Hospital Costs > In Florida > Englewood Community Hospital, 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 | 84 | 432 / 94 | $82.655,70 | 2462 / 107 | $9.810,43 | 204 / 11 | $8.942,74 | 204 / 18 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 81 | 194 / 77 | $35.764,30 | 2376 / 111 | $4.083,10 | 137 / 19 | $3.011,43 | 137 / 21 |
G.I. Hemorrhage W Cc | 75 | 143 / 40 | $47.630,70 | 2115 / 108 | $5.370,27 | 158 / 14 | $4.485,79 | 158 / 21 |
Renal Failure W Cc | 61 | 160 / 63 | $38.517,30 | 2002 / 95 | $5.197,29 | 133 / 18 | $4.258,28 | 133 / 20 |
Heart Failure & Shock W Mcc | 61 | 223 / 70 | $60.840,50 | 2209 / 104 | $8.148,13 | 112 / 27 | $6.998,51 | 112 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 45 | 519 / 102 | $90.069,60 | 2360 / 105 | $11.601,30 | 637 / 7 | $10.525,40 | 629 / 66 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 53 | $44.718,10 | 2164 / 87 | $6.152,88 | 113 / 41 | $4.671,67 | 113 / 11 |
Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 67 | $48.318,50 | 2222 / 130 | $4.999,49 | 147 / 9 | $4.087,88 | 147 / 25 |
Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 71 | $60.528,40 | 2358 / 134 | $6.201,77 | 238 / 10 | $5.474,58 | 237 / 24 |
Hip & Femur Procedures Except Major Joint W Cc | 40 | 103 / 37 | $85.552,00 | 1770 / 87 | $10.326,40 | 164 / 10 | $9.391,20 | 163 / 20 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 55 | $35.047,80 | 1866 / 129 | $3.000,97 | 121 / 7 | $1.977,79 | 121 / 23 |
Heart Failure & Shock W Cc | 36 | 242 / 89 | $44.714,30 | 2451 / 127 | $5.359,47 | 69 / 30 | $4.264,53 | 69 / 6 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 50 | $38.427,70 | 1919 / 123 | $3.839,63 | 80 / 12 | $2.769,00 | 80 / 11 |
Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 94 | $35.131,10 | 2377 / 117 | $4.118,89 | 126 / 18 | $3.187,23 | 126 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 60 | $34.975,60 | 1802 / 97 | $4.143,15 | 56 / 6 | $3.182,21 | 56 / 7 |
Cellulitis W/O Mcc | 33 | 156 / 66 | $38.306,60 | 2373 / 129 | $4.518,21 | 138 / 18 | $3.455,42 | 138 / 15 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 34 | $60.261,30 | 1687 / 97 | $6.594,91 | 33 / 19 | $5.333,61 | 33 / 5 |
Renal Failure W Mcc | 26 | 169 / 70 | $58.196,90 | 1730 / 95 | $7.976,27 | 143 / 7 | $7.422,42 | 143 / 19 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 73 | $77.887,30 | 2326 / 127 | $7.693,56 | 242 / 8 | $6.919,16 | 242 / 26 |
Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 81 | $52.353,50 | 2594 / 127 | $5.203,08 | 129 / 12 | $4.190,60 | 129 / 14 |
Chest Pain | 25 | 126 / 62 | $31.207,50 | 1421 / 93 | $3.256,32 | 140 / 12 | $2.433,28 | 139 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 69 | $26.911,80 | 1992 / 83 | $3.798,79 | 134 / 20 | $2.893,46 | 134 / 23 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 24 | 44 / 16 | $29.508,30 | 454 / 20 | $4.761,62 | 106 / 5 | $4.220,96 | 106 / 23 |
Syncope & Collapse | 23 | 146 / 80 | $38.323,30 | 1661 / 101 | $3.926,78 | 97 / 14 | $2.980,70 | 97 / 19 |
Other Digestive System Diagnoses W Cc | 22 | 75 / 35 | $36.023,30 | 1047 / 57 | $5.236,95 | 86 / 11 | $4.359,86 | 85 / 19 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 46 | $88.040,60 | 1569 / 78 | $10.835,70 | 162 / 23 | $9.607,05 | 162 / 13 |
Medical Back Problems W/O Mcc | 18 | 103 / 54 | $40.760,20 | 1261 / 100 | $4.290,61 | 111 / 1 | $3.556,39 | 111 / 20 |
Diabetes W Cc | 17 | 75 / 37 | $28.151,10 | 1115 / 53 | $4.391,47 | 70 / 9 | $3.535,00 | 70 / 12 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 49 | $69.927,30 | 1456 / 71 | $7.363,06 | 6 / 1 | $6.510,35 | 6 / 1 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 42 | $35.078,60 | 1739 / 98 | $3.731,25 | 84 / 9 | $2.675,25 | 84 / 16 |
G.I. Hemorrhage W Mcc | 16 | 105 / 46 | $92.120,40 | 1518 / 109 | $9.226,50 | 137 / 9 | $8.624,50 | 137 / 16 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 30 | $31.959,70 | 770 / 63 | $3.769,60 | 37 / 10 | $2.722,13 | 37 / 10 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 32 | $170.599,00 | 918 / 45 | $25.422,70 | 71 / 5 | $24.460,60 | 71 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 68 | $43.611,10 | 1608 / 72 | $5.550,07 | 81 / 6 | $4.512,36 | 81 / 8 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 43 | $131.640,00 | 1394 / 78 | $13.557,50 | 189 / 13 | $12.432,90 | 188 / 27 |
Signs & Symptoms W/O Mcc | 14 | 77 / 37 | $36.970,10 | 1169 / 93 | $3.622,00 | 55 / 7 | $2.842,57 | 55 / 11 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 55 | $30.464,20 | 1718 / 91 | $3.592,62 | 13 / 12 | $2.477,54 | 13 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 30 | $104.710,00 | 816 / 64 | $8.959,00 | 141 / 13 | $8.049,67 | 141 / 26 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 15 | $138.336,00 | 427 / 34 | $13.511,20 | 45 / 4 | $12.303,20 | 45 / 7 |
Dysequilibrium | 12 | 53 / 31 | $32.581,90 | 441 / 46 | $3.365,92 | 23 / 10 | $2.253,92 | 23 / 8 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 35 | $33.729,20 | 1167 / 71 | $3.291,00 | 59 / 11 | $2.192,33 | 59 / 9 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 22 | $103.696,00 | 727 / 50 | $8.878,82 | 139 / 8 | $7.773,36 | 139 / 18 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 57 | $102.326,00 | 1539 / 89 | $12.386,30 | 150 / 17 | $11.397,20 | 150 / 20 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 31 | $28.043,60 | 722 / 52 | $3.377,09 | 57 / 8 | $2.495,64 | 56 / 11 |
Transient Ischemia | 11 | 114 / 72 | $48.099,90 | 1553 / 116 | $3.745,36 | 89 / 10 | $2.759,18 | 89 / 17 | Total 45 procedures | 1.290 | 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.