Hospital Costs > In South Carolina > Ghs-Hillcrest Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 14 | 175 / 33 | $10.511,90 | 302 / 2 | $5.312,57 | 16 / 16 | $3.047,64 | 16 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 32 | $16.789,80 | 460 / 4 | $6.401,00 | 135 / 3 | $5.253,52 | 135 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 35 | $18.270,80 | 1173 / 10 | $4.648,65 | 112 / 11 | $2.969,74 | 112 / 8 |
| Heart Failure & Shock W Cc | 11 | 267 / 40 | $21.525,80 | 1350 / 21 | $5.752,18 | 136 / 11 | $4.421,27 | 136 / 6 |
| Heart Failure & Shock W Mcc | 16 | 268 / 39 | $22.305,70 | 553 / 7 | $7.967,44 | 38 / 4 | $6.688,75 | 38 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 22 | $20.320,20 | 595 / 8 | $6.353,96 | 150 / 5 | $5.151,38 | 150 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 39 | $15.241,00 | 973 / 10 | $4.109,08 | 3 / 2 | $2.533,83 | 3 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 82 | 482 / 28 | $49.110,50 | 1250 / 12 | $12.757,00 | 250 / 16 | $9.844,22 | 250 / 11 |
| O.R. Procedures For Obesity W Cc | 11 | 23 / 2 | $61.672,30 | 73 / 2 | $12.460,10 | 4 / 2 | $8.770,00 | 4 / 1 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 25 | 52 / 5 | $57.748,80 | 313 / 7 | $9.423,60 | 41 / 3 | $7.266,56 | 41 / 1 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 36 | $29.623,80 | 1017 / 20 | $7.134,07 | 31 / 10 | $5.372,53 | 31 / 2 |
| Renal Failure W Cc | 14 | 207 / 37 | $18.650,40 | 843 / 11 | $6.052,93 | 23 / 19 | $3.942,07 | 23 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 27 | 489 / 38 | $37.649,10 | 1191 / 17 | $10.663,30 | 89 / 15 | $8.590,04 | 89 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 41 | $14.960,90 | 557 / 6 | $5.678,27 | 7 / 10 | $3.671,67 | 7 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 45 | 160 / 20 | $20.342,40 | 410 / 4 | $8.269,31 | 170 / 9 | $6.755,42 | 170 / 4 | Total 15 procedures | 357 | 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.