Hospital Costs > In South Carolina > Carolinas Hospital System Marion, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 15 | $28.338,00 | 669 / 10 | $5.960,89 | 380 / 7 | $5.279,89 | 379 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 15 | $35.759,00 | 647 / 7 | $9.626,50 | 432 / 10 | $8.841,42 | 432 / 13 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 9 | $19.654,90 | 285 / 6 | $4.696,79 | 439 / 4 | $4.116,57 | 436 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 27 | $23.795,60 | 1337 / 23 | $5.124,08 | 344 / 15 | $3.659,08 | 344 / 10 |
| Cellulitis W/O Mcc | 20 | 169 / 28 | $22.517,60 | 1688 / 30 | $5.401,70 | 857 / 20 | $4.166,70 | 851 / 21 |
| Chest Pain | 11 | 140 / 20 | $24.190,90 | 1169 / 20 | $4.035,45 | 590 / 14 | $3.014,82 | 586 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 32 | $27.275,60 | 1586 / 27 | $5.799,44 | 906 / 13 | $4.879,62 | 903 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 33 | $32.827,90 | 1640 / 28 | $7.015,19 | 782 / 14 | $6.029,52 | 777 / 18 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 16 | $20.828,50 | 1317 / 27 | $4.544,23 | 833 / 14 | $3.602,62 | 829 / 20 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 13 | $22.214,30 | 380 / 8 | $5.646,83 | 449 / 4 | $5.124,58 | 448 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 33 | $21.232,40 | 1522 / 24 | $4.774,22 | 885 / 16 | $3.683,11 | 880 / 22 |
| G.I. Hemorrhage W Cc | 25 | 193 / 31 | $30.102,00 | 1564 / 33 | $6.182,80 | 654 / 15 | $5.052,36 | 653 / 19 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 25 | $54.280,50 | 1093 / 23 | $10.039,50 | 97 / 7 | $8.453,27 | 97 / 5 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 11 | $21.185,20 | 599 / 13 | $4.522,46 | 344 / 4 | $3.462,62 | 341 / 9 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 10 | $19.979,70 | 818 / 20 | $4.090,56 | 484 / 10 | $2.947,12 | 483 / 16 |
| Heart Failure & Shock W Cc | 42 | 236 / 26 | $28.328,50 | 1873 / 38 | $5.870,64 | 456 / 14 | $4.849,55 | 456 / 13 |
| Heart Failure & Shock W Mcc | 16 | 268 / 39 | $38.580,60 | 1585 / 31 | $8.752,44 | 277 / 19 | $7.382,75 | 277 / 10 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 13 | $20.029,70 | 1287 / 23 | $4.429,29 | 697 / 12 | $3.467,38 | 694 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 31 | $30.300,50 | 1174 / 27 | $6.445,27 | 627 / 15 | $5.357,00 | 626 / 17 |
| Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 30 | $19.265,10 | 1489 / 22 | $4.962,22 | 873 / 22 | $3.871,41 | 867 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 26 | $18.837,90 | 1436 / 23 | $4.589,48 | 890 / 18 | $3.570,17 | 887 / 18 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 15 | $34.904,50 | 1019 / 16 | $5.708,91 | 271 / 3 | $4.801,64 | 268 / 6 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 27 | $28.362,30 | 1423 / 30 | $5.081,87 | 237 / 12 | $3.682,91 | 237 / 9 |
| Renal Failure W Cc | 18 | 203 / 35 | $23.648,90 | 1323 / 25 | $5.951,78 | 635 / 15 | $4.864,17 | 629 / 14 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 22 | $61.325,30 | 936 / 18 | $12.739,00 | 280 / 7 | $11.840,20 | 277 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 48 | 468 / 33 | $37.122,00 | 1158 / 16 | $10.543,80 | 551 / 12 | $9.596,85 | 550 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 26 | $28.308,80 | 1518 / 28 | $6.534,59 | 733 / 17 | $5.421,22 | 731 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 31 | $33.178,30 | 2108 / 41 | $5.991,00 | 860 / 16 | $4.960,19 | 857 / 20 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 34 | $32.823,90 | 1217 / 13 | $7.747,10 | 123 / 3 | $6.648,55 | 123 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 21 | $22.230,80 | 1318 / 28 | $4.532,36 | 612 / 13 | $3.328,64 | 609 / 14 |
| Syncope & Collapse | 15 | 154 / 25 | $19.963,60 | 849 / 14 | $4.660,13 | 597 / 13 | $3.650,13 | 594 / 13 | Total 31 procedures | 632 | 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.