Hospital Costs > In Florida > Lakeside Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 11 | 178 / 85 | $23.093,60 | 1748 / 58 | $7.847,64 | 2389 / 151 | $7.085,45 | 2381 / 154 |
Chest Pain | 16 | 135 / 69 | $16.341,60 | 617 / 13 | $6.427,12 | 1510 / 128 | $5.317,38 | 1501 / 129 |
Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 94 | $29.195,20 | 1418 / 32 | $10.140,20 | 2245 / 149 | $9.044,00 | 2237 / 151 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 118 | $16.034,30 | 874 / 6 | $7.288,33 | 2417 / 152 | $6.004,33 | 2402 / 153 |
Heart Failure & Shock W Cc | 22 | 256 / 100 | $27.259,70 | 1822 / 65 | $9.006,82 | 2483 / 156 | $8.185,00 | 2477 / 158 |
Heart Failure & Shock W Mcc | 18 | 266 / 97 | $30.270,80 | 1101 / 20 | $12.639,70 | 2302 / 151 | $11.853,00 | 2292 / 155 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 49 | $17.989,80 | 1147 / 39 | $6.802,16 | 1880 / 122 | $6.277,53 | 1867 / 125 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 105 | $17.160,70 | 1241 / 17 | $7.491,95 | 2501 / 157 | $6.737,35 | 2490 / 160 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 61 | $31.651,90 | 1132 / 30 | $10.550,50 | 1961 / 130 | $9.757,85 | 1955 / 139 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 54 | $72.142,10 | 1178 / 47 | $18.650,40 | 1506 / 119 | $17.659,30 | 1492 / 122 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 130 | $57.145,70 | 2015 / 60 | $14.627,70 | 2228 / 146 | $13.258,90 | 2188 / 145 |
Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 91 | $32.130,00 | 2066 / 67 | $8.792,08 | 2541 / 150 | $7.992,08 | 2532 / 153 | Total 12 procedures | 189 | 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.