Hospital Costs > In Mississippi > Biloxi Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 270 | 76 / 3 | $31.697,20 | 492 / 11 | $6.543,05 | 222 / 7 | $5.607,80 | 222 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 96 | 420 / 16 | $103.468,00 | 2665 / 47 | $11.265,00 | 1213 / 28 | $10.497,70 | 1194 / 34 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 75 | 200 / 11 | $51.868,70 | 2654 / 49 | $5.171,48 | 1542 / 33 | $4.163,83 | 1530 / 34 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 71 | 493 / 17 | $115.660,00 | 2577 / 26 | $12.335,60 | 704 / 11 | $10.632,20 | 694 / 15 |
Heart Failure & Shock W Mcc | 64 | 220 / 14 | $86.476,30 | 2508 / 44 | $9.789,03 | 1235 / 36 | $8.625,72 | 1232 / 33 |
Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 10 | $73.302,90 | 2275 / 44 | $9.068,43 | 1040 / 30 | $7.917,65 | 1040 / 29 |
Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 18 | $49.420,00 | 2642 / 54 | $6.661,40 | 1291 / 52 | $4.161,60 | 1282 / 33 |
Chronic Obstructive Pulmonary Disease W Mcc | 46 | 156 / 11 | $58.284,80 | 2329 / 44 | $7.816,30 | 1199 / 40 | $6.460,24 | 1193 / 28 |
Cellulitis W/O Mcc | 44 | 145 / 8 | $40.683,80 | 2427 / 45 | $5.687,32 | 1325 / 32 | $4.557,43 | 1319 / 33 |
Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 17 | $52.601,50 | 2600 / 49 | $6.515,71 | 1009 / 37 | $5.086,90 | 1006 / 28 |
Heart Failure & Shock W Cc | 37 | 241 / 23 | $45.079,60 | 2461 / 48 | $6.327,00 | 1211 / 32 | $5.461,54 | 1208 / 32 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 10 | $41.676,20 | 1976 / 38 | $4.990,31 | 1181 / 28 | $3.925,17 | 1172 / 28 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 14 | $56.220,30 | 2360 / 37 | $6.949,97 | 1160 / 28 | $5.819,78 | 1155 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 18 | $39.034,10 | 2354 / 46 | $4.975,84 | 1400 / 32 | $3.971,62 | 1395 / 34 |
Pulmonary Edema & Respiratory Failure | 30 | 173 / 13 | $66.333,00 | 2013 / 32 | $7.930,77 | 694 / 24 | $6.583,33 | 694 / 14 |
G.I. Hemorrhage W Cc | 27 | 191 / 20 | $65.152,20 | 2347 / 35 | $6.594,26 | 1035 / 28 | $5.397,81 | 1033 / 23 |
Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 21 | $49.626,00 | 2238 / 42 | $6.079,23 | 1230 / 28 | $5.198,00 | 1225 / 33 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 15 | $54.472,90 | 1738 / 27 | $7.064,27 | 1003 / 20 | $6.402,45 | 1000 / 25 |
Medical Back Problems W/O Mcc | 21 | 100 / 8 | $54.554,10 | 1443 / 13 | $6.363,71 | 441 / 11 | $4.143,90 | 441 / 8 |
Syncope & Collapse | 20 | 149 / 15 | $40.246,60 | 1700 / 25 | $5.265,40 | 917 / 21 | $3.959,70 | 912 / 20 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 7 | $28.796,00 | 674 / 11 | $4.824,40 | 382 / 8 | $4.037,20 | 382 / 8 |
Renal Failure W Cc | 20 | 201 / 27 | $46.743,30 | 2200 / 34 | $6.261,55 | 1176 / 26 | $5.355,95 | 1168 / 27 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 22 | $73.627,20 | 1995 / 37 | $5.639,11 | 957 / 26 | $4.469,37 | 951 / 22 |
Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 11 | $116.831,00 | 911 / 9 | $22.918,90 | 498 / 8 | $21.775,80 | 495 / 12 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 20 | $40.647,80 | 1812 / 37 | $4.942,39 | 986 / 28 | $3.664,00 | 981 / 27 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 6 | $81.597,90 | 1014 / 13 | $9.588,41 | 393 / 9 | $8.716,00 | 392 / 8 |
Renal Failure W Mcc | 17 | 178 / 20 | $72.802,10 | 1933 / 27 | $9.218,94 | 710 / 16 | $8.387,41 | 710 / 16 |
Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 7 | $60.513,50 | 805 / 11 | $8.571,18 | 292 / 10 | $7.645,06 | 291 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 20 | $56.015,30 | 1822 / 28 | $6.914,20 | 1031 / 20 | $5.873,13 | 1028 / 24 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 16 | $97.985,30 | 1636 / 21 | $11.495,70 | 637 / 11 | $10.768,20 | 629 / 14 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 20 | $146.222,00 | 1765 / 26 | $14.358,00 | 482 / 20 | $12.387,10 | 475 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 15 | $86.585,30 | 1416 / 16 | $10.477,60 | 565 / 10 | $9.511,13 | 564 / 10 |
G.I. Hemorrhage W Mcc | 14 | 107 / 12 | $97.607,30 | 1546 / 21 | $11.178,90 | 814 / 19 | $10.575,40 | 811 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 16 | $74.134,70 | 1391 / 20 | $7.860,43 | 399 / 16 | $6.427,93 | 397 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 18 | $99.726,20 | 1889 / 21 | $11.742,30 | 945 / 17 | $10.907,80 | 932 / 19 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 17 | $111.833,00 | 1741 / 20 | $10.980,60 | 988 / 15 | $10.279,20 | 986 / 16 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 5 | $58.708,40 | 809 / 8 | $6.291,17 | 325 / 5 | $5.587,17 | 325 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 16 | $214.166,00 | 1313 / 18 | $28.550,20 | 263 / 5 | $27.509,50 | 263 / 8 |
Depressive Neuroses | 11 | 39 / 6 | $16.105,00 | 104 / 5 | $4.673,36 | 65 / 5 | $3.791,91 | 65 / 5 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 13 | $369.836,00 | 1053 / 15 | $39.038,50 | 529 / 10 | $37.403,60 | 528 / 10 | Total 40 procedures | 1.394 | 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.