Hospital Costs > In Florida > Lakewood Ranch Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 159 | 405 / 59 | $92.578,40 | 2391 / 112 | $11.884,20 | 311 / 17 | $9.994,50 | 311 / 21 |
Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 84 | $28.899,50 | 2173 / 91 | $4.027,77 | 66 / 7 | $3.062,21 | 66 / 6 |
Heart Failure & Shock W Cc | 47 | 231 / 81 | $28.084,90 | 1859 / 70 | $5.198,77 | 102 / 8 | $4.351,11 | 102 / 14 |
G.I. Hemorrhage W Cc | 42 | 176 / 64 | $35.623,70 | 1808 / 70 | $5.347,31 | 92 / 8 | $4.342,36 | 92 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 41 | 475 / 114 | $58.277,30 | 2044 / 62 | $9.846,85 | 189 / 12 | $8.904,80 | 189 / 14 |
Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 69 | $29.134,60 | 1906 / 53 | $5.432,29 | 38 / 27 | $3.944,26 | 38 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 43 | $69.399,80 | 1537 / 64 | $10.580,30 | 257 / 23 | $9.637,34 | 256 / 32 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 62 | $17.050,80 | 1201 / 44 | $3.048,62 | 92 / 14 | $1.922,53 | 92 / 18 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 57 | $100.059,00 | 1163 / 63 | $11.268,00 | 298 / 9 | $10.135,60 | 298 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 108 | $30.526,40 | 2194 / 86 | $4.139,00 | 37 / 22 | $2.787,33 | 37 / 3 |
Transient Ischemia | 27 | 98 / 56 | $32.412,00 | 1253 / 65 | $3.851,48 | 22 / 18 | $2.518,59 | 22 / 3 |
Cellulitis W/O Mcc | 26 | 163 / 71 | $23.706,30 | 1795 / 64 | $4.450,58 | 69 / 11 | $3.333,04 | 69 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 68 | $25.524,90 | 1916 / 75 | $3.578,40 | 21 / 2 | $2.562,08 | 21 / 2 |
Renal Failure W Cc | 25 | 196 / 90 | $32.732,50 | 1822 / 78 | $4.939,52 | 94 / 4 | $4.166,40 | 94 / 11 |
Heart Failure & Shock W Mcc | 25 | 259 / 93 | $44.607,20 | 1839 / 74 | $8.190,04 | 336 / 32 | $7.465,56 | 336 / 37 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 59 | $41.123,10 | 1550 / 67 | $5.596,79 | 48 / 8 | $4.374,04 | 48 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 81 | $34.628,00 | 1899 / 87 | $4.871,83 | 111 / 4 | $4.032,87 | 111 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 74 | $37.069,60 | 1933 / 66 | $5.768,14 | 161 / 18 | $4.785,29 | 161 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 36 | $34.269,50 | 1217 / 59 | $4.027,71 | 79 / 7 | $2.936,67 | 78 / 13 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 18 | 37 / 17 | $83.221,00 | 514 / 37 | $10.484,00 | 41 / 2 | $9.410,22 | 41 / 5 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 41 | $29.232,50 | 1596 / 76 | $3.974,24 | 75 / 22 | $2.648,53 | 75 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 76 | $21.799,90 | 1193 / 48 | $4.127,00 | 71 / 4 | $3.219,00 | 71 / 9 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 49 | $36.501,10 | 637 / 6 | $9.720,50 | 54 / 1 | $9.116,50 | 54 / 4 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 69 | $28.885,60 | 1671 / 91 | $3.863,88 | 92 / 17 | $2.801,88 | 92 / 15 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 53 | $19.854,90 | 1280 / 47 | $3.649,60 | 34 / 18 | $2.604,27 | 34 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 51 | $39.142,00 | 1299 / 56 | $6.536,47 | 258 / 15 | $5.973,27 | 258 / 32 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 29 | $38.032,00 | 1021 / 48 | $5.595,50 | 27 / 22 | $3.944,36 | 27 / 4 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 72 | $43.628,70 | 1041 / 47 | $5.743,86 | 118 / 5 | $4.797,57 | 118 / 20 |
G.I. Obstruction W Cc | 14 | 78 / 44 | $33.412,90 | 1308 / 63 | $4.799,07 | 91 / 14 | $3.763,64 | 91 / 20 |
Medical Back Problems W/O Mcc | 12 | 109 / 60 | $32.989,80 | 1111 / 77 | $4.423,42 | 53 / 7 | $3.412,75 | 53 / 7 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 16 | $66.692,50 | 432 / 26 | $9.060,92 | 222 / 26 | $8.058,25 | 222 / 31 |
Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 85 | $38.736,50 | 1515 / 35 | $7.478,58 | 97 / 5 | $6.579,92 | 97 / 9 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 98 | $33.755,60 | 1675 / 52 | $6.038,92 | 61 / 5 | $5.030,92 | 61 / 3 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 56 | $64.838,60 | 1032 / 39 | $11.870,20 | 89 / 2 | $11.047,60 | 89 / 7 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 70 | $28.508,50 | 1432 / 80 | $4.320,91 | 312 / 13 | $3.768,18 | 311 / 38 |
Seizures W/O Mcc | 11 | 97 / 45 | $32.229,00 | 1006 / 63 | $4.109,18 | 13 / 9 | $2.789,91 | 13 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 59 | $56.012,00 | 1070 / 47 | $8.853,64 | 88 / 6 | $8.061,45 | 88 / 10 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 26 | $49.960,90 | 575 / 22 | $8.339,64 | 28 / 1 | $7.240,00 | 28 / 4 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 24 | $86.719,30 | 593 / 24 | $16.088,50 | 77 / 12 | $14.997,60 | 77 / 10 |
G.I. Hemorrhage W Mcc | 11 | 110 / 51 | $45.817,30 | 888 / 34 | $8.198,73 | 6 / 1 | $7.323,09 | 6 / 2 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 36 | $155.091,00 | 833 / 37 | $31.505,90 | 4 / 55 | $20.129,90 | 4 / 1 |
Renal Failure W Mcc | 11 | 184 / 82 | $45.718,20 | 1471 / 66 | $8.213,91 | 204 / 20 | $7.556,45 | 204 / 27 | Total 42 procedures | 1.019 | 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.