Hospital Costs > In Florida > Palm Springs General Hospital, 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 | 20 | 71 / 31 | $31.434,10 | 796 / 25 | $7.444,25 | 1032 / 82 | $6.811,45 | 1030 / 90 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 41 | $45.842,80 | 1016 / 36 | $11.615,50 | 1143 / 95 | $10.822,60 | 1138 / 100 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 78 | $25.345,30 | 1417 / 61 | $6.038,14 | 1590 / 120 | $5.178,71 | 1585 / 125 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 76 | $26.276,00 | 1662 / 94 | $4.610,29 | 1578 / 113 | $3.682,29 | 1572 / 120 |
Cellulitis W/O Mcc | 72 | 117 / 36 | $18.576,10 | 1308 / 21 | $6.367,68 | 1952 / 129 | $5.459,68 | 1944 / 133 |
Chronic Obstructive Pulmonary Disease W Cc | 64 | 115 / 50 | $29.205,50 | 1681 / 58 | $6.930,36 | 1780 / 125 | $6.038,11 | 1773 / 132 |
Chronic Obstructive Pulmonary Disease W Mcc | 69 | 133 / 48 | $30.963,30 | 1533 / 39 | $8.358,83 | 1816 / 127 | $7.460,28 | 1808 / 131 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 40 | 80 / 45 | $19.783,80 | 1246 / 39 | $5.586,48 | 1598 / 122 | $4.649,67 | 1587 / 124 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 75 | $38.904,60 | 916 / 38 | $7.759,82 | 1195 / 96 | $6.994,73 | 1192 / 107 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 69 | 206 / 82 | $21.696,90 | 1583 / 34 | $5.754,65 | 2062 / 128 | $4.911,99 | 2048 / 135 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 29 | $19.566,70 | 365 / 16 | $5.841,91 | 519 / 72 | $4.640,45 | 517 / 71 |
G.I. Hemorrhage W Cc | 37 | 181 / 69 | $29.078,50 | 1507 / 45 | $7.346,65 | 1807 / 124 | $6.659,95 | 1803 / 129 |
G.I. Hemorrhage W Mcc | 23 | 98 / 39 | $44.918,40 | 864 / 33 | $11.800,60 | 945 / 91 | $11.004,10 | 939 / 95 |
G.I. Hemorrhage W/O Cc/Mcc | 26 | 42 / 21 | $23.309,20 | 665 / 42 | $5.473,85 | 757 / 82 | $4.638,15 | 753 / 87 |
G.I. Obstruction W Cc | 18 | 74 / 40 | $25.212,30 | 1003 / 34 | $6.594,06 | 1238 / 102 | $5.682,06 | 1234 / 109 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 36 | $20.885,20 | 858 / 30 | $4.938,73 | 958 / 78 | $3.836,18 | 955 / 84 |
Heart Failure & Shock W Cc | 39 | 239 / 86 | $26.095,90 | 1753 / 63 | $7.264,33 | 2088 / 131 | $6.707,21 | 2082 / 137 |
Heart Failure & Shock W Mcc | 53 | 231 / 74 | $38.452,10 | 1580 / 48 | $10.436,30 | 1781 / 128 | $9.661,66 | 1776 / 131 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 50 | $21.119,40 | 1369 / 56 | $5.339,67 | 1633 / 105 | $4.802,78 | 1620 / 110 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 61 | $63.132,60 | 1431 / 53 | $13.259,40 | 1429 / 113 | $12.482,30 | 1411 / 119 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 42 | $98.889,70 | 477 / 12 | $33.811,40 | 813 / 71 | $32.894,60 | 807 / 84 |
Kidney & Urinary Tract Infections W/O Mcc | 120 | 113 / 38 | $22.810,90 | 1828 / 57 | $5.931,20 | 2057 / 134 | $5.118,53 | 2046 / 139 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 30 | $35.115,20 | 752 / 47 | $8.324,50 | 800 / 80 | $7.784,06 | 798 / 83 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 12 | 17 / 11 | $26.554,50 | 91 / 16 | $6.183,33 | 97 / 19 | $5.479,33 | 96 / 22 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 119 | $69.954,60 | 1992 / 63 | $14.316,70 | 1888 / 110 | $13.185,40 | 1846 / 132 |
Medical Back Problems W/O Mcc | 20 | 101 / 52 | $26.161,20 | 881 / 44 | $6.405,75 | 1078 / 100 | $5.486,55 | 1075 / 108 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 37 | $29.883,40 | 860 / 37 | $7.114,60 | 1039 / 93 | $6.633,00 | 1035 / 97 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $32.495,50 | 203 / 3 | $11.323,60 | 363 / 44 | $10.555,60 | 362 / 48 |
Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 18 | $19.247,10 | 153 / 8 | $5.311,33 | 243 / 45 | $4.303,33 | 243 / 45 |
Other Vascular Procedures W Cc | 19 | 83 / 30 | $52.854,30 | 248 / 4 | $16.577,30 | 642 / 59 | $15.876,70 | 639 / 68 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 42 | $23.164,00 | 546 / 25 | $7.127,55 | 933 / 90 | $6.795,91 | 930 / 96 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 21 | $25.559,90 | 297 / 45 | $5.311,36 | 303 / 54 | $4.656,82 | 303 / 57 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 54 | $33.070,10 | 1205 / 33 | $8.665,05 | 1527 / 107 | $7.899,95 | 1522 / 115 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 62 | $18.058,60 | 720 / 18 | $6.106,15 | 1502 / 116 | $5.499,75 | 1493 / 123 |
Renal Failure W Cc | 86 | 135 / 42 | $27.611,60 | 1585 / 56 | $7.113,42 | 1806 / 127 | $6.417,14 | 1796 / 133 |
Renal Failure W Mcc | 43 | 152 / 56 | $37.801,30 | 1192 / 36 | $10.559,80 | 1398 / 112 | $9.941,35 | 1398 / 123 |
Renal Failure W/O Cc/Mcc | 25 | 31 / 17 | $20.820,50 | 577 / 31 | $5.035,76 | 632 / 59 | $4.069,36 | 631 / 62 |
Respiratory Infections & Inflammations W Cc | 23 | 65 / 28 | $41.702,30 | 998 / 37 | $9.663,83 | 1052 / 81 | $8.873,57 | 1047 / 85 |
Respiratory Infections & Inflammations W Mcc | 22 | 114 / 43 | $45.414,40 | 944 / 16 | $13.489,40 | 1311 / 92 | $12.997,70 | 1296 / 98 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 51 | $63.535,50 | 995 / 35 | $15.176,10 | 1074 / 89 | $14.466,50 | 1064 / 105 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 27 | $128.417,00 | 437 / 20 | $33.952,80 | 542 / 54 | $33.403,00 | 541 / 62 |
Seizures W/O Mcc | 13 | 95 / 43 | $19.747,30 | 543 / 17 | $5.855,77 | 880 / 82 | $5.016,38 | 877 / 87 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 93 | 423 / 89 | $50.455,80 | 1800 / 46 | $12.726,10 | 1926 / 124 | $12.124,70 | 1891 / 133 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 67 | $31.381,00 | 1695 / 49 | $7.739,00 | 1883 / 120 | $7.007,57 | 1875 / 125 |
Simple Pneumonia & Pleurisy W Cc | 103 | 100 / 24 | $29.604,80 | 1927 / 54 | $7.186,74 | 2092 / 127 | $6.364,06 | 2084 / 132 |
Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 53 | $36.062,20 | 1411 / 27 | $10.126,50 | 1736 / 122 | $9.225,26 | 1736 / 126 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 29 | $24.649,30 | 1432 / 62 | $5.514,52 | 1508 / 106 | $4.471,76 | 1500 / 112 |
Transient Ischemia | 12 | 113 / 71 | $21.142,70 | 746 / 23 | $5.488,00 | 1157 / 101 | $4.381,33 | 1151 / 103 |
Transurethral Prostatectomy W Cc/Mcc | 11 | 13 / 5 | $45.592,90 | 26 / 2 | $9.662,27 | 31 / 4 | $8.888,45 | 31 / 5 | Total 49 procedures | 1.546 | 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.