Hospital Costs > In Florida > North Okaloosa Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 89 | 186 / 69 | $57.042,00 | 2688 / 164 | $4.396,10 | 550 / 43 | $3.445,33 | 548 / 58 |
Chronic Obstructive Pulmonary Disease W Mcc | 75 | 127 / 44 | $59.436,30 | 2346 / 130 | $6.871,01 | 469 / 60 | $5.754,68 | 468 / 57 |
Heart Failure & Shock W Mcc | 73 | 211 / 61 | $80.016,70 | 2450 / 145 | $8.279,01 | 426 / 41 | $7.587,08 | 426 / 52 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 72 | 116 / 28 | $79.296,70 | 1559 / 117 | $6.607,26 | 192 / 53 | $4.954,51 | 192 / 30 |
Kidney & Urinary Tract Infections W/O Mcc | 67 | 166 / 69 | $51.186,30 | 2653 / 163 | $4.523,60 | 434 / 51 | $3.568,85 | 434 / 48 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 60 | 60 / 27 | $41.783,30 | 1978 / 137 | $4.290,58 | 442 / 43 | $3.271,68 | 441 / 55 |
Heart Failure & Shock W Cc | 59 | 219 / 73 | $60.587,20 | 2675 / 160 | $5.682,02 | 410 / 53 | $4.802,17 | 410 / 45 |
Chronic Obstructive Pulmonary Disease W Cc | 54 | 125 / 57 | $52.488,40 | 2284 / 141 | $5.461,76 | 362 / 51 | $4.383,43 | 361 / 44 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 53 | 97 / 43 | $44.669,60 | 1948 / 140 | $3.355,68 | 513 / 39 | $2.454,75 | 509 / 66 |
Renal Failure W Mcc | 52 | 143 / 47 | $75.712,70 | 1966 / 132 | $9.011,40 | 403 / 67 | $7.921,25 | 403 / 55 |
Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 59 | $61.454,40 | 2710 / 150 | $5.699,52 | 467 / 54 | $4.621,36 | 464 / 57 |
Renal Failure W Cc | 49 | 172 / 71 | $51.916,30 | 2280 / 140 | $5.508,14 | 443 / 44 | $4.693,78 | 440 / 57 |
Cellulitis W/O Mcc | 48 | 141 / 53 | $49.913,20 | 2557 / 158 | $4.839,25 | 375 / 40 | $3.776,25 | 372 / 45 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 48 | 113 / 49 | $51.780,50 | 2082 / 141 | $4.600,92 | 357 / 39 | $3.678,25 | 357 / 50 |
Simple Pneumonia & Pleurisy W Mcc | 45 | 160 / 54 | $75.628,80 | 2300 / 122 | $8.133,38 | 380 / 36 | $7.153,98 | 380 / 39 |
Syncope & Collapse | 42 | 127 / 65 | $50.779,90 | 1839 / 136 | $4.301,40 | 366 / 39 | $3.412,26 | 364 / 58 |
Transient Ischemia | 42 | 83 / 41 | $44.794,30 | 1515 / 107 | $4.203,55 | 282 / 37 | $3.132,69 | 282 / 45 |
Chest Pain | 41 | 110 / 51 | $48.842,80 | 1678 / 138 | $3.637,66 | 308 / 37 | $2.694,05 | 307 / 48 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 36 | 480 / 118 | $131.248,00 | 2778 / 163 | $11.418,60 | 1173 / 90 | $10.445,30 | 1155 / 97 |
G.I. Hemorrhage W Cc | 35 | 183 / 71 | $71.934,90 | 2388 / 152 | $5.762,11 | 292 / 42 | $4.693,14 | 292 / 37 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 62 | $41.087,60 | 2395 / 137 | $4.173,65 | 616 / 47 | $3.390,16 | 614 / 67 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 40 | $157.056,00 | 1788 / 129 | $14.059,90 | 131 / 64 | $11.330,40 | 131 / 16 |
Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 41 | $37.675,80 | 1867 / 114 | $3.995,64 | 602 / 39 | $3.389,93 | 600 / 64 |
Red Blood Cell Disorders W/O Mcc | 28 | 115 / 55 | $57.457,40 | 1963 / 149 | $4.656,46 | 221 / 35 | $3.660,71 | 221 / 32 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 31 | $52.173,50 | 1919 / 131 | $4.279,33 | 338 / 48 | $3.083,33 | 336 / 47 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 49 | $91.547,90 | 2181 / 142 | $6.978,56 | 232 / 28 | $5.992,48 | 232 / 31 |
Major Cardiovasc Procedures W/O Mcc | 27 | 74 / 28 | $221.889,00 | 981 / 73 | $19.451,30 | 300 / 24 | $18.536,30 | 300 / 43 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 40 | $73.172,90 | 1802 / 118 | $6.923,70 | 249 / 34 | $5.960,15 | 249 / 31 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 26 | 170 / 61 | $131.602,00 | 1380 / 95 | $11.527,60 | 252 / 16 | $9.992,62 | 252 / 32 |
Atherosclerosis W/O Mcc | 24 | 34 / 10 | $51.790,90 | 538 / 65 | $3.750,75 | / 27 | $2.606,92 | / |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 60 | $70.619,00 | 1894 / 136 | $6.312,23 | 382 / 44 | $5.544,23 | 381 / 50 |
Other Circulatory System Diagnoses W Mcc | 20 | 96 / 37 | $103.529,00 | 1291 / 102 | $10.706,20 | 249 / 35 | $9.814,25 | 249 / 40 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 28 | $46.139,80 | 1275 / 99 | $3.737,26 | 192 / 29 | $2.523,68 | 192 / 30 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 48 | $112.774,00 | 1746 / 122 | $8.900,61 | 159 / 15 | $8.162,83 | 159 / 17 |
Signs & Symptoms W/O Mcc | 18 | 73 / 33 | $40.015,60 | 1227 / 103 | $4.119,78 | 299 / 36 | $3.383,78 | 298 / 47 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 18 | 29 / 16 | $133.760,00 | 578 / 61 | $7.299,17 | 203 / 25 | $6.152,56 | 203 / 35 |
Hypertension W/O Mcc | 18 | 47 / 31 | $44.483,20 | 758 / 87 | $3.876,39 | 66 / 30 | $2.499,11 | 66 / 18 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 57 | $145.348,00 | 2039 / 139 | $10.842,30 | 354 / 35 | $9.837,89 | 353 / 48 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 65 | $65.132,70 | 1939 / 116 | $6.168,94 | 564 / 41 | $5.292,50 | 563 / 63 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 29 | $42.717,60 | 933 / 78 | $5.085,12 | 178 / 24 | $4.019,71 | 175 / 30 |
Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 34 | $80.291,50 | 1397 / 103 | $5.866,18 | 171 / 23 | $4.872,29 | 171 / 27 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 119 | $188.738,00 | 2691 / 155 | $11.980,20 | 960 / 24 | $10.982,50 | 941 / 92 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 32 | $52.289,60 | 964 / 79 | $6.745,00 | 184 / 35 | $5.867,00 | 184 / 25 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 41 | $62.883,40 | 1376 / 113 | $5.604,50 | 296 / 28 | $4.848,50 | 293 / 45 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 27 | $40.114,60 | 819 / 72 | $3.756,67 | 108 / 23 | $2.713,47 | 107 / 21 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 42 | $202.978,00 | 1517 / 105 | $15.575,30 | 15 / 57 | $10.861,90 | 15 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 40 | $54.655,70 | 1217 / 81 | $6.815,67 | 305 / 19 | $6.250,33 | 303 / 47 |
G.I. Obstruction W Cc | 14 | 78 / 44 | $53.543,50 | 1624 / 114 | $5.021,43 | 390 / 27 | $4.333,43 | 389 / 52 |
Cellulitis W Mcc | 14 | 44 / 20 | $81.388,40 | 913 / 68 | $7.830,86 | 94 / 11 | $6.964,57 | 94 / 13 |
Diabetes W Cc | 14 | 78 / 40 | $46.997,90 | 1509 / 103 | $4.975,64 | 236 / 43 | $3.900,71 | 236 / 38 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 44 | $62.033,30 | 1611 / 106 | $6.355,29 | 281 / 27 | $5.665,00 | 278 / 35 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 14 | $202.287,00 | 456 / 39 | $13.797,50 | 77 / 5 | $12.867,00 | 77 / 12 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 23 | $47.624,00 | 889 / 80 | $3.778,38 | 84 / 16 | $2.847,92 | 84 / 14 |
G.I. Hemorrhage W Mcc | 13 | 108 / 49 | $99.819,10 | 1557 / 112 | $9.470,77 | 230 / 17 | $8.979,69 | 230 / 30 |
G.I. Obstruction W Mcc | 12 | 30 / 13 | $123.294,00 | 531 / 49 | $9.081,00 | 79 / 16 | $8.273,00 | 79 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 81 | $80.978,20 | 2540 / 147 | $6.171,83 | 461 / 43 | $5.163,83 | 459 / 54 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 25 | $47.543,50 | 850 / 51 | $5.350,42 | 118 / 19 | $4.238,42 | 118 / 19 |
Other Vascular Procedures W Cc | 11 | 91 / 37 | $152.602,00 | 1067 / 75 | $14.282,50 | 243 / 20 | $13.622,20 | 243 / 34 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 26 | $135.842,00 | 914 / 74 | $9.200,09 | 186 / 23 | $8.106,27 | 186 / 32 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 54 | $145.560,00 | 1777 / 117 | $11.512,30 | 487 / 60 | $10.465,00 | 482 / 53 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 51 | $343.248,00 | 1543 / 109 | $35.143,70 | 201 / 82 | $26.920,30 | 201 / 26 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 33 | $75.066,20 | 1052 / 88 | $7.138,36 | 94 / 21 | $6.149,27 | 94 / 18 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 35 | $70.451,90 | 999 / 104 | $4.147,09 | 189 / 29 | $3.158,00 | 188 / 35 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 26 | $261.495,00 | 704 / 63 | $25.493,50 | 77 / 12 | $24.725,50 | 77 / 19 | Total 64 procedures | 1.869 | 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.