Hospital Costs > In Florida > Doctor's Memorial 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 | 33 | 531 / 108 | $33.255,90 | 365 / 3 | $13.899,30 | 1761 / 100 | $12.725,90 | 1721 / 126 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 64 | $6.899,31 | 69 / 1 | $4.923,31 | 1684 / 104 | $4.300,97 | 1679 / 121 |
Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 87 | $11.530,00 | 101 / 1 | $7.780,62 | 1464 / 103 | $6.789,29 | 1458 / 119 |
Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 82 | $12.033,00 | 235 / 1 | $6.259,14 | 1124 / 104 | $5.075,73 | 1120 / 100 |
Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 83 | $13.919,00 | 433 / 1 | $6.681,23 | 1767 / 115 | $5.804,14 | 1759 / 125 |
Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 104 | $8.088,81 | 120 / 2 | $5.317,10 | 1710 / 113 | $4.567,38 | 1699 / 124 |
Heart Failure & Shock W Cc | 18 | 260 / 104 | $10.043,60 | 129 / 1 | $6.704,33 | 1362 / 112 | $5.609,22 | 1357 / 106 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 69 | $9.114,25 | 158 / 1 | $5.102,12 | 711 / 100 | $3.500,50 | 709 / 76 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 66 | $10.855,70 | 146 / 3 | $5.572,47 | 1179 / 95 | $4.768,20 | 1171 / 103 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 117 | $7.754,71 | 80 / 1 | $5.226,57 | 1211 / 107 | $3.897,86 | 1200 / 101 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 44 | $8.911,50 | 139 / 1 | $4.838,86 | 1188 / 84 | $3.888,00 | 1182 / 99 |
Heart Failure & Shock W Mcc | 12 | 272 / 102 | $18.982,00 | 375 / 2 | $9.298,17 | 1479 / 96 | $8.999,50 | 1475 / 118 | Total 12 procedures | 240 | 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.