Hospital Costs > In Florida > Doctors Hospital Inc, 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 | 119 | 445 / 70 | $82.642,40 | 2254 / 92 | $15.171,70 | 1607 / 124 | $12.341,20 | 1570 / 119 |
Kidney & Urinary Tract Infections W/O Mcc | 98 | 135 / 47 | $38.364,50 | 2466 / 129 | $5.762,81 | 1972 / 132 | $4.959,23 | 1961 / 136 |
Chronic Obstructive Pulmonary Disease W Cc | 65 | 114 / 49 | $46.486,20 | 2192 / 123 | $7.009,68 | 1498 / 128 | $5.509,42 | 1492 / 121 |
Medical Back Problems W/O Mcc | 55 | 66 / 25 | $32.451,70 | 1098 / 71 | $5.998,55 | 866 / 90 | $4.899,49 | 863 / 98 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 93 | $36.127,70 | 2387 / 113 | $5.703,45 | 1919 / 126 | $4.629,71 | 1905 / 131 |
Cellulitis W/O Mcc | 53 | 136 / 50 | $35.077,50 | 2297 / 115 | $5.964,60 | 1801 / 113 | $5.146,49 | 1793 / 127 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 47 | 469 / 110 | $105.561,00 | 2680 / 147 | $14.541,80 | 2305 / 145 | $13.667,50 | 2264 / 151 |
Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 65 | $60.102,90 | 2700 / 148 | $7.197,07 | 2116 / 128 | $6.416,44 | 2108 / 134 |
Heart Failure & Shock W Cc | 38 | 240 / 87 | $54.918,80 | 2613 / 151 | $7.603,71 | 1958 / 137 | $6.436,55 | 1953 / 132 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 54 | $39.014,40 | 1933 / 129 | $5.283,35 | 1464 / 109 | $4.350,19 | 1453 / 118 |
Heart Failure & Shock W Mcc | 31 | 253 / 90 | $85.569,50 | 2503 / 151 | $10.926,10 | 1935 / 133 | $10.155,50 | 1928 / 137 |
Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 81 | $71.118,20 | 2453 / 149 | $10.325,40 | 2313 / 153 | $9.488,60 | 2305 / 156 |
Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 45 | $102.805,00 | 1911 / 116 | $13.838,70 | 1511 / 116 | $12.830,80 | 1493 / 121 |
Renal Failure W Cc | 30 | 191 / 85 | $53.283,20 | 2300 / 147 | $6.842,93 | 1533 / 116 | $5.810,13 | 1524 / 122 |
Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 69 | $78.865,50 | 2336 / 129 | $10.144,70 | 1798 / 123 | $9.393,28 | 1798 / 129 |
Bronchitis & Asthma W Cc/Mcc | 29 | 47 / 19 | $56.250,10 | 1039 / 100 | $7.387,28 | 893 / 84 | $6.475,79 | 889 / 89 |
Red Blood Cell Disorders W/O Mcc | 28 | 115 / 55 | $31.428,20 | 1560 / 93 | $5.952,86 | 1268 / 112 | $4.932,68 | 1260 / 110 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 56 | $40.860,80 | 1526 / 80 | $7.773,22 | 1136 / 108 | $6.633,11 | 1132 / 104 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 67 | $32.219,30 | 2201 / 108 | $5.244,96 | 1723 / 114 | $4.362,50 | 1718 / 123 |
G.I. Hemorrhage W Cc | 26 | 192 / 80 | $37.673,20 | 1883 / 78 | $7.022,88 | 1625 / 111 | $6.198,92 | 1621 / 122 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 53 | $70.312,30 | 2058 / 124 | $9.206,13 | 1713 / 113 | $8.523,00 | 1708 / 120 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 69 | $38.224,90 | 1873 / 110 | $5.712,87 | 1379 / 110 | $4.775,13 | 1374 / 116 |
Syncope & Collapse | 21 | 148 / 82 | $30.550,30 | 1455 / 77 | $5.349,90 | 1253 / 102 | $4.490,48 | 1246 / 113 |
G.I. Obstruction W Cc | 18 | 74 / 40 | $59.522,80 | 1673 / 126 | $8.638,00 | 1622 / 125 | $7.832,67 | 1617 / 128 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 76 | $30.496,60 | 1770 / 111 | $4.373,06 | 1358 / 102 | $3.236,12 | 1353 / 111 |
Spinal Fusion Except Cervical W/O Mcc | 17 | 177 / 53 | $198.875,00 | 1271 / 80 | $32.010,10 | 1210 / 83 | $31.085,80 | 1205 / 86 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 48 | $98.504,80 | 1643 / 96 | $14.300,70 | 1385 / 100 | $13.451,80 | 1370 / 100 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 34 | $58.284,40 | 1008 / 87 | $8.049,64 | 732 / 75 | $7.463,36 | 730 / 82 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 79 | $69.169,20 | 2485 / 140 | $9.140,07 | 2004 / 138 | $7.320,57 | 1996 / 132 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 69 | $66.846,80 | 1963 / 121 | $10.342,40 | 1856 / 125 | $8.611,62 | 1852 / 125 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 27 | $33.551,20 | 649 / 61 | $5.510,92 | 466 / 65 | $4.452,77 | 464 / 68 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 44 | $47.282,10 | 1230 / 87 | $7.070,46 | 905 / 92 | $6.142,46 | 901 / 93 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 40 | $47.691,80 | 1125 / 98 | $6.750,00 | 803 / 84 | $6.196,15 | 800 / 91 |
Hypertension W/O Mcc | 13 | 52 / 36 | $24.562,20 | 527 / 39 | $4.768,77 | 444 / 64 | $3.560,15 | 442 / 69 |
Chest Pain | 13 | 138 / 72 | $31.623,50 | 1432 / 97 | $4.646,31 | 1232 / 98 | $4.069,08 | 1225 / 111 |
Digestive Malignancy W Cc | 13 | 34 / 12 | $59.599,10 | 342 / 25 | $9.619,31 | 283 / 22 | $8.995,31 | 281 / 26 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 56 | $97.802,00 | 1494 / 84 | $15.752,90 | 1194 / 100 | $15.049,00 | 1181 / 111 |
Transient Ischemia | 12 | 113 / 71 | $36.619,20 | 1366 / 82 | $5.866,83 | 1015 / 108 | $4.075,17 | 1010 / 98 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 35 | $32.530,80 | 841 / 72 | $5.148,27 | 696 / 75 | $4.377,36 | 692 / 83 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 20 | $48.313,60 | 364 / 45 | $5.374,18 | 270 / 42 | $4.277,45 | 269 / 42 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 47 | $77.876,50 | 1694 / 114 | $13.564,60 | 1687 / 113 | $12.718,80 | 1683 / 113 | Total 41 procedures | 1.202 | 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.