Hospital Costs > In South Carolina > Mount Pleasant 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 | 46 | 470 / 34 | $30.965,60 | 826 / 7 | $10.479,00 | 418 / 10 | $9.375,48 | 418 / 10 |
| Heart Failure & Shock W Mcc | 19 | 265 / 38 | $28.121,00 | 980 / 17 | $8.320,63 | 58 / 9 | $6.797,32 | 58 / 4 |
| G.I. Hemorrhage W Cc | 17 | 201 / 34 | $16.447,60 | 434 / 6 | $5.400,18 | 69 / 4 | $4.250,71 | 69 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 36 | $25.042,00 | 1258 / 21 | $5.788,47 | 107 / 3 | $4.658,88 | 107 / 4 |
| Heart Failure & Shock W Cc | 16 | 262 / 38 | $17.983,20 | 927 / 11 | $4.956,69 | 22 / 2 | $4.035,00 | 22 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 38 | $18.313,30 | 1178 / 11 | $4.746,80 | 12 / 14 | $2.629,20 | 12 / 3 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 37 | $24.737,70 | 714 / 9 | $6.688,71 | 29 / 2 | $5.359,36 | 29 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 42 | $19.654,10 | 1098 / 15 | $5.302,50 | 108 / 4 | $4.159,29 | 108 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 27 | $43.633,00 | 789 / 4 | $10.605,50 | 183 / 5 | $9.439,85 | 182 / 4 | Total 9 procedures | 171 | 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.