Hospital Costs > In Florida > Metropolitan Hospital Of Miami, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 13 | 176 / 83 | $21.284,80 | 1607 / 41 | $6.800,00 | 2089 / 135 | $5.780,92 | 2081 / 139 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 89 | $30.838,30 | 1758 / 67 | $7.384,47 | 1884 / 136 | $6.337,00 | 1877 / 140 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 96 | $30.468,40 | 1505 / 37 | $8.848,86 | 1975 / 132 | $7.902,57 | 1967 / 136 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 63 | $16.757,40 | 995 / 20 | $6.006,41 | 1686 / 128 | $4.912,59 | 1675 / 128 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 112 | $27.377,80 | 2027 / 69 | $6.173,78 | 2204 / 137 | $5.238,83 | 2189 / 141 |
| Heart Failure & Shock W Cc | 13 | 265 / 109 | $30.981,90 | 2011 / 83 | $7.752,46 | 2102 / 139 | $6.740,77 | 2096 / 138 |
| Heart Failure & Shock W Mcc | 15 | 269 / 100 | $46.331,60 | 1887 / 77 | $10.689,20 | 1877 / 131 | $9.970,27 | 1872 / 136 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 70 | $33.721,00 | 1314 / 55 | $8.463,18 | 1459 / 115 | $7.494,45 | 1455 / 117 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 105 | $20.824,90 | 1659 / 45 | $6.344,30 | 2171 / 140 | $5.381,10 | 2160 / 142 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 55 | $47.562,60 | 1705 / 76 | $10.001,50 | 1757 / 125 | $8.714,30 | 1752 / 123 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 64 | $17.899,20 | 706 / 17 | $6.540,76 | 1520 / 125 | $5.546,88 | 1511 / 124 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 17 | 499 / 129 | $48.185,20 | 1713 / 39 | $13.074,70 | 1979 / 126 | $12.298,20 | 1942 / 136 | Total 12 procedures | 200 | 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.