Hospital Costs > In Florida > Osceola Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 28 | 63 / 23 | $56.728,20 | 1262 / 81 | $7.367,82 | 763 / 78 | $6.044,89 | 761 / 77 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 52 | 73 / 17 | $81.478,60 | 1570 / 91 | $11.111,80 | 744 / 87 | $9.575,71 | 743 / 80 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 13 | $58.818,80 | 823 / 63 | $6.574,58 | 424 / 63 | $4.060,42 | 421 / 47 |
| Acute Myocardial Infarction, Expired W Mcc | 11 | 19 / 4 | $113.190,00 | 194 / 11 | $11.591,80 | 97 / 9 | $11.014,40 | 97 / 10 |
| Atherosclerosis W/O Mcc | 16 | 42 / 16 | $40.766,20 | 518 / 55 | $5.151,38 | / 56 | $3.662,12 | / |
| Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 27 | $42.491,40 | 927 / 75 | $6.202,68 | 480 / 64 | $4.733,05 | 476 / 69 |
| Bronchitis & Asthma W/O Cc/Mcc | 16 | 29 / 16 | $37.727,70 | 353 / 49 | $5.528,94 | 138 / 40 | $3.182,44 | 138 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 51 | 110 / 46 | $50.621,10 | 2072 / 140 | $5.569,22 | 1442 / 104 | $4.880,27 | 1437 / 118 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 33 | $62.963,90 | 1716 / 105 | $7.909,97 | 1152 / 84 | $7.484,56 | 1149 / 100 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 56 | 94 / 40 | $34.012,20 | 1850 / 126 | $4.658,27 | 1302 / 115 | $3.171,12 | 1297 / 110 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 12 | 106 / 24 | $274.640,00 | 489 / 33 | $30.046,40 | 130 / 10 | $29.243,80 | 130 / 18 |
| Cellulitis W Mcc | 16 | 42 / 18 | $84.962,80 | 921 / 69 | $9.114,12 | 424 / 42 | $8.396,12 | 422 / 52 |
| Cellulitis W/O Mcc | 72 | 117 / 36 | $35.671,60 | 2312 / 117 | $5.834,03 | 1529 / 107 | $4.759,46 | 1522 / 117 |
| Cervical Spinal Fusion W/O Cc/Mcc | 18 | 86 / 30 | $125.578,00 | 830 / 57 | $16.684,40 | 237 / 54 | $11.291,50 | 237 / 30 |
| Chest Pain | 102 | 52 / 21 | $45.587,80 | 1655 / 136 | $4.581,08 | 1029 / 93 | $3.608,34 | 1023 / 101 |
| Chronic Obstructive Pulmonary Disease W Cc | 69 | 110 / 46 | $57.416,20 | 2341 / 154 | $7.587,85 | 1353 / 138 | $5.321,99 | 1348 / 113 |
| Chronic Obstructive Pulmonary Disease W Mcc | 68 | 134 / 49 | $59.916,70 | 2352 / 132 | $8.097,66 | 1216 / 114 | $6.479,41 | 1210 / 104 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 47 | 73 / 38 | $42.191,40 | 1985 / 141 | $5.535,68 | 1271 / 120 | $4.033,45 | 1261 / 108 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 25 | $92.439,80 | 720 / 56 | $13.166,80 | 156 / 50 | $10.832,30 | 153 / 31 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 72 | 116 / 28 | $76.765,10 | 1547 / 113 | $7.895,50 | 537 / 100 | $5.510,01 | 535 / 67 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 21 | $280.072,00 | 574 / 36 | $27.666,30 | 294 / 18 | $26.592,60 | 294 / 34 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 28 | $46.883,90 | 658 / 56 | $6.086,82 | 332 / 41 | $5.155,91 | 332 / 47 |
| Degenerative Nervous System Disorders W/O Mcc | 22 | 56 / 24 | $47.973,50 | 758 / 73 | $6.588,86 | 427 / 51 | $5.764,14 | 427 / 60 |
| Diabetes W Cc | 25 | 67 / 29 | $50.045,10 | 1537 / 108 | $6.518,24 | 812 / 96 | $4.718,40 | 808 / 83 |
| Diabetes W Mcc | 14 | 43 / 14 | $96.892,90 | 723 / 50 | $9.928,86 | 471 / 42 | $9.168,86 | 471 / 44 |
| Diabetes W/O Cc/Mcc | 12 | 26 / 11 | $27.317,00 | 244 / 23 | $4.596,83 | 124 / 22 | $3.301,92 | 124 / 18 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 24 | $48.697,20 | 856 / 53 | $6.229,38 | 502 / 41 | $5.296,46 | 500 / 53 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 17 | $42.973,80 | 431 / 42 | $4.788,09 | 328 / 32 | $4.124,82 | 327 / 42 |
| Dysequilibrium | 20 | 45 / 23 | $60.293,60 | 560 / 73 | $5.861,85 | 143 / 65 | $2.948,55 | 143 / 38 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 32 | $64.823,20 | 1323 / 100 | $7.858,08 | 735 / 69 | $7.216,08 | 730 / 85 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 139 | 136 / 38 | $47.905,00 | 2626 / 154 | $5.653,27 | 1471 / 125 | $4.107,27 | 1460 / 113 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 21 | 41 / 21 | $41.772,00 | 743 / 85 | $5.126,10 | 388 / 56 | $4.147,81 | 388 / 61 |
| G.I. Hemorrhage W Cc | 57 | 161 / 54 | $48.192,40 | 2125 / 109 | $6.813,33 | 1480 / 106 | $5.939,81 | 1476 / 117 |
| G.I. Hemorrhage W Mcc | 38 | 83 / 25 | $87.615,40 | 1499 / 107 | $10.602,60 | 532 / 69 | $9.747,71 | 533 / 71 |
| G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 28 | $37.910,30 | 901 / 85 | $5.064,00 | 582 / 70 | $3.993,78 | 578 / 74 |
| G.I. Obstruction W Cc | 16 | 76 / 42 | $69.035,80 | 1705 / 130 | $6.507,81 | 904 / 100 | $4.959,25 | 902 / 93 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 32 | $34.788,60 | 1182 / 73 | $4.564,40 | 933 / 69 | $3.760,13 | 930 / 83 |
| Headaches W/O Mcc | 13 | 30 / 10 | $49.786,10 | 224 / 22 | $5.085,62 | 96 / 15 | $3.574,00 | 96 / 14 |
| Heart Failure & Shock W Cc | 69 | 209 / 66 | $47.337,40 | 2506 / 132 | $6.602,68 | 1649 / 107 | $5.935,70 | 1644 / 120 |
| Heart Failure & Shock W Mcc | 110 | 174 / 37 | $70.043,40 | 2345 / 129 | $9.501,53 | 1247 / 102 | $8.647,83 | 1244 / 106 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 37 | $35.823,20 | 1833 / 110 | $4.883,50 | 1358 / 92 | $4.166,50 | 1347 / 102 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 49 | $117.552,00 | 1989 / 131 | $12.124,30 | 1009 / 90 | $11.059,70 | 996 / 97 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 21 | $102.891,00 | 896 / 69 | $10.260,60 | 503 / 48 | $9.278,62 | 501 / 57 |
| Hypertension W/O Mcc | 25 | 40 / 24 | $45.464,20 | 761 / 88 | $4.810,16 | 420 / 65 | $3.490,24 | 418 / 66 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 49 | 75 / 17 | $231.433,00 | 1366 / 79 | $32.718,00 | 439 / 64 | $28.961,00 | 435 / 56 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 50 | 132 / 39 | $76.793,10 | 2020 / 128 | $7.352,86 | 976 / 93 | $5.798,74 | 973 / 83 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 42 | $103.123,00 | 1520 / 100 | $11.446,60 | 706 / 79 | $9.908,14 | 705 / 74 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 40 | $65.722,30 | 1582 / 111 | $6.280,47 | 954 / 90 | $4.238,65 | 950 / 86 |
| Kidney & Urinary Tract Infections W Mcc | 43 | 101 / 40 | $56.882,00 | 1773 / 115 | $7.289,98 | 1006 / 91 | $6.405,72 | 1003 / 96 |
| Kidney & Urinary Tract Infections W/O Mcc | 136 | 97 / 26 | $47.029,80 | 2610 / 155 | $5.602,80 | 1532 / 124 | $4.378,18 | 1521 / 116 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 20 | $100.144,00 | 568 / 58 | $8.679,29 | 237 / 50 | $6.320,86 | 237 / 40 |
| Major Cardiovasc Procedures W Mcc | 15 | 53 / 19 | $184.816,00 | 467 / 35 | $34.590,10 | 51 / 35 | $26.523,60 | 51 / 5 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 40 | $160.271,00 | 909 / 62 | $22.484,30 | 143 / 58 | $17.300,80 | 143 / 18 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 113 | 451 / 73 | $97.949,20 | 2448 / 119 | $14.647,00 | 1066 / 118 | $11.168,30 | 1043 / 96 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 39 | $182.725,00 | 1500 / 100 | $17.505,00 | 519 / 80 | $13.664,60 | 513 / 68 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 31 | $243.433,00 | 1151 / 67 | $28.817,20 | 52 / 35 | $24.135,10 | 52 / 4 |
| Medical Back Problems W/O Mcc | 38 | 83 / 35 | $50.739,80 | 1408 / 126 | $5.976,37 | 876 / 89 | $4.926,68 | 873 / 99 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 29 | $42.712,30 | 1357 / 69 | $7.301,90 | 695 / 66 | $6.379,53 | 692 / 66 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 53 | $38.290,30 | 2340 / 128 | $5.063,07 | 1630 / 109 | $4.229,55 | 1625 / 119 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 16 | $51.543,80 | 419 / 30 | $6.339,82 | 235 / 25 | $5.682,36 | 235 / 27 |
| Other Circulatory System Diagnoses W Mcc | 53 | 63 / 13 | $74.081,40 | 1097 / 67 | $11.596,00 | 216 / 61 | $9.630,25 | 216 / 33 |
| Other Circulatory System O.R. Procedures | 15 | 40 / 15 | $172.424,00 | 436 / 39 | $17.462,70 | 31 / 24 | $13.518,20 | 31 / 4 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 43 | $49.657,90 | 1262 / 91 | $6.564,29 | 832 / 80 | $5.874,00 | 828 / 89 |
| Other Digestive System Diagnoses W Mcc | 14 | 48 / 20 | $86.690,40 | 690 / 55 | $11.055,70 | 41 / 41 | $8.255,79 | 41 / 13 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 19 | $58.505,70 | 590 / 46 | $6.394,57 | 190 / 37 | $4.811,79 | 190 / 29 |
| Other Vascular Procedures W Mcc | 45 | 52 / 12 | $98.578,00 | 588 / 35 | $18.682,90 | 227 / 31 | $18.165,60 | 226 / 43 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 30 | $167.290,00 | 885 / 63 | $20.085,70 | 187 / 49 | $17.054,00 | 186 / 32 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 49 | 147 / 43 | $130.503,00 | 1375 / 94 | $13.414,20 | 629 / 69 | $11.021,90 | 625 / 77 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 24 | 71 / 24 | $132.441,00 | 557 / 58 | $12.869,40 | 163 / 36 | $10.614,60 | 161 / 34 |
| Peripheral Vascular Disorders W Cc | 40 | 44 / 16 | $50.272,60 | 1151 / 104 | $6.955,15 | 569 / 87 | $5.469,30 | 567 / 79 |
| Peripheral Vascular Disorders W Mcc | 18 | 31 / 12 | $58.724,90 | 476 / 42 | $8.571,39 | 238 / 34 | $7.967,83 | 238 / 35 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 20 | $25.281,50 | 296 / 44 | $8.635,92 | 33 / 64 | $2.774,33 | 33 / 13 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 31 | $88.079,90 | 688 / 45 | $15.844,20 | 372 / 49 | $14.980,20 | 371 / 62 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 17 | $183.721,00 | 556 / 45 | $22.675,10 | 263 / 34 | $21.973,80 | 263 / 39 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 18 | 39 / 21 | $77.044,00 | 560 / 41 | $13.334,00 | 369 / 46 | $12.461,20 | 368 / 53 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 20 | $30.298,10 | 756 / 56 | $4.720,44 | 483 / 55 | $3.835,44 | 482 / 55 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 53 | $69.842,60 | 2055 / 123 | $7.975,30 | 1170 / 89 | $7.190,61 | 1168 / 99 |
| Pulmonary Embolism W Mcc | 12 | 31 / 15 | $99.232,50 | 562 / 32 | $10.004,80 | 295 / 25 | $8.892,75 | 295 / 24 |
| Red Blood Cell Disorders W Mcc | 22 | 49 / 22 | $62.118,90 | 968 / 77 | $8.133,59 | 556 / 53 | $7.654,32 | 554 / 67 |
| Red Blood Cell Disorders W/O Mcc | 51 | 92 / 33 | $45.751,30 | 1859 / 138 | $5.639,73 | 1211 / 98 | $4.820,90 | 1203 / 108 |
| Renal Failure W Cc | 59 | 162 / 65 | $50.975,00 | 2263 / 136 | $6.587,81 | 1421 / 106 | $5.641,76 | 1412 / 118 |
| Renal Failure W Mcc | 60 | 135 / 40 | $85.959,80 | 2035 / 147 | $11.250,80 | 1426 / 127 | $10.023,30 | 1426 / 125 |
| Respiratory Signs & Symptoms | 13 | 33 / 16 | $47.525,60 | 303 / 33 | $6.577,92 | 33 / 32 | $3.078,38 | 33 / 12 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 58 | 73 / 14 | $119.280,00 | 1673 / 110 | $14.764,80 | 545 / 80 | $12.569,00 | 537 / 63 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 27 | $205.520,00 | 762 / 56 | $28.723,10 | 222 / 22 | $28.201,00 | 222 / 36 |
| Seizures W/O Mcc | 28 | 80 / 29 | $53.537,80 | 1257 / 104 | $5.619,75 | 625 / 76 | $4.323,82 | 622 / 74 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 25 | $190.856,00 | 711 / 36 | $29.513,50 | 55 / 7 | $28.514,80 | 55 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 190 | 326 / 49 | $102.453,00 | 2657 / 140 | $11.868,50 | 1447 / 104 | $10.938,40 | 1419 / 108 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 49 | $68.266,40 | 2481 / 138 | $7.409,00 | 1450 / 105 | $6.177,00 | 1444 / 110 |
| Signs & Symptoms W/O Mcc | 39 | 52 / 15 | $39.769,40 | 1219 / 100 | $4.988,95 | 755 / 79 | $4.169,26 | 752 / 84 |
| Simple Pneumonia & Pleurisy W Cc | 80 | 123 / 34 | $62.429,80 | 2721 / 154 | $6.587,35 | 1679 / 105 | $5.698,20 | 1672 / 120 |
| Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 53 | $78.273,30 | 2328 / 128 | $9.146,59 | 1367 / 95 | $8.431,11 | 1367 / 113 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 29 | $44.398,20 | 1867 / 122 | $5.089,17 | 1464 / 96 | $4.341,03 | 1456 / 111 |
| Skin Debridement W Mcc | 11 | 6 / 2 | $107.894,00 | 15 / 2 | $14.922,80 | 7 / 1 | $12.714,80 | 7 / 1 |
| Syncope & Collapse | 112 | 57 / 20 | $57.242,30 | 1890 / 141 | $5.252,05 | 1079 / 99 | $4.189,69 | 1072 / 106 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 17 | $309.340,00 | 334 / 20 | $50.800,90 | 61 / 5 | $49.466,00 | 61 / 7 |
| Transient Ischemia | 70 | 55 / 20 | $62.783,90 | 1638 / 130 | $5.894,13 | 945 / 109 | $3.934,69 | 940 / 93 | Total 97 procedures | 3.565 | 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.