Hospital Costs > In Florida > Memorial Hospital West, 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 | 109 | 407 / 80 | $105.318,00 | 2679 / 146 | $13.401,30 | 1958 / 132 | $12.220,00 | 1922 / 135 |
Kidney & Urinary Tract Infections W/O Mcc | 105 | 128 / 44 | $32.935,60 | 2311 / 106 | $6.403,50 | 2018 / 142 | $5.042,58 | 2007 / 137 |
Red Blood Cell Disorders W/O Mcc | 103 | 43 / 9 | $41.078,50 | 1782 / 125 | $6.457,54 | 1484 / 124 | $5.425,57 | 1475 / 121 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 101 | 174 / 61 | $37.130,00 | 2406 / 115 | $6.065,87 | 2071 / 135 | $4.932,97 | 2057 / 136 |
Renal Failure W Cc | 90 | 131 / 39 | $39.623,90 | 2032 / 100 | $7.439,62 | 1844 / 129 | $6.510,92 | 1834 / 134 |
Heart Failure & Shock W Mcc | 90 | 194 / 48 | $59.548,70 | 2190 / 102 | $10.186,40 | 1590 / 123 | $9.255,40 | 1585 / 125 |
Cellulitis W/O Mcc | 84 | 105 / 27 | $33.040,20 | 2238 / 107 | $6.606,60 | 1931 / 131 | $5.419,98 | 1923 / 131 |
Pulmonary Edema & Respiratory Failure | 77 | 126 / 17 | $83.136,10 | 2148 / 138 | $9.678,91 | 1771 / 121 | $8.796,25 | 1766 / 124 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 75 | 489 / 89 | $67.043,20 | 1915 / 58 | $14.686,80 | 1586 / 119 | $12.288,00 | 1549 / 118 |
Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 39 | $47.467,00 | 2509 / 115 | $7.713,43 | 2052 / 136 | $6.269,86 | 2044 / 130 |
Heart Failure & Shock W Cc | 74 | 204 / 63 | $38.231,60 | 2271 / 106 | $7.263,32 | 1891 / 130 | $6.306,38 | 1886 / 130 |
Chronic Obstructive Pulmonary Disease W Mcc | 66 | 136 / 51 | $75.783,80 | 2487 / 153 | $9.716,03 | 1852 / 144 | $7.562,64 | 1844 / 132 |
G.I. Hemorrhage W Cc | 59 | 159 / 52 | $44.559,00 | 2061 / 101 | $7.588,27 | 1860 / 126 | $6.790,98 | 1856 / 131 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 55 | 127 / 35 | $50.835,70 | 1761 / 89 | $7.989,91 | 1469 / 105 | $6.801,40 | 1466 / 106 |
Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 46 | $80.156,10 | 2346 / 131 | $11.895,50 | 1752 / 139 | $9.244,89 | 1752 / 127 |
Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 60 | $46.035,70 | 2187 / 122 | $6.990,69 | 1824 / 126 | $6.156,18 | 1817 / 135 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 49 | 117 / 47 | $31.394,70 | 2179 / 105 | $5.884,31 | 1944 / 129 | $4.760,14 | 1936 / 131 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 42 | 154 / 49 | $72.521,90 | 730 / 23 | $14.929,50 | 792 / 89 | $11.631,20 | 787 / 87 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 57 | $46.292,50 | 2193 / 95 | $8.154,51 | 1675 / 125 | $6.529,08 | 1668 / 118 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 38 | 55 / 21 | $30.230,20 | 1621 / 79 | $5.821,79 | 1624 / 112 | $4.803,68 | 1616 / 119 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 56 | $36.346,80 | 1833 / 102 | $6.322,24 | 1599 / 123 | $5.197,37 | 1594 / 126 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 36 | 152 / 51 | $44.311,40 | 1056 / 48 | $7.877,28 | 1152 / 98 | $6.866,72 | 1149 / 106 |
Syncope & Collapse | 36 | 133 / 69 | $42.100,40 | 1732 / 116 | $6.520,58 | 1635 / 124 | $5.685,92 | 1628 / 129 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 33 | $120.811,00 | 1684 / 112 | $18.401,50 | 1102 / 118 | $14.566,60 | 1090 / 106 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 34 | 68 / 24 | $33.949,30 | 1214 / 58 | $6.004,12 | 1213 / 84 | $4.885,74 | 1209 / 96 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 33 | 63 / 23 | $64.568,80 | 1321 / 99 | $9.180,36 | 1097 / 88 | $8.597,58 | 1092 / 97 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 62 | $26.364,80 | 1666 / 95 | $5.066,09 | 1607 / 121 | $3.759,50 | 1601 / 122 |
Bronchitis & Asthma W Cc/Mcc | 32 | 44 / 17 | $50.012,30 | 1005 / 93 | $7.857,53 | 928 / 92 | $6.838,53 | 924 / 93 |
G.I. Obstruction W Cc | 32 | 60 / 27 | $36.624,00 | 1384 / 72 | $6.970,84 | 1272 / 108 | $5.765,16 | 1268 / 111 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 29 | 64 / 15 | $101.170,00 | 761 / 62 | $15.570,80 | 632 / 64 | $14.128,60 | 626 / 67 |
Renal Failure W Mcc | 28 | 167 / 69 | $67.668,20 | 1865 / 113 | $10.857,90 | 1423 / 119 | $10.015,40 | 1423 / 124 |
G.I. Hemorrhage W Mcc | 27 | 94 / 35 | $75.915,30 | 1401 / 90 | $12.183,00 | 1024 / 95 | $11.377,10 | 1016 / 99 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 56 | $65.495,20 | 1861 / 132 | $8.983,93 | 1307 / 124 | $7.028,89 | 1303 / 111 |
Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 48 | $69.361,90 | 1534 / 62 | $13.207,60 | 1417 / 112 | $12.444,30 | 1399 / 118 |
Respiratory Infections & Inflammations W Cc | 26 | 62 / 26 | $84.791,80 | 1420 / 90 | $10.011,80 | 1050 / 84 | $8.865,04 | 1045 / 84 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 59 | $28.406,80 | 1661 / 89 | $5.833,50 | 1684 / 126 | $4.906,73 | 1673 / 126 |
Transient Ischemia | 25 | 100 / 58 | $35.315,40 | 1334 / 75 | $5.725,92 | 1226 / 106 | $4.595,68 | 1220 / 106 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 42 | $59.002,20 | 1669 / 96 | $8.883,36 | 1300 / 102 | $7.916,96 | 1297 / 104 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 23 | $123.222,00 | 685 / 33 | $21.409,50 | 586 / 64 | $20.652,10 | 582 / 68 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 34 | $57.326,20 | 1579 / 100 | $8.604,50 | 1223 / 89 | $7.769,83 | 1220 / 93 |
Other Circulatory System Diagnoses W Mcc | 23 | 93 / 34 | $92.154,50 | 1224 / 93 | $13.739,70 | 931 / 86 | $12.924,40 | 924 / 93 |
Medical Back Problems W/O Mcc | 22 | 99 / 50 | $39.077,80 | 1232 / 94 | $6.557,68 | 1038 / 104 | $5.353,86 | 1035 / 105 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 45 | $87.038,60 | 1613 / 95 | $12.064,10 | 1265 / 99 | $11.314,40 | 1255 / 104 |
Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 26 | $238.320,00 | 1137 / 65 | $34.477,60 | 449 / 70 | $29.081,10 | 447 / 59 |
Other Kidney & Urinary Tract Diagnoses W Cc | 21 | 82 / 20 | $41.689,00 | 676 / 52 | $7.421,95 | 505 / 57 | $6.327,86 | 505 / 61 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 20 | 33 / 11 | $78.422,30 | 465 / 42 | $10.851,50 | 323 / 38 | $8.370,00 | 323 / 37 |
Other Resp System O.R. Procedures W Mcc | 19 | 44 / 13 | $176.681,00 | 525 / 50 | $27.154,10 | 353 / 43 | $23.876,20 | 352 / 46 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 28 | $38.829,80 | 1223 / 84 | $5.621,16 | 1022 / 89 | $4.011,63 | 1019 / 86 |
Red Blood Cell Disorders W Mcc | 19 | 52 / 25 | $87.310,00 | 1083 / 92 | $9.620,00 | 550 / 74 | $7.647,79 | 548 / 65 |
Other Vascular Procedures W Mcc | 18 | 79 / 31 | $120.319,00 | 733 / 51 | $23.367,40 | 640 / 71 | $22.631,40 | 637 / 75 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 26 | $73.375,40 | 971 / 48 | $10.947,00 | 523 / 53 | $9.202,44 | 521 / 50 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 24 | $73.352,60 | 683 / 40 | $11.123,80 | 576 / 66 | $10.051,10 | 574 / 74 |
Fever | 18 | 28 / 14 | $44.838,20 | 312 / 39 | $6.717,22 | 231 / 35 | $5.839,00 | 231 / 37 |
Signs & Symptoms W/O Mcc | 18 | 73 / 33 | $24.730,70 | 880 / 49 | $5.790,83 | 1016 / 93 | $4.985,50 | 1013 / 96 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 39 | $88.011,20 | 1085 / 45 | $17.149,70 | 720 / 77 | $14.441,40 | 713 / 79 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 17 | 74 / 9 | $120.702,00 | 399 / 23 | $11.448,60 | 361 / 20 | $11.219,80 | 361 / 22 |
Chest Pain | 17 | 134 / 68 | $25.735,30 | 1241 / 62 | $5.167,65 | 1291 / 113 | $4.245,65 | 1284 / 115 |
Diabetes W Cc | 17 | 75 / 37 | $38.093,90 | 1363 / 82 | $6.604,35 | 1159 / 97 | $5.606,71 | 1154 / 97 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 31 | $77.662,20 | 1081 / 98 | $9.681,29 | 962 / 88 | $9.110,94 | 960 / 95 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 27 | $48.880,20 | 1152 / 65 | $7.441,44 | 1017 / 65 | $6.607,44 | 1014 / 70 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 21 | $155.496,00 | 496 / 38 | $27.683,00 | 179 / 27 | $26.859,00 | 179 / 35 |
Bronchitis & Asthma W/O Cc/Mcc | 15 | 30 / 17 | $28.080,70 | 285 / 34 | $5.495,53 | 288 / 39 | $4.527,00 | 288 / 44 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 47 | $271.716,00 | 1461 / 96 | $40.003,70 | 992 / 93 | $35.386,30 | 986 / 95 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 24 | $60.552,60 | 708 / 64 | $7.319,53 | 566 / 54 | $6.592,00 | 566 / 59 |
Renal Failure W/O Cc/Mcc | 14 | 42 / 28 | $31.828,90 | 754 / 59 | $5.329,64 | 715 / 62 | $4.643,93 | 713 / 64 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 39 | $46.853,60 | 1114 / 94 | $7.254,43 | 923 / 91 | $6.740,14 | 920 / 94 |
Peripheral Vascular Disorders W Mcc | 14 | 35 / 16 | $41.292,90 | 364 / 30 | $9.199,36 | 300 / 39 | $8.426,79 | 300 / 42 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 56 | $90.875,40 | 1443 / 91 | $13.334,10 | 523 / 95 | $9.397,29 | 522 / 62 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 33 | $18.597,40 | 492 / 26 | $5.864,46 | 710 / 88 | $4.439,46 | 706 / 85 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 52 | $99.451,50 | 1651 / 98 | $13.362,10 | 1221 / 89 | $12.618,70 | 1206 / 93 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 18 | $378.389,00 | 413 / 33 | $54.792,80 | 106 / 12 | $53.120,20 | 106 / 14 |
Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 17 | $41.180,40 | 338 / 50 | $5.658,77 | 278 / 47 | $4.824,31 | 278 / 47 |
Seizures W/O Mcc | 13 | 95 / 43 | $39.665,20 | 1129 / 81 | $6.083,85 | 826 / 85 | $4.821,62 | 823 / 84 |
Other Circulatory System Diagnoses W Cc | 12 | 54 / 24 | $66.096,30 | 646 / 57 | $8.423,58 | 498 / 52 | $6.836,75 | 497 / 52 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 39 | $42.961,20 | 1085 / 55 | $8.015,33 | 933 / 84 | $6.481,83 | 931 / 88 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 12 | 34 / 8 | $35.568,90 | 158 / 7 | $8.324,83 | 142 / 9 | $5.948,17 | 142 / 10 |
Disorders Of The Biliary Tract W Cc | 11 | 43 / 18 | $56.832,60 | 424 / 30 | $8.241,82 | 258 / 33 | $6.547,00 | 258 / 33 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 33 | $271.441,00 | 948 / 68 | $37.001,40 | 452 / 54 | $35.895,90 | 451 / 55 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 9 | $23.002,50 | 92 / 10 | $5.838,91 | 87 / 18 | $4.404,73 | 87 / 16 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 57 | $23.235,70 | 1464 / 63 | $5.575,27 | 1321 / 110 | $4.120,00 | 1311 / 99 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 20 | $28.647,30 | 547 / 23 | $6.100,64 | 712 / 59 | $5.338,45 | 708 / 65 |
Pleural Effusion W Mcc | 11 | 19 / 12 | $55.561,30 | 146 / 13 | $9.383,36 | 51 / 9 | $8.612,45 | 51 / 8 | Total 82 procedures | 2.693 | 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.