Hospital Costs > In Florida > Fort Walton Beach Medical Center, 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 | 239 | 277 / 36 | $99.626,90 | 2632 / 134 | $10.600,60 | 540 / 57 | $9.578,38 | 539 / 56 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 143 | 421 / 65 | $100.083,00 | 2479 / 124 | $13.383,40 | 499 / 88 | $10.315,30 | 496 / 47 |
Heart Failure & Shock W Mcc | 114 | 170 / 36 | $69.584,10 | 2339 / 128 | $8.429,71 | 420 / 53 | $7.582,49 | 420 / 51 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 96 | 179 / 66 | $51.104,30 | 2648 / 158 | $4.526,47 | 767 / 60 | $3.606,47 | 762 / 75 |
Heart Failure & Shock W Cc | 90 | 188 / 52 | $50.315,90 | 2555 / 145 | $5.962,10 | 640 / 73 | $5.020,81 | 639 / 66 |
Renal Failure W Cc | 81 | 140 / 47 | $47.015,30 | 2204 / 126 | $6.010,17 | 409 / 83 | $4.661,30 | 406 / 50 |
Transient Ischemia | 77 | 48 / 17 | $43.706,60 | 1499 / 104 | $4.289,42 | 345 / 46 | $3.206,40 | 344 / 52 |
Simple Pneumonia & Pleurisy W Mcc | 76 | 129 / 28 | $65.795,90 | 2189 / 105 | $8.596,05 | 451 / 73 | $7.254,07 | 451 / 51 |
Chronic Obstructive Pulmonary Disease W Mcc | 76 | 126 / 43 | $62.020,70 | 2379 / 138 | $6.878,30 | 674 / 65 | $5.949,96 | 670 / 69 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 75 | 121 / 28 | $163.459,00 | 1454 / 110 | $12.288,50 | 381 / 47 | $10.355,00 | 381 / 52 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 74 | 114 / 26 | $98.133,20 | 1621 / 125 | $7.526,61 | 483 / 91 | $5.417,54 | 481 / 62 |
Renal Failure W Mcc | 67 | 128 / 34 | $67.915,90 | 1869 / 114 | $8.314,07 | 281 / 23 | $7.703,21 | 281 / 40 |
G.I. Hemorrhage W Cc | 65 | 153 / 47 | $45.833,80 | 2085 / 104 | $6.201,11 | 359 / 75 | $4.768,48 | 359 / 45 |
Chronic Obstructive Pulmonary Disease W Cc | 58 | 121 / 54 | $51.216,70 | 2265 / 138 | $5.471,36 | 551 / 52 | $4.598,53 | 549 / 62 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 58 | 92 / 38 | $33.332,20 | 1835 / 121 | $4.061,53 | 606 / 91 | $2.522,29 | 602 / 73 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 56 | 110 / 42 | $38.334,80 | 2341 / 129 | $4.288,73 | 754 / 62 | $3.488,73 | 752 / 76 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 55 | 152 / 44 | $67.845,50 | 2478 / 136 | $6.621,80 | 838 / 73 | $5.511,02 | 836 / 75 |
Simple Pneumonia & Pleurisy W Cc | 54 | 149 / 55 | $59.535,60 | 2693 / 145 | $7.460,61 | 500 / 132 | $4.643,48 | 497 / 59 |
Chest Pain | 54 | 97 / 43 | $38.965,50 | 1574 / 126 | $4.104,30 | 320 / 73 | $2.714,89 | 319 / 49 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 53 | 129 / 37 | $59.840,50 | 1868 / 104 | $7.073,43 | 198 / 87 | $4.826,55 | 198 / 28 |
Syncope & Collapse | 53 | 116 / 55 | $54.065,40 | 1864 / 139 | $4.438,74 | 387 / 55 | $3.435,26 | 385 / 61 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 50 | 111 / 47 | $48.172,20 | 2043 / 136 | $4.777,28 | 643 / 56 | $3.957,44 | 640 / 75 |
Pulmonary Edema & Respiratory Failure | 44 | 159 / 33 | $60.886,90 | 1948 / 105 | $8.123,34 | 296 / 93 | $6.082,98 | 296 / 38 |
Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 87 | $61.370,90 | 2690 / 166 | $4.613,02 | 679 / 65 | $3.740,84 | 675 / 75 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 40 | 62 / 19 | $48.709,50 | 1475 / 93 | $5.612,62 | 248 / 77 | $3.287,43 | 246 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 37 | 86 / 31 | $60.904,20 | 1697 / 101 | $6.857,08 | 321 / 29 | $6.072,65 | 320 / 40 |
Cellulitis W/O Mcc | 36 | 153 / 64 | $57.168,30 | 2604 / 161 | $5.270,56 | 789 / 78 | $4.117,22 | 784 / 78 |
Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 41 | $125.186,00 | 2011 / 135 | $10.866,90 | 312 / 38 | $9.762,49 | 311 / 39 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 39 | $79.280,40 | 1362 / 76 | $9.962,85 | 57 / 48 | $7.896,64 | 57 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 28 | $51.054,60 | 1503 / 87 | $6.514,97 | 384 / 38 | $5.851,23 | 381 / 45 |
Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 38 | $39.598,50 | 1887 / 117 | $4.137,65 | 467 / 49 | $3.280,87 | 465 / 55 |
Major Small & Large Bowel Procedures W Cc | 31 | 77 / 27 | $159.203,00 | 1471 / 92 | $14.054,10 | 350 / 26 | $13.041,50 | 347 / 53 |
Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 52 | $58.305,40 | 1792 / 117 | $6.442,74 | 559 / 57 | $5.783,13 | 558 / 70 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 30 | 59 / 11 | $81.055,00 | 735 / 53 | $6.850,50 | 152 / 28 | $5.028,23 | 152 / 25 |
Other Circulatory System Diagnoses W Mcc | 30 | 86 / 27 | $100.085,00 | 1274 / 100 | $10.446,00 | 325 / 27 | $10.084,40 | 324 / 51 |
Spinal Fusion Except Cervical W/O Mcc | 29 | 165 / 47 | $149.367,00 | 1111 / 61 | $26.298,10 | 160 / 64 | $19.493,40 | 159 / 23 |
Red Blood Cell Disorders W/O Mcc | 29 | 114 / 54 | $40.600,10 | 1774 / 122 | $4.838,31 | 642 / 55 | $4.132,10 | 638 / 71 |
Cervical Spinal Fusion W/O Cc/Mcc | 26 | 78 / 23 | $100.994,00 | 771 / 50 | $13.865,20 | 186 / 37 | $11.013,20 | 186 / 23 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 25 | 75 / 22 | $204.794,00 | 968 / 78 | $21.030,20 | 51 / 61 | $15.731,00 | 51 / 5 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 41 | $109.645,00 | 1734 / 121 | $9.582,68 | 375 / 44 | $8.714,84 | 375 / 47 |
Renal Failure W/O Cc/Mcc | 24 | 32 / 18 | $39.029,20 | 811 / 71 | $3.862,21 | 264 / 29 | $3.056,88 | 263 / 43 |
Other Vascular Procedures W Mcc | 24 | 73 / 25 | $145.074,00 | 855 / 73 | $17.441,20 | 76 / 11 | $16.689,20 | 76 / 15 |
G.I. Hemorrhage W Mcc | 23 | 98 / 39 | $82.041,40 | 1453 / 100 | $9.970,65 | 373 / 39 | $9.341,78 | 373 / 52 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 46 | $115.110,00 | 1644 / 104 | $12.701,90 | 349 / 25 | $12.017,30 | 345 / 42 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 62 | $49.469,90 | 2048 / 150 | $4.379,91 | 603 / 52 | $3.406,70 | 602 / 68 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 39 | $291.523,00 | 1498 / 102 | $28.716,30 | 331 / 23 | $28.190,50 | 331 / 45 |
Medical Back Problems W/O Mcc | 22 | 99 / 50 | $47.562,10 | 1377 / 120 | $5.052,32 | 332 / 49 | $4.010,86 | 332 / 53 |
Poisoning & Toxic Effects Of Drugs W Mcc | 22 | 50 / 17 | $66.219,80 | 841 / 59 | $7.879,59 | 126 / 14 | $6.934,86 | 126 / 17 |
Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 25 | $122.738,00 | 872 / 77 | $14.889,20 | 212 / 30 | $14.106,80 | 211 / 42 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 20 | 68 / 17 | $249.364,00 | 570 / 35 | $26.885,20 | 61 / 32 | $17.974,70 | 61 / 7 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 19 | 38 / 20 | $86.386,70 | 611 / 51 | $12.905,40 | 51 / 37 | $10.271,60 | 51 / 5 |
Diabetes W Mcc | 19 | 38 / 10 | $78.625,20 | 702 / 47 | $7.825,26 | 38 / 9 | $6.456,37 | 38 / 4 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 24 | $134.963,00 | 866 / 74 | $11.854,90 | 201 / 23 | $11.029,70 | 197 / 38 |
Diabetes W Cc | 18 | 74 / 36 | $55.769,60 | 1564 / 114 | $4.982,56 | 470 / 44 | $4.246,56 | 470 / 57 |
Coronary Bypass W Cardiac Cath W Mcc | 18 | 38 / 11 | $448.448,00 | 424 / 28 | $44.902,60 | 109 / 18 | $38.662,10 | 109 / 18 |
G.I. Obstruction W Cc | 17 | 75 / 41 | $48.945,30 | 1586 / 105 | $5.257,35 | 627 / 48 | $4.613,59 | 626 / 74 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 40 | $52.210,10 | 1290 / 97 | $6.270,35 | 153 / 67 | $4.547,65 | 152 / 33 |
Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 22 | $324.700,00 | 595 / 41 | $26.457,80 | 234 / 8 | $25.603,20 | 234 / 28 |
Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 34 | $79.979,50 | 1396 / 102 | $6.227,88 | 398 / 41 | $5.309,29 | 397 / 54 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 28 | $69.463,80 | 1025 / 86 | $7.255,69 | 175 / 27 | $6.425,69 | 175 / 26 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 13 | $59.156,90 | 421 / 40 | $8.269,62 | 20 / 29 | $5.301,06 | 20 / 5 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 16 | 50 / 17 | $124.271,00 | 554 / 36 | $11.339,60 | 200 / 18 | $10.213,60 | 199 / 28 |
Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 11 | $53.547,20 | 422 / 31 | $5.650,88 | 77 / 13 | $4.740,88 | 77 / 11 |
Seizures W Mcc | 16 | 50 / 19 | $83.558,90 | 692 / 57 | $8.562,81 | 99 / 18 | $7.728,81 | 99 / 20 |
Atherosclerosis W/O Mcc | 16 | 42 / 16 | $41.152,90 | 521 / 56 | $3.797,00 | / 30 | $2.815,00 | / |
Signs & Symptoms W/O Mcc | 16 | 75 / 35 | $39.420,40 | 1211 / 98 | $4.255,12 | 383 / 45 | $3.505,12 | 382 / 58 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 16 | 38 / 18 | $41.965,40 | 350 / 28 | $4.504,44 | 44 / 12 | $3.298,44 | 44 / 8 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 18 | $114.514,00 | 740 / 53 | $9.197,47 | 221 / 16 | $8.156,40 | 221 / 33 |
Other Circulatory System O.R. Procedures | 15 | 40 / 15 | $150.955,00 | 421 / 38 | $16.240,40 | 42 / 20 | $13.834,90 | 42 / 7 |
Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 36 | $78.760,10 | 893 / 58 | $6.916,47 | 161 / 39 | $4.872,53 | 161 / 23 |
Other Disorders Of Nervous System W/O Cc/Mcc | 15 | 20 / 8 | $43.060,70 | 141 / 20 | $4.087,00 | 25 / 7 | $3.118,47 | 25 / 10 |
Other Vascular Procedures W Cc | 15 | 87 / 33 | $142.840,00 | 1041 / 72 | $15.074,50 | 54 / 36 | $12.320,70 | 54 / 7 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 21 | $41.673,40 | 861 / 76 | $3.917,73 | 195 / 27 | $3.115,60 | 194 / 34 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 32 | $278.113,00 | 1215 / 86 | $26.671,80 | 150 / 10 | $25.833,30 | 150 / 21 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 30 | $38.938,50 | 848 / 79 | $4.365,80 | 234 / 42 | $3.316,20 | 235 / 43 |
Organic Disturbances & Mental Retardation | 14 | 45 / 24 | $32.450,30 | 374 / 28 | $6.500,71 | 26 / 38 | $4.495,71 | 26 / 10 |
Psychoses | 14 | 261 / 30 | $34.063,40 | 513 / 42 | $7.238,79 | 1 / 34 | $2.882,14 | 1 / 1 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 51 | $80.904,60 | 1514 / 70 | $10.835,90 | 456 / 24 | $10.401,60 | 453 / 47 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 37 | $59.940,50 | 1256 / 62 | $9.403,71 | 65 / 78 | $6.347,71 | 65 / 8 |
Major Cardiovasc Procedures W Mcc | 14 | 54 / 20 | $218.735,00 | 543 / 45 | $27.848,10 | 58 / 4 | $26.808,10 | 58 / 6 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 21 | $145.217,00 | 634 / 59 | $11.274,00 | 168 / 18 | $10.325,40 | 168 / 28 |
Seizures W/O Mcc | 13 | 95 / 43 | $42.093,20 | 1158 / 90 | $4.545,62 | 279 / 30 | $3.711,15 | 278 / 45 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 28 | $121.031,00 | 792 / 47 | $12.528,50 | 241 / 21 | $11.319,90 | 239 / 34 |
Hypertension W/O Mcc | 13 | 52 / 36 | $35.489,10 | 706 / 72 | $4.364,54 | 128 / 53 | $2.737,54 | 128 / 30 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 40 | $42.490,70 | 1051 / 85 | $5.498,62 | 210 / 29 | $4.669,08 | 209 / 40 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 45 | $35.986,20 | 1750 / 102 | $4.315,77 | 564 / 49 | $3.289,31 | 562 / 69 |
Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 40 | $157.552,00 | 903 / 58 | $18.568,60 | 191 / 11 | $17.736,60 | 191 / 25 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 13 | 105 / 23 | $322.016,00 | 514 / 36 | $29.276,30 | 97 / 7 | $28.257,40 | 97 / 13 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 26 | $161.961,00 | 859 / 59 | $18.734,80 | 18 / 32 | $14.136,20 | 18 / 1 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 32 | $289.963,00 | 983 / 73 | $30.083,90 | 80 / 11 | $29.360,60 | 80 / 14 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 35 | $44.801,60 | 1269 / 98 | $3.802,67 | 447 / 38 | $2.893,33 | 446 / 60 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 23 | $141.146,00 | 858 / 60 | $15.880,80 | 102 / 8 | $15.179,50 | 102 / 15 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 30 | $128.945,00 | 851 / 78 | $10.488,70 | 119 / 53 | $7.940,33 | 119 / 23 |
Major Chest Procedures W Cc | 12 | 62 / 20 | $193.951,00 | 493 / 39 | $17.452,80 | 37 / 27 | $12.338,30 | 37 / 7 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 28 | $47.832,30 | 775 / 90 | $4.806,17 | 99 / 44 | $3.298,33 | 99 / 27 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 26 | $258.280,00 | 871 / 70 | $28.461,00 | 192 / 20 | $27.855,60 | 192 / 31 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 18 | $203.135,00 | 578 / 49 | $23.210,30 | 273 / 37 | $22.224,00 | 273 / 41 |
Respiratory Neoplasms W Mcc | 11 | 41 / 18 | $68.817,80 | 491 / 31 | $9.681,64 | 164 / 13 | $9.245,27 | 164 / 27 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 21 | $148.335,00 | 478 / 36 | $20.382,60 | 142 / 20 | $19.835,70 | 142 / 29 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 35 | $44.214,00 | 954 / 83 | $5.214,18 | 305 / 30 | $4.332,73 | 301 / 49 |
Angina Pectoris | 11 | 14 / 7 | $44.892,40 | 67 / 13 | $3.593,82 | 6 / 4 | $2.491,27 | 6 / 3 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 14 | $74.242,30 | 357 / 19 | $9.920,36 | 42 / 13 | $8.154,27 | 42 / 6 |
Other Resp System O.R. Procedures W Cc | 11 | 36 / 16 | $120.832,00 | 316 / 30 | $11.208,60 | 88 / 9 | $10.440,60 | 88 / 14 |
Endocrine Disorders W Cc | 11 | 27 / 10 | $56.438,30 | 281 / 28 | $5.903,36 | 75 / 9 | $5.464,09 | 75 / 17 | Total 104 procedures | 3.342 | 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.