Hospital Costs > In South Carolina > Hilton Head Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 9 | $22.740,70 | 558 / 6 | $5.372,45 | 479 / 8 | $4.383,36 | 478 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 23 | $25.709,20 | 1433 / 27 | $6.201,17 | 1626 / 34 | $5.264,28 | 1621 / 36 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 52 | 98 / 10 | $17.324,10 | 1224 / 27 | $4.559,62 | 1330 / 30 | $3.204,40 | 1325 / 30 |
Cellulitis W/O Mcc | 67 | 122 / 6 | $20.709,70 | 1552 / 28 | $6.717,52 | 1998 / 39 | $5.553,45 | 1990 / 43 |
Cervical Spinal Fusion W/O Cc/Mcc | 18 | 86 / 15 | $83.225,90 | 683 / 15 | $17.682,60 | 769 / 20 | $16.473,70 | 766 / 22 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 33 | $29.162,50 | 1678 / 31 | $7.351,87 | 1903 / 37 | $6.383,33 | 1896 / 40 |
Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 28 | $40.528,30 | 1938 / 37 | $9.801,79 | 2083 / 41 | $8.205,50 | 2075 / 42 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 10 | $23.875,80 | 1490 / 31 | $5.603,70 | 1664 / 35 | $4.837,64 | 1653 / 39 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 23 | $39.634,60 | 935 / 18 | $8.557,81 | 1326 / 23 | $7.638,95 | 1323 / 25 |
Coronary Bypass W Cardiac Cath W/O Mcc | 16 | 60 / 10 | $241.385,00 | 544 / 12 | $42.544,20 | 576 / 15 | $38.685,80 | 576 / 15 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 11 | $221.292,00 | 555 / 13 | $39.063,60 | 545 / 14 | $30.444,30 | 544 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 81 | 194 / 14 | $23.272,40 | 1742 / 31 | $5.829,27 | 2023 / 40 | $4.843,59 | 2009 / 45 |
Extracranial Procedures W/O Cc/Mcc | 27 | 71 / 11 | $43.375,70 | 688 / 14 | $8.233,56 | 785 / 15 | $7.249,85 | 782 / 17 |
Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 3 | $17.724,10 | 423 / 9 | $6.000,53 | 630 / 15 | $4.328,71 | 630 / 15 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 7 | $22.096,30 | 433 / 6 | $5.941,36 | 577 / 6 | $4.955,18 | 575 / 7 |
G.I. Hemorrhage W Cc | 30 | 188 / 28 | $28.872,60 | 1492 / 30 | $7.901,83 | 1908 / 38 | $6.936,53 | 1904 / 41 |
G.I. Hemorrhage W/O Cc/Mcc | 40 | 28 / 1 | $20.853,40 | 582 / 10 | $5.472,20 | 711 / 15 | $4.445,00 | 707 / 18 |
G.I. Obstruction W Cc | 17 | 75 / 14 | $25.453,40 | 1013 / 14 | $6.968,82 | 1325 / 24 | $5.971,18 | 1320 / 25 |
G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 5 | $22.822,70 | 943 / 23 | $4.772,23 | 919 / 21 | $3.733,68 | 916 / 26 |
Heart Failure & Shock W Cc | 43 | 235 / 25 | $30.105,90 | 1961 / 39 | $8.228,88 | 2216 / 45 | $7.032,58 | 2210 / 47 |
Heart Failure & Shock W Mcc | 23 | 261 / 36 | $42.501,80 | 1761 / 35 | $11.771,00 | 2175 / 43 | $11.140,80 | 2165 / 44 |
Heart Failure & Shock W/O Cc/Mcc | 43 | 67 / 9 | $18.312,90 | 1175 / 21 | $5.292,53 | 1536 / 29 | $4.562,49 | 1523 / 31 |
Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 17 | $56.477,50 | 1260 / 24 | $16.341,00 | 1703 / 36 | $14.060,30 | 1684 / 36 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 28 | 28 / 2 | $45.325,80 | 501 / 8 | $12.823,70 | 772 / 17 | $11.659,10 | 769 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 33 | $27.270,30 | 950 / 21 | $8.482,77 | 1685 / 37 | $7.552,31 | 1681 / 39 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 13 | $21.074,40 | 655 / 16 | $6.228,61 | 1161 / 30 | $4.719,04 | 1157 / 30 |
Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 21 | $33.216,80 | 1298 / 25 | $8.874,16 | 1611 / 33 | $8.174,00 | 1607 / 35 |
Kidney & Urinary Tract Infections W/O Mcc | 146 | 87 / 4 | $23.374,40 | 1879 / 38 | $6.074,81 | 2073 / 43 | $5.132,56 | 2062 / 45 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 6 | $57.885,20 | 473 / 13 | $9.642,58 | 491 / 12 | $8.439,92 | 490 / 13 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 9 | $34.326,70 | 264 / 5 | $9.344,45 | 342 / 9 | $8.797,55 | 342 / 9 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 11 | $71.590,70 | 607 / 11 | $17.546,30 | 723 / 14 | $16.413,50 | 719 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 183 | 381 / 18 | $52.548,30 | 1399 / 13 | $17.249,90 | 2312 / 42 | $15.440,10 | 2267 / 46 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 16 | $84.687,40 | 1055 / 16 | $21.074,80 | 1364 / 20 | $20.134,30 | 1350 / 24 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 15 | $143.110,00 | 761 / 9 | $40.242,50 | 1061 / 16 | $39.140,00 | 1059 / 18 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 21 | 43 / 7 | $60.058,20 | 566 / 14 | $12.895,80 | 629 / 18 | $11.739,20 | 629 / 21 |
Medical Back Problems W/O Mcc | 14 | 107 / 14 | $23.995,80 | 779 / 13 | $6.669,43 | 1172 / 18 | $5.890,00 | 1168 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 21 | $18.776,60 | 346 / 3 | $8.921,12 | 1194 / 24 | $7.641,41 | 1191 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 15 | $21.100,00 | 1650 / 30 | $5.732,58 | 1712 / 41 | $4.337,00 | 1707 / 41 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 17 | $84.076,80 | 941 / 14 | $16.228,00 | 1284 / 16 | $15.133,80 | 1277 / 18 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 10 | $75.819,80 | 392 / 6 | $14.353,70 | 494 / 11 | $13.585,70 | 492 / 11 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 13 | $30.449,70 | 823 / 15 | $7.608,55 | 921 / 15 | $6.727,09 | 918 / 17 |
Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 15 | $66.805,90 | 441 / 8 | $21.025,40 | 819 / 14 | $20.014,80 | 815 / 15 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 11 | $40.309,60 | 151 / 2 | $17.001,80 | 616 / 13 | $15.988,50 | 615 / 13 |
Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 5 | $37.565,20 | 357 / 6 | $8.898,00 | 383 / 6 | $8.336,77 | 383 / 7 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 38 | $43.624,90 | 1625 / 35 | $9.593,46 | 1742 / 39 | $8.660,54 | 1737 / 40 |
Pulmonary Embolism W/O Mcc | 34 | 40 / 4 | $27.815,80 | 759 / 16 | $8.142,21 | 1024 / 20 | $6.630,50 | 1021 / 23 |
Red Blood Cell Disorders W/O Mcc | 26 | 117 / 25 | $23.285,10 | 1140 / 22 | $6.291,15 | 1503 / 33 | $5.502,23 | 1494 / 37 |
Renal Failure W Cc | 28 | 193 / 27 | $31.237,60 | 1761 / 39 | $7.603,39 | 1915 / 42 | $6.697,11 | 1905 / 43 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 13 | $48.431,00 | 1127 / 20 | $10.965,70 | 1277 / 24 | $10.238,20 | 1272 / 25 |
Seizures W/O Mcc | 12 | 96 / 17 | $27.802,90 | 882 / 14 | $5.968,75 | 869 / 15 | $4.958,08 | 866 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 33 | 483 / 37 | $52.591,20 | 1876 / 36 | $14.676,10 | 2361 / 49 | $13.981,80 | 2319 / 51 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 29 | $35.329,40 | 1875 / 37 | $8.406,56 | 2083 / 41 | $7.583,52 | 2075 / 44 |
Signs & Symptoms W/O Mcc | 18 | 73 / 14 | $19.077,10 | 606 / 8 | $5.436,00 | 888 / 17 | $4.495,56 | 885 / 20 |
Simple Pneumonia & Pleurisy W Cc | 80 | 123 / 10 | $34.891,30 | 2182 / 42 | $7.696,99 | 2280 / 46 | $6.806,19 | 2272 / 50 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 36 | $40.561,60 | 1574 / 30 | $12.944,30 | 1996 / 42 | $10.129,70 | 1996 / 40 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 49 | 44 / 2 | $21.345,50 | 1279 / 23 | $5.520,31 | 1498 / 28 | $4.436,22 | 1490 / 32 |
Spinal Fusion Except Cervical W/O Mcc | 66 | 128 / 12 | $142.161,00 | 1077 / 19 | $35.524,60 | 1166 / 27 | $29.674,60 | 1161 / 27 |
Syncope & Collapse | 21 | 148 / 21 | $21.917,30 | 1031 / 24 | $5.699,95 | 1353 / 29 | $4.724,71 | 1346 / 31 |
Transient Ischemia | 32 | 93 / 12 | $21.191,80 | 752 / 12 | $5.481,78 | 1169 / 23 | $4.420,78 | 1163 / 26 | Total 59 procedures | 1.823 | 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.