Hospital Costs > In Florida > Edward White Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 20 | $97.240,80 | 759 / 59 | $6.366,16 | 220 / 15 | $5.286,58 | 220 / 39 |
Cellulitis W/O Mcc | 21 | 168 / 76 | $41.144,90 | 2434 / 139 | $5.003,76 | 818 / 53 | $4.138,24 | 813 / 80 |
Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 34 | $129.639,00 | 835 / 59 | $17.436,80 | 9 / 57 | $8.830,31 | 9 / 1 |
Chest Pain | 12 | 139 / 73 | $38.147,80 | 1557 / 123 | $3.691,83 | 374 / 39 | $2.785,17 | 373 / 54 |
Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 88 | $42.923,80 | 2130 / 112 | $5.380,25 | 504 / 40 | $4.548,25 | 502 / 58 |
Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 74 | $52.886,80 | 2240 / 112 | $6.729,24 | 468 / 50 | $5.753,68 | 467 / 56 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 68 | $42.135,10 | 1983 / 139 | $4.305,24 | 740 / 45 | $3.522,18 | 737 / 78 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 107 | $42.901,30 | 2538 / 133 | $4.460,84 | 543 / 51 | $3.442,84 | 541 / 56 |
G.I. Hemorrhage W Cc | 14 | 204 / 89 | $57.242,50 | 2274 / 136 | $5.697,79 | 704 / 33 | $5.094,36 | 703 / 75 |
Heart Failure & Shock W Mcc | 15 | 269 / 100 | $60.100,10 | 2199 / 103 | $8.213,27 | 359 / 34 | $7.496,47 | 359 / 40 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 67 | $42.941,30 | 1562 / 84 | $6.211,71 | 429 / 29 | $5.606,00 | 428 / 54 |
Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 98 | $42.264,40 | 2534 / 142 | $4.548,27 | 640 / 56 | $3.718,40 | 636 / 69 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 104 | $105.279,00 | 2535 / 131 | $12.856,50 | 603 / 69 | $10.469,70 | 596 / 65 |
Medical Back Problems W/O Mcc | 12 | 109 / 60 | $36.022,40 | 1168 / 84 | $5.035,50 | 563 / 48 | $4.328,83 | 561 / 71 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 78 | $38.834,10 | 2349 / 130 | $4.233,14 | 851 / 55 | $3.547,43 | 848 / 81 |
Renal Failure W Mcc | 11 | 184 / 82 | $51.951,60 | 1620 / 76 | $8.011,64 | 104 / 9 | $7.240,73 | 104 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 121 | $91.714,30 | 2564 / 122 | $10.907,80 | 446 / 68 | $9.429,19 | 446 / 48 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 86 | $59.399,30 | 2690 / 143 | $5.632,58 | 764 / 44 | $4.873,00 | 761 / 76 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 80 | $73.800,80 | 2283 / 118 | $8.342,88 | 645 / 58 | $7.492,06 | 645 / 70 |
Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 36 | $181.180,00 | 1224 / 74 | $23.585,00 | 288 / 36 | $20.504,30 | 287 / 39 | Total 20 procedures | 430 | 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.