Hospital Costs > In South Carolina > Coastal Carolina Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 25 | $19.723,20 | 1546 / 26 | $4.336,71 | 214 / 6 | $3.323,45 | 214 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 34 | $19.724,60 | 1351 / 18 | $4.196,76 | 445 / 5 | $3.356,00 | 443 / 12 |
| Cellulitis W/O Mcc | 25 | 164 / 24 | $15.834,10 | 973 / 12 | $4.616,20 | 226 / 4 | $3.598,60 | 224 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 25 | 491 / 40 | $38.434,70 | 1239 / 19 | $9.930,36 | 356 / 5 | $9.280,32 | 356 / 8 |
| Heart Failure & Shock W Cc | 25 | 253 / 31 | $19.705,70 | 1147 / 16 | $5.623,88 | 500 / 6 | $4.895,76 | 500 / 18 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 12 | $17.573,00 | 1113 / 19 | $3.747,08 | 227 / 3 | $2.999,12 | 225 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 34 | $22.835,30 | 1436 / 22 | $5.504,33 | 332 / 7 | $4.487,67 | 330 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 30 | $24.885,40 | 1244 / 19 | $5.992,00 | 162 / 6 | $4.791,21 | 162 / 6 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 31 | $24.272,30 | 677 / 7 | $6.885,13 | 423 / 5 | $6.253,09 | 423 / 13 |
| Renal Failure W Cc | 21 | 200 / 33 | $22.090,40 | 1189 / 21 | $5.486,29 | 476 / 7 | $4.725,81 | 472 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 27 | $16.823,30 | 1183 / 15 | $3.976,05 | 203 / 6 | $3.012,90 | 203 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 18 | $21.904,10 | 705 / 17 | $4.218,52 | 135 / 2 | $3.080,29 | 133 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 23 | $13.753,20 | 836 / 13 | $3.129,05 | 199 / 3 | $2.127,67 | 198 / 4 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 12 | $20.743,10 | 688 / 12 | $3.744,14 | 78 / 2 | $2.898,67 | 78 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 14 | $20.072,00 | 1200 / 21 | $3.991,10 | 169 / 4 | $2.846,40 | 167 / 4 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 28 | $23.871,80 | 1178 / 24 | $5.080,95 | 840 / 11 | $4.341,47 | 835 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 27 | $27.071,60 | 935 / 20 | $6.615,16 | 206 / 18 | $4.834,79 | 206 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 35 | $27.753,10 | 1329 / 18 | $6.522,84 | 412 / 7 | $5.699,16 | 411 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 39 | $47.926,10 | 1188 / 10 | $12.107,10 | 903 / 7 | $10.899,20 | 884 / 25 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 22 | $17.255,20 | 1038 / 15 | $4.050,78 | 233 / 4 | $3.059,67 | 233 / 7 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 24 | $50.670,90 | 1069 / 15 | $11.035,40 | 630 / 11 | $10.302,00 | 627 / 18 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 37 | $35.892,50 | 1404 / 21 | $8.253,80 | 257 / 7 | $6.951,93 | 257 / 6 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $20.295,60 | 396 / 5 | $5.420,79 | 115 / 4 | $4.379,64 | 115 / 5 |
| Heart Failure & Shock W Mcc | 13 | 271 / 42 | $26.164,50 | 837 / 13 | $8.065,92 | 382 / 6 | $7.539,54 | 382 / 12 |
| Transient Ischemia | 12 | 113 / 24 | $22.132,20 | 810 / 16 | $3.946,33 | 106 / 3 | $2.798,92 | 106 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 13 | $17.110,80 | 672 / 15 | $3.364,75 | 143 / 2 | $2.416,83 | 143 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 28 | $21.044,50 | 1133 / 19 | $4.382,50 | 165 / 3 | $3.424,50 | 165 / 4 | Total 27 procedures | 546 | 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.