Hospital Costs > In Florida > Memorial Hospital Miramar, 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 | 23 | 53 / 24 | $34.435,40 | 806 / 57 | $8.475,52 | 969 / 95 | $7.423,70 | 965 / 96 |
Cellulitis W/O Mcc | 23 | 166 / 74 | $27.863,80 | 2041 / 83 | $8.297,39 | 2427 / 154 | $7.298,43 | 2419 / 156 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 83 | $44.833,60 | 2159 / 116 | $8.935,71 | 2247 / 155 | $8.070,19 | 2240 / 157 |
Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 96 | $49.503,00 | 2171 / 100 | $9.944,14 | 2251 / 147 | $9.080,14 | 2243 / 152 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 109 | $41.412,00 | 2500 / 126 | $7.770,59 | 2539 / 156 | $6.812,79 | 2524 / 160 |
G.I. Hemorrhage W Cc | 15 | 203 / 88 | $50.103,70 | 2166 / 115 | $9.357,53 | 2211 / 146 | $8.476,47 | 2207 / 150 |
Heart Failure & Shock W Cc | 16 | 262 / 106 | $35.768,40 | 2209 / 98 | $8.597,25 | 2365 / 149 | $7.617,25 | 2359 / 151 |
Heart Failure & Shock W Mcc | 25 | 259 / 93 | $62.110,90 | 2226 / 109 | $12.739,60 | 2316 / 153 | $11.967,80 | 2306 / 156 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 62 | $62.542,50 | 1419 / 50 | $15.078,20 | 1691 / 129 | $13.963,10 | 1672 / 132 |
Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 88 | $29.951,00 | 2214 / 97 | $7.715,83 | 2512 / 159 | $6.823,64 | 2501 / 162 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 33 | 531 / 108 | $63.300,80 | 1815 / 50 | $16.471,10 | 2291 / 144 | $15.300,70 | 2247 / 147 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 47 | $46.362,50 | 1430 / 79 | $10.059,50 | 1477 / 102 | $9.266,73 | 1474 / 106 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 54 | $47.174,90 | 1694 / 74 | $11.056,30 | 1824 / 137 | $9.019,32 | 1819 / 129 |
Red Blood Cell Disorders W/O Mcc | 43 | 100 / 41 | $61.493,70 | 1973 / 150 | $8.143,21 | 1792 / 141 | $6.901,91 | 1783 / 142 |
Renal Failure W Cc | 24 | 197 / 91 | $41.514,80 | 2088 / 109 | $8.781,46 | 2166 / 151 | $7.822,79 | 2156 / 152 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 40 | 476 / 115 | $79.776,70 | 2430 / 104 | $15.003,20 | 2397 / 151 | $14.223,60 | 2354 / 156 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 82 | $42.741,40 | 2403 / 101 | $8.955,65 | 2543 / 154 | $8.005,39 | 2534 / 154 |
Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 72 | $75.967,60 | 2305 / 123 | $12.394,10 | 2259 / 144 | $11.787,30 | 2253 / 149 | Total 18 procedures | 443 | 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.