Hospital Costs > In Florida > Lehigh Regional Medical Center, 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 | 73 | 443 / 99 | $87.497,10 | 2519 / 115 | $10.737,20 | 445 / 62 | $9.429,03 | 445 / 47 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 47 | 517 / 100 | $95.422,80 | 2418 / 116 | $11.993,40 | 599 / 26 | $10.467,90 | 593 / 63 |
| Heart Failure & Shock W Mcc | 41 | 243 / 84 | $52.776,10 | 2065 / 89 | $8.160,46 | 181 / 28 | $7.205,80 | 181 / 17 |
| Pulmonary Edema & Respiratory Failure | 39 | 164 / 38 | $39.151,70 | 1481 / 55 | $6.955,90 | 468 / 26 | $6.306,05 | 468 / 54 |
| Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 79 | $36.653,80 | 1819 / 64 | $6.626,50 | 560 / 40 | $5.829,50 | 559 / 64 |
| Heart Failure & Shock W Cc | 31 | 247 / 94 | $37.034,50 | 2240 / 104 | $5.676,03 | 587 / 51 | $4.976,16 | 587 / 61 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 110 | $33.409,70 | 2295 / 101 | $4.436,11 | 640 / 49 | $3.522,68 | 636 / 65 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 101 | $33.075,80 | 2316 / 107 | $4.559,27 | 308 / 59 | $3.446,65 | 308 / 41 |
| G.I. Hemorrhage W Cc | 25 | 193 / 81 | $41.256,00 | 1984 / 94 | $5.783,56 | 181 / 46 | $4.535,40 | 181 / 26 |
| Cellulitis W/O Mcc | 24 | 165 / 73 | $26.965,60 | 1990 / 75 | $4.875,12 | 598 / 41 | $3.969,79 | 595 / 62 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 71 | $31.092,80 | 1783 / 114 | $3.556,45 | 286 / 57 | $2.248,82 | 284 / 40 |
| Renal Failure W Cc | 22 | 199 / 93 | $39.078,20 | 2017 / 97 | $5.472,55 | 559 / 39 | $4.812,18 | 555 / 70 |
| Syncope & Collapse | 19 | 150 / 84 | $35.153,50 | 1587 / 96 | $4.346,47 | 465 / 45 | $3.516,16 | 463 / 68 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 78 | $49.510,60 | 1903 / 71 | $8.207,32 | 554 / 40 | $7.385,42 | 554 / 61 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 76 | $53.531,60 | 2320 / 107 | $6.153,06 | 636 / 42 | $5.344,17 | 634 / 68 |
| Atherosclerosis W/O Mcc | 16 | 42 / 16 | $32.615,40 | 475 / 47 | $3.716,44 | / 23 | $2.884,44 | / |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 59 | $78.151,70 | 1681 / 76 | $10.755,20 | 403 / 31 | $9.927,19 | 402 / 57 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 89 | $41.268,10 | 2367 / 97 | $5.546,20 | 412 / 38 | $4.575,53 | 409 / 46 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 51 | $58.796,60 | 1306 / 57 | $9.063,80 | 166 / 21 | $8.184,87 | 166 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 77 | $32.456,70 | 1724 / 89 | $4.503,13 | 212 / 30 | $3.486,13 | 212 / 34 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 90 | $36.182,70 | 1960 / 95 | $5.461,29 | 654 / 50 | $4.681,86 | 652 / 69 |
| Chest Pain | 13 | 138 / 72 | $33.024,00 | 1464 / 103 | $3.692,77 | 517 / 40 | $2.949,38 | 514 / 68 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 80 | $26.555,40 | 1967 / 81 | $4.360,33 | 204 / 67 | $3.013,42 | 204 / 32 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 24 | $24.395,50 | 634 / 31 | $3.857,67 | 86 / 23 | $2.852,33 | 86 / 15 |
| Renal Failure W Mcc | 11 | 184 / 82 | $70.082,20 | 1891 / 116 | $8.856,00 | 597 / 61 | $8.201,36 | 597 / 77 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 55 | $37.089,80 | 1223 / 52 | $6.634,00 | 203 / 21 | $5.863,09 | 203 / 26 | Total 26 procedures | 616 | 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.