Hospital Costs > In South Carolina > Mary Black Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 8 | $33.248,70 | 782 / 13 | $5.363,32 | 220 / 3 | $4.151,11 | 217 / 6 |
Bronchitis & Asthma W/O Cc/Mcc | 17 | 28 / 2 | $24.366,20 | 256 / 4 | $4.429,06 | 37 / 4 | $2.525,24 | 37 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 19 | $43.139,70 | 1967 / 37 | $5.186,22 | 246 / 17 | $3.545,11 | 246 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 20 | $63.058,90 | 1718 / 27 | $8.175,80 | 211 / 20 | $5.885,87 | 211 / 4 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 28 | $34.281,70 | 1852 / 36 | $3.610,46 | 454 / 9 | $2.403,69 | 451 / 10 |
Cellulitis W/O Mcc | 30 | 159 / 21 | $37.046,10 | 2347 / 43 | $5.288,13 | 616 / 12 | $3.987,13 | 613 / 15 |
Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 16 | $116.264,00 | 818 / 21 | $12.214,10 | 79 / 2 | $10.232,80 | 79 / 2 |
Chest Pain | 37 | 114 / 8 | $41.368,80 | 1613 / 28 | $3.828,73 | 357 / 6 | $2.761,05 | 356 / 9 |
Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 29 | $38.313,00 | 2032 / 39 | $5.807,68 | 342 / 14 | $4.366,79 | 341 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 80 | 122 / 9 | $51.520,60 | 2215 / 42 | $6.977,20 | 417 / 12 | $5.704,71 | 416 / 11 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 15 | $32.889,30 | 1790 / 38 | $4.733,78 | 410 / 20 | $3.238,67 | 409 / 11 |
Diabetes W Cc | 12 | 80 / 23 | $33.893,50 | 1285 / 26 | $5.532,58 | 210 / 14 | $3.851,00 | 210 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 28 | $48.036,90 | 2630 / 48 | $5.008,27 | 564 / 26 | $3.454,49 | 562 / 15 |
G.I. Hemorrhage W Cc | 15 | 203 / 36 | $45.684,50 | 2080 / 42 | $5.799,07 | 195 / 9 | $4.553,73 | 195 / 7 |
Heart Failure & Shock W Cc | 21 | 257 / 33 | $41.934,20 | 2384 / 46 | $5.794,24 | 486 / 12 | $4.885,48 | 486 / 16 |
Heart Failure & Shock W Mcc | 28 | 256 / 33 | $75.200,20 | 2412 / 47 | $9.149,75 | 736 / 26 | $7.979,46 | 736 / 22 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 19 | $78.823,60 | 1688 / 32 | $11.135,20 | 504 / 12 | $10.069,70 | 503 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 21 | $51.873,00 | 1779 / 39 | $6.393,53 | 549 / 12 | $5.269,16 | 548 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 24 | $40.132,80 | 1368 / 33 | $4.713,25 | 586 / 7 | $3.722,58 | 582 / 15 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 28 | $67.133,50 | 1870 / 37 | $7.104,69 | 598 / 18 | $5.820,44 | 597 / 15 |
Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 23 | $35.935,80 | 2405 / 47 | $4.759,55 | 457 / 13 | $3.590,45 | 457 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 134 | 430 / 24 | $121.494,00 | 2602 / 44 | $13.222,00 | 799 / 23 | $10.758,00 | 785 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 22 | $36.339,20 | 2287 / 45 | $4.338,87 | 509 / 11 | $3.315,00 | 507 / 12 |
Pulmonary Edema & Respiratory Failure | 56 | 147 / 16 | $51.782,10 | 1786 / 39 | $7.367,75 | 233 / 15 | $5.994,30 | 233 / 8 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $43.404,40 | 1099 / 25 | $6.153,64 | 165 / 8 | $4.519,36 | 165 / 7 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 31 | $41.283,10 | 1786 / 37 | $5.666,29 | 11 / 28 | $2.928,71 | 11 / 2 |
Renal Failure W Cc | 23 | 198 / 31 | $45.535,20 | 2171 / 45 | $5.852,74 | 769 / 12 | $4.977,61 | 762 / 21 |
Renal Failure W Mcc | 21 | 174 / 30 | $84.964,50 | 2032 / 40 | $11.267,20 | 1478 / 33 | $10.206,80 | 1477 / 34 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 15 | $48.085,80 | 1121 / 19 | $7.528,92 | 136 / 4 | $6.599,25 | 136 / 3 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 23 | $75.242,30 | 1459 / 26 | $10.869,60 | 393 / 3 | $10.244,60 | 392 / 7 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 23 | $97.969,50 | 1497 / 30 | $13.013,20 | 428 / 8 | $12.253,50 | 423 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 21 | 495 / 42 | $74.617,00 | 2350 / 45 | $10.627,00 | 785 / 13 | $9.888,95 | 784 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 38 | $56.124,10 | 2357 / 44 | $6.162,62 | 108 / 10 | $4.660,23 | 108 / 5 |
Signs & Symptoms W/O Mcc | 24 | 67 / 11 | $41.130,80 | 1244 / 24 | $4.312,92 | 471 / 5 | $3.617,58 | 470 / 12 |
Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 13 | $50.017,70 | 2559 / 50 | $6.000,48 | 276 / 18 | $4.437,39 | 275 / 8 |
Simple Pneumonia & Pleurisy W Mcc | 64 | 141 / 12 | $66.406,50 | 2193 / 41 | $8.466,59 | 722 / 13 | $7.586,02 | 722 / 17 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 10 | $34.628,80 | 1724 / 35 | $4.447,76 | 714 / 10 | $3.431,48 | 710 / 18 |
Spinal Fusion Except Cervical W/O Mcc | 51 | 143 / 14 | $265.904,00 | 1345 / 27 | $26.156,50 | 528 / 16 | $21.960,20 | 525 / 16 |
Syncope & Collapse | 33 | 136 / 17 | $39.706,90 | 1690 / 33 | $4.561,21 | 315 / 10 | $3.357,24 | 313 / 8 |
Transient Ischemia | 21 | 104 / 17 | $43.330,90 | 1494 / 29 | $4.380,29 | 391 / 7 | $3.255,33 | 390 / 10 | Total 40 procedures | 1.188 | 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.