Hospital Costs > In Florida > Florida Hospital Memorial Medical Center, 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 | 15 | 76 / 36 | $20.700,30 | 312 / 3 | $6.045,60 | 312 / 30 | $5.166,67 | 311 / 44 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 41 | $29.058,00 | 407 / 3 | $9.205,36 | 214 / 31 | $8.338,80 | 214 / 26 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 66 | 95 / 34 | $16.942,30 | 741 / 12 | $4.732,36 | 525 / 51 | $3.835,39 | 523 / 66 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 47 | 76 / 22 | $22.462,40 | 489 / 6 | $7.013,55 | 314 / 44 | $6.063,08 | 313 / 39 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 48 | 102 / 47 | $13.284,20 | 758 / 15 | $3.674,44 | 422 / 67 | $2.373,81 | 419 / 55 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 16 | 34 / 12 | $138.745,00 | 115 / 8 | $30.599,40 | 56 / 7 | $29.993,40 | 56 / 14 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 17 | 101 / 22 | $129.424,00 | 207 / 6 | $28.247,90 | 58 / 3 | $27.182,50 | 58 / 7 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 17 | 99 / 19 | $216.837,00 | 254 / 10 | $54.104,80 | 148 / 26 | $47.043,10 | 148 / 21 |
Cellulitis W/O Mcc | 56 | 133 / 47 | $15.540,90 | 922 / 8 | $5.047,68 | 512 / 57 | $3.894,00 | 509 / 56 |
Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 27 | $52.434,20 | 370 / 8 | $12.557,80 | 252 / 15 | $11.398,50 | 252 / 37 |
Chest Pain | 23 | 128 / 64 | $18.163,00 | 785 / 27 | $3.730,52 | 293 / 44 | $2.680,09 | 292 / 44 |
Chronic Obstructive Pulmonary Disease W Cc | 77 | 102 / 41 | $20.556,10 | 1052 / 14 | $5.447,13 | 451 / 48 | $4.488,70 | 450 / 54 |
Chronic Obstructive Pulmonary Disease W Mcc | 95 | 107 / 30 | $21.951,80 | 898 / 9 | $6.613,49 | 492 / 37 | $5.776,78 | 491 / 60 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 64 | $18.386,90 | 1146 / 30 | $4.334,57 | 477 / 50 | $3.302,95 | 476 / 58 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 29 | $42.913,10 | 210 / 7 | $11.796,90 | 223 / 19 | $11.147,70 | 218 / 42 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 61 | $31.863,00 | 606 / 9 | $6.343,04 | 374 / 35 | $5.275,52 | 373 / 51 |
Complications Of Treatment W Cc | 11 | 41 / 16 | $20.599,20 | 103 / 3 | $5.706,18 | 49 / 15 | $4.939,55 | 49 / 15 |
Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 15 | $140.723,00 | 91 / 2 | $37.164,40 | 3 / 7 | $29.826,00 | 3 / 1 |
Coronary Bypass W Cardiac Cath W/O Mcc | 23 | 53 / 16 | $119.537,00 | 226 / 5 | $23.604,50 | 66 / 3 | $22.449,70 | 66 / 9 |
Coronary Bypass W/O Cardiac Cath W Mcc | 21 | 38 / 6 | $147.706,00 | 112 / 4 | $32.478,10 | 60 / 5 | $31.790,80 | 60 / 6 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 39 | 49 / 10 | $102.045,00 | 266 / 6 | $21.613,70 | 160 / 14 | $19.635,20 | 159 / 18 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 19 | 79 / 14 | $68.973,20 | 52 / 2 | $20.555,20 | 4 / 1 | $18.292,80 | 4 / 1 |
Diabetes W Cc | 17 | 75 / 37 | $19.627,50 | 666 / 16 | $4.848,29 | 396 / 35 | $4.136,76 | 396 / 53 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 24 | $25.184,70 | 483 / 13 | $6.351,62 | 83 / 44 | $4.083,00 | 83 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 37 | $31.696,20 | 702 / 23 | $6.891,89 | 263 / 27 | $6.161,22 | 261 / 37 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 68 | 207 / 83 | $20.167,80 | 1411 / 22 | $4.513,51 | 567 / 57 | $3.455,04 | 565 / 60 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 26 | $89.096,40 | 147 / 1 | $24.336,20 | 50 / 5 | $23.762,50 | 50 / 12 |
Extracranial Procedures W/O Cc/Mcc | 51 | 47 / 12 | $24.050,60 | 254 / 5 | $6.431,06 | 206 / 31 | $4.981,45 | 206 / 31 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 30 | $15.668,30 | 314 / 10 | $4.316,20 | 286 / 38 | $3.428,73 | 287 / 51 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 29 | $14.956,30 | 189 / 4 | $4.433,91 | 137 / 22 | $3.441,91 | 137 / 34 |
G.I. Hemorrhage W Cc | 114 | 104 / 21 | $21.779,20 | 920 / 11 | $5.829,11 | 540 / 53 | $4.949,04 | 539 / 65 |
G.I. Hemorrhage W Mcc | 39 | 82 / 24 | $41.652,60 | 756 / 21 | $10.231,70 | 331 / 54 | $9.239,15 | 331 / 44 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 32 | $12.906,90 | 210 / 3 | $4.460,43 | 60 / 47 | $2.821,71 | 60 / 17 |
G.I. Obstruction W Cc | 34 | 58 / 26 | $18.940,20 | 579 / 7 | $5.214,03 | 334 / 44 | $4.249,79 | 333 / 44 |
G.I. Obstruction W Mcc | 12 | 30 / 13 | $27.830,20 | 105 / 3 | $8.689,92 | 39 / 6 | $7.887,25 | 39 / 9 |
Heart Failure & Shock W Cc | 109 | 169 / 40 | $18.013,90 | 929 / 13 | $5.644,82 | 526 / 45 | $4.915,90 | 526 / 58 |
Heart Failure & Shock W Mcc | 135 | 149 / 26 | $24.550,10 | 706 / 8 | $8.291,19 | 383 / 43 | $7.540,73 | 383 / 44 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 46 | $13.083,50 | 616 / 8 | $4.117,70 | 464 / 46 | $3.277,35 | 462 / 54 |
Hip & Femur Procedures Except Major Joint W Cc | 53 | 90 / 27 | $52.930,80 | 1146 / 22 | $10.952,20 | 389 / 49 | $9.901,64 | 388 / 52 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 20 | $72.643,40 | 451 / 14 | $15.885,90 | 88 / 9 | $15.079,50 | 88 / 11 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 22 | $40.024,40 | 410 / 7 | $10.024,10 | 24 / 43 | $7.151,73 | 24 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 51 | 73 / 15 | $110.386,00 | 620 / 15 | $28.200,30 | 199 / 19 | $26.890,80 | 199 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 59 | 123 / 31 | $29.444,60 | 1114 / 29 | $6.080,75 | 500 / 34 | $5.221,08 | 499 / 56 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 55 | 113 / 21 | $37.465,30 | 606 / 16 | $9.637,07 | 213 / 29 | $8.517,49 | 212 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 34 | 68 / 24 | $22.634,20 | 763 / 20 | $4.675,35 | 202 / 39 | $3.208,35 | 200 / 31 |
Kidney & Urinary Tract Infections W Mcc | 48 | 96 / 37 | $22.541,00 | 749 / 11 | $6.380,60 | 211 / 50 | $5.278,12 | 211 / 26 |
Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 90 | $19.147,40 | 1474 / 31 | $4.484,45 | 447 / 44 | $3.576,45 | 447 / 50 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 20 | 36 / 22 | $48.464,40 | 434 / 11 | $9.376,00 | 276 / 26 | $8.593,60 | 276 / 48 |
Major Cardiovasc Procedures W/O Mcc | 38 | 63 / 17 | $90.519,20 | 497 / 13 | $18.515,10 | 158 / 10 | $17.402,70 | 158 / 20 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 27 | $25.421,30 | 494 / 16 | $6.614,86 | 238 / 26 | $5.982,48 | 237 / 34 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 30 | 35 / 9 | $75.571,90 | 449 / 11 | $17.617,70 | 164 / 14 | $16.489,20 | 164 / 23 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 307 | 263 / 32 | $56.538,50 | 1562 / 29 | $12.470,60 | 723 / 55 | $10.658,50 | 713 / 75 |
Major Small & Large Bowel Procedures W Cc | 26 | 82 / 32 | $52.899,70 | 484 / 3 | $14.653,00 | 152 / 38 | $12.222,80 | 152 / 21 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 31 | $82.124,50 | 210 / 2 | $25.519,60 | 87 / 6 | $24.763,60 | 87 / 12 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 20 | $38.169,20 | 268 / 3 | $9.297,15 | 239 / 18 | $8.273,15 | 239 / 34 |
Medical Back Problems W Mcc | 13 | 26 / 12 | $32.130,10 | 85 / 3 | $8.452,38 | 15 / 2 | $7.615,46 | 15 / 2 |
Medical Back Problems W/O Mcc | 15 | 106 / 57 | $17.925,50 | 387 / 6 | $4.926,07 | 214 / 39 | $3.793,27 | 214 / 35 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 35 | $18.401,80 | 324 / 5 | $6.342,09 | 246 / 24 | $5.608,87 | 244 / 30 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 49 | $16.631,10 | 1155 / 23 | $4.426,38 | 489 / 79 | $3.301,96 | 488 / 56 |
Nervous System Neoplasms W Mcc | 11 | 37 / 13 | $29.622,50 | 87 / 8 | $7.573,91 | 31 / 6 | $6.581,91 | 31 / 10 |
Other Circulatory System Diagnoses W Cc | 13 | 53 / 23 | $20.894,50 | 216 / 8 | $5.971,46 | 52 / 26 | $4.489,38 | 52 / 8 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 41 | $36.313,80 | 380 / 10 | $10.540,30 | 351 / 32 | $10.160,30 | 350 / 56 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 40 | $22.822,80 | 556 / 9 | $5.643,59 | 298 / 33 | $4.858,65 | 295 / 46 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 29 | $25.729,70 | 412 / 16 | $5.629,50 | 58 / 15 | $4.618,83 | 58 / 13 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 18 | $24.010,60 | 224 / 2 | $8.734,46 | 210 / 18 | $8.035,61 | 210 / 28 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 21 | $79.015,60 | 202 / 13 | $20.560,60 | 140 / 23 | $19.798,50 | 140 / 28 |
Other Vascular Procedures W Cc | 32 | 70 / 21 | $62.143,90 | 400 / 12 | $14.005,50 | 169 / 10 | $13.176,50 | 169 / 21 |
Other Vascular Procedures W Mcc | 18 | 79 / 31 | $71.696,30 | 280 / 8 | $17.386,70 | 54 / 10 | $16.446,20 | 54 / 8 |
Other Vascular Procedures W/O Cc/Mcc | 26 | 30 / 6 | $41.253,50 | 192 / 6 | $11.348,70 | 50 / 30 | $8.055,85 | 50 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 36 | $91.050,70 | 390 / 6 | $17.566,10 | 193 / 13 | $17.123,90 | 192 / 33 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 62 | 134 / 35 | $64.716,30 | 558 / 12 | $12.461,90 | 205 / 50 | $9.822,45 | 205 / 18 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 23 | $59.326,60 | 254 / 4 | $10.298,90 | 139 / 12 | $9.181,14 | 139 / 14 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 15 | 39 / 13 | $102.114,00 | 142 / 9 | $16.573,10 | 29 / 6 | $15.935,30 | 29 / 6 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 52 | 43 / 7 | $89.852,90 | 408 / 32 | $13.105,80 | 94 / 38 | $9.987,65 | 93 / 19 |
Peripheral Vascular Disorders W Cc | 33 | 51 / 21 | $23.905,60 | 583 / 31 | $5.698,03 | 209 / 44 | $4.665,27 | 208 / 39 |
Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 20 | $21.282,30 | 240 / 34 | $4.021,50 | 64 / 24 | $3.010,83 | 64 / 23 |
Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 22 | $76.362,90 | 578 / 35 | $14.498,70 | 150 / 19 | $13.658,30 | 150 / 28 |
Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 16 | $96.943,90 | 307 / 15 | $21.008,20 | 163 / 26 | $20.267,20 | 163 / 31 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 27 | $66.116,60 | 474 / 30 | $12.094,90 | 189 / 23 | $11.286,90 | 188 / 36 |
Pleural Effusion W Mcc | 11 | 19 / 12 | $47.108,20 | 117 / 10 | $8.796,55 | 38 / 5 | $8.271,45 | 38 / 6 |
Pneumothorax W Cc | 11 | 14 / 9 | $33.419,50 | 63 / 11 | $5.716,64 | 8 / 5 | $4.512,27 | 8 / 5 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 26 | $44.540,70 | 629 / 31 | $8.671,85 | 357 / 34 | $7.928,46 | 356 / 46 |
Postoperative & Post-Traumatic Infections W Mcc | 15 | 28 / 6 | $44.271,80 | 91 / 8 | $10.062,10 | 26 / 6 | $9.656,80 | 26 / 7 |
Pulmonary Edema & Respiratory Failure | 36 | 167 / 41 | $24.728,40 | 713 / 7 | $7.045,33 | 365 / 37 | $6.170,67 | 365 / 46 |
Pulmonary Embolism W/O Mcc | 29 | 45 / 15 | $20.199,00 | 393 / 4 | $5.780,97 | 383 / 25 | $4.946,76 | 383 / 43 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 30 | $20.733,90 | 174 / 2 | $7.201,71 | 237 / 25 | $6.661,71 | 237 / 35 |
Red Blood Cell Disorders W/O Mcc | 44 | 99 / 40 | $15.328,00 | 479 / 8 | $4.793,84 | 487 / 53 | $3.971,30 | 486 / 58 |
Renal Failure W Cc | 70 | 151 / 55 | $18.251,30 | 801 / 10 | $5.643,67 | 567 / 56 | $4.819,21 | 563 / 71 |
Renal Failure W Mcc | 64 | 131 / 36 | $29.391,50 | 725 / 9 | $8.587,89 | 377 / 39 | $7.870,39 | 377 / 48 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 32 | $27.000,10 | 569 / 8 | $8.669,11 | 170 / 59 | $6.692,05 | 169 / 23 |
Respiratory Infections & Inflammations W Mcc | 29 | 107 / 36 | $35.932,90 | 626 / 5 | $10.987,90 | 427 / 32 | $10.320,30 | 425 / 44 |
Respiratory Neoplasms W Cc | 16 | 31 / 12 | $38.582,40 | 297 / 21 | $6.797,00 | 95 / 19 | $6.041,00 | 94 / 28 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 46 | $45.626,40 | 501 / 9 | $13.015,00 | 419 / 37 | $12.227,50 | 414 / 52 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 18 | $81.440,10 | 122 / 2 | $26.212,30 | 54 / 3 | $25.274,80 | 54 / 6 |
Seizures W/O Mcc | 17 | 91 / 40 | $22.053,50 | 650 / 25 | $4.519,59 | 183 / 29 | $3.521,94 | 182 / 36 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 37 | 55 / 11 | $103.066,00 | 199 / 5 | $32.422,00 | 164 / 25 | $31.177,90 | 164 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 315 | 203 / 20 | $38.706,00 | 1257 / 14 | $10.387,50 | 534 / 47 | $9.564,49 | 533 / 54 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 87 | 120 / 25 | $23.276,50 | 1098 / 11 | $6.569,06 | 462 / 72 | $5.164,22 | 460 / 55 |
Signs & Symptoms W/O Mcc | 18 | 73 / 33 | $20.073,80 | 658 / 26 | $4.119,89 | 152 / 37 | $3.111,89 | 152 / 27 |
Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 39 | $20.079,40 | 1141 / 11 | $5.627,32 | 521 / 43 | $4.663,86 | 518 / 61 |
Simple Pneumonia & Pleurisy W Mcc | 49 | 156 / 51 | $31.168,10 | 1112 / 11 | $8.104,14 | 512 / 34 | $7.340,71 | 512 / 59 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 35 | $11.538,30 | 373 / 3 | $4.267,83 | 534 / 45 | $3.266,09 | 532 / 64 |
Spinal Fusion Except Cervical W/O Mcc | 55 | 139 / 31 | $73.925,70 | 435 / 5 | $22.288,10 | 211 / 20 | $19.944,20 | 210 / 28 |
Syncope & Collapse | 33 | 136 / 72 | $21.118,80 | 954 / 30 | $4.391,39 | 362 / 50 | $3.404,24 | 360 / 56 |
Transient Ischemia | 52 | 73 / 33 | $21.496,80 | 768 / 25 | $4.242,02 | 366 / 41 | $3.222,33 | 365 / 54 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 22 | 44 / 17 | $23.088,90 | 126 / 6 | $6.397,77 | 53 / 14 | $5.301,05 | 53 / 14 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 12 | 39 / 13 | $35.508,20 | 70 / 4 | $10.225,80 | 11 / 2 | $9.519,08 | 11 / 4 | Total 107 procedures | 3.972 | 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.