Hospital Costs > In Florida > Florida Hospital Fish Memorial, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 35 | $28.733,10 | 687 / 20 | $5.793,69 | 286 / 21 | $5.115,69 | 286 / 39 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 53 | $31.201,80 | 486 / 5 | $8.871,54 | 242 / 14 | $8.411,23 | 242 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 53 | $20.489,80 | 1089 / 35 | $4.652,12 | 441 / 43 | $3.760,69 | 441 / 57 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 32 | $25.734,40 | 702 / 16 | $6.906,54 | 300 / 31 | $6.046,20 | 299 / 36 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 59 | $14.991,20 | 990 / 33 | $3.490,23 | 331 / 52 | $2.296,69 | 329 / 45 |
| Cellulitis W Mcc | 19 | 39 / 15 | $26.553,70 | 292 / 7 | $7.842,79 | 104 / 12 | $7.015,84 | 104 / 16 |
| Cellulitis W/O Mcc | 50 | 139 / 51 | $19.419,50 | 1414 / 25 | $5.136,12 | 1044 / 64 | $4.304,12 | 1038 / 91 |
| Cervical Spinal Fusion W Cc | 12 | 41 / 14 | $51.432,80 | 86 / 2 | $16.104,50 | 70 / 3 | $14.997,80 | 70 / 7 |
| Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 29 | $49.273,90 | 331 / 6 | $12.451,20 | 248 / 9 | $11.371,60 | 248 / 35 |
| Chest Pain | 50 | 101 / 46 | $18.454,00 | 800 / 29 | $3.835,38 | 212 / 51 | $2.568,62 | 211 / 35 |
| Chronic Obstructive Pulmonary Disease W Cc | 58 | 121 / 54 | $20.489,50 | 1048 / 13 | $5.418,59 | 466 / 45 | $4.504,38 | 465 / 55 |
| Chronic Obstructive Pulmonary Disease W Mcc | 68 | 134 / 49 | $29.330,60 | 1428 / 33 | $6.681,40 | 393 / 44 | $5.674,54 | 392 / 48 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 60 | $16.439,70 | 957 / 19 | $4.396,84 | 234 / 54 | $3.059,76 | 234 / 38 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 28 | $35.924,80 | 96 / 2 | $10.823,00 | 70 / 3 | $10.257,70 | 70 / 17 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 72 | $35.151,00 | 765 / 21 | $6.405,79 | 297 / 39 | $5.143,29 | 297 / 40 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 13 | 33 / 9 | $102.897,00 | 10 / 1 | $43.315,90 | 27 / 1 | $42.198,40 | 27 / 5 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 22 | 25 / 3 | $93.485,90 | 21 / 1 | $34.711,40 | 23 / 1 | $31.469,00 | 23 / 3 |
| Diabetes W Cc | 22 | 70 / 32 | $19.643,50 | 670 / 17 | $4.848,91 | 613 / 36 | $4.409,64 | 612 / 68 |
| Diabetes W Mcc | 15 | 42 / 13 | $24.605,90 | 165 / 5 | $7.347,13 | 51 / 2 | $6.605,80 | 51 / 10 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 18 | $23.828,30 | 263 / 10 | $5.348,27 | 98 / 9 | $4.823,18 | 98 / 20 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 25 | $22.209,40 | 378 / 5 | $5.343,17 | 140 / 18 | $4.315,83 | 140 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 36 | $25.097,40 | 438 / 8 | $7.045,84 | 124 / 38 | $5.753,11 | 124 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 108 | 167 / 56 | $18.842,40 | 1256 / 16 | $4.400,44 | 618 / 44 | $3.498,52 | 614 / 63 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 26 | $91.429,60 | 168 / 3 | $24.274,30 | 34 / 4 | $22.907,00 | 34 / 8 |
| G.I. Hemorrhage W Cc | 63 | 155 / 49 | $24.473,20 | 1161 / 22 | $5.782,86 | 514 / 45 | $4.921,40 | 513 / 60 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 41 | $29.480,50 | 310 / 3 | $9.287,57 | 103 / 10 | $8.486,05 | 103 / 12 |
| G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 31 | $14.311,40 | 294 / 8 | $4.153,47 | 292 / 30 | $3.347,07 | 290 / 51 |
| G.I. Obstruction W Cc | 28 | 64 / 31 | $18.049,60 | 513 / 5 | $5.203,43 | 292 / 43 | $4.187,36 | 291 / 40 |
| G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 23 | $17.171,30 | 680 / 15 | $3.745,56 | 273 / 32 | $2.663,68 | 273 / 40 |
| Heart Failure & Shock W Cc | 89 | 189 / 53 | $19.838,80 | 1167 / 23 | $5.697,84 | 690 / 54 | $5.055,51 | 689 / 70 |
| Heart Failure & Shock W Mcc | 192 | 92 / 13 | $29.239,40 | 1038 / 17 | $8.217,89 | 397 / 35 | $7.558,77 | 397 / 47 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 49 | $13.457,20 | 657 / 11 | $3.992,05 | 562 / 38 | $3.355,42 | 560 / 61 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 43 | $44.111,50 | 809 / 9 | $11.401,20 | 232 / 69 | $9.566,41 | 231 / 27 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 33 | $108.152,00 | 588 / 14 | $32.379,10 | 126 / 59 | $25.961,70 | 126 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 52 | $28.661,20 | 1060 / 25 | $6.383,69 | 325 / 55 | $5.005,72 | 324 / 40 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 52 | $34.255,80 | 495 / 10 | $9.382,00 | 210 / 15 | $8.510,89 | 209 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 34 | $21.470,30 | 680 / 13 | $4.459,22 | 329 / 27 | $3.411,57 | 326 / 45 |
| Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 57 | $19.790,40 | 562 / 4 | $6.335,54 | 519 / 46 | $5.728,77 | 518 / 67 |
| Kidney & Urinary Tract Infections W/O Mcc | 76 | 157 / 61 | $17.189,40 | 1247 / 18 | $4.524,99 | 522 / 52 | $3.635,72 | 521 / 58 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 30 | 26 / 12 | $45.261,60 | 377 / 7 | $9.289,00 | 184 / 19 | $8.241,53 | 184 / 31 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 22 | 51 / 26 | $19.506,30 | 275 / 5 | $6.321,50 | 131 / 15 | $5.682,64 | 131 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 59 | 505 / 95 | $47.135,60 | 1144 / 14 | $11.924,40 | 814 / 20 | $10.779,50 | 800 / 83 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 43 | $66.945,20 | 797 / 13 | $14.097,10 | 326 / 29 | $12.974,90 | 324 / 49 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 25 | $104.910,00 | 428 / 7 | $27.319,80 | 205 / 20 | $26.439,80 | 204 / 33 |
| Medical Back Problems W/O Mcc | 15 | 106 / 57 | $20.887,00 | 589 / 18 | $4.970,00 | 388 / 40 | $4.088,93 | 388 / 59 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 42 | $32.052,40 | 1048 / 43 | $7.251,06 | 462 / 64 | $5.969,44 | 459 / 51 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 40 | 126 / 55 | $15.895,90 | 1074 / 16 | $4.128,42 | 591 / 41 | $3.370,82 | 589 / 66 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 43 | $34.778,60 | 339 / 6 | $10.120,30 | 190 / 17 | $9.561,54 | 190 / 30 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 38 | $19.865,80 | 402 / 4 | $5.882,95 | 151 / 49 | $4.546,26 | 150 / 31 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 21 | $60.588,60 | 109 / 3 | $18.543,20 | 29 / 3 | $17.587,50 | 29 / 5 |
| Other Vascular Procedures W Cc | 24 | 78 / 25 | $73.149,80 | 550 / 20 | $15.840,70 | 508 / 52 | $15.021,40 | 505 / 61 |
| Other Vascular Procedures W Mcc | 14 | 83 / 35 | $96.343,70 | 557 / 31 | $19.384,00 | 62 / 44 | $16.496,10 | 62 / 12 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 37 | $19.957,10 | 412 / 12 | $5.214,06 | 156 / 17 | $4.536,06 | 156 / 28 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 20 | $17.025,90 | 164 / 16 | $3.863,50 | 54 / 17 | $2.959,50 | 54 / 20 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 19 | $36.897,40 | 516 / 22 | $8.177,75 | 50 / 20 | $6.527,35 | 50 / 8 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 25 | $16.338,60 | 358 / 8 | $4.378,00 | 117 / 44 | $2.939,55 | 117 / 22 |
| Pulmonary Edema & Respiratory Failure | 61 | 142 / 23 | $29.369,20 | 1007 / 19 | $7.216,07 | 199 / 51 | $5.909,74 | 199 / 23 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 32 | $22.531,50 | 523 / 7 | $6.450,36 | 80 / 49 | $4.249,36 | 80 / 12 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 59 | $17.544,40 | 679 / 15 | $4.713,30 | 450 / 43 | $3.927,22 | 449 / 54 |
| Renal Failure W Cc | 54 | 167 / 69 | $21.938,90 | 1173 / 20 | $5.561,17 | 522 / 50 | $4.777,76 | 518 / 66 |
| Renal Failure W Mcc | 48 | 147 / 51 | $29.863,20 | 753 / 10 | $8.765,85 | 467 / 54 | $8.022,52 | 467 / 62 |
| Respiratory Infections & Inflammations W Mcc | 34 | 102 / 31 | $36.816,90 | 652 / 7 | $9.787,18 | 40 / 2 | $8.988,12 | 40 / 2 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 18 | $40.458,00 | 270 / 10 | $13.759,10 | 14 / 42 | $7.913,45 | 14 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 46 | $46.536,30 | 525 / 11 | $12.985,30 | 128 / 36 | $11.318,30 | 128 / 14 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 23 | $110.444,00 | 316 / 11 | $28.988,50 | 233 / 25 | $28.342,10 | 233 / 37 |
| Seizures W/O Mcc | 16 | 92 / 41 | $19.388,30 | 517 / 16 | $4.435,62 | 150 / 23 | $3.449,62 | 149 / 27 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 32 | $134.433,00 | 418 / 16 | $33.712,40 | 262 / 36 | $32.549,80 | 261 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 204 | 312 / 43 | $37.990,40 | 1211 / 13 | $10.273,80 | 447 / 36 | $9.429,38 | 447 / 49 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 62 | 145 / 40 | $21.595,10 | 927 / 7 | $6.112,15 | 463 / 37 | $5.165,55 | 461 / 56 |
| Signs & Symptoms W/O Mcc | 23 | 68 / 28 | $18.180,20 | 553 / 21 | $4.018,09 | 302 / 29 | $3.387,83 | 301 / 48 |
| Simple Pneumonia & Pleurisy W Cc | 53 | 150 / 56 | $21.684,80 | 1318 / 13 | $5.695,43 | 433 / 53 | $4.593,25 | 430 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 74 | 131 / 30 | $31.568,10 | 1141 / 13 | $8.011,92 | 301 / 26 | $7.022,62 | 301 / 31 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 45 | $19.308,20 | 1144 / 31 | $4.188,46 | 423 / 37 | $3.169,38 | 421 / 56 |
| Syncope & Collapse | 51 | 118 / 57 | $19.918,50 | 845 / 22 | $4.379,04 | 269 / 48 | $3.300,31 | 267 / 45 |
| Transient Ischemia | 33 | 92 / 50 | $19.574,20 | 632 / 15 | $4.477,45 | 372 / 55 | $3.227,91 | 371 / 55 | Total 75 procedures | 2.571 | 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.