Hospital Costs > In Florida > Gulf Breeze Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 76 | $17.667,10 | 826 / 16 | $3.880,25 | 4 / 1 | $2.818,25 | 4 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 51 | $25.351,40 | 678 / 14 | $6.046,20 | 10 / 1 | $5.075,53 | 10 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 65 | $13.363,10 | 772 / 16 | $3.043,48 | 12 / 13 | $1.698,17 | 12 / 1 |
| Cellulitis W/O Mcc | 32 | 157 / 67 | $26.109,40 | 1934 / 70 | $4.301,25 | 10 / 4 | $2.927,47 | 10 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 24 | $53.299,00 | 381 / 9 | $11.589,60 | 31 / 1 | $9.614,44 | 31 / 4 |
| Chest Pain | 15 | 136 / 70 | $22.439,70 | 1079 / 46 | $3.005,40 | 26 / 1 | $2.120,07 | 26 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 80 | $30.891,90 | 1762 / 68 | $4.647,62 | 38 / 1 | $3.801,62 | 38 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 69 | $30.585,90 | 1510 / 38 | $5.638,50 | 57 / 1 | $5.012,60 | 57 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 68 | $17.206,90 | 1033 / 24 | $3.568,35 | 43 / 1 | $2.647,88 | 43 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 68 | $32.367,00 | 627 / 11 | $5.334,72 | 32 / 1 | $4.465,39 | 32 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 99 | $22.765,60 | 1693 / 42 | $3.975,65 | 7 / 9 | $2.522,02 | 7 / 1 |
| G.I. Hemorrhage W Cc | 45 | 173 / 61 | $24.930,80 | 1190 / 24 | $4.945,22 | 17 / 1 | $4.005,13 | 17 / 3 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 44 | $36.818,30 | 581 / 14 | $8.498,44 | 4 / 2 | $7.172,83 | 4 / 1 |
| G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 27 | $18.167,10 | 471 / 22 | $3.660,47 | 6 / 1 | $2.406,79 | 6 / 2 |
| G.I. Obstruction W Cc | 13 | 79 / 45 | $37.595,30 | 1410 / 77 | $7.834,08 | 1 / 118 | $2.664,31 | 1 / 1 |
| Heart Failure & Shock W Cc | 48 | 230 / 80 | $25.076,40 | 1672 / 60 | $4.849,83 | 63 / 2 | $4.246,50 | 63 / 5 |
| Heart Failure & Shock W Mcc | 33 | 251 / 88 | $37.382,80 | 1524 / 40 | $7.516,91 | 15 / 1 | $6.251,00 | 15 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 52 | $17.804,20 | 1133 / 37 | $3.368,50 | 21 / 1 | $2.538,50 | 21 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 31 | 151 / 53 | $26.739,30 | 906 / 16 | $5.168,10 | 1 / 1 | $3.869,42 | 1 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 34 | $24.561,80 | 880 / 31 | $4.037,70 | 5 / 10 | $2.513,43 | 5 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 70 | $35.776,50 | 1379 / 60 | $5.615,73 | 37 / 1 | $4.745,91 | 37 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 95 | $22.557,70 | 1812 / 56 | $3.804,85 | 25 / 2 | $2.879,68 | 25 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 34 | 62 / 13 | $71.366,90 | 601 / 19 | $11.258,10 | 33 / 1 | $9.674,59 | 33 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 183 | 381 / 52 | $76.832,60 | 2144 / 76 | $11.292,80 | 47 / 1 | $9.025,02 | 47 / 1 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 16 | 53 / 18 | $80.495,90 | 337 / 14 | $12.050,30 | 6 / 1 | $10.914,30 | 6 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 21 | $44.630,30 | 379 / 10 | $8.681,50 | 17 / 3 | $6.597,75 | 17 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 61 | $16.170,60 | 1101 / 19 | $3.456,25 | 6 / 1 | $2.353,94 | 6 / 1 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 41 | $31.450,20 | 911 / 46 | $4.828,00 | 26 / 1 | $4.078,00 | 26 / 4 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 55 | $34.633,40 | 1279 / 39 | $6.087,00 | 46 / 1 | $5.479,00 | 46 / 2 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 66 | $27.180,00 | 1369 / 73 | $4.334,27 | 23 / 16 | $3.084,53 | 23 / 2 |
| Renal Failure W Cc | 51 | 170 / 70 | $25.137,30 | 1434 / 41 | $4.777,92 | 20 / 1 | $3.895,57 | 20 / 2 |
| Renal Failure W Mcc | 12 | 183 / 81 | $36.076,70 | 1103 / 29 | $7.238,17 | 1 / 1 | $6.128,83 | 1 / 1 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 37 | $40.457,40 | 972 / 35 | $6.989,79 | 47 / 1 | $6.214,93 | 47 / 5 |
| Seizures W/O Mcc | 11 | 97 / 45 | $17.580,40 | 399 / 9 | $3.635,27 | 6 / 1 | $2.646,18 | 6 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 57 | 459 / 107 | $60.018,70 | 2089 / 68 | $10.380,60 | 30 / 45 | $8.173,67 | 30 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 61 | $30.393,10 | 1651 / 44 | $5.801,40 | 23 / 21 | $4.199,00 | 23 / 1 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 36 | $28.466,70 | 995 / 66 | $3.456,53 | 9 / 1 | $2.566,93 | 9 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 46 | $26.029,20 | 1699 / 38 | $4.817,12 | 19 / 1 | $3.827,41 | 19 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 79 | $38.986,40 | 1526 / 36 | $7.108,39 | 43 / 1 | $6.367,06 | 43 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 32 | $18.311,20 | 1057 / 25 | $3.614,23 | 8 / 1 | $2.359,31 | 8 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 56 | 138 / 30 | $101.044,00 | 745 / 20 | $19.774,20 | 42 / 4 | $17.917,50 | 42 / 6 |
| Syncope & Collapse | 36 | 133 / 69 | $19.007,60 | 761 / 14 | $3.621,33 | 21 / 1 | $2.750,22 | 21 / 3 |
| Transient Ischemia | 16 | 109 / 67 | $22.873,40 | 848 / 32 | $3.484,19 | 19 / 1 | $2.500,19 | 19 / 1 | Total 43 procedures | 1.309 | 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.