Hospital Costs > In Florida > Citrus 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 | 203 | 361 / 49 | $80.093,00 | 2204 / 85 | $11.540,20 | 400 / 5 | $10.166,00 | 399 / 35 |
Heart Failure & Shock W Cc | 150 | 128 / 23 | $24.049,40 | 1592 / 51 | $5.359,63 | 99 / 31 | $4.340,53 | 99 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 139 | 136 / 38 | $17.742,90 | 1093 / 10 | $3.948,71 | 116 / 5 | $2.980,47 | 116 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 137 | 61 / 7 | $97.248,00 | 1131 / 58 | $11.356,80 | 127 / 12 | $9.558,88 | 127 / 5 |
Kidney & Urinary Tract Infections W/O Mcc | 128 | 105 / 32 | $19.310,70 | 1497 / 33 | $4.058,50 | 118 / 12 | $3.162,75 | 118 / 16 |
Chronic Obstructive Pulmonary Disease W Cc | 124 | 55 / 10 | $30.604,50 | 1748 / 66 | $4.902,12 | 102 / 5 | $4.014,64 | 102 / 13 |
Transient Ischemia | 116 | 16 / 3 | $18.027,70 | 506 / 7 | $3.744,57 | 44 / 9 | $2.641,99 | 44 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 115 | 401 / 75 | $44.256,00 | 1533 / 26 | $9.786,40 | 152 / 10 | $8.809,55 | 152 / 9 |
Chronic Obstructive Pulmonary Disease W Mcc | 105 | 97 / 26 | $36.045,50 | 1798 / 62 | $6.243,84 | 147 / 13 | $5.284,96 | 147 / 14 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 105 | 19 / 6 | $21.360,00 | 1358 / 54 | $3.785,10 | 71 / 6 | $2.740,68 | 71 / 7 |
G.I. Hemorrhage W Cc | 104 | 114 / 27 | $29.321,70 | 1523 / 46 | $5.209,76 | 98 / 3 | $4.361,45 | 98 / 10 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 97 | 54 / 22 | $12.939,80 | 703 / 12 | $2.959,03 | 77 / 3 | $1.897,38 | 77 / 13 |
Renal Failure W Cc | 96 | 125 / 34 | $24.884,80 | 1407 / 36 | $5.029,19 | 156 / 6 | $4.299,85 | 156 / 27 |
Heart Failure & Shock W Mcc | 92 | 192 / 47 | $35.913,80 | 1446 / 35 | $7.875,33 | 71 / 12 | $6.853,66 | 71 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 83 | 124 / 26 | $25.363,20 | 1284 / 20 | $5.510,17 | 122 / 1 | $4.695,13 | 122 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 76 | 90 / 23 | $17.203,70 | 1229 / 27 | $3.710,30 | 51 / 10 | $2.715,01 | 51 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 75 | 107 / 19 | $25.530,60 | 831 / 12 | $5.691,71 | 101 / 16 | $4.584,32 | 101 / 12 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 72 | 116 / 28 | $34.163,60 | 718 / 18 | $5.781,39 | 100 / 6 | $4.738,72 | 100 / 12 |
Heart Failure & Shock W/O Cc/Mcc | 70 | 40 / 12 | $17.632,50 | 1118 / 36 | $3.609,59 | 94 / 15 | $2.761,23 | 93 / 16 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 70 | 91 / 32 | $21.733,30 | 1184 / 45 | $4.260,51 | 65 / 17 | $3.205,46 | 65 / 8 |
Cellulitis W/O Mcc | 68 | 121 / 38 | $22.143,60 | 1669 / 48 | $4.404,29 | 113 / 5 | $3.426,88 | 113 / 11 |
Simple Pneumonia & Pleurisy W Cc | 67 | 136 / 43 | $28.521,40 | 1868 / 51 | $5.180,45 | 209 / 8 | $4.331,25 | 209 / 23 |
Red Blood Cell Disorders W/O Mcc | 60 | 83 / 26 | $21.474,60 | 1023 / 37 | $4.247,80 | 139 / 5 | $3.502,20 | 139 / 17 |
Syncope & Collapse | 58 | 111 / 51 | $17.807,50 | 657 / 11 | $3.849,71 | 82 / 4 | $2.950,95 | 82 / 17 |
Spinal Fusion Except Cervical W/O Mcc | 53 | 141 / 32 | $123.952,00 | 958 / 44 | $21.423,10 | 268 / 10 | $20.307,30 | 267 / 33 |
Simple Pneumonia & Pleurisy W Mcc | 53 | 152 / 47 | $42.423,10 | 1655 / 50 | $8.089,32 | 510 / 33 | $7.337,02 | 510 / 58 |
Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 31 | $58.313,60 | 1312 / 39 | $10.252,00 | 120 / 4 | $9.270,65 | 119 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 47 | 53 / 8 | $125.647,00 | 703 / 36 | $17.566,30 | 138 / 14 | $16.668,30 | 138 / 25 |
Renal Failure W Mcc | 43 | 152 / 56 | $32.703,40 | 935 / 16 | $8.115,51 | 83 / 13 | $7.161,70 | 83 / 11 |
Medical Back Problems W/O Mcc | 43 | 78 / 31 | $17.062,30 | 334 / 2 | $4.449,02 | 83 / 9 | $3.494,23 | 83 / 17 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 41 | 52 / 19 | $19.691,30 | 1177 / 35 | $3.729,54 | 102 / 8 | $2.727,39 | 102 / 19 |
Pulmonary Embolism W/O Mcc | 40 | 34 / 10 | $27.277,80 | 735 / 25 | $5.549,92 | 59 / 18 | $4.184,67 | 59 / 9 |
G.I. Obstruction W/O Cc/Mcc | 39 | 32 / 14 | $15.343,90 | 552 / 7 | $3.222,23 | 109 / 4 | $2.353,31 | 109 / 21 |
Other Digestive System Diagnoses W Cc | 37 | 60 / 21 | $18.177,90 | 292 / 2 | $5.076,41 | 39 / 3 | $4.163,11 | 39 / 7 |
Chest Pain | 37 | 114 / 54 | $14.189,20 | 421 / 4 | $3.247,16 | 35 / 10 | $2.158,86 | 35 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 31 | $39.692,00 | 797 / 22 | $8.991,76 | 209 / 17 | $8.330,54 | 209 / 25 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 33 | $56.484,20 | 817 / 26 | $12.138,40 | 161 / 9 | $11.434,40 | 161 / 21 |
Coronary Bypass W Cardiac Cath W/O Mcc | 35 | 41 / 9 | $173.258,00 | 437 / 19 | $28.780,60 | 61 / 27 | $22.330,00 | 61 / 7 |
Pulmonary Edema & Respiratory Failure | 35 | 168 / 42 | $31.504,40 | 1120 / 29 | $6.478,86 | 47 / 6 | $5.481,83 | 47 / 3 |
G.I. Obstruction W Cc | 34 | 58 / 26 | $19.991,40 | 655 / 9 | $4.588,71 | 59 / 6 | $3.665,41 | 59 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 33 | $31.644,60 | 1038 / 40 | $6.432,76 | 67 / 10 | $5.490,59 | 67 / 9 |
G.I. Hemorrhage W/O Cc/Mcc | 33 | 35 / 14 | $20.799,30 | 577 / 35 | $3.789,94 | 25 / 13 | $2.600,52 | 25 / 7 |
Peripheral Vascular Disorders W Cc | 33 | 51 / 21 | $24.514,50 | 617 / 35 | $4.951,03 | 19 / 2 | $3.912,82 | 19 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 29 | $17.011,30 | 367 / 4 | $4.002,38 | 124 / 4 | $3.046,79 | 122 / 20 |
Major Small & Large Bowel Procedures W Cc | 27 | 81 / 31 | $74.657,00 | 935 / 33 | $13.449,40 | 85 / 7 | $11.823,10 | 85 / 9 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 27 | 39 / 9 | $58.405,90 | 339 / 7 | $10.336,50 | 27 / 5 | $8.560,44 | 27 / 4 |
Signs & Symptoms W/O Mcc | 26 | 65 / 25 | $17.654,30 | 522 / 16 | $3.675,04 | 34 / 12 | $2.745,81 | 34 / 7 |
Seizures W/O Mcc | 26 | 82 / 31 | $17.162,10 | 380 / 7 | $4.122,85 | 73 / 12 | $3.224,73 | 73 / 14 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 25 | 37 / 17 | $16.972,00 | 262 / 8 | $4.007,76 | 51 / 7 | $3.059,64 | 51 / 17 |
Extracranial Procedures W/O Cc/Mcc | 25 | 73 / 27 | $33.391,70 | 508 / 14 | $5.563,08 | 49 / 2 | $4.449,48 | 49 / 6 |
Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 31 | $105.812,00 | 636 / 22 | $17.951,20 | 83 / 6 | $16.793,70 | 83 / 12 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 59 | $24.895,60 | 916 / 23 | $5.918,17 | 49 / 12 | $4.806,78 | 49 / 6 |
Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 24 | $120.676,00 | 564 / 14 | $26.176,20 | 115 / 7 | $25.228,70 | 115 / 15 |
Respiratory Infections & Inflammations W Mcc | 22 | 114 / 43 | $50.984,80 | 1098 / 30 | $10.580,50 | 258 / 14 | $9.923,00 | 258 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 34 | $31.817,20 | 704 / 24 | $6.328,55 | 43 / 5 | $5.394,73 | 43 / 8 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 22 | 39 / 14 | $15.610,30 | 321 / 4 | $3.466,09 | 8 / 4 | $2.328,18 | 8 / 3 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 21 | 72 / 22 | $53.322,90 | 372 / 18 | $11.195,60 | 58 / 5 | $10.161,00 | 58 / 11 |
Organic Disturbances & Mental Retardation | 21 | 38 / 17 | $19.783,40 | 172 / 2 | $5.292,33 | 8 / 5 | $4.143,38 | 8 / 2 |
Diabetes W Cc | 21 | 71 / 33 | $22.368,10 | 844 / 27 | $4.389,76 | 118 / 8 | $3.640,05 | 118 / 21 |
Disorders Of Pancreas Except Malignancy W Cc | 21 | 40 / 16 | $27.675,80 | 560 / 18 | $4.876,43 | 47 / 2 | $3.899,67 | 47 / 7 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 21 | 36 / 18 | $93.269,80 | 636 / 53 | $11.414,50 | 62 / 4 | $10.379,90 | 62 / 9 |
Renal Failure W/O Cc/Mcc | 20 | 36 / 22 | $16.552,80 | 445 / 14 | $3.243,55 | 44 / 3 | $2.457,95 | 44 / 7 |
Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 28 | $90.240,50 | 734 / 42 | $11.928,50 | 153 / 4 | $10.779,80 | 153 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 50 | $32.825,00 | 433 / 6 | $8.712,15 | 37 / 2 | $7.740,95 | 37 / 3 |
Peripheral Vascular Disorders W/O Cc/Mcc | 20 | 25 / 13 | $15.514,80 | 141 / 10 | $3.558,55 | 26 / 6 | $2.715,35 | 26 / 9 |
G.I. Hemorrhage W Mcc | 19 | 102 / 43 | $49.237,20 | 988 / 40 | $9.416,16 | 125 / 14 | $8.590,84 | 125 / 14 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 32 | $28.737,70 | 640 / 9 | $7.221,00 | 110 / 5 | $6.525,42 | 110 / 15 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 19 | 50 / 18 | $102.147,00 | 498 / 34 | $11.073,80 | 66 / 23 | $8.748,89 | 66 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 19 | 28 / 15 | $42.076,00 | 335 / 12 | $6.505,68 | 98 / 2 | $5.616,42 | 98 / 24 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 18 | 20 / 10 | $16.448,10 | 165 / 4 | $3.606,06 | 5 / 6 | $2.179,94 | 5 / 2 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 18 | 28 / 13 | $17.833,40 | 119 / 2 | $3.669,67 | 11 / 2 | $2.521,22 | 11 / 3 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 20 | $51.704,60 | 607 / 28 | $8.608,22 | 83 / 6 | $7.605,56 | 83 / 16 |
Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 27 | $16.273,40 | 342 / 13 | $3.709,39 | 34 / 7 | $2.704,94 | 34 / 8 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 21 | $28.433,30 | 435 / 17 | $4.761,00 | 19 / 4 | $3.608,00 | 19 / 6 |
Respiratory Neoplasms W Cc | 18 | 29 / 11 | $23.959,70 | 114 / 3 | $6.235,89 | 12 / 3 | $5.226,11 | 12 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 45 | $181.158,00 | 1180 / 59 | $32.462,00 | 722 / 60 | $31.682,60 | 716 / 78 |
Red Blood Cell Disorders W Mcc | 17 | 54 / 27 | $27.704,30 | 389 / 12 | $6.629,88 | 93 / 3 | $6.134,82 | 93 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 41 | $21.851,60 | 515 / 9 | $5.904,65 | 72 / 9 | $5.191,24 | 72 / 9 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 16 | $53.916,50 | 509 / 21 | $8.704,94 | 112 / 5 | $7.635,76 | 112 / 13 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 19 | $137.054,00 | 432 / 18 | $19.472,30 | 19 / 2 | $17.028,50 | 19 / 2 |
Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 30 | $18.146,40 | 163 / 3 | $4.943,62 | 27 / 1 | $4.117,62 | 27 / 5 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 16 | 79 / 29 | $66.285,20 | 231 / 9 | $10.484,00 | 46 / 1 | $9.424,00 | 45 / 7 |
Carotid Artery Stent Procedure W/O Cc/Mcc | 16 | 16 / 4 | $59.726,40 | 71 / 5 | $9.152,00 | 10 / 1 | $8.096,00 | 10 / 1 |
Tendonitis, Myositis & Bursitis W/O Mcc | 16 | 26 / 10 | $23.137,90 | 182 / 11 | $4.328,50 | 7 / 2 | $3.196,50 | 7 / 1 |
Digestive Malignancy W Cc | 16 | 31 / 9 | $27.817,80 | 114 / 5 | $6.677,00 | 15 / 1 | $5.769,00 | 15 / 3 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 13 | $32.764,00 | 246 / 20 | $6.324,00 | 32 / 2 | $5.570,00 | 32 / 9 |
Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 29 | $120.636,00 | 866 / 74 | $14.484,60 | 14 / 17 | $12.218,20 | 14 / 2 |
Bronchitis & Asthma W/O Cc/Mcc | 16 | 29 / 16 | $16.010,50 | 149 / 5 | $3.409,00 | 18 / 2 | $2.355,00 | 18 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 27 | $58.855,20 | 569 / 27 | $8.877,93 | 115 / 6 | $7.913,60 | 115 / 21 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 31 | $17.884,50 | 304 / 1 | $4.618,13 | 75 / 2 | $3.732,80 | 75 / 15 |
Bone Diseases & Arthropathies W/O Mcc | 14 | 30 / 7 | $17.701,40 | 135 / 5 | $3.825,79 | 6 / 1 | $2.872,64 | 6 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 34 | $26.054,70 | 521 / 19 | $6.670,57 | 16 / 31 | $4.990,50 | 16 / 2 |
Respiratory Signs & Symptoms | 14 | 32 / 15 | $21.035,40 | 133 / 6 | $3.615,07 | 4 / 2 | $2.584,21 | 4 / 2 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 25 | $37.203,40 | 519 / 23 | $7.332,21 | 68 / 3 | $6.644,21 | 68 / 10 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 14 | 30 / 15 | $23.121,70 | 139 / 13 | $3.928,57 | 6 / 3 | $2.893,14 | 6 / 6 |
Dysequilibrium | 14 | 51 / 29 | $17.969,00 | 198 / 9 | $3.299,29 | 27 / 2 | $2.261,57 | 27 / 10 |
Other Vascular Procedures W Cc | 14 | 88 / 34 | $87.222,10 | 720 / 36 | $14.018,00 | 180 / 12 | $13.247,70 | 180 / 25 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 38 | $32.479,60 | 834 / 26 | $5.619,31 | 132 / 12 | $4.777,46 | 132 / 22 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 13 | 50 / 10 | $154.954,00 | 221 / 11 | $18.777,00 | 59 / 1 | $17.573,30 | 59 / 8 |
Atherosclerosis W/O Mcc | 13 | 45 / 19 | $14.556,80 | 155 / 3 | $3.219,31 | / 3 | $2.190,38 | / |
Hypertension W/O Mcc | 13 | 52 / 36 | $16.355,50 | 272 / 10 | $3.296,15 | 16 / 6 | $2.188,46 | 16 / 3 |
Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 28 | $119.328,00 | 539 / 34 | $19.818,20 | 276 / 30 | $19.051,50 | 275 / 41 |
Peripheral Vascular Disorders W Mcc | 13 | 36 / 17 | $28.757,80 | 177 / 10 | $7.076,23 | 15 / 4 | $6.145,77 | 15 / 3 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 28 | $102.761,00 | 763 / 38 | $11.843,00 | 141 / 3 | $10.725,50 | 140 / 12 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 15 | $45.924,50 | 274 / 5 | $8.014,69 | 52 / 2 | $6.808,54 | 52 / 9 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 19 | $26.209,80 | 490 / 17 | $4.021,00 | 59 / 7 | $3.114,33 | 59 / 13 |
Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 3 | $34.047,00 | 52 / 4 | $8.963,00 | 10 / 1 | $8.357,67 | 10 / 3 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 12 | 33 / 11 | $153.832,00 | 247 / 17 | $20.018,10 | 151 / 18 | $19.018,00 | 150 / 18 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 32 | $30.179,40 | 392 / 6 | $7.591,42 | 29 / 1 | $6.986,08 | 29 / 6 |
Other Circulatory System Diagnoses W Cc | 12 | 54 / 24 | $19.700,50 | 183 / 4 | $5.064,42 | 65 / 3 | $4.557,75 | 65 / 11 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 30 | $30.163,60 | 525 / 25 | $5.190,18 | 37 / 3 | $4.419,27 | 37 / 8 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 45 | $26.068,00 | 137 / 2 | $9.509,55 | 89 / 3 | $9.070,27 | 89 / 12 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 18 | $97.484,20 | 411 / 23 | $15.293,50 | 33 / 7 | $12.560,00 | 33 / 3 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 11 | 18 / 6 | $24.273,50 | 53 / 5 | $3.997,27 | 2 / 1 | $2.906,36 | 2 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 18 | $21.529,60 | 216 / 6 | $4.935,09 | 26 / 5 | $4.167,09 | 26 / 5 |
Fever | 11 | 35 / 20 | $19.327,50 | 98 / 7 | $4.498,64 | 6 / 4 | $3.294,27 | 6 / 1 |
Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 21 | $25.989,20 | 222 / 11 | $5.030,18 | 24 / 4 | $4.477,45 | 24 / 6 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $44.012,60 | 377 / 19 | $8.507,18 | 11 / 1 | $7.733,36 | 11 / 3 | Total 118 procedures | 4.450 | 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.