Hospital Costs > In Florida > Good Samaritan Medical Center West Palm Beach, 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 | 13 | 78 / 38 | $41.762,20 | 1069 / 52 | $6.364,31 | 296 / 45 | $5.146,62 | 296 / 41 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 25 | $39.741,60 | 463 / 18 | $6.765,21 | 237 / 25 | $5.369,29 | 237 / 41 |
Bone Diseases & Arthropathies W/O Mcc | 13 | 31 / 8 | $32.471,90 | 249 / 20 | $4.828,38 | 92 / 17 | $3.897,92 | 92 / 16 |
Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 26 | $30.655,50 | 728 / 40 | $5.695,95 | 397 / 54 | $4.551,95 | 393 / 58 |
Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 20 | $24.040,80 | 253 / 26 | $4.714,83 | 109 / 33 | $3.003,08 | 109 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 63 | $34.778,70 | 1797 / 96 | $5.219,34 | 1207 / 82 | $4.513,14 | 1203 / 108 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 47 | $29.413,40 | 925 / 30 | $7.575,16 | 893 / 72 | $6.967,16 | 890 / 86 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 60 | $20.571,70 | 1429 / 67 | $3.970,18 | 861 / 84 | $2.718,29 | 857 / 89 |
Cellulitis W/O Mcc | 50 | 139 / 51 | $27.152,00 | 2001 / 80 | $5.600,90 | 1242 / 94 | $4.462,50 | 1236 / 105 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 13 | 78 / 12 | $50.578,20 | 319 / 15 | $7.062,23 | 68 / 8 | $6.321,31 | 68 / 6 |
Chest Pain | 46 | 105 / 49 | $23.739,80 | 1152 / 52 | $4.137,54 | 925 / 76 | $3.430,76 | 920 / 97 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 79 | $31.945,40 | 1807 / 73 | $6.080,88 | 1188 / 94 | $5.142,68 | 1184 / 103 |
Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 95 | $48.151,70 | 2139 / 98 | $7.290,20 | 1083 / 92 | $6.319,53 | 1078 / 94 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 61 | $31.663,20 | 1757 / 97 | $4.693,21 | 1114 / 79 | $3.841,21 | 1105 / 97 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 64 | $48.149,30 | 1155 / 60 | $6.862,14 | 707 / 72 | $5.762,50 | 705 / 85 |
Complications Of Treatment W Mcc | 11 | 40 / 14 | $109.472,00 | 288 / 23 | $12.559,30 | 159 / 16 | $11.785,50 | 159 / 17 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 34 | $32.610,80 | 556 / 35 | $6.384,64 | 41 / 47 | $4.234,00 | 41 / 11 |
Diabetes W Cc | 18 | 74 / 36 | $39.588,60 | 1396 / 89 | $5.357,94 | 628 / 67 | $4.422,83 | 627 / 70 |
Dysequilibrium | 16 | 49 / 27 | $27.567,10 | 379 / 36 | $4.250,00 | 275 / 38 | $3.494,00 | 275 / 52 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 41 | $41.681,50 | 991 / 51 | $7.545,86 | 623 / 57 | $6.937,86 | 618 / 75 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 120 | 155 / 48 | $30.476,80 | 2189 / 85 | $4.998,98 | 1387 / 92 | $4.037,18 | 1376 / 110 |
Fractures Of Hip & Pelvis W/O Mcc | 21 | 40 / 24 | $24.291,90 | 640 / 45 | $4.647,05 | 386 / 55 | $3.668,76 | 387 / 60 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 25 | $26.751,40 | 538 / 44 | $5.306,60 | 244 / 61 | $3.734,27 | 244 / 48 |
G.I. Hemorrhage W Cc | 48 | 170 / 58 | $48.296,50 | 2126 / 110 | $6.635,17 | 1208 / 98 | $5.586,83 | 1206 / 104 |
G.I. Hemorrhage W Mcc | 21 | 100 / 41 | $64.741,20 | 1260 / 69 | $10.928,50 | 752 / 78 | $10.413,40 | 750 / 84 |
G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 24 | $25.190,60 | 711 / 52 | $5.073,41 | 249 / 71 | $3.274,64 | 247 / 47 |
G.I. Obstruction W Cc | 23 | 69 / 36 | $38.006,60 | 1417 / 78 | $5.695,22 | 703 / 74 | $4.701,83 | 702 / 79 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 29 | $26.458,20 | 1044 / 52 | $4.301,72 | 389 / 60 | $2.817,56 | 389 / 56 |
Heart Failure & Shock W Cc | 65 | 213 / 69 | $33.240,40 | 2107 / 89 | $6.314,03 | 1457 / 93 | $5.718,83 | 1452 / 110 |
Heart Failure & Shock W Mcc | 55 | 229 / 73 | $52.988,50 | 2070 / 90 | $9.111,84 | 1046 / 90 | $8.353,75 | 1044 / 96 |
Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 47 | $24.405,80 | 1529 / 72 | $4.662,86 | 736 / 81 | $3.500,41 | 732 / 74 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 51 | $70.831,80 | 1559 / 66 | $11.863,70 | 967 / 83 | $10.954,30 | 954 / 93 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 24 | $96.411,50 | 677 / 35 | $17.898,40 | 392 / 42 | $17.235,10 | 389 / 50 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 22 | 34 / 16 | $60.946,40 | 715 / 41 | $10.536,10 | 330 / 55 | $8.590,23 | 329 / 44 |
Hypertension W/O Mcc | 15 | 50 / 34 | $25.441,80 | 552 / 42 | $4.504,93 | 299 / 56 | $3.159,60 | 297 / 54 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 43 | $245.364,00 | 1404 / 87 | $40.929,80 | 1234 / 94 | $39.727,20 | 1224 / 102 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 65 | $40.309,70 | 1524 / 62 | $6.801,94 | 1069 / 76 | $5.934,39 | 1066 / 87 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 43 | $39.883,90 | 1359 / 78 | $4.989,86 | 769 / 57 | $3.954,43 | 765 / 79 |
Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 57 | $51.442,50 | 1702 / 105 | $9.045,96 | 1151 / 125 | $6.656,15 | 1147 / 105 |
Kidney & Urinary Tract Infections W/O Mcc | 89 | 144 / 53 | $29.842,90 | 2212 / 96 | $5.115,81 | 1235 / 102 | $4.115,08 | 1226 / 99 |
Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 37 | $123.472,00 | 756 / 37 | $21.082,20 | 351 / 45 | $18.976,60 | 351 / 51 |
Major Chest Procedures W Cc | 14 | 60 / 18 | $99.408,40 | 402 / 23 | $15.379,30 | 52 / 19 | $12.618,10 | 52 / 12 |
Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 11 | $93.275,80 | 235 / 17 | $11.042,60 | 74 / 8 | $9.837,25 | 74 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 34 | $45.404,40 | 902 / 64 | $7.079,50 | 536 / 52 | $6.736,64 | 534 / 68 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 23 | 30 / 9 | $85.648,70 | 469 / 44 | $12.297,30 | 442 / 42 | $11.326,20 | 442 / 43 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 67 | 497 / 92 | $74.354,20 | 2099 / 69 | $13.192,50 | 1252 / 81 | $11.482,40 | 1221 / 106 |
Major Small & Large Bowel Procedures W Cc | 28 | 80 / 30 | $108.263,00 | 1282 / 63 | $15.368,00 | 728 / 54 | $14.459,40 | 721 / 80 |
Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 28 | $169.174,00 | 910 / 44 | $28.856,30 | 343 / 36 | $28.031,00 | 341 / 48 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 18 | $62.316,00 | 592 / 31 | $11.082,10 | 152 / 37 | $7.818,93 | 152 / 22 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 17 | 14 / 5 | $50.691,30 | 157 / 14 | $7.706,59 | 41 / 12 | $6.135,82 | 41 / 11 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 13 | 40 / 10 | $84.439,80 | 290 / 18 | $10.885,70 | 50 / 11 | $9.288,31 | 50 / 9 |
Medical Back Problems W/O Mcc | 34 | 87 / 39 | $28.876,60 | 977 / 52 | $5.399,32 | 648 / 69 | $4.476,97 | 646 / 85 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 34 | $37.281,80 | 1234 / 59 | $7.088,33 | 772 / 58 | $6.531,00 | 769 / 74 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 74 | 92 / 25 | $27.628,30 | 2029 / 89 | $4.642,35 | 1104 / 88 | $3.725,93 | 1101 / 91 |
Other Circulatory System Diagnoses W Mcc | 26 | 90 / 31 | $78.118,50 | 1132 / 73 | $12.370,00 | 687 / 71 | $11.535,50 | 685 / 77 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 39 | $38.406,30 | 1100 / 60 | $6.250,00 | 679 / 66 | $5.514,00 | 675 / 80 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 20 | $30.184,80 | 380 / 22 | $6.181,54 | 128 / 33 | $4.529,00 | 128 / 24 |
Other Kidney & Urinary Tract Diagnoses W Cc | 19 | 84 / 22 | $37.749,40 | 628 / 41 | $6.342,16 | 360 / 43 | $5.705,53 | 360 / 52 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 13 | 14 / 2 | $81.474,80 | 58 / 3 | $7.645,23 | 6 / 2 | $5.194,38 | 6 / 1 |
Other Vascular Procedures W Cc | 13 | 89 / 35 | $84.431,20 | 695 / 33 | $16.393,60 | 173 / 57 | $13.195,50 | 173 / 23 |
Other Vascular Procedures W Mcc | 15 | 82 / 34 | $76.681,90 | 340 / 11 | $18.841,60 | 201 / 36 | $17.958,40 | 201 / 36 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 16 | 180 / 68 | $90.145,10 | 1051 / 47 | $13.065,20 | 534 / 56 | $10.719,60 | 531 / 69 |
Peripheral Vascular Disorders W Cc | 22 | 62 / 31 | $28.102,70 | 749 / 47 | $5.992,64 | 435 / 61 | $5.165,00 | 433 / 68 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 55 | $44.212,10 | 1632 / 67 | $7.717,00 | 707 / 74 | $6.598,60 | 707 / 74 |
Red Blood Cell Disorders W Mcc | 20 | 51 / 24 | $66.466,40 | 1002 / 82 | $9.143,90 | 610 / 72 | $7.823,95 | 607 / 72 |
Red Blood Cell Disorders W/O Mcc | 73 | 70 / 20 | $27.552,40 | 1386 / 77 | $5.303,88 | 1051 / 83 | $4.584,71 | 1044 / 95 |
Renal Failure W Cc | 60 | 161 / 64 | $34.557,10 | 1882 / 85 | $6.581,00 | 1044 / 105 | $5.231,50 | 1036 / 96 |
Renal Failure W Mcc | 30 | 165 / 67 | $51.779,50 | 1614 / 75 | $9.565,97 | 958 / 89 | $8.837,43 | 958 / 102 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 32 | $43.419,70 | 1029 / 40 | $8.844,63 | 502 / 64 | $7.345,84 | 499 / 56 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 49 | $73.098,70 | 1443 / 60 | $13.571,80 | 345 / 93 | $10.117,60 | 345 / 38 |
Respiratory Neoplasms W Cc | 14 | 33 / 14 | $50.805,90 | 395 / 31 | $8.206,57 | 52 / 39 | $5.751,14 | 51 / 14 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 39 | $86.173,90 | 1383 / 68 | $14.224,60 | 575 / 69 | $12.637,90 | 567 / 67 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 98 | 418 / 86 | $72.588,80 | 2322 / 92 | $11.714,50 | 1262 / 95 | $10.570,60 | 1241 / 101 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 59 | $38.794,40 | 1996 / 71 | $6.702,70 | 1355 / 76 | $6.048,86 | 1350 / 102 |
Signs & Symptoms W/O Mcc | 36 | 55 / 16 | $30.526,20 | 1043 / 72 | $4.542,08 | 463 / 63 | $3.608,28 | 462 / 59 |
Simple Pneumonia & Pleurisy W Cc | 72 | 131 / 41 | $38.994,70 | 2296 / 90 | $6.182,42 | 1199 / 86 | $5.225,08 | 1195 / 99 |
Simple Pneumonia & Pleurisy W Mcc | 41 | 164 / 57 | $57.728,50 | 2063 / 88 | $9.214,78 | 1112 / 99 | $8.008,20 | 1112 / 96 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 33 | $27.416,60 | 1539 / 70 | $4.675,64 | 868 / 76 | $3.563,32 | 864 / 81 |
Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 55 | $147.477,00 | 1101 / 60 | $26.958,80 | 279 / 67 | $20.399,60 | 278 / 36 |
Syncope & Collapse | 50 | 119 / 58 | $26.109,40 | 1273 / 58 | $4.851,16 | 1045 / 84 | $4.125,40 | 1038 / 100 |
Transient Ischemia | 33 | 92 / 50 | $35.862,30 | 1347 / 78 | $4.694,85 | 767 / 70 | $3.669,88 | 763 / 85 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 19 | $34.199,50 | 303 / 27 | $4.844,08 | 132 / 31 | $3.368,00 | 132 / 29 | Total 82 procedures | 2.312 | 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.