Hospital Costs > In Florida > Lake City Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 136 | 139 / 39 | $34.170,40 | 2326 / 104 | $5.463,55 | 1515 / 116 | $4.139,85 | 1503 / 115 |
Simple Pneumonia & Pleurisy W Cc | 131 | 73 / 15 | $34.891,30 | 2182 / 81 | $6.835,48 | 1893 / 120 | $5.979,05 | 1885 / 128 |
Heart Failure & Shock W Mcc | 92 | 192 / 47 | $35.356,40 | 1418 / 34 | $10.428,50 | 1795 / 127 | $9.698,60 | 1790 / 133 |
Chronic Obstructive Pulmonary Disease W Mcc | 90 | 112 / 34 | $34.041,80 | 1695 / 53 | $8.169,57 | 1729 / 122 | $7.272,86 | 1721 / 127 |
Kidney & Urinary Tract Infections W/O Mcc | 87 | 146 / 55 | $32.157,40 | 2286 / 104 | $5.477,32 | 1681 / 119 | $4.533,07 | 1670 / 123 |
Heart Failure & Shock W Cc | 79 | 199 / 60 | $25.956,00 | 1744 / 62 | $7.128,51 | 1697 / 129 | $5.995,37 | 1692 / 123 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 78 | 88 / 22 | $26.733,10 | 1975 / 82 | $5.033,12 | 1411 / 106 | $3.983,00 | 1406 / 105 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 68 | 448 / 103 | $52.096,40 | 1859 / 51 | $13.309,60 | 1825 / 129 | $11.805,10 | 1790 / 127 |
Chronic Obstructive Pulmonary Disease W Cc | 67 | 112 / 48 | $32.006,80 | 1810 / 74 | $6.919,21 | 1487 / 124 | $5.497,55 | 1481 / 120 |
Simple Pneumonia & Pleurisy W Mcc | 64 | 141 / 38 | $43.231,20 | 1687 / 55 | $11.080,70 | 1596 / 134 | $8.907,42 | 1596 / 122 |
Chest Pain | 62 | 89 / 37 | $27.144,90 | 1301 / 72 | $4.204,65 | 869 / 82 | $3.365,42 | 864 / 93 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 61 | 503 / 94 | $73.973,90 | 2095 / 68 | $15.716,20 | 1942 / 131 | $13.397,70 | 1900 / 134 |
Renal Failure W Cc | 56 | 165 / 67 | $28.559,40 | 1636 / 61 | $6.953,62 | 1552 / 122 | $5.846,30 | 1543 / 123 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 51 | 69 / 35 | $26.702,00 | 1602 / 83 | $5.267,63 | 1293 / 108 | $4.058,12 | 1282 / 111 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 48 | 113 / 49 | $27.732,00 | 1528 / 70 | $5.513,81 | 1370 / 102 | $4.759,81 | 1365 / 115 |
Cellulitis W/O Mcc | 47 | 142 / 54 | $26.190,90 | 1942 / 71 | $6.023,74 | 1560 / 115 | $4.790,60 | 1553 / 119 |
Red Blood Cell Disorders W/O Mcc | 46 | 97 / 38 | $22.805,40 | 1119 / 45 | $5.544,11 | 1307 / 93 | $5.006,02 | 1298 / 113 |
Syncope & Collapse | 45 | 124 / 62 | $30.253,00 | 1442 / 73 | $5.211,60 | 990 / 94 | $4.046,93 | 984 / 96 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 44 | 49 / 17 | $28.074,10 | 1561 / 72 | $4.903,82 | 1142 / 90 | $3.831,82 | 1136 / 94 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 51 | $20.433,30 | 1416 / 64 | $3.870,16 | 1180 / 78 | $2.997,98 | 1175 / 105 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 41 | 147 / 48 | $53.034,30 | 1272 / 75 | $8.046,76 | 850 / 103 | $6.013,00 | 848 / 90 |
G.I. Hemorrhage W Cc | 35 | 183 / 71 | $36.602,30 | 1842 / 73 | $7.295,51 | 1570 / 123 | $6.086,06 | 1566 / 120 |
Pulmonary Edema & Respiratory Failure | 35 | 168 / 42 | $40.930,60 | 1534 / 59 | $8.449,20 | 1496 / 103 | $7.831,14 | 1491 / 113 |
Atherosclerosis W/O Mcc | 29 | 29 / 6 | $23.142,30 | 378 / 27 | $4.281,31 | / 45 | $3.296,62 | / |
Dysequilibrium | 28 | 37 / 15 | $26.209,00 | 365 / 33 | $4.343,21 | 240 / 43 | $3.307,79 | 240 / 48 |
Signs & Symptoms W/O Mcc | 26 | 65 / 25 | $30.485,50 | 1041 / 71 | $4.823,65 | 758 / 75 | $4.172,58 | 755 / 85 |
Renal Failure W Mcc | 25 | 170 / 71 | $43.503,10 | 1398 / 58 | $10.680,40 | 1308 / 116 | $9.677,52 | 1308 / 120 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 70 | $39.567,00 | 2024 / 73 | $7.443,76 | 1742 / 108 | $6.671,92 | 1735 / 123 |
Transient Ischemia | 24 | 101 / 59 | $28.479,20 | 1130 / 58 | $4.878,67 | 846 / 77 | $3.772,00 | 842 / 88 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 46 | $21.644,60 | 1389 / 58 | $4.705,61 | 1074 / 84 | $3.813,78 | 1066 / 89 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 45 | $40.227,70 | 1336 / 61 | $8.464,50 | 1224 / 99 | $7.678,32 | 1221 / 102 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 62 | $35.684,70 | 1381 / 52 | $7.489,48 | 1401 / 98 | $6.567,57 | 1398 / 104 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 32 | $28.670,20 | 685 / 19 | $7.196,89 | 921 / 69 | $6.435,63 | 919 / 87 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 49 | $65.236,00 | 1044 / 41 | $15.922,30 | 1210 / 103 | $15.095,40 | 1197 / 112 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 20 | $31.750,20 | 496 / 24 | $6.156,16 | 390 / 44 | $5.391,53 | 390 / 52 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 39 | $45.373,30 | 1208 / 83 | $7.282,67 | 614 / 95 | $5.424,83 | 611 / 73 |
Hypertension W/O Mcc | 18 | 47 / 31 | $27.094,20 | 590 / 53 | $4.338,11 | 346 / 52 | $3.264,33 | 344 / 60 |
Peripheral Vascular Disorders W Cc | 17 | 67 / 36 | $23.251,20 | 552 / 26 | $6.625,06 | 777 / 79 | $6.106,47 | 774 / 90 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 26 | $30.384,80 | 740 / 57 | $4.356,44 | 533 / 48 | $3.674,44 | 532 / 59 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 33 | $44.366,60 | 886 / 60 | $8.209,00 | 803 / 77 | $7.803,67 | 801 / 84 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 66 | $36.680,30 | 1405 / 65 | $7.903,73 | 1362 / 110 | $7.180,53 | 1358 / 113 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 51 | $49.627,80 | 1061 / 24 | $15.283,20 | 1123 / 106 | $12.162,50 | 1109 / 91 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 18 | $24.499,60 | 431 / 12 | $5.271,46 | 541 / 45 | $4.434,54 | 537 / 55 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 31 | $24.780,00 | 303 / 4 | $8.739,31 | 668 / 69 | $8.185,46 | 664 / 76 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 30 | $62.912,70 | 508 / 28 | $14.321,20 | 563 / 61 | $13.390,80 | 557 / 64 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 44 | $117.420,00 | 1332 / 70 | $17.746,10 | 1155 / 83 | $17.098,80 | 1142 / 98 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 38 | $45.909,50 | 1075 / 44 | $9.726,69 | 1076 / 82 | $8.988,23 | 1071 / 86 |
G.I. Obstruction W Cc | 12 | 80 / 46 | $44.402,50 | 1522 / 96 | $6.203,92 | 1143 / 89 | $5.395,92 | 1140 / 103 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 33 | $32.543,40 | 552 / 33 | $6.872,00 | 493 / 56 | $6.064,00 | 493 / 63 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 24 | $25.276,00 | 657 / 34 | $4.689,08 | 349 / 53 | $3.465,17 | 348 / 45 |
Seizures W/O Mcc | 12 | 96 / 44 | $28.080,90 | 895 / 42 | $5.306,67 | 699 / 70 | $4.496,00 | 696 / 78 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 44 | $44.914,50 | 1067 / 58 | $8.332,55 | 874 / 83 | $7.672,18 | 869 / 90 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 46 | $34.409,90 | 1221 / 60 | $5.310,45 | 944 / 67 | $4.213,73 | 940 / 85 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 18 | $34.874,30 | 427 / 29 | $6.439,64 | 283 / 26 | $5.892,73 | 283 / 30 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 30 | $32.250,40 | 559 / 31 | $6.585,64 | 359 / 48 | $5.704,18 | 359 / 51 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 47 | $44.579,80 | 1395 / 75 | $7.778,55 | 1019 / 82 | $7.142,91 | 1016 / 85 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 55 | $73.989,00 | 1497 / 77 | $13.208,40 | 1437 / 110 | $12.329,80 | 1425 / 112 | Total 57 procedures | 2.078 | 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.