Hospital Costs > In Florida > Lake Wales Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Kidney & Urinary Tract Infections W/O Mcc | 79 | 154 / 58 | $37.148,70 | 2436 / 124 | $4.374,09 | 235 / 38 | $3.346,19 | 235 / 30 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 73 | 443 / 99 | $97.169,70 | 2614 / 129 | $10.160,30 | 266 / 30 | $9.088,86 | 266 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 50 | 225 / 96 | $43.001,50 | 2541 / 134 | $4.254,64 | 234 / 29 | $3.153,80 | 234 / 32 |
Chronic Obstructive Pulmonary Disease W Cc | 49 | 130 / 61 | $45.384,30 | 2177 / 119 | $5.184,35 | 323 / 28 | $4.346,47 | 322 / 42 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 48 | $33.579,40 | 2228 / 114 | $4.017,06 | 421 / 35 | $3.260,40 | 421 / 51 |
Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 67 | $54.074,80 | 2268 / 115 | $6.355,89 | 290 / 17 | $5.555,70 | 289 / 31 |
Heart Failure & Shock W Mcc | 43 | 241 / 83 | $61.748,40 | 2220 / 106 | $7.932,65 | 243 / 14 | $7.317,21 | 243 / 24 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 41 | 79 / 44 | $35.434,20 | 1862 / 112 | $4.087,93 | 246 / 32 | $3.085,00 | 246 / 39 |
G.I. Hemorrhage W Cc | 40 | 178 / 66 | $54.984,20 | 2250 / 131 | $5.566,90 | 315 / 27 | $4.726,50 | 315 / 40 |
Cellulitis W/O Mcc | 38 | 151 / 63 | $41.706,70 | 2448 / 141 | $4.759,76 | 272 / 32 | $3.653,37 | 270 / 34 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 74 | $49.218,40 | 2538 / 120 | $5.447,03 | 409 / 29 | $4.572,36 | 406 / 45 |
Heart Failure & Shock W Cc | 31 | 247 / 94 | $38.928,30 | 2292 / 107 | $5.452,65 | 403 / 36 | $4.790,97 | 403 / 43 |
Red Blood Cell Disorders W/O Mcc | 30 | 113 / 53 | $39.691,10 | 1755 / 119 | $4.523,27 | 474 / 29 | $3.959,00 | 473 / 57 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 39 | $69.090,40 | 1446 / 69 | $8.745,33 | 103 / 10 | $7.938,22 | 103 / 14 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 34 | $34.407,00 | 1717 / 92 | $3.930,75 | 240 / 21 | $2.974,75 | 238 / 33 |
Transient Ischemia | 24 | 101 / 59 | $42.114,50 | 1477 / 97 | $5.011,17 | 79 / 83 | $2.740,79 | 79 / 15 |
Chest Pain | 24 | 127 / 63 | $34.878,70 | 1497 / 111 | $3.585,00 | 148 / 32 | $2.458,21 | 147 / 29 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 70 | $27.838,30 | 1703 / 101 | $3.260,57 | 354 / 30 | $2.315,87 | 352 / 49 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 72 | $60.992,30 | 2418 / 121 | $5.913,87 | 240 / 23 | $4.916,30 | 239 / 30 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 46 | $29.525,70 | 1696 / 88 | $3.879,61 | 295 / 31 | $3.090,74 | 293 / 39 |
Syncope & Collapse | 23 | 146 / 80 | $40.498,50 | 1706 / 111 | $4.138,70 | 312 / 28 | $3.354,00 | 310 / 51 |
Renal Failure W Cc | 22 | 199 / 93 | $59.086,70 | 2353 / 154 | $5.518,55 | 57 / 45 | $4.068,18 | 57 / 5 |
Signs & Symptoms W/O Mcc | 21 | 70 / 30 | $35.930,30 | 1149 / 86 | $3.931,29 | 131 / 25 | $3.070,33 | 131 / 24 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 76 | $62.887,70 | 2143 / 96 | $7.752,14 | 434 / 11 | $7.231,00 | 434 / 47 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 71 | $38.854,80 | 1885 / 113 | $4.600,19 | 193 / 38 | $3.462,24 | 193 / 31 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 48 | $97.010,50 | 1479 / 81 | $12.172,50 | 174 / 10 | $11.476,50 | 174 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 46 | $57.131,10 | 1645 / 90 | $7.231,55 | 554 / 58 | $6.447,50 | 551 / 66 |
Diabetes W Cc | 17 | 75 / 37 | $34.413,50 | 1298 / 72 | $4.664,59 | 226 / 22 | $3.881,53 | 226 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 66 | $64.272,50 | 1928 / 113 | $5.917,71 | 313 / 25 | $4.991,59 | 312 / 38 |
Atherosclerosis W/O Mcc | 16 | 42 / 16 | $39.849,50 | 515 / 54 | $3.617,00 | / 17 | $2.400,56 | / |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 65 | $46.675,80 | 1634 / 90 | $6.153,25 | 308 / 24 | $5.435,25 | 307 / 39 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 16 | $60.859,50 | 830 / 66 | $4.255,67 | 153 / 16 | $3.453,53 | 152 / 26 |
G.I. Obstruction W Cc | 14 | 78 / 44 | $43.521,90 | 1508 / 92 | $4.833,00 | 120 / 17 | $3.846,71 | 119 / 26 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 43 | $49.289,90 | 1486 / 96 | $4.315,50 | 300 / 22 | $3.371,50 | 297 / 42 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 37 | $52.662,90 | 1215 / 71 | $5.145,50 | 138 / 2 | $4.800,36 | 138 / 24 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 48 | $181.615,00 | 1182 / 60 | $26.071,40 | 82 / 4 | $25.277,70 | 82 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 28 | $92.428,10 | 783 / 56 | $8.929,00 | 80 / 9 | $7.717,57 | 80 / 10 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 34 | $30.883,40 | 821 / 69 | $3.989,83 | 202 / 23 | $3.187,17 | 201 / 37 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 41 | $47.868,60 | 1128 / 100 | $5.501,75 | 49 / 30 | $4.155,42 | 49 / 6 |
Renal Failure W Mcc | 12 | 183 / 81 | $59.727,30 | 1756 / 98 | $8.103,50 | 64 / 12 | $7.092,83 | 64 / 7 |
Medical Back Problems W/O Mcc | 12 | 109 / 60 | $47.137,90 | 1370 / 118 | $4.757,25 | 201 / 26 | $3.749,25 | 201 / 33 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 34 | $32.368,80 | 778 / 64 | $3.851,91 | 75 / 17 | $2.859,91 | 76 / 21 |
G.I. Hemorrhage W Mcc | 11 | 110 / 51 | $69.892,70 | 1340 / 82 | $9.346,09 | 100 / 11 | $8.467,55 | 100 / 11 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 45 | $63.910,90 | 980 / 57 | $9.816,27 | 60 / 9 | $8.857,73 | 60 / 9 | Total 44 procedures | 1.147 | 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.