Hospital Costs > In Florida > Morton Plant North Bay Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 256 | 81 / 10 | $17.186,70 | 250 / 7 | $6.560,86 | 229 / 24 | $5.638,00 | 229 / 29 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 95 | 421 / 88 | $55.836,70 | 1980 / 59 | $11.416,00 | 1290 / 89 | $10.626,80 | 1269 / 103 |
Chronic Obstructive Pulmonary Disease W Mcc | 68 | 134 / 49 | $38.830,20 | 1881 / 72 | $7.341,68 | 1308 / 93 | $6.581,21 | 1302 / 107 |
Heart Failure & Shock W Mcc | 65 | 219 / 66 | $38.035,40 | 1557 / 44 | $9.172,68 | 969 / 93 | $8.247,03 | 968 / 90 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 94 | $29.203,40 | 2128 / 78 | $5.183,02 | 1529 / 105 | $4.154,43 | 1517 / 117 |
Chronic Obstructive Pulmonary Disease W Cc | 53 | 126 / 58 | $27.737,10 | 1605 / 50 | $6.375,02 | 1273 / 109 | $5.245,60 | 1268 / 108 |
Kidney & Urinary Tract Infections W/O Mcc | 53 | 180 / 80 | $24.032,90 | 1921 / 65 | $5.212,51 | 1596 / 108 | $4.439,68 | 1585 / 119 |
Kidney & Urinary Tract Infections W Mcc | 50 | 94 / 35 | $30.506,20 | 1201 / 46 | $7.049,84 | 885 / 81 | $6.199,12 | 883 / 92 |
Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 50 | $41.685,00 | 1625 / 47 | $8.626,78 | 1020 / 76 | $7.891,42 | 1020 / 92 |
Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 60 | $27.954,90 | 1835 / 45 | $6.347,67 | 1416 / 93 | $5.434,69 | 1410 / 107 |
Heart Failure & Shock W Cc | 47 | 231 / 81 | $28.649,30 | 1886 / 71 | $6.380,40 | 1632 / 95 | $5.917,43 | 1627 / 119 |
Cellulitis W/O Mcc | 47 | 142 / 54 | $25.272,70 | 1883 / 66 | $5.625,98 | 1571 / 99 | $4.802,83 | 1564 / 120 |
Renal Failure W Mcc | 43 | 152 / 56 | $43.998,10 | 1415 / 61 | $9.725,77 | 821 / 95 | $8.578,21 | 821 / 94 |
Pulmonary Edema & Respiratory Failure | 42 | 161 / 35 | $39.825,20 | 1495 / 57 | $7.879,93 | 1073 / 83 | $7.055,57 | 1071 / 90 |
Renal Failure W Cc | 41 | 180 / 76 | $30.942,80 | 1743 / 69 | $7.082,88 | 841 / 126 | $5.034,90 | 834 / 87 |
G.I. Hemorrhage W Cc | 41 | 177 / 65 | $30.615,80 | 1594 / 51 | $6.735,66 | 1087 / 104 | $5.454,39 | 1085 / 94 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 34 | $48.475,50 | 1098 / 40 | $10.360,60 | 747 / 71 | $9.592,61 | 746 / 81 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 55 | $19.588,40 | 1233 / 37 | $4.958,00 | 1206 / 95 | $3.950,00 | 1197 / 101 |
Depressive Neuroses | 28 | 22 / 3 | $14.689,60 | 95 / 5 | $4.636,00 | 70 / 5 | $3.817,71 | 70 / 5 |
Syncope & Collapse | 28 | 141 / 76 | $30.721,70 | 1460 / 80 | $5.015,00 | 1057 / 92 | $4.151,00 | 1050 / 103 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 49 | $57.559,10 | 1287 / 38 | $11.652,80 | 811 / 78 | $10.632,50 | 802 / 85 |
Respiratory Infections & Inflammations W Mcc | 26 | 110 / 39 | $56.599,30 | 1208 / 39 | $11.244,40 | 533 / 47 | $10.552,70 | 527 / 58 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 68 | $19.497,80 | 1369 / 60 | $4.173,24 | 1134 / 96 | $2.940,04 | 1129 / 101 |
Poisoning & Toxic Effects Of Drugs W Mcc | 23 | 49 / 16 | $47.320,30 | 667 / 40 | $10.954,90 | 209 / 65 | $7.298,22 | 208 / 30 |
Transient Ischemia | 23 | 102 / 60 | $27.818,50 | 1100 / 56 | $4.864,48 | 871 / 76 | $3.815,43 | 867 / 90 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 60 | $28.114,40 | 1014 / 22 | $6.450,65 | 807 / 59 | $5.560,22 | 805 / 77 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 64 | $83.561,80 | 932 / 40 | $12.266,50 | 545 / 46 | $10.749,40 | 542 / 72 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 36 | $23.396,50 | 1383 / 53 | $5.861,36 | 870 / 114 | $3.563,95 | 866 / 82 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 21 | 543 / 116 | $62.329,90 | 1777 / 47 | $13.086,90 | 1134 / 74 | $11.276,80 | 1108 / 97 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 62 | $28.884,30 | 1454 / 82 | $5.428,20 | 1176 / 89 | $4.764,20 | 1168 / 102 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 51 | $43.475,30 | 796 / 28 | $10.117,00 | 499 / 51 | $9.336,79 | 498 / 61 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 76 | $24.902,50 | 1246 / 19 | $6.713,50 | 910 / 78 | $5.587,44 | 908 / 80 |
Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 33 | $42.094,30 | 1076 / 53 | $8.120,28 | 190 / 85 | $4.918,89 | 190 / 30 |
G.I. Hemorrhage W Mcc | 17 | 104 / 45 | $59.915,00 | 1194 / 61 | $12.470,80 | 1155 / 101 | $11.936,20 | 1147 / 105 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 51 | $69.190,30 | 1127 / 43 | $13.707,20 | 733 / 57 | $13.067,20 | 725 / 80 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 49 | $36.960,90 | 1222 / 51 | $7.695,35 | 779 / 76 | $6.771,12 | 776 / 79 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 75 | $24.985,20 | 1399 / 60 | $5.567,53 | 1177 / 103 | $4.476,24 | 1173 / 106 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 28 | $132.391,00 | 399 / 14 | $33.819,20 | 273 / 37 | $32.799,20 | 272 / 41 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 77 | $25.835,90 | 1930 / 76 | $5.512,75 | 813 / 125 | $3.524,62 | 810 / 80 |
G.I. Obstruction W Cc | 16 | 76 / 42 | $24.250,90 | 945 / 29 | $5.916,44 | 767 / 80 | $4.776,44 | 765 / 83 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 70 | $48.742,90 | 1177 / 64 | $7.881,12 | 663 / 99 | $5.681,50 | 661 / 79 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 21 | $33.394,30 | 791 / 63 | $4.844,00 | 525 / 58 | $3.960,80 | 524 / 62 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 43 | $77.906,60 | 974 / 35 | $17.027,10 | 243 / 75 | $12.621,80 | 241 / 37 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 34 | $30.016,70 | 648 / 34 | $7.192,43 | 262 / 57 | $6.032,43 | 261 / 42 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 54 | $17.451,10 | 1104 / 35 | $4.731,29 | 1330 / 86 | $4.130,14 | 1319 / 100 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 45 | $35.750,50 | 1184 / 52 | $7.226,46 | 648 / 62 | $6.296,00 | 645 / 61 |
Diabetes W Cc | 13 | 79 / 41 | $26.579,10 | 1063 / 46 | $6.200,85 | 670 / 93 | $4.492,77 | 668 / 73 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 39 | $34.017,40 | 819 / 17 | $8.670,00 | 759 / 60 | $7.870,00 | 754 / 68 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 44 | $65.702,50 | 998 / 59 | $12.858,60 | 796 / 80 | $12.058,60 | 792 / 83 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 36 | $129.857,00 | 651 / 19 | $28.199,90 | 251 / 28 | $26.944,60 | 249 / 39 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 27 | $125.476,00 | 414 / 19 | $29.500,90 | 266 / 32 | $28.732,90 | 266 / 41 |
Signs & Symptoms W/O Mcc | 11 | 80 / 40 | $24.780,90 | 882 / 50 | $4.754,91 | 552 / 73 | $3.762,91 | 551 / 69 | Total 52 procedures | 1.731 | 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.