Hospital Costs > In South Carolina > Kershaw Health, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 99 | 417 / 28 | $33.164,20 | 949 / 12 | $10.201,90 | 214 / 6 | $8.967,43 | 214 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 68 | 496 / 30 | $54.719,10 | 1496 / 15 | $12.020,00 | 841 / 6 | $10.823,10 | 827 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 19 | $17.124,50 | 1015 / 7 | $4.875,68 | 462 / 18 | $3.369,37 | 460 / 14 |
| Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 16 | $13.591,20 | 733 / 7 | $4.663,00 | 736 / 12 | $3.783,20 | 731 / 16 |
| Heart Failure & Shock W Mcc | 54 | 230 / 25 | $27.135,00 | 912 / 14 | $8.422,57 | 415 / 10 | $7.579,31 | 415 / 14 |
| Renal Failure W Cc | 53 | 168 / 18 | $17.158,40 | 686 / 7 | $5.621,11 | 491 / 9 | $4.755,08 | 487 / 11 |
| Heart Failure & Shock W Cc | 48 | 230 / 24 | $18.817,70 | 1023 / 12 | $5.892,15 | 389 / 15 | $4.772,31 | 389 / 11 |
| Renal Failure W Mcc | 46 | 149 / 18 | $28.643,50 | 688 / 11 | $8.552,98 | 320 / 3 | $7.766,78 | 320 / 8 |
| Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 18 | $18.953,80 | 1019 / 14 | $5.761,30 | 593 / 11 | $4.736,57 | 590 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 23 | $25.723,40 | 1181 / 15 | $6.805,51 | 300 / 11 | $5.564,89 | 299 / 8 |
| G.I. Hemorrhage W Cc | 43 | 175 / 22 | $19.290,70 | 689 / 10 | $5.852,23 | 217 / 12 | $4.590,30 | 217 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 42 | 165 / 22 | $22.614,00 | 1031 / 16 | $6.198,52 | 509 / 11 | $5.215,40 | 507 / 14 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 42 | 146 / 15 | $24.446,80 | 262 / 2 | $6.766,67 | 167 / 8 | $4.899,36 | 167 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 22 | $12.428,00 | 599 / 9 | $4.924,90 | 78 / 28 | $2.782,70 | 78 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 30 | $33.749,80 | 1268 / 16 | $8.268,82 | 764 / 8 | $7.616,68 | 764 / 18 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 13 | $36.114,70 | 662 / 8 | $9.502,96 | 139 / 7 | $8.071,65 | 139 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 25 | $22.187,40 | 610 / 10 | $6.181,20 | 340 / 9 | $5.025,20 | 339 / 10 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 30 | $29.002,10 | 980 / 19 | $7.059,38 | 453 / 9 | $6.292,08 | 453 / 14 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 25 | $16.293,00 | 639 / 3 | $5.516,62 | 778 / 9 | $4.779,42 | 776 / 17 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 27 | $14.935,80 | 447 / 7 | $4.678,13 | 178 / 4 | $3.587,35 | 178 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 13 | $16.380,90 | 869 / 15 | $4.347,62 | 505 / 8 | $3.240,43 | 503 / 11 |
| Cellulitis W/O Mcc | 21 | 168 / 27 | $14.078,50 | 740 / 9 | $5.056,24 | 602 / 9 | $3.977,19 | 599 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 24 | $11.407,60 | 512 / 4 | $3.515,60 | 517 / 8 | $2.461,60 | 513 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 21 | $16.076,70 | 631 / 6 | $4.763,65 | 453 / 9 | $3.772,75 | 453 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 21 | $47.484,60 | 953 / 11 | $11.003,40 | 387 / 9 | $9.900,15 | 386 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 21 | $12.656,50 | 511 / 3 | $4.375,00 | 555 / 11 | $3.369,95 | 554 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 19 | $17.775,20 | 416 / 8 | $4.611,55 | 341 / 6 | $3.427,65 | 338 / 10 |
| Transient Ischemia | 19 | 106 / 19 | $15.126,90 | 306 / 4 | $4.109,26 | 191 / 4 | $3.004,74 | 191 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 19 | $48.321,10 | 573 / 6 | $12.706,00 | 277 / 6 | $11.831,90 | 274 / 7 |
| Chest Pain | 19 | 132 / 15 | $13.861,00 | 392 / 3 | $4.018,32 | 150 / 12 | $2.462,53 | 149 / 6 |
| Syncope & Collapse | 19 | 150 / 22 | $14.903,30 | 383 / 3 | $4.550,32 | 229 / 9 | $3.239,21 | 228 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 16 | $26.020,20 | 572 / 7 | $5.854,78 | 229 / 6 | $5.010,72 | 229 / 7 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 19 | $50.534,10 | 1085 / 20 | $11.179,10 | 490 / 7 | $10.468,10 | 485 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 26 | $22.188,50 | 720 / 9 | $6.582,61 | 406 / 9 | $5.577,33 | 405 / 11 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 11 | $18.076,50 | 196 / 1 | $7.420,41 | 139 / 3 | $6.607,53 | 139 / 4 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 17 | $47.223,40 | 343 / 2 | $13.477,90 | 170 / 2 | $12.323,90 | 169 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 10 | $20.574,80 | 319 / 5 | $5.796,40 | 123 / 6 | $4.251,87 | 123 / 6 |
| Atherosclerosis W/O Mcc | 15 | 43 / 5 | $13.858,60 | 135 / 1 | $3.792,13 | / 2 | $2.725,47 | / |
| Diabetes W Cc | 14 | 78 / 21 | $16.969,90 | 477 / 4 | $5.280,79 | 80 / 7 | $3.564,79 | 80 / 3 |
| Seizures W/O Mcc | 14 | 94 / 15 | $20.377,30 | 567 / 4 | $4.537,43 | 337 / 1 | $3.820,57 | 335 / 6 |
| Medical Back Problems W/O Mcc | 14 | 107 / 14 | $16.103,80 | 280 / 3 | $4.789,86 | 136 / 4 | $3.639,14 | 136 / 5 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 23 | $21.663,50 | 98 / 1 | $8.987,85 | 40 / 2 | $8.119,46 | 40 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 21 | $23.941,80 | 585 / 4 | $7.004,46 | 573 / 5 | $6.481,23 | 570 / 14 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 21 | $15.278,50 | 880 / 12 | $4.324,85 | 144 / 10 | $2.886,69 | 142 / 4 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 13 | $16.614,20 | 635 / 12 | $3.817,08 | 278 / 6 | $2.666,92 | 278 / 9 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 8 | $15.222,50 | 296 / 5 | $4.263,45 | 112 / 6 | $2.998,45 | 113 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 15 | $27.087,60 | 526 / 8 | $6.910,00 | 168 / 5 | $5.877,09 | 167 / 4 | Total 47 procedures | 1.331 | 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.