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Lawnwood Regional Medical Center & Heart Institute, procedure costs

1700 S 23Rd St, Fort Pierce, FL 34950,

Procedure Costs @ Lawnwood Regional Medical Center & Heart Institute
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 Mcc196320 / 46$124.556,002758 / 160$12.311,701343 / 117$10.716,401317 / 105
Chest Pain17414 / 3$36.615,101530 / 117$4.598,911079 / 96$3.697,391072 / 105
Syncope & Collapse12448 / 16$48.238,301827 / 134$5.353,701125 / 103$4.262,541118 / 107
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc109166 / 55$42.856,102537 / 132$5.363,291749 / 115$4.399,391736 / 125
Heart Failure & Shock W Cc107171 / 42$48.366,402521 / 136$6.788,821417 / 117$5.665,981412 / 108
Heart Failure & Shock W Mcc107177 / 40$69.207,002332 / 126$9.677,101284 / 112$8.694,651281 / 108
Circulatory Disorders Except Ami, W Card Cath W/O Mcc10484 / 17$59.564,601380 / 90$7.296,261013 / 82$6.363,641010 / 102
Renal Failure W Mcc94101 / 20$74.634,901955 / 130$10.396,401191 / 111$9.395,491191 / 114
Chronic Obstructive Pulmonary Disease W Cc9188 / 32$46.531,902193 / 124$6.739,711404 / 120$5.386,141399 / 116
Kidney & Urinary Tract Infections W/O Mcc85148 / 56$47.983,502626 / 159$5.581,241802 / 123$4.692,801791 / 127
Renal Failure W Cc81140 / 47$49.281,802245 / 132$6.426,491439 / 102$5.667,191430 / 120
Chronic Obstructive Pulmonary Disease W Mcc77125 / 42$51.110,402208 / 105$7.824,451445 / 109$6.763,421439 / 118
G.I. Hemorrhage W Cc75143 / 40$61.746,202327 / 145$7.050,611464 / 113$5.908,591460 / 116
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs74108 / 20$67.726,801971 / 123$7.421,781201 / 96$6.146,891198 / 100
Acute Myocardial Infarction, Discharged Alive W Mcc6857 / 7$94.670,101677 / 113$10.976,10934 / 84$10.089,40932 / 88
Transient Ischemia6758 / 23$49.418,801569 / 120$5.189,96962 / 87$3.977,04957 / 94
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc6783 / 34$31.103,801784 / 115$4.460,181410 / 106$3.308,521404 / 114
Acute Myocardial Infarction, Discharged Alive W Cc6626 / 2$65.957,801345 / 92$7.353,76798 / 77$6.129,64796 / 80
Cellulitis W/O Mcc65124 / 41$43.280,302478 / 147$6.218,851434 / 125$4.654,651427 / 112
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc63144 / 39$68.245,602480 / 137$7.168,111584 / 96$6.403,161577 / 114
Intracranial Hemorrhage Or Cerebral Infarction W Mcc61107 / 18$121.275,001580 / 108$11.120,00754 / 71$10.051,10753 / 77
Medical Back Problems W/O Mcc6061 / 23$53.230,401433 / 128$7.537,82608 / 117$4.421,65606 / 79
Simple Pneumonia & Pleurisy W Cc59144 / 50$54.177,802630 / 133$6.663,021766 / 113$5.803,901758 / 124
Other Circulatory System Diagnoses W Mcc5858 / 11$90.033,901214 / 88$11.826,00470 / 63$10.649,10469 / 66
Cardiac Arrhythmia & Conduction Disorders W Cc58103 / 41$48.599,702047 / 137$5.859,211272 / 114$4.598,411267 / 112
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc56110 / 42$37.244,702310 / 124$5.207,931496 / 112$4.065,791491 / 111
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc5664 / 31$34.789,601839 / 110$5.259,411377 / 107$4.203,361366 / 115
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc52144 / 40$111.675,001265 / 82$13.589,40756 / 74$11.418,30751 / 85
Respiratory System Diagnosis W Ventilator Support <96 Hours5081 / 21$153.107,001781 / 128$17.443,30863 / 113$13.581,60855 / 89
Red Blood Cell Disorders W/O Mcc4994 / 35$49.824,601905 / 143$5.612,391064 / 96$4.600,901057 / 96
Hip & Femur Procedures Except Major Joint W Cc4895 / 31$106.553,001931 / 120$12.130,101054 / 91$11.154,101040 / 101
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc4680 / 18$43.032,401365 / 72$7.780,39781 / 83$6.550,33778 / 75
Seizures W/O Mcc4563 / 15$42.901,901165 / 92$5.439,40680 / 72$4.461,98677 / 77
Diabetes W Cc4250 / 16$37.864,101358 / 80$5.776,401044 / 82$5.245,361040 / 95
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc41523 / 104$105.785,002538 / 132$15.553,10989 / 129$11.031,20969 / 93
Simple Pneumonia & Pleurisy W Mcc38167 / 60$67.314,302208 / 106$9.570,131252 / 108$8.223,391252 / 104
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3787 / 27$287.886,001491 / 101$31.083,90576 / 49$30.146,50571 / 65
Extracranial Procedures W/O Cc/Mcc3761 / 16$91.672,40913 / 62$7.951,14494 / 54$5.730,38493 / 52
Coronary Bypass W Cardiac Cath W/O Mcc3541 / 9$305.295,00589 / 38$39.621,1065 / 42$22.405,7065 / 8
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc3534 / 6$140.939,00545 / 40$11.546,90339 / 26$10.823,70338 / 38
Atherosclerosis W/O Mcc3424 / 4$37.685,40509 / 52$4.558,12 / 49$3.847,53 /
Heart Failure & Shock W/O Cc/Mcc3476 / 35$35.691,901829 / 109$4.954,061218 / 94$3.994,061208 / 93
Kidney & Urinary Tract Infections W Mcc34110 / 49$69.598,001890 / 135$7.322,791162 / 94$6.681,851158 / 106
G.I. Hemorrhage W Mcc3190 / 31$66.349,001287 / 74$10.925,90695 / 77$10.215,20695 / 82
Cardiac Arrhythmia & Conduction Disorders W Mcc3192 / 36$62.489,801713 / 104$8.225,77923 / 95$7.011,58920 / 88
Septicemia Or Severe Sepsis W Mv 96+ Hours3062 / 16$265.163,00933 / 63$33.307,90246 / 33$32.323,30245 / 37
Poisoning & Toxic Effects Of Drugs W Mcc3042 / 10$92.465,50942 / 72$9.784,57602 / 54$9.141,37600 / 66
Other Vascular Procedures W Mcc2968 / 21$140.291,00833 / 68$19.004,80239 / 38$18.232,40238 / 45
Seizures W Mcc2739 / 10$100.427,00731 / 65$9.841,59163 / 42$8.184,85163 / 34
Traumatic Stupor & Coma, Coma <1 Hr W Cc2739 / 12$82.376,60517 / 48$8.787,00226 / 40$6.376,93226 / 36
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc2628 / 8$58.338,40391 / 35$8.471,46145 / 33$3.941,85145 / 23
Signs & Symptoms W/O Mcc2665 / 25$38.314,801187 / 95$5.580,31701 / 91$4.034,85698 / 82
Major Cardiovasc Procedures W Mcc2543 / 10$192.442,00496 / 39$31.842,4088 / 27$27.577,7088 / 15
Hypertension W/O Mcc2441 / 25$45.597,10764 / 89$4.644,62469 / 60$3.637,96467 / 71
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc23101 / 14$37.618,60769 / 52$5.339,43310 / 47$3.827,70310 / 38
Other Digestive System Diagnoses W Cc2374 / 34$42.854,501175 / 74$6.646,04711 / 83$5.589,22707 / 85
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2373 / 33$53.955,801211 / 78$7.887,48771 / 70$7.307,30766 / 88
Other Circulatory System Diagnoses W Cc2244 / 14$45.023,80572 / 47$6.518,05381 / 40$5.968,23380 / 46
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2280 / 35$62.798,301570 / 110$5.858,36989 / 83$4.318,95985 / 87
Other Disorders Of Nervous System W Mcc2218 / 4$110.767,00307 / 24$12.909,00105 / 22$9.160,55105 / 15
G.I. Obstruction W Cc2270 / 37$56.377,101650 / 122$6.122,731101 / 87$5.300,911098 / 102
Other Vascular Procedures W Cc2280 / 27$131.223,001016 / 65$15.427,10431 / 42$14.552,90428 / 55
Peripheral Vascular Disorders W Cc2262 / 31$44.088,301076 / 87$6.452,82499 / 74$5.343,86497 / 73
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc2141 / 21$41.676,40741 / 84$5.346,38456 / 62$4.419,90454 / 67
Respiratory System Diagnosis W Ventilator Support 96+ Hours2150 / 17$260.319,00875 / 71$29.563,60273 / 33$28.789,50273 / 43
Red Blood Cell Disorders W Mcc2150 / 23$69.046,001018 / 84$8.221,71508 / 56$7.531,43506 / 61
Permanent Cardiac Pacemaker Implant W Cc2057 / 25$107.113,00804 / 64$17.311,80263 / 64$14.390,80262 / 51
Poisoning & Toxic Effects Of Drugs W/O Mcc2041 / 16$41.729,90862 / 77$4.699,85552 / 54$4.039,05551 / 64
Simple Pneumonia & Pleurisy W/O Cc/Mcc2073 / 38$50.070,701904 / 129$5.458,801184 / 105$3.883,901178 / 97
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc2033 / 12$58.941,60824 / 64$5.489,95607 / 48$4.704,35603 / 58
Disorders Of Pancreas Except Malignancy W Cc1942 / 18$78.122,70948 / 65$6.338,68533 / 43$5.385,42531 / 54
Major Cardiovasc Procedures W/O Mcc1883 / 35$145.148,00859 / 50$20.198,30396 / 38$19.332,60396 / 58
Major Small & Large Bowel Procedures W Mcc1867 / 29$378.727,001267 / 94$34.172,30768 / 69$33.120,10766 / 77
Pulmonary Edema & Respiratory Failure18185 / 56$55.343,301854 / 93$8.053,391154 / 90$7.171,171152 / 97
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1846 / 13$427.491,00461 / 39$54.232,40110 / 11$53.492,90110 / 15
Hip & Femur Procedures Except Major Joint W Mcc1745 / 18$157.707,00895 / 65$18.238,40441 / 48$17.673,70438 / 53
Dysequilibrium1748 / 26$44.216,80533 / 69$4.648,76318 / 51$3.654,88318 / 61
Psychoses17258 / 27$34.602,60517 / 43$7.667,76257 / 36$5.728,00257 / 34
Urinary Stones W/O Esw Lithotripsy W/O Mcc1729 / 14$35.898,90314 / 30$5.118,76215 / 38$3.776,00214 / 40
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc1727 / 12$50.229,80302 / 48$6.454,4794 / 41$3.912,3594 / 30
Other Disorders Of Nervous System W Cc1739 / 16$51.577,20563 / 45$6.187,35328 / 34$5.406,18328 / 40
Craniotomy & Endovascular Intracranial Procedures W Mcc1781 / 16$378.997,00504 / 37$39.602,80285 / 34$29.206,40285 / 28
Transurethral Procedures W Cc1625 / 12$71.770,10346 / 31$8.447,44135 / 31$6.843,94135 / 32
Coronary Bypass W Cardiac Cath W Mcc1640 / 12$388.288,00406 / 24$48.045,8097 / 21$38.213,2097 / 17
Respiratory Signs & Symptoms1630 / 13$43.040,60295 / 32$4.982,12172 / 24$4.245,12172 / 30
Renal Failure W/O Cc/Mcc1640 / 26$32.591,20760 / 61$4.659,06610 / 52$3.975,06609 / 61
G.I. Hemorrhage W/O Cc/Mcc1652 / 30$41.406,90934 / 94$5.076,31617 / 73$4.094,31613 / 78
Nonspecific Cerebrovascular Disorders W Cc1640 / 11$72.547,80456 / 41$6.695,56271 / 29$5.903,56271 / 29
Disorders Of The Biliary Tract W Cc1638 / 13$89.019,70473 / 39$7.082,50222 / 25$6.252,50222 / 30
Medical Back Problems W Mcc1623 / 9$107.608,00316 / 28$10.383,2094 / 19$8.791,8194 / 17
Bronchitis & Asthma W Cc/Mcc1561 / 31$47.017,50982 / 89$6.794,47458 / 77$4.694,80454 / 67
Respiratory Infections & Inflammations W Mcc15121 / 50$104.123,001673 / 101$12.285,30949 / 80$11.557,90939 / 85
Angina Pectoris1510 / 3$44.478,9066 / 12$4.648,6035 / 12$3.480,8735 / 12
Pulmonary Embolism W/O Mcc1559 / 28$45.919,901127 / 59$6.677,60847 / 54$5.948,00844 / 64
Traumatic Stupor & Coma, Coma <1 Hr W Mcc1536 / 10$126.293,00329 / 31$12.538,5081 / 16$10.854,2081 / 15
Extracranial Procedures W Cc1432 / 10$152.369,00371 / 29$10.194,00214 / 21$9.414,57214 / 28
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc1413 / 5$120.129,00134 / 8$10.795,1057 / 6$9.928,8657 / 6
Other Circulatory System O.R. Procedures1441 / 16$113.645,00353 / 21$16.227,00115 / 19$15.447,60115 / 21
G.I. Obstruction W/O Cc/Mcc1457 / 33$41.688,101249 / 93$4.571,29848 / 70$3.538,14845 / 79
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1441 / 21$134.509,00630 / 58$12.858,20352 / 40$11.829,60350 / 50
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1344 / 26$100.314,00656 / 59$13.402,60381 / 49$12.565,70380 / 55
Diabetes W/O Cc/Mcc1325 / 10$28.299,20247 / 24$4.351,08167 / 20$3.605,23167 / 24
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1352 / 25$216.863,00905 / 69$21.278,70578 / 55$20.348,20575 / 63
Other Kidney & Urinary Tract Diagnoses W Cc1390 / 28$44.581,90700 / 57$6.562,62390 / 46$5.819,23390 / 55
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc1334 / 13$41.053,40344 / 32$5.148,38167 / 25$4.215,46167 / 28
Organic Disturbances & Mental Retardation1346 / 25$41.151,60452 / 42$6.518,85181 / 39$5.585,92181 / 40
Cellulitis W Mcc1246 / 22$76.627,50898 / 65$9.415,17575 / 47$9.212,50573 / 58
Major Small & Large Bowel Procedures W Cc1296 / 45$183.118,001502 / 101$22.886,10133 / 104$12.106,80133 / 17
Peripheral Vascular Disorders W Mcc1237 / 18$91.568,30573 / 53$9.762,42375 / 43$9.162,42375 / 45
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1145 / 26$107.817,00900 / 72$10.392,90557 / 51$9.517,27555 / 61
G.I. Obstruction W Mcc1131 / 14$74.912,30474 / 38$9.898,00223 / 28$9.461,64223 / 35
Other Digestive System Diagnoses W Mcc1151 / 23$133.539,00751 / 64$12.774,80492 / 51$11.767,60491 / 54
Pleural Effusion W Mcc1119 / 12$93.141,40182 / 15$9.911,0995 / 11$9.253,6495 / 14
Circulatory Disorders Except Ami, W Card Cath W Mcc1182 / 32$91.105,20713 / 55$13.095,80373 / 47$11.990,40368 / 52
Respiratory Neoplasms W Mcc1141 / 18$99.218,10591 / 42$10.795,80301 / 32$10.246,00301 / 38
Cervical Spinal Fusion W/O Cc/Mcc1193 / 36$112.231,00812 / 55$15.399,20113 / 48$10.480,50113 / 12
Coronary Bypass W/O Cardiac Cath W/O Mcc1177 / 24$274.902,00580 / 37$29.261,40154 / 34$19.555,60153 / 16
Fever1135 / 20$56.676,70327 / 42$5.788,27168 / 26$5.130,82168 / 31
Total 118 procedures4.305discharges

DATA

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.