Hospital Costs > In Florida > Healthmark Regional Medical Center, 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 | 24 | 165 / 73 | $9.082,71 | 165 / 1 | $5.599,17 | 1474 / 93 | $4.693,83 | 1467 / 115 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 91 | $17.101,70 | 709 / 7 | $6.248,54 | 1549 / 102 | $5.598,69 | 1543 / 125 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 80 | $16.737,70 | 457 / 3 | $7.673,26 | 1409 / 99 | $6.720,19 | 1403 / 115 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 69 | $12.999,40 | 550 / 5 | $4.796,50 | 1217 / 85 | $3.973,56 | 1208 / 102 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 106 | $11.361,10 | 321 / 3 | $5.052,73 | 1594 / 97 | $4.213,94 | 1581 / 121 |
| Heart Failure & Shock W Cc | 21 | 257 / 101 | $12.222,60 | 286 / 3 | $6.543,10 | 1425 / 104 | $5.682,14 | 1420 / 109 |
| Heart Failure & Shock W Mcc | 19 | 265 / 96 | $20.809,20 | 470 / 4 | $9.612,63 | 1519 / 109 | $9.105,68 | 1515 / 122 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 55 | $12.087,50 | 482 / 3 | $4.521,31 | 1270 / 77 | $4.056,08 | 1260 / 97 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 104 | $9.494,33 | 242 / 3 | $5.227,48 | 1636 / 109 | $4.479,29 | 1625 / 121 |
| Renal Failure W Cc | 12 | 209 / 100 | $11.809,80 | 192 / 1 | $6.370,50 | 1619 / 101 | $5.967,83 | 1610 / 129 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 23 | 493 / 125 | $25.288,70 | 554 / 2 | $11.806,00 | 1671 / 99 | $11.384,40 | 1639 / 119 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 82 | $12.498,10 | 178 / 1 | $6.888,73 | 1546 / 87 | $6.341,82 | 1539 / 113 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 85 | $15.374,00 | 605 / 4 | $6.436,35 | 1388 / 96 | $5.403,95 | 1382 / 104 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 18 | $10.120,80 | 27 / 1 | $5.034,64 | 144 / 31 | $4.380,09 | 144 / 37 | Total 14 procedures | 268 | 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.