Hospital Costs > In South Carolina > Mcleod Loris Seacoast Hospital, 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 | 218 | 298 / 12 | $41.037,50 | 1360 / 21 | $10.726,40 | 492 / 17 | $9.499,04 | 492 / 13 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 154 | 410 / 22 | $65.439,30 | 1871 / 28 | $11.946,00 | 520 / 5 | $10.346,30 | 516 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 79 | 128 / 10 | $24.778,60 | 1231 / 18 | $6.305,71 | 275 / 14 | $4.958,41 | 274 / 9 |
Pulmonary Edema & Respiratory Failure | 70 | 133 / 12 | $29.713,20 | 1026 / 22 | $6.808,36 | 111 / 4 | $5.712,97 | 111 / 4 |
Heart Failure & Shock W Mcc | 63 | 221 / 21 | $30.617,60 | 1121 / 19 | $7.865,65 | 64 / 3 | $6.833,35 | 64 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 61 | 214 / 18 | $21.666,60 | 1579 / 27 | $4.143,25 | 83 / 4 | $2.910,03 | 83 / 6 |
Renal Failure W Cc | 56 | 165 / 17 | $21.533,30 | 1126 / 20 | $5.257,14 | 100 / 4 | $4.180,54 | 100 / 4 |
Heart Failure & Shock W Cc | 50 | 228 / 23 | $23.319,10 | 1522 / 27 | $5.646,86 | 96 / 8 | $4.337,24 | 96 / 4 |
G.I. Hemorrhage W Cc | 39 | 179 / 24 | $23.634,70 | 1090 / 21 | $5.395,49 | 56 / 3 | $4.220,67 | 56 / 4 |
Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 24 | $29.202,50 | 986 / 8 | $7.902,11 | 198 / 6 | $6.832,32 | 198 / 5 |
Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 27 | $19.825,80 | 1558 / 29 | $4.218,12 | 62 / 5 | $3.055,45 | 62 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 17 | $15.957,50 | 1096 / 23 | $3.374,66 | 64 / 5 | $1.868,25 | 64 / 3 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 16 | $56.379,70 | 1256 / 23 | $10.968,20 | 345 / 8 | $9.818,10 | 344 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 18 | $20.489,90 | 1090 / 16 | $4.590,07 | 39 / 6 | $3.113,57 | 39 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 11 | $39.364,60 | 786 / 14 | $8.903,97 | 119 / 4 | $7.984,77 | 119 / 4 |
Renal Failure W Mcc | 29 | 166 / 26 | $37.300,40 | 1171 / 23 | $9.150,66 | 416 / 13 | $7.941,10 | 416 / 12 |
Cellulitis W/O Mcc | 28 | 161 / 22 | $17.555,80 | 1194 / 16 | $4.506,89 | 105 / 3 | $3.409,14 | 105 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 24 | $28.971,20 | 1084 / 26 | $5.638,15 | 63 / 3 | $4.448,31 | 63 / 4 |
Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 34 | $20.724,80 | 1204 / 16 | $5.235,96 | 146 / 3 | $4.226,96 | 146 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 16 | $32.220,20 | 1054 / 17 | $6.662,14 | 228 / 2 | $5.925,76 | 228 / 5 |
G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 6 | $18.624,00 | 760 / 18 | $4.201,95 | 15 / 15 | $2.002,52 | 15 / 1 |
Diabetes W Cc | 20 | 72 / 17 | $16.762,20 | 465 / 3 | $4.499,75 | 38 / 2 | $3.393,60 | 38 / 1 |
Transient Ischemia | 19 | 106 / 19 | $17.185,50 | 428 / 6 | $4.581,74 | 3 / 12 | $2.248,21 | 3 / 1 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 20 | $48.061,60 | 568 / 5 | $12.330,20 | 245 / 4 | $11.722,50 | 243 / 6 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 26 | $33.695,60 | 1312 / 26 | $7.967,28 | 1309 / 29 | $7.030,89 | 1305 / 31 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 16 | $61.950,80 | 678 / 7 | $15.681,90 | 731 / 6 | $14.461,00 | 723 / 15 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 17 | $111.565,00 | 633 / 8 | $31.711,60 | 592 / 11 | $30.281,10 | 587 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 29 | $17.733,10 | 1293 / 22 | $3.833,44 | 100 / 4 | $2.837,00 | 100 / 5 |
Syncope & Collapse | 16 | 153 / 24 | $19.696,40 | 826 / 13 | $4.234,19 | 17 / 4 | $2.726,69 | 17 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 37 | $32.824,20 | 1638 / 27 | $6.449,62 | 195 / 4 | $5.409,06 | 195 / 4 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 23 | $14.850,70 | 760 / 11 | $4.308,80 | 52 / 9 | $2.678,67 | 52 / 3 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 15 | $22.141,40 | 501 / 8 | $5.388,60 | 43 / 3 | $4.093,33 | 43 / 3 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 10 | $40.025,10 | 303 / 4 | $8.897,43 | 129 / 1 | $7.729,29 | 129 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 22 | $22.765,90 | 770 / 19 | $4.246,86 | 7 / 3 | $2.588,07 | 7 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 19 | $26.174,60 | 580 / 8 | $5.142,71 | 15 / 2 | $4.206,71 | 15 / 2 |
G.I. Hemorrhage W Mcc | 14 | 107 / 22 | $33.144,90 | 431 / 6 | $8.389,64 | 5 / 1 | $7.320,00 | 5 / 1 |
G.I. Obstruction W Cc | 14 | 78 / 16 | $21.827,60 | 783 / 7 | $4.839,64 | 105 / 2 | $3.790,57 | 104 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 34 | $21.290,90 | 1143 / 16 | $5.148,14 | 17 / 4 | $3.594,43 | 17 / 1 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 11 | $152.926,00 | 542 / 4 | $40.942,20 | 639 / 10 | $39.587,20 | 638 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 22 | $30.278,40 | 973 / 19 | $6.889,38 | 658 / 10 | $6.318,77 | 655 / 15 |
Chest Pain | 13 | 138 / 18 | $19.200,20 | 862 / 14 | $3.280,92 | 72 / 3 | $2.282,23 | 72 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 20 | $18.310,10 | 1056 / 17 | $3.864,33 | 76 / 3 | $2.650,92 | 76 / 3 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 7 | $24.473,10 | 212 / 3 | $5.974,64 | 2 / 2 | $3.631,82 | 2 / 1 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 34 | $19.296,00 | 833 / 13 | $4.350,91 | 57 / 1 | $3.290,18 | 57 / 4 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 12 | $15.647,60 | 149 / 4 | $3.934,73 | 154 / 2 | $3.455,82 | 153 / 5 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 13 | $59.103,40 | 699 / 17 | $9.699,64 | 269 / 7 | $8.381,36 | 268 / 8 | Total 46 procedures | 1.498 | 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.