Hospital Costs > In Florida > Memorial Regional 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 | 139 | 377 / 63 | $95.415,60 | 2598 / 126 | $15.243,50 | 2425 / 155 | $14.440,90 | 2381 / 157 |
Renal Failure W Cc | 132 | 90 / 17 | $45.837,30 | 2178 / 122 | $8.506,33 | 2105 / 146 | $7.488,06 | 2095 / 150 |
Chronic Obstructive Pulmonary Disease W Mcc | 106 | 96 / 25 | $57.476,20 | 2320 / 123 | $9.883,08 | 2233 / 146 | $9.004,21 | 2225 / 149 |
Kidney & Urinary Tract Infections W/O Mcc | 98 | 135 / 47 | $29.285,80 | 2186 / 94 | $7.162,63 | 2414 / 151 | $6.202,61 | 2403 / 154 |
Simple Pneumonia & Pleurisy W Cc | 94 | 109 / 28 | $42.380,10 | 2393 / 100 | $8.570,70 | 2424 / 147 | $7.378,85 | 2415 / 150 |
Heart Failure & Shock W Cc | 91 | 187 / 51 | $41.094,80 | 2355 / 115 | $8.174,09 | 2297 / 143 | $7.316,41 | 2291 / 145 |
Chronic Obstructive Pulmonary Disease W Cc | 90 | 89 / 33 | $36.391,20 | 1966 / 96 | $8.058,77 | 2130 / 146 | $7.245,61 | 2123 / 153 |
Red Blood Cell Disorders W/O Mcc | 88 | 56 / 12 | $31.482,80 | 1563 / 94 | $7.568,40 | 1776 / 137 | $6.784,90 | 1767 / 140 |
Cellulitis W/O Mcc | 87 | 102 / 26 | $37.636,90 | 2359 / 127 | $7.919,60 | 2333 / 152 | $6.689,62 | 2325 / 152 |
G.I. Hemorrhage W Cc | 81 | 137 / 37 | $41.458,80 | 1991 / 96 | $8.871,86 | 2114 / 141 | $7.815,00 | 2110 / 145 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 77 | 54 / 7 | $117.635,00 | 1663 / 107 | $19.511,60 | 1575 / 123 | $18.513,20 | 1561 / 127 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 75 | 121 / 28 | $83.115,40 | 921 / 38 | $15.583,90 | 1128 / 94 | $13.389,00 | 1121 / 101 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 75 | 489 / 89 | $65.540,20 | 1876 / 54 | $15.309,60 | 1903 / 127 | $13.249,60 | 1861 / 133 |
Heart Failure & Shock W Mcc | 70 | 214 / 62 | $69.514,90 | 2337 / 127 | $12.552,10 | 2267 / 150 | $11.657,70 | 2257 / 154 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 84 | $38.969,20 | 2455 / 122 | $7.250,72 | 2462 / 151 | $6.266,67 | 2447 / 156 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 66 | 141 / 37 | $46.864,90 | 2202 / 99 | $9.252,79 | 2162 / 139 | $7.847,17 | 2153 / 139 |
Renal Failure W Mcc | 63 | 132 / 37 | $71.536,70 | 1909 / 122 | $13.520,20 | 1737 / 142 | $11.396,00 | 1735 / 140 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 62 | 58 / 25 | $27.385,00 | 1626 / 86 | $7.066,98 | 1891 / 143 | $5.816,56 | 1880 / 142 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 62 | 120 / 30 | $50.509,00 | 1755 / 88 | $9.020,82 | 1801 / 116 | $8.200,52 | 1797 / 123 |
Hip & Femur Procedures Except Major Joint W Cc | 56 | 87 / 25 | $66.322,30 | 1480 / 58 | $14.494,40 | 1603 / 123 | $13.343,30 | 1584 / 127 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 55 | 111 / 43 | $33.690,80 | 2230 / 115 | $6.896,36 | 2297 / 146 | $6.067,24 | 2289 / 148 |
Pulmonary Edema & Respiratory Failure | 52 | 151 / 28 | $69.456,20 | 2051 / 121 | $10.798,20 | 1861 / 136 | $9.174,42 | 1856 / 131 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 52 | 109 / 45 | $28.987,10 | 1592 / 74 | $7.460,10 | 1939 / 139 | $6.502,10 | 1934 / 141 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 49 | 119 / 25 | $82.696,70 | 1385 / 82 | $15.064,40 | 1244 / 103 | $12.425,10 | 1238 / 98 |
Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 55 | $76.197,60 | 2309 / 125 | $12.742,70 | 2210 / 147 | $11.398,00 | 2204 / 147 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 58 | $24.571,70 | 1611 / 86 | $7.030,61 | 1844 / 136 | $4.850,64 | 1838 / 135 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 25 | $63.312,60 | 1619 / 108 | $10.620,50 | 1546 / 107 | $9.770,40 | 1543 / 108 |
Syncope & Collapse | 35 | 134 / 70 | $27.418,60 | 1325 / 61 | $7.100,83 | 1703 / 133 | $6.151,23 | 1695 / 134 |
G.I. Hemorrhage W Mcc | 34 | 87 / 28 | $83.804,60 | 1471 / 104 | $15.741,80 | 1489 / 115 | $15.064,10 | 1479 / 118 |
Other Vascular Procedures W Mcc | 33 | 64 / 18 | $134.400,00 | 806 / 63 | $21.708,30 | 501 / 62 | $20.703,80 | 498 / 68 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 34 | $75.946,30 | 1820 / 121 | $12.122,70 | 1767 / 123 | $10.769,00 | 1764 / 125 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 32 | 61 / 12 | $102.123,00 | 770 / 63 | $18.171,00 | 776 / 69 | $16.996,30 | 769 / 73 |
Respiratory Infections & Inflammations W Cc | 32 | 56 / 22 | $61.502,60 | 1264 / 63 | $11.298,70 | 1281 / 90 | $10.271,20 | 1276 / 94 |
Bronchitis & Asthma W Cc/Mcc | 32 | 44 / 17 | $34.418,20 | 805 / 56 | $8.038,44 | 938 / 93 | $6.931,50 | 934 / 95 |
Coronary Bypass W Cardiac Cath W Mcc | 31 | 25 / 3 | $209.116,00 | 252 / 13 | $38.910,50 | 33 / 11 | $34.205,60 | 33 / 7 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 31 | 157 / 56 | $56.521,10 | 1339 / 84 | $9.463,58 | 1333 / 117 | $7.701,81 | 1330 / 116 |
Medical Back Problems W/O Mcc | 31 | 90 / 41 | $33.153,00 | 1112 / 78 | $7.732,06 | 1234 / 120 | $6.198,87 | 1230 / 118 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 31 | 69 / 17 | $134.495,00 | 748 / 41 | $25.364,10 | 517 / 74 | $19.835,60 | 513 / 65 |
Signs & Symptoms W/O Mcc | 31 | 60 / 20 | $33.585,80 | 1097 / 77 | $6.872,00 | 1179 / 105 | $6.029,61 | 1176 / 108 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 28 | $32.318,30 | 1167 / 53 | $7.026,27 | 1363 / 102 | $5.558,13 | 1359 / 100 |
G.I. Obstruction W Cc | 29 | 63 / 30 | $42.058,30 | 1489 / 89 | $8.047,97 | 1558 / 122 | $7.064,45 | 1553 / 125 |
Spinal Fusion Except Cervical W/O Mcc | 29 | 165 / 47 | $83.248,50 | 566 / 9 | $25.261,40 | 783 / 58 | $23.946,70 | 779 / 74 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 28 | 43 / 12 | $255.957,00 | 866 / 69 | $40.192,90 | 756 / 71 | $38.831,00 | 755 / 73 |
Red Blood Cell Disorders W Mcc | 28 | 43 / 18 | $66.272,50 | 1001 / 81 | $10.346,20 | 880 / 83 | $9.728,64 | 876 / 87 |
Other Circulatory System Diagnoses W Mcc | 28 | 88 / 29 | $79.474,90 | 1143 / 75 | $14.714,80 | 810 / 93 | $12.144,00 | 805 / 87 |
Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 57 | $54.042,90 | 1728 / 109 | $9.559,96 | 1674 / 129 | $8.503,88 | 1670 / 131 |
G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 23 | $30.844,60 | 1126 / 67 | $6.256,28 | 1232 / 97 | $5.344,40 | 1229 / 98 |
Diabetes W Cc | 25 | 67 / 29 | $38.430,40 | 1370 / 84 | $7.602,80 | 1393 / 108 | $6.754,80 | 1388 / 111 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 44 | $27.982,30 | 1655 / 83 | $6.494,16 | 1750 / 120 | $5.316,60 | 1737 / 116 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 24 | 40 / 9 | $349.499,00 | 386 / 29 | $59.998,00 | 199 / 20 | $59.006,40 | 199 / 26 |
Chest Pain | 24 | 127 / 63 | $33.943,10 | 1481 / 106 | $6.471,79 | 1534 / 129 | $5.492,54 | 1525 / 131 |
Permanent Cardiac Pacemaker Implant W Cc | 24 | 53 / 21 | $63.705,80 | 394 / 12 | $18.544,10 | 543 / 72 | $16.238,70 | 542 / 75 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 32 | $52.777,20 | 1200 / 75 | $10.581,80 | 1250 / 105 | $9.762,29 | 1245 / 108 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 23 | 93 / 15 | $249.413,00 | 313 / 15 | $49.089,70 | 175 / 16 | $48.399,30 | 175 / 23 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 21 | $273.663,00 | 951 / 69 | $49.080,00 | 899 / 71 | $47.127,70 | 898 / 72 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 23 | 72 / 25 | $87.344,10 | 391 / 26 | $15.041,80 | 455 / 47 | $14.233,00 | 451 / 60 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 22 | 32 / 12 | $30.500,20 | 290 / 24 | $7.336,86 | 300 / 30 | $5.490,82 | 300 / 29 |
Seizures W/O Mcc | 22 | 86 / 35 | $31.750,20 | 996 / 59 | $7.413,27 | 1105 / 99 | $6.195,36 | 1103 / 100 |
Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 21 | 7 / 2 | $51.262,00 | 63 / 4 | $11.494,60 | 56 / 4 | $10.302,30 | 56 / 4 |
Other Vascular Procedures W Cc | 21 | 81 / 28 | $93.597,10 | 783 / 41 | $17.952,00 | 695 / 67 | $16.425,00 | 692 / 73 |
Peripheral Vascular Disorders W Cc | 21 | 63 / 32 | $38.385,60 | 983 / 69 | $8.216,19 | 969 / 100 | $6.983,24 | 966 / 101 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 21 | 68 / 18 | $38.168,10 | 434 / 15 | $8.613,05 | 580 / 49 | $7.128,33 | 579 / 55 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 23 | $124.088,00 | 1092 / 64 | $19.247,40 | 1086 / 63 | $18.409,80 | 1082 / 63 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 41 | $255.298,00 | 1432 / 91 | $44.974,00 | 1334 / 103 | $42.986,90 | 1324 / 106 |
Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 26 | $247.822,00 | 1161 / 70 | $41.638,00 | 1018 / 84 | $38.193,30 | 1016 / 84 |
Coronary Bypass W/O Cardiac Cath W Mcc | 20 | 39 / 7 | $183.959,00 | 157 / 11 | $35.220,00 | 101 / 10 | $34.192,50 | 101 / 13 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 45 | $128.172,00 | 1753 / 114 | $24.992,60 | 1540 / 116 | $14.539,80 | 1524 / 110 |
Cellulitis W Mcc | 20 | 38 / 14 | $59.133,80 | 805 / 50 | $11.290,10 | 748 / 64 | $10.396,70 | 746 / 68 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 20 | 46 / 19 | $38.403,60 | 326 / 28 | $9.349,45 | 415 / 42 | $8.422,70 | 414 / 45 |
Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 19 | $86.766,90 | 924 / 69 | $13.125,50 | 871 / 72 | $12.296,20 | 868 / 75 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 28 | $57.294,60 | 1000 / 85 | $10.481,00 | 913 / 95 | $8.625,85 | 911 / 89 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 19 | 32 / 6 | $85.870,60 | 276 / 24 | $15.135,70 | 239 / 25 | $14.214,20 | 239 / 26 |
Seizures W Mcc | 19 | 47 / 16 | $75.802,20 | 659 / 52 | $12.820,10 | 585 / 58 | $11.914,30 | 585 / 63 |
Other Kidney & Urinary Tract Diagnoses W Cc | 19 | 84 / 22 | $38.238,10 | 641 / 46 | $8.648,00 | 706 / 67 | $7.919,79 | 706 / 71 |
Major Cardiovasc Procedures W Mcc | 19 | 49 / 16 | $294.356,00 | 619 / 54 | $61.570,80 | 548 / 55 | $44.266,10 | 547 / 53 |
Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 16 | $133.082,00 | 834 / 53 | $23.189,50 | 784 / 70 | $22.034,30 | 781 / 71 |
Transient Ischemia | 18 | 107 / 65 | $39.117,60 | 1417 / 91 | $6.934,33 | 1521 / 121 | $6.107,89 | 1513 / 125 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 17 | 11 / 1 | $65.202,40 | 37 / 4 | $12.376,80 | 27 / 3 | $11.357,90 | 27 / 4 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 17 | 81 / 16 | $179.049,00 | 409 / 26 | $30.367,20 | 291 / 24 | $29.448,00 | 291 / 29 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 17 | 46 / 20 | $191.495,00 | 618 / 51 | $35.381,60 | 537 / 56 | $34.511,60 | 537 / 60 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 40 | $114.001,00 | 1317 / 66 | $21.113,80 | 1193 / 100 | $17.412,80 | 1179 / 100 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 17 | 52 / 9 | $314.333,00 | 201 / 16 | $59.046,70 | 103 / 12 | $58.261,10 | 103 / 18 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 13 | $92.407,80 | 475 / 46 | $13.172,20 | 457 / 44 | $12.295,20 | 457 / 44 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 42 | $30.292,60 | 1623 / 80 | $6.880,19 | 1834 / 123 | $5.956,00 | 1826 / 128 |
Peripheral Vascular Disorders W Mcc | 16 | 33 / 14 | $51.099,10 | 438 / 35 | $9.871,44 | 290 / 44 | $8.377,31 | 290 / 41 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 27 | $70.622,90 | 665 / 37 | $12.603,00 | 694 / 76 | $11.079,40 | 691 / 77 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 15 | 31 / 6 | $31.550,50 | 133 / 6 | $8.741,87 | 208 / 12 | $7.598,60 | 208 / 12 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 21 | $24.116,80 | 622 / 29 | $6.109,33 | 771 / 70 | $5.367,60 | 770 / 73 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 27 | $31.072,70 | 747 / 58 | $7.011,53 | 772 / 73 | $5.099,33 | 770 / 71 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 29 | $50.172,40 | 1161 / 67 | $8.460,14 | 1141 / 73 | $7.579,93 | 1138 / 76 |
Bronchitis & Asthma W/O Cc/Mcc | 14 | 31 / 18 | $27.517,30 | 281 / 33 | $6.590,07 | 340 / 48 | $5.627,00 | 340 / 49 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 53 | $43.716,70 | 955 / 28 | $12.395,20 | 1322 / 102 | $11.632,80 | 1312 / 106 |
Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 34 | $65.469,50 | 533 / 22 | $16.434,60 | 717 / 51 | $15.397,70 | 714 / 61 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 16 | $30.797,90 | 374 / 23 | $8.878,46 | 395 / 36 | $6.862,85 | 395 / 35 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 44 | $46.693,80 | 1221 / 84 | $9.087,54 | 1106 / 112 | $6.915,31 | 1102 / 102 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 18 | $101.590,00 | 508 / 30 | $14.690,30 | 407 / 25 | $14.334,60 | 407 / 29 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 12 | 79 / 13 | $109.051,00 | 396 / 22 | $10.629,20 | 350 / 17 | $10.585,80 | 350 / 21 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 22 | $58.569,20 | 479 / 33 | $13.529,20 | 476 / 61 | $8.303,50 | 475 / 57 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 34 | $23.871,90 | 680 / 44 | $6.803,58 | 894 / 97 | $5.788,08 | 890 / 97 |
Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 11 | $61.430,40 | 180 / 7 | $13.681,80 | 180 / 17 | $12.444,30 | 180 / 19 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 19 | $103.197,00 | 631 / 49 | $16.310,70 | 554 / 46 | $14.484,00 | 553 / 48 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 39 | $39.282,20 | 1017 / 43 | $8.999,67 | 1138 / 94 | $7.264,42 | 1136 / 93 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 28 | $37.835,40 | 579 / 39 | $8.054,18 | 645 / 61 | $7.483,09 | 645 / 64 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 21 | $205.507,00 | 565 / 54 | $28.979,50 | 484 / 46 | $28.233,20 | 483 / 52 |
Pulmonary Embolism W Mcc | 11 | 32 / 16 | $62.541,50 | 496 / 20 | $11.461,90 | 474 / 30 | $10.659,50 | 473 / 32 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 19 | $558.617,00 | 303 / 22 | $115.056,00 | 227 / 26 | $113.334,00 | 226 / 29 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 18 | $123.735,00 | 443 / 31 | $24.525,40 | 343 / 41 | $23.346,60 | 343 / 46 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 20 | $37.168,20 | 322 / 33 | $6.886,36 | 359 / 47 | $5.989,27 | 358 / 53 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 8 | $55.931,50 | 114 / 6 | $13.823,50 | 137 / 11 | $12.924,20 | 136 / 13 | Total 109 procedures | 3.683 | 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.