |
Syncope & Collapse | 35 | 134 / 15 | $20.603,00 | 914 / 17 | $5.055,46 | 1025 / 20 | $4.089,23 | 1018 / 26 |
G.I. Hemorrhage W Cc | 34 | 184 / 26 | $23.289,20 | 1060 / 20 | $7.218,18 | 1675 / 34 | $6.315,09 | 1671 / 38 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 19 | $25.740,40 | 320 / 4 | $7.451,70 | 806 / 18 | $5.922,13 | 804 / 20 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 29 | 67 / 6 | $41.045,40 | 186 / 2 | $15.146,80 | 478 / 12 | $12.637,00 | 475 / 12 |
Medical Back Problems W/O Mcc | 28 | 93 / 8 | $21.832,70 | 661 / 8 | $5.695,68 | 728 / 13 | $4.624,36 | 725 / 17 |
Pulmonary Edema & Respiratory Failure | 28 | 175 / 27 | $23.602,40 | 641 / 6 | $8.205,79 | 1205 / 31 | $7.236,68 | 1203 / 35 |
Heart Failure & Shock W Mcc | 27 | 257 / 34 | $27.237,10 | 923 / 15 | $10.053,40 | 1618 / 37 | $9.314,63 | 1613 / 41 |
Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 31 | $33.445,10 | 1249 / 15 | $9.778,96 | 1601 / 30 | $8.918,15 | 1601 / 36 |
Diabetes W Cc | 26 | 66 / 14 | $17.182,30 | 489 / 5 | $5.547,38 | 791 / 15 | $4.691,96 | 788 / 22 |
Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 2 | $17.135,80 | 279 / 3 | $6.032,00 | 429 / 11 | $4.619,48 | 425 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 26 | $21.122,00 | 542 / 9 | $7.210,54 | 1219 / 28 | $6.175,12 | 1216 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 14 | $25.719,40 | 701 / 5 | $8.119,87 | 1052 / 19 | $7.226,30 | 1049 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 31 | $25.184,20 | 1271 / 22 | $7.613,74 | 1264 / 37 | $5.941,91 | 1259 / 36 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 20 | $51.460,10 | 1096 / 17 | $13.194,00 | 1297 / 30 | $11.967,50 | 1280 / 32 |
G.I. Obstruction W Cc | 22 | 70 / 11 | $26.464,80 | 1061 / 16 | $6.000,64 | 1018 / 15 | $5.152,91 | 1015 / 20 |
Signs & Symptoms W/O Mcc | 21 | 70 / 12 | $18.800,00 | 590 / 5 | $4.672,81 | 456 / 10 | $3.604,86 | 455 / 10 |
Peripheral Vascular Disorders W Cc | 21 | 63 / 6 | $17.890,50 | 308 / 3 | $6.515,71 | 486 / 11 | $5.296,29 | 484 / 12 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 13 | $10.160,40 | 277 / 2 | $4.510,24 | 783 / 16 | $3.540,76 | 779 / 19 |
Hypertension W/O Mcc | 21 | 44 / 7 | $14.826,10 | 216 / 3 | $4.357,86 | 279 / 11 | $3.106,05 | 277 / 7 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 18 | $49.576,20 | 604 / 7 | $15.458,00 | 1099 / 25 | $14.551,60 | 1087 / 27 |
Renal Failure W/O Cc/Mcc | 19 | 37 / 8 | $14.571,30 | 344 / 7 | $4.182,79 | 440 / 8 | $3.421,89 | 439 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 11 | $28.379,30 | 578 / 10 | $8.021,78 | 716 / 15 | $7.173,28 | 711 / 18 |
Fever | 18 | 28 / 2 | $22.167,10 | 138 / 2 | $5.923,56 | 99 / 4 | $4.485,39 | 99 / 4 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 14 | $27.041,20 | 344 / 2 | $6.959,89 | 554 / 9 | $5.935,00 | 553 / 14 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 7 | $42.325,30 | 306 / 5 | $11.727,80 | 517 / 10 | $9.673,76 | 515 / 13 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 15 | $15.728,70 | 806 / 13 | $4.718,24 | 893 / 17 | $3.583,00 | 889 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 20 | $46.938,10 | 885 / 15 | $11.708,90 | 873 / 18 | $10.519,10 | 871 / 22 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 6 | $33.640,80 | 193 / 1 | $12.715,40 | 371 / 5 | $11.974,30 | 370 / 8 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 14 | $19.807,60 | 379 / 4 | $6.649,94 | 794 / 13 | $5.805,50 | 791 / 19 |
Seizures W/O Mcc | 16 | 92 / 13 | $21.060,30 | 604 / 6 | $5.139,62 | 494 / 9 | $4.047,19 | 491 / 8 |
Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 8 | $15.897,80 | 113 / 1 | $6.630,12 | 408 / 6 | $5.694,25 | 408 / 7 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 17 | $78.526,40 | 987 / 12 | $19.318,80 | 1256 / 18 | $18.177,90 | 1242 / 20 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 10 | $19.859,20 | 545 / 9 | $4.764,94 | 355 / 9 | $3.478,31 | 352 / 11 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 17 | $21.482,20 | 356 / 3 | $7.299,94 | 568 / 19 | $5.595,44 | 567 / 16 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 14 | $30.137,50 | 460 / 10 | $8.452,27 | 536 / 12 | $7.600,20 | 534 / 18 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 9 | $48.093,20 | 768 / 9 | $12.282,70 | 834 / 12 | $11.155,80 | 831 / 14 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 6 | $18.957,50 | 346 / 5 | $5.175,33 | 284 / 3 | $3.849,80 | 284 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 12 | $29.168,50 | 624 / 8 | $7.921,50 | 669 / 10 | $7.224,50 | 667 / 14 |
Transient Ischemia | 14 | 111 / 23 | $19.775,80 | 650 / 9 | $4.672,79 | 831 / 15 | $3.749,79 | 827 / 22 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 6 | $12.995,10 | 198 / 2 | $4.751,08 | 504 / 11 | $3.949,69 | 504 / 14 |
Signs & Symptoms W Mcc | 13 | 28 / 4 | $28.576,80 | 132 / 2 | $7.650,77 | 118 / 3 | $6.952,23 | 118 / 3 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 8 | $62.222,10 | 115 / 1 | $25.072,50 | 362 / 8 | $24.141,50 | 361 / 11 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 13 | $40.290,50 | 1139 / 19 | $8.172,38 | 1083 / 19 | $6.810,85 | 1079 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 23 | $17.740,80 | 412 / 7 | $5.078,62 | 806 / 14 | $4.002,23 | 802 / 23 |
Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 14 | $45.806,60 | 154 / 1 | $17.835,50 | 581 / 10 | $16.589,90 | 580 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 18 | $46.099,60 | 153 / 1 | $13.581,00 | 962 / 10 | $12.320,80 | 955 / 15 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 11 | $15.291,50 | 138 / 3 | $5.043,83 | 366 / 9 | $3.911,75 | 363 / 10 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 13 | $15.781,80 | 575 / 9 | $4.088,08 | 394 / 9 | $2.822,92 | 393 / 13 |
Respiratory Signs & Symptoms | 12 | 34 / 6 | $23.397,80 | 161 / 3 | $5.035,50 | 159 / 5 | $4.136,67 | 159 / 6 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 7 | $72.820,80 | 283 / 4 | $19.963,40 | 283 / 7 | $15.727,50 | 282 / 7 |
Other Circulatory System O.R. Procedures | 11 | 44 / 9 | $40.889,90 | 60 / 2 | $18.133,20 | 204 / 9 | $17.211,90 | 204 / 10 | Total 71 procedures | 2.193 | 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.