Hospital Costs > In Florida > Doctors Hospital Of Sarasota, 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 | 335 | 239 / 26 | $79.355,70 | 2195 / 82 | $12.146,60 | 349 / 41 | $10.064,20 | 348 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 97 | 178 / 65 | $31.971,50 | 2247 / 97 | $4.034,83 | 145 / 15 | $3.028,28 | 145 / 23 |
Spinal Fusion Except Cervical W/O Mcc | 83 | 111 / 19 | $138.793,00 | 1054 / 51 | $22.391,30 | 96 / 22 | $18.951,30 | 95 / 14 |
Kidney & Urinary Tract Infections W/O Mcc | 74 | 159 / 63 | $29.133,00 | 2178 / 92 | $4.056,35 | 77 / 11 | $3.076,03 | 77 / 8 |
Heart Failure & Shock W Mcc | 69 | 215 / 63 | $56.965,60 | 2149 / 99 | $7.972,70 | 210 / 15 | $7.257,10 | 210 / 20 |
Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 44 | $44.899,60 | 2459 / 109 | $5.778,85 | 152 / 61 | $4.233,21 | 152 / 16 |
Heart Failure & Shock W Cc | 65 | 213 / 69 | $39.944,60 | 2320 / 111 | $5.262,85 | 163 / 15 | $4.469,38 | 163 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 60 | 456 / 106 | $84.476,80 | 2484 / 110 | $10.386,20 | 169 / 46 | $8.856,27 | 169 / 11 |
Renal Failure W Cc | 55 | 166 / 68 | $40.952,40 | 2076 / 108 | $5.098,49 | 150 / 9 | $4.287,44 | 150 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 52 | 114 / 45 | $29.003,80 | 2100 / 96 | $3.727,98 | 46 / 13 | $2.694,13 | 46 / 4 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 64 | $52.094,20 | 2223 / 109 | $7.039,71 | 158 / 77 | $5.303,47 | 158 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 51 | 92 / 29 | $85.623,50 | 1771 / 88 | $10.518,70 | 217 / 19 | $9.524,78 | 216 / 25 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 47 | 49 / 9 | $90.728,50 | 716 / 32 | $12.142,70 | 160 / 12 | $10.826,00 | 158 / 16 |
G.I. Hemorrhage W Cc | 46 | 172 / 60 | $39.912,50 | 1953 / 88 | $5.524,17 | 258 / 24 | $4.655,98 | 258 / 35 |
Chest Pain | 46 | 105 / 49 | $32.526,80 | 1455 / 100 | $3.268,50 | 57 / 15 | $2.243,80 | 57 / 11 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 50 | $26.856,80 | 1678 / 99 | $3.404,61 | 81 / 44 | $1.908,91 | 81 / 15 |
Renal Failure W Mcc | 43 | 152 / 56 | $63.201,30 | 1798 / 105 | $8.627,12 | 260 / 43 | $7.647,02 | 260 / 38 |
Syncope & Collapse | 42 | 127 / 65 | $33.290,40 | 1537 / 91 | $3.989,14 | 139 / 19 | $3.062,07 | 139 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 69 | $37.615,90 | 2009 / 101 | $4.933,34 | 63 / 7 | $3.887,45 | 63 / 5 |
Cellulitis W/O Mcc | 35 | 154 / 65 | $32.247,40 | 2205 / 102 | $4.797,94 | 65 / 36 | $3.329,66 | 65 / 7 |
Medical Back Problems W/O Mcc | 34 | 87 / 39 | $32.502,40 | 1101 / 73 | $4.532,56 | 129 / 12 | $3.611,15 | 129 / 24 |
Respiratory Infections & Inflammations W Mcc | 33 | 103 / 32 | $72.279,10 | 1430 / 58 | $10.671,20 | 307 / 16 | $10.033,10 | 307 / 29 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 25 | $33.217,90 | 1694 / 88 | $3.814,24 | 114 / 17 | $2.754,36 | 113 / 21 |
Respiratory Infections & Inflammations W Cc | 32 | 56 / 22 | $65.610,70 | 1298 / 71 | $9.010,12 | 74 / 70 | $6.384,06 | 74 / 10 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 67 | $71.754,90 | 2256 / 114 | $8.033,58 | 427 / 29 | $7.216,55 | 427 / 45 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 54 | $33.486,50 | 1806 / 103 | $3.843,58 | 125 / 13 | $2.871,19 | 125 / 22 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 59 | $113.066,00 | 1275 / 85 | $11.429,20 | 184 / 14 | $9.748,24 | 184 / 13 |
Extracranial Procedures W/O Cc/Mcc | 28 | 70 / 24 | $51.934,10 | 777 / 39 | $5.972,82 | 68 / 15 | $4.531,79 | 68 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 64 | $32.863,50 | 1733 / 90 | $4.284,64 | 101 / 19 | $3.291,50 | 101 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 58 | $49.623,30 | 1731 / 85 | $5.830,23 | 187 / 21 | $4.806,23 | 187 / 25 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 26 | 43 / 8 | $90.251,50 | 384 / 21 | $14.806,20 | 99 / 5 | $13.643,20 | 99 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 43 | $51.103,40 | 1550 / 80 | $6.454,12 | 111 / 11 | $5.651,46 | 111 / 18 |
G.I. Obstruction W Cc | 23 | 69 / 36 | $34.340,10 | 1330 / 67 | $4.922,87 | 94 / 22 | $3.766,78 | 93 / 21 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 22 | 40 / 20 | $27.692,30 | 565 / 46 | $3.984,00 | 13 / 6 | $2.830,55 | 13 / 3 |
Signs & Symptoms W/O Mcc | 22 | 69 / 29 | $27.818,00 | 980 / 61 | $3.678,95 | 35 / 13 | $2.746,59 | 35 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 73 | $45.274,50 | 2173 / 91 | $5.520,95 | 124 / 3 | $4.697,68 | 124 / 13 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 60 | $32.183,40 | 1586 / 97 | $4.483,50 | 3 / 23 | $2.566,86 | 3 / 1 |
Transient Ischemia | 21 | 104 / 62 | $27.415,40 | 1075 / 54 | $3.857,38 | 21 / 19 | $2.516,67 | 21 / 2 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 65 | $71.811,60 | 1516 / 106 | $5.913,67 | 108 / 11 | $4.766,24 | 108 / 15 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 20 | 27 / 4 | $241.840,00 | 96 / 8 | $36.775,30 | 21 / 3 | $31.312,80 | 21 / 2 |
Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 25 | $25.639,70 | 666 / 49 | $3.799,20 | 67 / 12 | $2.831,20 | 67 / 19 |
Dysequilibrium | 19 | 46 / 24 | $29.084,60 | 404 / 40 | $3.372,95 | 43 / 12 | $2.355,68 | 43 / 16 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 19 | 44 / 6 | $118.377,00 | 198 / 6 | $23.386,10 | 21 / 12 | $16.069,50 | 21 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 51 | $66.685,80 | 1231 / 57 | $9.429,16 | 74 / 19 | $8.001,37 | 74 / 8 |
Cervical Spinal Fusion W/O Cc/Mcc | 18 | 86 / 30 | $71.269,20 | 591 / 28 | $12.197,50 | 188 / 6 | $11.020,60 | 188 / 24 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 39 | $111.405,00 | 1302 / 64 | $13.768,30 | 247 / 19 | $12.628,70 | 245 / 38 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 37 | $53.285,40 | 1204 / 76 | $6.447,33 | 41 / 8 | $5.372,83 | 41 / 7 |
Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 35 | $158.133,00 | 905 / 59 | $20.134,10 | 11 / 37 | $15.419,40 | 11 / 1 |
Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 29 | $29.264,80 | 481 / 27 | $4.969,88 | 18 / 2 | $4.045,65 | 18 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 16 | 31 / 12 | $64.304,20 | 421 / 24 | $8.058,12 | 83 / 5 | $7.074,12 | 83 / 17 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 58 | $46.520,20 | 1679 / 70 | $6.620,19 | 176 / 10 | $5.868,19 | 176 / 18 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 16 | 31 / 10 | $25.861,90 | 246 / 16 | $3.981,06 | 7 / 8 | $2.852,06 | 7 / 5 |
Combined Anterior/Posterior Spinal Fusion W Cc | 16 | 30 / 7 | $299.012,00 | 93 / 7 | $47.329,40 | 20 / 4 | $40.052,00 | 20 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 42 | $35.324,80 | 1251 / 63 | $4.068,00 | 107 / 14 | $3.014,13 | 105 / 17 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 15 | 14 / 7 | $36.165,10 | 99 / 9 | $5.071,53 | 1 / 1 | $4.105,13 | 1 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 20 | $89.141,20 | 546 / 41 | $10.301,30 | 50 / 1 | $9.494,87 | 50 / 7 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 36 | $47.537,80 | 1146 / 60 | $6.033,27 | 24 / 29 | $4.331,47 | 24 / 2 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 30 | $47.662,90 | 797 / 55 | $8.319,86 | 4 / 61 | $5.224,43 | 4 / 1 |
Other Vascular Procedures W Cc | 14 | 88 / 34 | $212.338,00 | 1125 / 86 | $22.713,80 | 648 / 82 | $15.949,70 | 645 / 69 |
Organic Disturbances & Mental Retardation | 14 | 45 / 24 | $30.675,60 | 354 / 23 | $5.373,36 | 27 / 9 | $4.509,36 | 27 / 11 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 33 | $29.503,60 | 1105 / 60 | $3.781,21 | 42 / 35 | $2.138,36 | 42 / 4 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 54 | $29.093,80 | 1687 / 87 | $3.665,21 | 40 / 19 | $2.634,36 | 40 / 6 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 67 | $39.770,60 | 1496 / 75 | $6.146,29 | 46 / 23 | $4.799,29 | 46 / 5 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 23 | $66.937,00 | 767 / 49 | $8.634,64 | 65 / 7 | $7.512,36 | 65 / 11 |
G.I. Hemorrhage W Mcc | 14 | 107 / 48 | $71.517,90 | 1356 / 85 | $9.374,79 | 51 / 12 | $8.204,93 | 51 / 4 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 13 | 15 / 7 | $85.035,60 | 95 / 13 | $8.913,92 | 10 / 4 | $7.983,46 | 10 / 4 |
Other Digestive System Diagnoses W Mcc | 13 | 49 / 21 | $53.421,80 | 496 / 33 | $8.593,38 | 26 / 3 | $8.042,00 | 26 / 6 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 33 | $18.894,80 | 510 / 28 | $3.779,08 | 72 / 12 | $2.851,08 | 72 / 21 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 49 | $203.581,00 | 1276 / 68 | $42.468,80 | 24 / 99 | $23.097,90 | 24 / 1 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 12 | 26 / 8 | $99.108,40 | 150 / 12 | $13.138,20 | 2 / 9 | $7.990,25 | 2 / 2 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 25 | $27.307,50 | 655 / 33 | $3.401,00 | 8 / 1 | $2.434,33 | 8 / 3 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 21 | $82.194,00 | 683 / 42 | $8.903,75 | 122 / 9 | $7.695,75 | 122 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 26 | $169.615,00 | 874 / 60 | $24.181,80 | 72 / 64 | $15.579,70 | 72 / 7 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 22 | $100.543,00 | 407 / 25 | $14.041,30 | 86 / 6 | $12.830,70 | 86 / 15 |
Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 33 | $71.795,90 | 518 / 25 | $14.503,60 | 122 / 20 | $13.498,20 | 122 / 22 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 12 | 32 / 17 | $31.010,40 | 202 / 26 | $4.020,67 | 4 / 5 | $2.820,67 | 4 / 4 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 41 | $26.822,80 | 701 / 43 | $5.062,00 | 66 / 7 | $4.254,00 | 66 / 11 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 36 | $229.631,00 | 1121 / 63 | $44.399,40 | 57 / 88 | $24.231,30 | 57 / 6 |
Diabetes W Cc | 11 | 81 / 43 | $36.675,00 | 1341 / 78 | $4.684,45 | 31 / 25 | $3.311,36 | 31 / 7 |
Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 19 | $28.697,90 | 267 / 29 | $3.634,82 | 21 / 11 | $2.645,73 | 21 / 9 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 28 | $51.470,50 | 597 / 33 | $5.924,73 | 135 / 4 | $4.932,73 | 135 / 22 | Total 81 procedures | 2.521 | 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.