Hospital Costs > In Florida > Lawnwood Regional Medical Center & Heart Institute, 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 | 196 | 320 / 46 | $124.556,00 | 2758 / 160 | $12.311,70 | 1343 / 117 | $10.716,40 | 1317 / 105 |
Chest Pain | 174 | 14 / 3 | $36.615,10 | 1530 / 117 | $4.598,91 | 1079 / 96 | $3.697,39 | 1072 / 105 |
Syncope & Collapse | 124 | 48 / 16 | $48.238,30 | 1827 / 134 | $5.353,70 | 1125 / 103 | $4.262,54 | 1118 / 107 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 109 | 166 / 55 | $42.856,10 | 2537 / 132 | $5.363,29 | 1749 / 115 | $4.399,39 | 1736 / 125 |
Heart Failure & Shock W Cc | 107 | 171 / 42 | $48.366,40 | 2521 / 136 | $6.788,82 | 1417 / 117 | $5.665,98 | 1412 / 108 |
Heart Failure & Shock W Mcc | 107 | 177 / 40 | $69.207,00 | 2332 / 126 | $9.677,10 | 1284 / 112 | $8.694,65 | 1281 / 108 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 104 | 84 / 17 | $59.564,60 | 1380 / 90 | $7.296,26 | 1013 / 82 | $6.363,64 | 1010 / 102 |
Renal Failure W Mcc | 94 | 101 / 20 | $74.634,90 | 1955 / 130 | $10.396,40 | 1191 / 111 | $9.395,49 | 1191 / 114 |
Chronic Obstructive Pulmonary Disease W Cc | 91 | 88 / 32 | $46.531,90 | 2193 / 124 | $6.739,71 | 1404 / 120 | $5.386,14 | 1399 / 116 |
Kidney & Urinary Tract Infections W/O Mcc | 85 | 148 / 56 | $47.983,50 | 2626 / 159 | $5.581,24 | 1802 / 123 | $4.692,80 | 1791 / 127 |
Renal Failure W Cc | 81 | 140 / 47 | $49.281,80 | 2245 / 132 | $6.426,49 | 1439 / 102 | $5.667,19 | 1430 / 120 |
Chronic Obstructive Pulmonary Disease W Mcc | 77 | 125 / 42 | $51.110,40 | 2208 / 105 | $7.824,45 | 1445 / 109 | $6.763,42 | 1439 / 118 |
G.I. Hemorrhage W Cc | 75 | 143 / 40 | $61.746,20 | 2327 / 145 | $7.050,61 | 1464 / 113 | $5.908,59 | 1460 / 116 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 74 | 108 / 20 | $67.726,80 | 1971 / 123 | $7.421,78 | 1201 / 96 | $6.146,89 | 1198 / 100 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 68 | 57 / 7 | $94.670,10 | 1677 / 113 | $10.976,10 | 934 / 84 | $10.089,40 | 932 / 88 |
Transient Ischemia | 67 | 58 / 23 | $49.418,80 | 1569 / 120 | $5.189,96 | 962 / 87 | $3.977,04 | 957 / 94 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 67 | 83 / 34 | $31.103,80 | 1784 / 115 | $4.460,18 | 1410 / 106 | $3.308,52 | 1404 / 114 |
Acute Myocardial Infarction, Discharged Alive W Cc | 66 | 26 / 2 | $65.957,80 | 1345 / 92 | $7.353,76 | 798 / 77 | $6.129,64 | 796 / 80 |
Cellulitis W/O Mcc | 65 | 124 / 41 | $43.280,30 | 2478 / 147 | $6.218,85 | 1434 / 125 | $4.654,65 | 1427 / 112 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 63 | 144 / 39 | $68.245,60 | 2480 / 137 | $7.168,11 | 1584 / 96 | $6.403,16 | 1577 / 114 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 61 | 107 / 18 | $121.275,00 | 1580 / 108 | $11.120,00 | 754 / 71 | $10.051,10 | 753 / 77 |
Medical Back Problems W/O Mcc | 60 | 61 / 23 | $53.230,40 | 1433 / 128 | $7.537,82 | 608 / 117 | $4.421,65 | 606 / 79 |
Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 50 | $54.177,80 | 2630 / 133 | $6.663,02 | 1766 / 113 | $5.803,90 | 1758 / 124 |
Other Circulatory System Diagnoses W Mcc | 58 | 58 / 11 | $90.033,90 | 1214 / 88 | $11.826,00 | 470 / 63 | $10.649,10 | 469 / 66 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 58 | 103 / 41 | $48.599,70 | 2047 / 137 | $5.859,21 | 1272 / 114 | $4.598,41 | 1267 / 112 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 56 | 110 / 42 | $37.244,70 | 2310 / 124 | $5.207,93 | 1496 / 112 | $4.065,79 | 1491 / 111 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 56 | 64 / 31 | $34.789,60 | 1839 / 110 | $5.259,41 | 1377 / 107 | $4.203,36 | 1366 / 115 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 52 | 144 / 40 | $111.675,00 | 1265 / 82 | $13.589,40 | 756 / 74 | $11.418,30 | 751 / 85 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 50 | 81 / 21 | $153.107,00 | 1781 / 128 | $17.443,30 | 863 / 113 | $13.581,60 | 855 / 89 |
Red Blood Cell Disorders W/O Mcc | 49 | 94 / 35 | $49.824,60 | 1905 / 143 | $5.612,39 | 1064 / 96 | $4.600,90 | 1057 / 96 |
Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 31 | $106.553,00 | 1931 / 120 | $12.130,10 | 1054 / 91 | $11.154,10 | 1040 / 101 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 46 | 80 / 18 | $43.032,40 | 1365 / 72 | $7.780,39 | 781 / 83 | $6.550,33 | 778 / 75 |
Seizures W/O Mcc | 45 | 63 / 15 | $42.901,90 | 1165 / 92 | $5.439,40 | 680 / 72 | $4.461,98 | 677 / 77 |
Diabetes W Cc | 42 | 50 / 16 | $37.864,10 | 1358 / 80 | $5.776,40 | 1044 / 82 | $5.245,36 | 1040 / 95 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 104 | $105.785,00 | 2538 / 132 | $15.553,10 | 989 / 129 | $11.031,20 | 969 / 93 |
Simple Pneumonia & Pleurisy W Mcc | 38 | 167 / 60 | $67.314,30 | 2208 / 106 | $9.570,13 | 1252 / 108 | $8.223,39 | 1252 / 104 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 37 | 87 / 27 | $287.886,00 | 1491 / 101 | $31.083,90 | 576 / 49 | $30.146,50 | 571 / 65 |
Extracranial Procedures W/O Cc/Mcc | 37 | 61 / 16 | $91.672,40 | 913 / 62 | $7.951,14 | 494 / 54 | $5.730,38 | 493 / 52 |
Coronary Bypass W Cardiac Cath W/O Mcc | 35 | 41 / 9 | $305.295,00 | 589 / 38 | $39.621,10 | 65 / 42 | $22.405,70 | 65 / 8 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 35 | 34 / 6 | $140.939,00 | 545 / 40 | $11.546,90 | 339 / 26 | $10.823,70 | 338 / 38 |
Atherosclerosis W/O Mcc | 34 | 24 / 4 | $37.685,40 | 509 / 52 | $4.558,12 | / 49 | $3.847,53 | / |
Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 35 | $35.691,90 | 1829 / 109 | $4.954,06 | 1218 / 94 | $3.994,06 | 1208 / 93 |
Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 49 | $69.598,00 | 1890 / 135 | $7.322,79 | 1162 / 94 | $6.681,85 | 1158 / 106 |
G.I. Hemorrhage W Mcc | 31 | 90 / 31 | $66.349,00 | 1287 / 74 | $10.925,90 | 695 / 77 | $10.215,20 | 695 / 82 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 36 | $62.489,80 | 1713 / 104 | $8.225,77 | 923 / 95 | $7.011,58 | 920 / 88 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 30 | 62 / 16 | $265.163,00 | 933 / 63 | $33.307,90 | 246 / 33 | $32.323,30 | 245 / 37 |
Poisoning & Toxic Effects Of Drugs W Mcc | 30 | 42 / 10 | $92.465,50 | 942 / 72 | $9.784,57 | 602 / 54 | $9.141,37 | 600 / 66 |
Other Vascular Procedures W Mcc | 29 | 68 / 21 | $140.291,00 | 833 / 68 | $19.004,80 | 239 / 38 | $18.232,40 | 238 / 45 |
Seizures W Mcc | 27 | 39 / 10 | $100.427,00 | 731 / 65 | $9.841,59 | 163 / 42 | $8.184,85 | 163 / 34 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 27 | 39 / 12 | $82.376,60 | 517 / 48 | $8.787,00 | 226 / 40 | $6.376,93 | 226 / 36 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 26 | 28 / 8 | $58.338,40 | 391 / 35 | $8.471,46 | 145 / 33 | $3.941,85 | 145 / 23 |
Signs & Symptoms W/O Mcc | 26 | 65 / 25 | $38.314,80 | 1187 / 95 | $5.580,31 | 701 / 91 | $4.034,85 | 698 / 82 |
Major Cardiovasc Procedures W Mcc | 25 | 43 / 10 | $192.442,00 | 496 / 39 | $31.842,40 | 88 / 27 | $27.577,70 | 88 / 15 |
Hypertension W/O Mcc | 24 | 41 / 25 | $45.597,10 | 764 / 89 | $4.644,62 | 469 / 60 | $3.637,96 | 467 / 71 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 23 | 101 / 14 | $37.618,60 | 769 / 52 | $5.339,43 | 310 / 47 | $3.827,70 | 310 / 38 |
Other Digestive System Diagnoses W Cc | 23 | 74 / 34 | $42.854,50 | 1175 / 74 | $6.646,04 | 711 / 83 | $5.589,22 | 707 / 85 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 33 | $53.955,80 | 1211 / 78 | $7.887,48 | 771 / 70 | $7.307,30 | 766 / 88 |
Other Circulatory System Diagnoses W Cc | 22 | 44 / 14 | $45.023,80 | 572 / 47 | $6.518,05 | 381 / 40 | $5.968,23 | 380 / 46 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 35 | $62.798,30 | 1570 / 110 | $5.858,36 | 989 / 83 | $4.318,95 | 985 / 87 |
Other Disorders Of Nervous System W Mcc | 22 | 18 / 4 | $110.767,00 | 307 / 24 | $12.909,00 | 105 / 22 | $9.160,55 | 105 / 15 |
G.I. Obstruction W Cc | 22 | 70 / 37 | $56.377,10 | 1650 / 122 | $6.122,73 | 1101 / 87 | $5.300,91 | 1098 / 102 |
Other Vascular Procedures W Cc | 22 | 80 / 27 | $131.223,00 | 1016 / 65 | $15.427,10 | 431 / 42 | $14.552,90 | 428 / 55 |
Peripheral Vascular Disorders W Cc | 22 | 62 / 31 | $44.088,30 | 1076 / 87 | $6.452,82 | 499 / 74 | $5.343,86 | 497 / 73 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 21 | $41.676,40 | 741 / 84 | $5.346,38 | 456 / 62 | $4.419,90 | 454 / 67 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 21 | 50 / 17 | $260.319,00 | 875 / 71 | $29.563,60 | 273 / 33 | $28.789,50 | 273 / 43 |
Red Blood Cell Disorders W Mcc | 21 | 50 / 23 | $69.046,00 | 1018 / 84 | $8.221,71 | 508 / 56 | $7.531,43 | 506 / 61 |
Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 25 | $107.113,00 | 804 / 64 | $17.311,80 | 263 / 64 | $14.390,80 | 262 / 51 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 20 | 41 / 16 | $41.729,90 | 862 / 77 | $4.699,85 | 552 / 54 | $4.039,05 | 551 / 64 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 38 | $50.070,70 | 1904 / 129 | $5.458,80 | 1184 / 105 | $3.883,90 | 1178 / 97 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 20 | 33 / 12 | $58.941,60 | 824 / 64 | $5.489,95 | 607 / 48 | $4.704,35 | 603 / 58 |
Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 18 | $78.122,70 | 948 / 65 | $6.338,68 | 533 / 43 | $5.385,42 | 531 / 54 |
Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 35 | $145.148,00 | 859 / 50 | $20.198,30 | 396 / 38 | $19.332,60 | 396 / 58 |
Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 29 | $378.727,00 | 1267 / 94 | $34.172,30 | 768 / 69 | $33.120,10 | 766 / 77 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 56 | $55.343,30 | 1854 / 93 | $8.053,39 | 1154 / 90 | $7.171,17 | 1152 / 97 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 18 | 46 / 13 | $427.491,00 | 461 / 39 | $54.232,40 | 110 / 11 | $53.492,90 | 110 / 15 |
Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 18 | $157.707,00 | 895 / 65 | $18.238,40 | 441 / 48 | $17.673,70 | 438 / 53 |
Dysequilibrium | 17 | 48 / 26 | $44.216,80 | 533 / 69 | $4.648,76 | 318 / 51 | $3.654,88 | 318 / 61 |
Psychoses | 17 | 258 / 27 | $34.602,60 | 517 / 43 | $7.667,76 | 257 / 36 | $5.728,00 | 257 / 34 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 17 | 29 / 14 | $35.898,90 | 314 / 30 | $5.118,76 | 215 / 38 | $3.776,00 | 214 / 40 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 17 | 27 / 12 | $50.229,80 | 302 / 48 | $6.454,47 | 94 / 41 | $3.912,35 | 94 / 30 |
Other Disorders Of Nervous System W Cc | 17 | 39 / 16 | $51.577,20 | 563 / 45 | $6.187,35 | 328 / 34 | $5.406,18 | 328 / 40 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 17 | 81 / 16 | $378.997,00 | 504 / 37 | $39.602,80 | 285 / 34 | $29.206,40 | 285 / 28 |
Transurethral Procedures W Cc | 16 | 25 / 12 | $71.770,10 | 346 / 31 | $8.447,44 | 135 / 31 | $6.843,94 | 135 / 32 |
Coronary Bypass W Cardiac Cath W Mcc | 16 | 40 / 12 | $388.288,00 | 406 / 24 | $48.045,80 | 97 / 21 | $38.213,20 | 97 / 17 |
Respiratory Signs & Symptoms | 16 | 30 / 13 | $43.040,60 | 295 / 32 | $4.982,12 | 172 / 24 | $4.245,12 | 172 / 30 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 26 | $32.591,20 | 760 / 61 | $4.659,06 | 610 / 52 | $3.975,06 | 609 / 61 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 30 | $41.406,90 | 934 / 94 | $5.076,31 | 617 / 73 | $4.094,31 | 613 / 78 |
Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 11 | $72.547,80 | 456 / 41 | $6.695,56 | 271 / 29 | $5.903,56 | 271 / 29 |
Disorders Of The Biliary Tract W Cc | 16 | 38 / 13 | $89.019,70 | 473 / 39 | $7.082,50 | 222 / 25 | $6.252,50 | 222 / 30 |
Medical Back Problems W Mcc | 16 | 23 / 9 | $107.608,00 | 316 / 28 | $10.383,20 | 94 / 19 | $8.791,81 | 94 / 17 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 31 | $47.017,50 | 982 / 89 | $6.794,47 | 458 / 77 | $4.694,80 | 454 / 67 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 50 | $104.123,00 | 1673 / 101 | $12.285,30 | 949 / 80 | $11.557,90 | 939 / 85 |
Angina Pectoris | 15 | 10 / 3 | $44.478,90 | 66 / 12 | $4.648,60 | 35 / 12 | $3.480,87 | 35 / 12 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 28 | $45.919,90 | 1127 / 59 | $6.677,60 | 847 / 54 | $5.948,00 | 844 / 64 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 15 | 36 / 10 | $126.293,00 | 329 / 31 | $12.538,50 | 81 / 16 | $10.854,20 | 81 / 15 |
Extracranial Procedures W Cc | 14 | 32 / 10 | $152.369,00 | 371 / 29 | $10.194,00 | 214 / 21 | $9.414,57 | 214 / 28 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 14 | 13 / 5 | $120.129,00 | 134 / 8 | $10.795,10 | 57 / 6 | $9.928,86 | 57 / 6 |
Other Circulatory System O.R. Procedures | 14 | 41 / 16 | $113.645,00 | 353 / 21 | $16.227,00 | 115 / 19 | $15.447,60 | 115 / 21 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 33 | $41.688,10 | 1249 / 93 | $4.571,29 | 848 / 70 | $3.538,14 | 845 / 79 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 21 | $134.509,00 | 630 / 58 | $12.858,20 | 352 / 40 | $11.829,60 | 350 / 50 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 26 | $100.314,00 | 656 / 59 | $13.402,60 | 381 / 49 | $12.565,70 | 380 / 55 |
Diabetes W/O Cc/Mcc | 13 | 25 / 10 | $28.299,20 | 247 / 24 | $4.351,08 | 167 / 20 | $3.605,23 | 167 / 24 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 25 | $216.863,00 | 905 / 69 | $21.278,70 | 578 / 55 | $20.348,20 | 575 / 63 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 28 | $44.581,90 | 700 / 57 | $6.562,62 | 390 / 46 | $5.819,23 | 390 / 55 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 13 | 34 / 13 | $41.053,40 | 344 / 32 | $5.148,38 | 167 / 25 | $4.215,46 | 167 / 28 |
Organic Disturbances & Mental Retardation | 13 | 46 / 25 | $41.151,60 | 452 / 42 | $6.518,85 | 181 / 39 | $5.585,92 | 181 / 40 |
Cellulitis W Mcc | 12 | 46 / 22 | $76.627,50 | 898 / 65 | $9.415,17 | 575 / 47 | $9.212,50 | 573 / 58 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 45 | $183.118,00 | 1502 / 101 | $22.886,10 | 133 / 104 | $12.106,80 | 133 / 17 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 18 | $91.568,30 | 573 / 53 | $9.762,42 | 375 / 43 | $9.162,42 | 375 / 45 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 26 | $107.817,00 | 900 / 72 | $10.392,90 | 557 / 51 | $9.517,27 | 555 / 61 |
G.I. Obstruction W Mcc | 11 | 31 / 14 | $74.912,30 | 474 / 38 | $9.898,00 | 223 / 28 | $9.461,64 | 223 / 35 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $133.539,00 | 751 / 64 | $12.774,80 | 492 / 51 | $11.767,60 | 491 / 54 |
Pleural Effusion W Mcc | 11 | 19 / 12 | $93.141,40 | 182 / 15 | $9.911,09 | 95 / 11 | $9.253,64 | 95 / 14 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 32 | $91.105,20 | 713 / 55 | $13.095,80 | 373 / 47 | $11.990,40 | 368 / 52 |
Respiratory Neoplasms W Mcc | 11 | 41 / 18 | $99.218,10 | 591 / 42 | $10.795,80 | 301 / 32 | $10.246,00 | 301 / 38 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 36 | $112.231,00 | 812 / 55 | $15.399,20 | 113 / 48 | $10.480,50 | 113 / 12 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 24 | $274.902,00 | 580 / 37 | $29.261,40 | 154 / 34 | $19.555,60 | 153 / 16 |
Fever | 11 | 35 / 20 | $56.676,70 | 327 / 42 | $5.788,27 | 168 / 26 | $5.130,82 | 168 / 31 | Total 118 procedures | 4.305 | 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.