Hospital Costs > In Florida > Florida Hospital Flagler, 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 | 240 | 276 / 35 | $33.272,50 | 955 / 8 | $12.102,40 | 1674 / 112 | $11.387,60 | 1642 / 120 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 163 | 401 / 57 | $57.023,00 | 1579 / 32 | $14.451,80 | 1768 / 113 | $12.765,80 | 1728 / 127 |
G.I. Hemorrhage W Cc | 91 | 127 / 32 | $24.362,30 | 1150 / 21 | $6.590,30 | 1306 / 97 | $5.702,38 | 1303 / 108 |
Heart Failure & Shock W Mcc | 84 | 200 / 53 | $25.944,60 | 814 / 10 | $9.683,90 | 1467 / 113 | $8.980,29 | 1463 / 117 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 77 | 130 / 29 | $24.025,90 | 1162 / 15 | $7.033,44 | 1378 / 93 | $6.090,38 | 1373 / 104 |
Chronic Obstructive Pulmonary Disease W Mcc | 74 | 128 / 45 | $25.374,20 | 1154 / 18 | $7.815,49 | 1473 / 108 | $6.801,53 | 1467 / 120 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 71 | 204 / 81 | $21.632,40 | 1572 / 32 | $5.006,85 | 1204 / 93 | $3.892,27 | 1193 / 100 |
Heart Failure & Shock W Cc | 70 | 208 / 65 | $17.493,90 | 874 / 10 | $6.542,69 | 1509 / 103 | $5.783,37 | 1504 / 112 |
Renal Failure W Cc | 66 | 155 / 59 | $21.991,80 | 1176 / 21 | $6.341,05 | 1352 / 99 | $5.556,08 | 1344 / 114 |
Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 46 | $23.240,30 | 1472 / 22 | $6.430,25 | 1568 / 95 | $5.580,25 | 1561 / 115 |
Kidney & Urinary Tract Infections W/O Mcc | 53 | 180 / 80 | $18.123,50 | 1360 / 23 | $5.050,58 | 1266 / 93 | $4.139,49 | 1257 / 101 |
Chronic Obstructive Pulmonary Disease W Cc | 52 | 127 / 59 | $22.888,50 | 1290 / 25 | $6.197,79 | 1232 / 100 | $5.201,48 | 1227 / 105 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 50 | 138 / 41 | $28.994,80 | 468 / 7 | $7.124,78 | 913 / 80 | $6.158,38 | 910 / 96 |
Kidney & Urinary Tract Infections W Mcc | 50 | 94 / 35 | $22.168,30 | 717 / 9 | $7.256,22 | 952 / 89 | $6.311,58 | 949 / 93 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 48 | 113 / 49 | $19.530,50 | 1015 / 28 | $5.159,62 | 1028 / 80 | $4.326,96 | 1024 / 97 |
Hip & Femur Procedures Except Major Joint W Cc | 47 | 96 / 32 | $51.920,90 | 1118 / 21 | $13.061,90 | 1313 / 111 | $12.010,00 | 1296 / 112 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 45 | 137 / 43 | $23.718,10 | 702 / 9 | $7.079,07 | 1147 / 88 | $6.061,47 | 1144 / 93 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 44 | 152 / 47 | $62.731,00 | 514 / 9 | $14.081,90 | 872 / 84 | $11.952,90 | 866 / 91 |
Renal Failure W Mcc | 44 | 151 / 55 | $30.836,20 | 811 / 13 | $10.121,70 | 1177 / 106 | $9.351,48 | 1177 / 112 |
Cellulitis W/O Mcc | 43 | 146 / 58 | $16.655,60 | 1078 / 14 | $5.611,91 | 1164 / 96 | $4.402,51 | 1158 / 101 |
Simple Pneumonia & Pleurisy W Mcc | 42 | 163 / 56 | $27.743,10 | 886 / 4 | $9.388,10 | 1415 / 102 | $8.522,33 | 1415 / 115 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 41 | 109 / 53 | $14.042,50 | 874 / 23 | $3.988,85 | 586 / 88 | $2.506,61 | 582 / 70 |
Syncope & Collapse | 39 | 130 / 67 | $20.865,80 | 934 / 27 | $4.683,79 | 574 / 77 | $3.627,79 | 571 / 74 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 39 | 84 / 29 | $26.591,80 | 764 / 17 | $7.916,33 | 983 / 85 | $7.107,31 | 980 / 92 |
Transient Ischemia | 36 | 89 / 47 | $19.790,10 | 652 / 17 | $4.556,72 | 639 / 60 | $3.515,83 | 635 / 77 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 32 | $28.629,80 | 392 / 2 | $11.002,30 | 981 / 85 | $10.241,70 | 979 / 94 |
Red Blood Cell Disorders W/O Mcc | 35 | 108 / 48 | $17.320,90 | 655 / 13 | $5.303,94 | 928 / 84 | $4.441,77 | 922 / 88 |
G.I. Obstruction W Cc | 32 | 60 / 27 | $21.006,50 | 726 / 11 | $5.875,78 | 804 / 78 | $4.815,78 | 802 / 87 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 31 | 137 / 40 | $37.752,70 | 623 / 18 | $11.387,50 | 866 / 76 | $10.493,60 | 864 / 85 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 62 | $15.592,70 | 1030 / 15 | $4.552,29 | 1071 / 85 | $3.695,52 | 1068 / 90 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 56 | $15.152,40 | 796 / 12 | $4.887,66 | 875 / 91 | $3.634,14 | 869 / 85 |
Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 40 | $12.475,20 | 525 / 4 | $4.435,24 | 854 / 71 | $3.603,24 | 850 / 78 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 49 | $26.133,40 | 803 / 13 | $8.067,52 | 1209 / 91 | $7.240,85 | 1207 / 102 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 32 | $24.201,90 | 655 / 14 | $7.313,23 | 678 / 68 | $6.340,92 | 675 / 63 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 37 | $79.536,60 | 248 / 2 | $34.792,40 | 903 / 80 | $34.020,60 | 897 / 89 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 31 | $24.504,80 | 411 / 6 | $7.897,28 | 679 / 71 | $7.071,68 | 674 / 78 |
G.I. Hemorrhage W Mcc | 24 | 97 / 38 | $36.755,80 | 578 / 13 | $11.378,30 | 906 / 86 | $10.874,30 | 901 / 93 |
Disorders Of Pancreas Except Malignancy W Cc | 24 | 37 / 13 | $26.834,50 | 531 / 17 | $6.023,75 | 375 / 37 | $4.970,42 | 374 / 43 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 46 | $44.501,70 | 463 / 7 | $14.825,30 | 1019 / 82 | $14.200,60 | 1009 / 98 |
Diabetes W Cc | 23 | 69 / 31 | $17.878,80 | 546 / 9 | $5.462,83 | 235 / 74 | $3.900,04 | 235 / 37 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 23 | 50 / 25 | $25.211,70 | 487 / 15 | $7.714,61 | 614 / 68 | $7.034,26 | 612 / 75 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 39 | $24.228,80 | 634 / 16 | $6.409,67 | 646 / 76 | $5.467,44 | 642 / 76 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 29 | $16.267,10 | 612 / 10 | $4.023,00 | 542 / 50 | $3.013,22 | 541 / 65 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 39 | $67.599,60 | 810 / 18 | $16.660,90 | 943 / 69 | $15.452,10 | 932 / 90 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 26 | $22.695,10 | 533 / 8 | $6.553,29 | 666 / 50 | $5.487,88 | 663 / 59 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 26 | $39.008,10 | 141 / 4 | $14.155,60 | 298 / 58 | $11.519,90 | 293 / 48 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 40 | $20.346,00 | 600 / 12 | $5.004,00 | 752 / 60 | $3.934,82 | 748 / 76 |
Seizures W Mcc | 17 | 49 / 18 | $42.918,80 | 392 / 24 | $10.142,40 | 325 / 48 | $9.079,65 | 325 / 46 |
Seizures W/O Mcc | 17 | 91 / 40 | $18.743,40 | 480 / 15 | $5.092,88 | 430 / 64 | $3.947,35 | 428 / 61 |
Chest Pain | 16 | 135 / 69 | $15.569,40 | 548 / 10 | $3.924,50 | 515 / 57 | $2.946,50 | 512 / 67 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 38 | $19.998,30 | 415 / 13 | $6.270,60 | 461 / 71 | $5.223,13 | 459 / 71 |
Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 21 | $56.970,20 | 268 / 2 | $20.110,70 | 563 / 60 | $18.997,60 | 560 / 63 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 21 | $60.685,60 | 367 / 14 | $13.212,60 | 404 / 44 | $12.350,90 | 401 / 52 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 44 | $16.057,90 | 833 / 9 | $4.651,50 | 1036 / 72 | $3.707,50 | 1030 / 90 |
Medical Back Problems W/O Mcc | 13 | 108 / 59 | $19.899,80 | 511 / 14 | $5.511,77 | 753 / 76 | $4.672,38 | 750 / 91 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 33 | $16.830,80 | 421 / 17 | $4.613,23 | 415 / 56 | $3.586,77 | 411 / 62 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 24 | $60.503,50 | 268 / 7 | $11.869,50 | 324 / 31 | $10.751,90 | 324 / 36 |
Other Resp System O.R. Procedures W Cc | 12 | 35 / 15 | $40.853,10 | 84 / 4 | $14.191,00 | 146 / 21 | $11.426,90 | 146 / 20 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 19 | $22.912,80 | 202 / 8 | $4.574,75 | 165 / 26 | $3.564,08 | 165 / 32 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 39 | $24.994,30 | 519 / 8 | $6.920,25 | 755 / 60 | $6.016,25 | 753 / 76 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 19 | $20.396,00 | 311 / 9 | $4.862,92 | 451 / 37 | $4.153,58 | 448 / 50 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 30 | $49.949,80 | 464 / 14 | $10.970,00 | 550 / 62 | $9.860,67 | 548 / 71 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 44 | $36.999,10 | 401 / 11 | $12.433,80 | 770 / 73 | $11.935,20 | 766 / 82 |
Other Vascular Procedures W Cc | 11 | 91 / 37 | $43.506,10 | 125 / 2 | $16.687,50 | 604 / 62 | $15.590,80 | 601 / 66 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 28 | $30.408,50 | 360 / 12 | $9.348,18 | 481 / 46 | $8.472,55 | 479 / 56 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 17 | $20.450,20 | 260 / 11 | $4.291,36 | 189 / 24 | $3.305,18 | 189 / 30 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 29 | $21.026,80 | 404 / 22 | $5.008,45 | 338 / 51 | $4.019,36 | 338 / 59 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 33 | $21.343,90 | 187 / 3 | $8.288,64 | 436 / 60 | $7.248,64 | 434 / 55 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 33 | $26.792,00 | 297 / 4 | $10.061,70 | 564 / 47 | $9.401,36 | 562 / 52 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 21 | $14.371,90 | 117 / 8 | $4.442,09 | 148 / 39 | $3.508,27 | 148 / 42 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 25 | $17.634,50 | 429 / 15 | $4.206,64 | 384 / 38 | $3.549,18 | 383 / 47 | Total 71 procedures | 2.526 | 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.