Hospital Costs > In South Carolina > Colleton Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 122 | 394 / 24 | $52.829,60 | 1884 / 37 | $11.925,20 | 1371 / 35 | $10.769,60 | 1344 / 36 |
Heart Failure & Shock W Mcc | 76 | 208 / 17 | $37.106,00 | 1511 / 29 | $9.682,46 | 1216 / 33 | $8.598,36 | 1213 / 33 |
Renal Failure W Cc | 60 | 161 / 16 | $26.249,30 | 1508 / 32 | $6.185,08 | 1062 / 26 | $5.244,17 | 1054 / 29 |
Heart Failure & Shock W Cc | 53 | 225 / 21 | $22.847,40 | 1470 / 24 | $6.509,02 | 828 / 30 | $5.158,62 | 827 / 21 |
Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 18 | $32.905,40 | 1643 / 29 | $7.525,60 | 1111 / 26 | $6.348,24 | 1106 / 28 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 48 | 516 / 34 | $74.224,30 | 2097 / 37 | $16.741,90 | 934 / 41 | $10.943,80 | 915 / 27 |
Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 21 | $19.389,40 | 1505 / 23 | $5.430,90 | 1059 / 31 | $3.998,17 | 1051 / 28 |
Cellulitis W/O Mcc | 46 | 143 / 12 | $19.256,30 | 1398 / 24 | $5.679,48 | 1002 / 27 | $4.272,59 | 996 / 27 |
Renal Failure W Mcc | 45 | 150 / 19 | $28.544,60 | 683 / 10 | $9.914,49 | 847 / 24 | $8.639,58 | 847 / 25 |
Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 20 | $31.227,60 | 2021 / 37 | $6.241,90 | 1290 / 24 | $5.294,10 | 1286 / 32 |
Red Blood Cell Disorders W/O Mcc | 38 | 105 / 19 | $19.308,60 | 838 / 14 | $5.285,03 | 1012 / 18 | $4.531,76 | 1006 / 26 |
Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 27 | $39.082,20 | 1529 / 28 | $9.035,76 | 1270 / 19 | $8.267,76 | 1270 / 31 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 31 | $21.565,80 | 1567 / 26 | $4.969,81 | 1424 / 23 | $4.063,81 | 1413 / 38 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 27 | $21.140,50 | 891 / 13 | $6.691,48 | 1137 / 20 | $5.796,52 | 1133 / 31 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 21 | $26.867,60 | 1565 / 25 | $6.308,27 | 528 / 26 | $4.569,40 | 526 / 11 |
G.I. Hemorrhage W Cc | 28 | 190 / 29 | $25.595,00 | 1251 / 23 | $6.397,96 | 1065 / 22 | $5.427,96 | 1063 / 29 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 16 | $25.288,50 | 1551 / 33 | $4.851,19 | 1129 / 25 | $3.850,54 | 1120 / 32 |
Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 21 | $30.139,40 | 1178 / 20 | $7.053,92 | 910 / 17 | $6.233,44 | 907 / 21 |
Other Circulatory System Diagnoses W Mcc | 25 | 91 / 11 | $50.406,00 | 748 / 15 | $12.547,10 | 765 / 13 | $11.918,60 | 761 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 27 | $17.585,70 | 1275 / 20 | $4.863,86 | 486 / 27 | $3.300,33 | 485 / 11 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 13 | $21.884,50 | 1301 / 25 | $5.087,38 | 917 / 23 | $3.606,19 | 912 / 22 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 4 | $26.346,40 | 389 / 5 | $5.731,60 | 119 / 7 | $4.287,60 | 119 / 3 |
Red Blood Cell Disorders W Mcc | 19 | 52 / 10 | $35.516,20 | 590 / 11 | $10.907,70 | 161 / 21 | $6.377,63 | 161 / 6 |
Cranial & Peripheral Nerve Disorders W Mcc | 19 | 17 / 1 | $21.737,70 | 26 / 2 | $8.090,42 | 38 / 3 | $7.562,42 | 38 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 28 | $30.778,40 | 1202 / 28 | $6.737,44 | 878 / 20 | $5.663,67 | 876 / 25 |
Renal Failure W/O Cc/Mcc | 18 | 38 / 9 | $14.508,70 | 340 / 6 | $4.374,33 | 369 / 12 | $3.244,00 | 368 / 10 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 25 | $15.874,80 | 1091 / 22 | $3.953,39 | 1199 / 20 | $3.016,50 | 1194 / 29 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 19 | $44.513,40 | 1432 / 23 | $7.952,82 | 1088 / 17 | $7.320,35 | 1085 / 25 |
G.I. Hemorrhage W Mcc | 16 | 105 / 20 | $47.335,50 | 929 / 15 | $11.810,90 | 1038 / 19 | $11.430,90 | 1030 / 24 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 18 | $24.576,90 | 1536 / 31 | $4.605,50 | 1037 / 20 | $3.769,50 | 1029 / 26 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 25 | $27.216,80 | 1501 / 29 | $5.220,80 | 1195 / 18 | $4.497,60 | 1191 / 30 |
Diabetes W Cc | 14 | 78 / 21 | $31.393,30 | 1223 / 24 | $6.708,79 | 639 / 25 | $4.440,64 | 638 / 17 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 22 | $75.291,10 | 1460 / 27 | $13.081,90 | 1156 / 23 | $12.304,80 | 1142 / 28 |
Syncope & Collapse | 13 | 156 / 27 | $17.355,20 | 603 / 9 | $5.353,46 | 716 / 25 | $3.763,69 | 713 / 16 |
Chest Pain | 13 | 138 / 18 | $15.949,40 | 582 / 7 | $4.208,77 | 954 / 16 | $3.467,85 | 948 / 24 |
Other Circulatory System O.R. Procedures | 13 | 42 / 7 | $55.446,60 | 133 / 5 | $16.855,70 | 144 / 7 | $15.878,40 | 144 / 7 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 15 | $36.106,60 | 877 / 11 | $8.637,83 | 849 / 12 | $8.139,17 | 844 / 21 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 20 | $152.055,00 | 1035 / 14 | $35.415,00 | 945 / 15 | $34.579,00 | 939 / 20 |
Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 28 | $70.573,80 | 1556 / 28 | $12.241,10 | 1077 / 24 | $11.238,40 | 1063 / 26 |
Hypertension W/O Mcc | 11 | 54 / 12 | $22.682,40 | 483 / 11 | $4.317,64 | 282 / 9 | $3.113,27 | 280 / 8 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 11 | $22.527,00 | 583 / 10 | $4.389,82 | 334 / 7 | $3.412,36 | 333 / 8 | Total 41 procedures | 1.201 | 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.