Hospital Costs > In Florida > Heart Of Florida Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 331 | 242 / 27 | $141.987,00 | 2651 / 153 | $12.119,20 | 341 / 38 | $10.046,00 | 340 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 100 | 175 / 62 | $36.837,70 | 2398 / 114 | $4.674,35 | 853 / 68 | $3.663,59 | 848 / 82 |
Spinal Fusion Except Cervical W/O Mcc | 88 | 106 / 18 | $204.477,00 | 1283 / 82 | $22.180,40 | 270 / 19 | $20.329,90 | 269 / 34 |
Kidney & Urinary Tract Infections W/O Mcc | 74 | 159 / 63 | $37.462,90 | 2443 / 126 | $4.877,49 | 759 / 87 | $3.798,39 | 754 / 79 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 72 | 444 / 100 | $102.249,00 | 2654 / 137 | $10.507,40 | 318 / 52 | $9.204,28 | 318 / 30 |
Chronic Obstructive Pulmonary Disease W Cc | 69 | 110 / 46 | $59.072,30 | 2355 / 157 | $5.829,12 | 774 / 80 | $4.777,17 | 772 / 79 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 67 | 129 / 33 | $129.963,00 | 1372 / 93 | $11.578,70 | 302 / 19 | $10.142,40 | 302 / 45 |
Heart Failure & Shock W Cc | 66 | 212 / 68 | $50.107,10 | 2546 / 141 | $6.001,68 | 718 / 75 | $5.081,24 | 717 / 71 |
Heart Failure & Shock W Mcc | 60 | 224 / 71 | $64.786,40 | 2264 / 116 | $8.452,25 | 523 / 55 | $7.712,65 | 523 / 61 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 60 | 128 / 33 | $71.510,50 | 1510 / 105 | $6.607,25 | 472 / 52 | $5.403,47 | 470 / 61 |
Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 56 | $63.946,30 | 2401 / 142 | $7.802,45 | 456 / 106 | $5.746,25 | 455 / 54 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 49 | 71 / 36 | $49.083,60 | 2046 / 149 | $4.596,57 | 911 / 69 | $3.662,69 | 903 / 89 |
Syncope & Collapse | 47 | 122 / 60 | $44.862,90 | 1770 / 123 | $4.728,64 | 611 / 79 | $3.661,04 | 608 / 76 |
Red Blood Cell Disorders W/O Mcc | 44 | 99 / 40 | $39.519,80 | 1752 / 118 | $4.984,84 | 730 / 63 | $4.213,93 | 725 / 78 |
Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 64 | $55.634,00 | 2653 / 135 | $5.969,16 | 519 / 73 | $4.662,57 | 516 / 60 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 40 | 110 / 54 | $35.560,80 | 1872 / 130 | $3.685,55 | 903 / 68 | $2.750,35 | 899 / 92 |
Cellulitis W/O Mcc | 40 | 149 / 61 | $40.529,60 | 2422 / 136 | $5.181,85 | 967 / 67 | $4.249,05 | 961 / 85 |
Renal Failure W Cc | 39 | 182 / 78 | $50.810,90 | 2261 / 135 | $5.817,46 | 870 / 71 | $5.058,13 | 863 / 90 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 65 | $68.447,60 | 2482 / 139 | $6.396,13 | 891 / 63 | $5.568,77 | 889 / 79 |
G.I. Hemorrhage W Cc | 31 | 187 / 75 | $48.787,20 | 2136 / 112 | $6.111,32 | 694 / 68 | $5.085,23 | 693 / 74 |
Chest Pain | 31 | 120 / 58 | $40.979,90 | 1605 / 129 | $3.937,81 | 413 / 63 | $2.844,65 | 411 / 57 |
Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 40 | $31.290,20 | 1738 / 95 | $4.286,93 | 622 / 63 | $3.408,59 | 620 / 66 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 57 | $55.529,60 | 1818 / 100 | $6.304,30 | 552 / 49 | $5.275,56 | 551 / 62 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 44 | $115.120,00 | 1645 / 105 | $13.269,30 | 554 / 45 | $12.594,70 | 546 / 64 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 67 | $56.289,30 | 2107 / 143 | $4.833,72 | 800 / 60 | $4.109,24 | 797 / 85 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 43 | $61.144,70 | 1699 / 102 | $7.096,79 | 549 / 50 | $6.439,46 | 546 / 64 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 69 | $37.350,70 | 2316 / 125 | $4.329,04 | 810 / 65 | $3.522,38 | 807 / 79 |
Other Vascular Procedures W Cc | 24 | 78 / 25 | $161.202,00 | 1087 / 80 | $14.343,90 | 239 / 21 | $13.591,90 | 239 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 33 | $46.995,50 | 1452 / 89 | $4.767,75 | 721 / 42 | $3.885,08 | 717 / 73 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 23 | 77 / 24 | $174.748,00 | 899 / 65 | $19.522,70 | 78 / 40 | $16.116,20 | 78 / 9 |
Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 24 | $42.502,30 | 928 / 76 | $5.457,52 | 256 / 44 | $4.231,04 | 253 / 43 |
Medical Back Problems W/O Mcc | 22 | 99 / 50 | $44.450,20 | 1336 / 110 | $5.210,14 | 623 / 60 | $4.442,14 | 621 / 83 |
Transient Ischemia | 19 | 106 / 64 | $34.436,70 | 1313 / 70 | $4.436,84 | 605 / 51 | $3.480,21 | 601 / 73 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 39 | $34.840,70 | 1730 / 95 | $4.389,89 | 288 / 56 | $3.035,37 | 286 / 40 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 78 | $85.327,50 | 2380 / 142 | $8.438,53 | 755 / 65 | $7.611,58 | 755 / 79 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 24 | $143.771,00 | 808 / 52 | $12.473,10 | 243 / 19 | $11.326,10 | 241 / 35 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 64 | $52.109,40 | 1709 / 106 | $6.668,35 | 440 / 67 | $5.624,12 | 439 / 58 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 16 | 47 / 8 | $222.109,00 | 230 / 15 | $19.267,20 | 78 / 4 | $18.061,20 | 78 / 12 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 46 | $347.552,00 | 1547 / 110 | $34.113,70 | 734 / 75 | $31.792,20 | 728 / 80 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 41 | $87.446,20 | 1205 / 86 | $10.263,60 | 234 / 21 | $9.720,62 | 234 / 37 |
Other Vascular Procedures W Mcc | 16 | 81 / 33 | $173.049,00 | 933 / 80 | $17.341,90 | 81 / 9 | $16.739,90 | 81 / 16 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 28 | $68.058,20 | 1013 / 83 | $7.940,31 | 481 / 49 | $7.418,38 | 479 / 59 |
Seizures W/O Mcc | 15 | 93 / 42 | $56.242,90 | 1271 / 105 | $4.764,93 | 379 / 42 | $3.877,47 | 377 / 54 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 40 | $55.531,10 | 1224 / 82 | $7.027,53 | 330 / 35 | $6.302,20 | 328 / 48 |
Pulmonary Edema & Respiratory Failure | 15 | 188 / 59 | $81.908,40 | 2137 / 136 | $7.171,53 | 712 / 48 | $6.606,20 | 712 / 75 |
Renal Failure W Mcc | 15 | 180 / 79 | $76.171,20 | 1970 / 134 | $8.850,07 | 651 / 60 | $8.291,13 | 651 / 83 |
Signs & Symptoms W/O Mcc | 14 | 77 / 37 | $41.663,50 | 1248 / 110 | $4.351,79 | 377 / 51 | $3.490,07 | 376 / 57 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 14 | 32 / 7 | $99.822,60 | 257 / 13 | $6.002,43 | 63 / 3 | $4.877,86 | 63 / 6 |
Diabetes W Cc | 13 | 79 / 41 | $40.306,80 | 1407 / 94 | $5.114,23 | 360 / 51 | $4.095,15 | 360 / 49 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 32 | $43.181,20 | 705 / 63 | $5.875,38 | 136 / 36 | $4.760,31 | 136 / 38 |
Organic Disturbances & Mental Retardation | 13 | 46 / 25 | $52.529,60 | 510 / 53 | $6.068,92 | 146 / 33 | $5.323,08 | 146 / 36 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 24 | $85.353,00 | 858 / 62 | $9.369,00 | 206 / 30 | $8.157,92 | 206 / 36 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 29 | $48.696,80 | 738 / 59 | $5.927,67 | 136 / 32 | $4.977,00 | 136 / 28 |
Dysequilibrium | 12 | 53 / 31 | $44.064,30 | 532 / 68 | $4.017,42 | 158 / 32 | $3.009,42 | 158 / 41 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 27 | $126.525,00 | 694 / 64 | $11.950,20 | 131 / 16 | $10.944,80 | 130 / 23 |
Atherosclerosis W/O Mcc | 12 | 46 / 20 | $47.270,80 | 532 / 63 | $3.960,17 | / 36 | $2.952,17 | / |
G.I. Hemorrhage W Mcc | 12 | 109 / 50 | $57.424,80 | 1148 / 55 | $9.908,00 | 361 / 33 | $9.300,00 | 361 / 50 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 54 | $88.021,20 | 1621 / 98 | $9.032,33 | 206 / 19 | $8.325,67 | 206 / 24 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 28 | $33.288,80 | 645 / 60 | $4.536,58 | 55 / 28 | $3.070,17 | 55 / 19 |
G.I. Obstruction W Cc | 12 | 80 / 46 | $53.667,80 | 1627 / 117 | $5.429,75 | 538 / 57 | $4.520,42 | 537 / 67 |
Cellulitis W Mcc | 12 | 46 / 22 | $64.906,90 | 842 / 59 | $8.460,17 | 242 / 27 | $7.604,17 | 241 / 35 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 42 | $39.118,50 | 1001 / 73 | $5.871,82 | 399 / 56 | $5.100,91 | 397 / 65 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 40 | $52.849,50 | 1217 / 72 | $6.484,55 | 205 / 49 | $4.959,00 | 205 / 32 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 40 | $105.448,00 | 1469 / 99 | $8.486,09 | 683 / 52 | $7.721,00 | 678 / 65 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 46 | $185.735,00 | 1506 / 102 | $14.424,90 | 128 / 35 | $12.069,40 | 128 / 16 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 27 | $267.559,00 | 886 / 73 | $38.276,60 | 39 / 64 | $24.830,90 | 39 / 5 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 35 | $34.261,90 | 863 / 75 | $4.444,45 | 289 / 44 | $3.341,91 | 287 / 50 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 46 | $52.577,50 | 1294 / 98 | $5.853,36 | 365 / 47 | $4.977,73 | 362 / 50 | Total 68 procedures | 2.211 | 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.