Hospital Costs > In South Carolina > Newberry County Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 91 | 473 / 27 | $42.561,60 | 900 / 6 | $15.269,40 | 2008 / 35 | $13.637,00 | 1966 / 42 |
Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 30 | $17.686,10 | 875 / 11 | $6.921,79 | 1898 / 41 | $5.987,54 | 1890 / 46 |
G.I. Hemorrhage W Cc | 24 | 194 / 32 | $13.527,70 | 192 / 2 | $7.438,92 | 1431 / 36 | $5.861,96 | 1428 / 37 |
Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 32 | $14.969,50 | 929 / 9 | $5.464,92 | 1586 / 34 | $4.433,08 | 1575 / 41 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 34 | $28.349,20 | 930 / 7 | $10.838,20 | 1942 / 36 | $9.882,75 | 1942 / 38 |
Heart Failure & Shock W Cc | 20 | 258 / 34 | $19.480,00 | 1116 / 15 | $7.054,15 | 1813 / 41 | $6.171,00 | 1808 / 43 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 18 | 498 / 44 | $32.875,40 | 931 / 11 | $13.767,90 | 2182 / 45 | $13.108,30 | 2144 / 48 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 24 | $30.864,40 | 253 / 1 | $13.955,50 | 1495 / 33 | $12.773,60 | 1477 / 34 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 23 | $15.259,30 | 811 / 12 | $5.059,13 | 1230 / 29 | $3.987,20 | 1221 / 34 |
Heart Failure & Shock W Mcc | 14 | 270 / 41 | $24.173,10 | 677 / 10 | $11.464,40 | 2143 / 42 | $10.975,30 | 2133 / 43 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 33 | $17.088,40 | 289 / 4 | $7.638,31 | 1410 / 34 | $6.585,00 | 1407 / 36 |
Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 35 | $16.454,50 | 653 / 4 | $6.633,23 | 1481 / 31 | $5.487,69 | 1475 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 23 | $14.225,60 | 207 / 3 | $5.371,92 | 993 / 23 | $4.329,38 | 989 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 28 | $10.419,50 | 132 / 1 | $5.870,75 | 888 / 30 | $4.189,50 | 885 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 32 | $11.983,10 | 546 / 8 | $4.975,00 | 1363 / 30 | $3.943,33 | 1358 / 35 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 38 | $18.645,20 | 615 / 5 | $8.285,58 | 1761 / 38 | $7.349,00 | 1753 / 39 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 40 | $18.945,30 | 686 / 6 | $7.571,45 | 1606 / 36 | $6.438,36 | 1599 / 40 | Total 17 procedures | 357 | 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.