Hospital Costs > In Florida > Palmetto General Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 519 | 21 / 5 | $29.907,10 | 472 / 32 | $9.656,01 | 521 / 45 | $8.469,62 | 521 / 46 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 111 | 85 / 13 | $86.040,40 | 982 / 44 | $16.450,70 | 1295 / 99 | $15.322,50 | 1288 / 106 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 102 | 173 / 60 | $39.463,30 | 2465 / 123 | $7.743,67 | 2503 / 155 | $6.548,37 | 2488 / 158 |
Heart Failure & Shock W Mcc | 94 | 190 / 46 | $88.837,50 | 2525 / 155 | $13.749,80 | 2360 / 156 | $12.457,60 | 2350 / 157 |
Kidney & Urinary Tract Infections W/O Mcc | 85 | 148 / 56 | $38.307,00 | 2463 / 128 | $8.078,89 | 2493 / 160 | $6.640,93 | 2482 / 159 |
Chest Pain | 75 | 76 / 30 | $30.871,50 | 1409 / 89 | $6.872,13 | 1564 / 133 | $5.795,68 | 1555 / 134 |
Heart Failure & Shock W Cc | 74 | 204 / 63 | $42.881,10 | 2411 / 121 | $9.543,84 | 2515 / 157 | $8.425,09 | 2509 / 159 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 70 | 446 / 101 | $78.209,20 | 2407 / 100 | $15.230,80 | 2386 / 154 | $14.177,20 | 2343 / 155 |
Transient Ischemia | 68 | 57 / 22 | $41.501,20 | 1471 / 95 | $7.506,06 | 1546 / 126 | $6.265,32 | 1538 / 127 |
Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 47 | $56.402,50 | 2663 / 138 | $9.438,21 | 2598 / 155 | $8.377,18 | 2589 / 157 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 61 | 59 / 26 | $34.133,10 | 1822 / 107 | $7.644,59 | 1971 / 146 | $6.433,03 | 1960 / 148 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 57 | 507 / 96 | $87.083,70 | 2321 / 99 | $17.284,30 | 2310 / 148 | $15.437,60 | 2266 / 149 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 56 | 132 / 37 | $51.294,10 | 1238 / 72 | $10.130,00 | 1483 / 119 | $9.026,04 | 1480 / 121 |
Syncope & Collapse | 56 | 113 / 52 | $34.683,50 | 1575 / 95 | $7.511,73 | 1763 / 135 | $6.518,32 | 1755 / 137 |
Cellulitis W/O Mcc | 48 | 141 / 53 | $36.459,50 | 2333 / 121 | $8.421,00 | 2395 / 155 | $7.124,83 | 2387 / 155 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 49 | $43.670,20 | 2423 / 145 | $7.549,34 | 2357 / 148 | $6.442,89 | 2348 / 150 |
Chronic Obstructive Pulmonary Disease W Cc | 46 | 133 / 64 | $55.212,20 | 2310 / 147 | $9.252,07 | 2225 / 156 | $7.885,37 | 2218 / 156 |
O.R. Procedures For Obesity W/O Cc/Mcc | 46 | 31 / 4 | $52.766,70 | 285 / 9 | $13.312,20 | 355 / 24 | $12.000,50 | 354 / 25 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 41 | 109 / 53 | $31.560,00 | 1799 / 118 | $6.375,98 | 1876 / 134 | $5.184,73 | 1870 / 137 |
Seizures W/O Mcc | 40 | 68 / 20 | $38.584,50 | 1116 / 78 | $7.986,05 | 1175 / 102 | $6.858,55 | 1173 / 104 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 40 | 85 / 28 | $95.878,70 | 1683 / 114 | $15.074,50 | 1593 / 121 | $13.927,20 | 1580 / 120 |
Renal Failure W Cc | 40 | 181 / 77 | $49.138,10 | 2243 / 131 | $9.411,67 | 2241 / 153 | $8.429,40 | 2231 / 155 |
Simple Pneumonia & Pleurisy W Mcc | 39 | 166 / 59 | $84.227,50 | 2376 / 141 | $13.101,90 | 2263 / 148 | $11.796,20 | 2257 / 150 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 39 | 63 / 20 | $53.477,40 | 1524 / 104 | $7.908,67 | 1506 / 107 | $6.856,79 | 1502 / 109 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 38 | 62 / 13 | $177.463,00 | 907 / 67 | $26.169,70 | 840 / 75 | $24.654,20 | 835 / 77 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 38 | 55 / 21 | $45.959,70 | 1879 / 126 | $7.640,76 | 1893 / 131 | $6.618,26 | 1885 / 132 |
G.I. Hemorrhage W/O Cc/Mcc | 37 | 31 / 11 | $38.548,90 | 907 / 86 | $7.507,81 | 942 / 101 | $6.405,68 | 938 / 102 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 76 | $71.688,20 | 2458 / 150 | $11.308,10 | 2396 / 157 | $10.168,50 | 2388 / 158 |
Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 36 | $31.123,00 | 1731 / 93 | $7.261,12 | 1903 / 126 | $6.495,67 | 1890 / 127 |
G.I. Hemorrhage W Cc | 30 | 188 / 76 | $47.550,50 | 2114 / 107 | $9.548,97 | 2192 / 147 | $8.321,90 | 2188 / 149 |
Hypertension W/O Mcc | 28 | 37 / 21 | $26.407,20 | 575 / 49 | $6.923,29 | 720 / 86 | $5.865,68 | 718 / 88 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 56 | $65.395,20 | 1943 / 117 | $9.660,39 | 1784 / 123 | $8.110,04 | 1780 / 122 |
Red Blood Cell Disorders W/O Mcc | 28 | 115 / 55 | $35.868,50 | 1691 / 109 | $8.198,43 | 1819 / 142 | $7.103,86 | 1810 / 144 |
Degenerative Nervous System Disorders W/O Mcc | 27 | 51 / 19 | $43.151,50 | 704 / 62 | $8.867,44 | 694 / 70 | $7.671,07 | 694 / 74 |
Medical Back Problems W/O Mcc | 24 | 97 / 48 | $39.835,20 | 1245 / 96 | $8.498,00 | 1349 / 124 | $7.115,08 | 1344 / 126 |
Signs & Symptoms W/O Mcc | 22 | 69 / 29 | $40.258,10 | 1232 / 106 | $7.413,09 | 1221 / 109 | $6.537,50 | 1218 / 110 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 70 | $43.527,20 | 1971 / 127 | $8.268,14 | 2012 / 141 | $7.126,23 | 2007 / 143 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 48 | $107.066,00 | 1583 / 95 | $18.388,40 | 1461 / 117 | $17.095,90 | 1447 / 121 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 75 | $56.111,70 | 2356 / 114 | $10.142,70 | 2350 / 143 | $8.990,21 | 2340 / 145 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 56 | $93.984,70 | 1837 / 100 | $15.806,20 | 1748 / 132 | $14.370,70 | 1729 / 134 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 32 | $53.359,70 | 1225 / 75 | $9.464,53 | 1270 / 99 | $8.394,11 | 1268 / 100 |
Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 26 | $104.080,00 | 793 / 60 | $20.735,80 | 785 / 81 | $19.309,40 | 781 / 84 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 18 | $37.861,20 | 840 / 72 | $7.162,89 | 806 / 76 | $5.810,33 | 805 / 77 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 41 | $59.435,50 | 1589 / 103 | $10.460,90 | 1456 / 105 | $9.099,18 | 1453 / 104 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 17 | 29 / 14 | $41.125,30 | 340 / 38 | $7.423,59 | 356 / 52 | $5.904,06 | 355 / 51 |
Renal Failure W Mcc | 16 | 179 / 78 | $65.972,50 | 1843 / 111 | $13.566,20 | 1743 / 143 | $11.419,40 | 1740 / 142 |
Other Vascular Procedures W Cc | 16 | 86 / 32 | $119.206,00 | 969 / 57 | $18.697,40 | 804 / 70 | $17.392,80 | 799 / 76 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 54 | $101.870,00 | 1513 / 99 | $14.747,10 | 1356 / 101 | $13.540,20 | 1350 / 103 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 66 | $59.206,90 | 1803 / 122 | $10.147,50 | 1767 / 136 | $9.286,87 | 1763 / 136 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 31 | $41.884,10 | 918 / 73 | $8.723,20 | 976 / 97 | $7.554,00 | 972 / 97 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 23 | $240.665,00 | 845 / 67 | $38.790,60 | 697 / 65 | $37.074,70 | 696 / 69 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 16 | $475.326,00 | 494 / 43 | $79.767,90 | 380 / 36 | $75.271,10 | 379 / 40 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 24 | $68.042,00 | 495 / 35 | $17.114,50 | 608 / 66 | $15.784,20 | 607 / 66 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 27 | $109.546,00 | 823 / 67 | $14.504,80 | 807 / 80 | $12.975,90 | 803 / 80 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 42 | $62.885,10 | 968 / 54 | $15.318,90 | 1067 / 97 | $14.115,50 | 1060 / 101 |
Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 17 | $35.056,20 | 358 / 61 | $7.355,73 | 370 / 62 | $6.210,60 | 370 / 63 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W/O Cc/Mcc | 13 | 2 / 1 | $70.711,10 | 4 / 1 | $12.677,30 | 4 / 1 | $11.315,50 | 4 / 1 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 13 | 68 / 17 | $586.515,00 | 314 / 26 | $120.947,00 | 237 / 28 | $114.943,00 | 236 / 31 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 52 | $103.627,00 | 1670 / 100 | $16.666,60 | 1581 / 111 | $15.092,50 | 1565 / 112 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 27 | $32.490,60 | 637 / 58 | $7.591,69 | 733 / 87 | $6.480,46 | 731 / 89 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 13 | 35 / 11 | $34.811,90 | 73 / 2 | $12.584,00 | 186 / 15 | $11.342,20 | 185 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 42 | $77.801,20 | 1404 / 109 | $10.671,50 | 1137 / 106 | $8.887,62 | 1132 / 104 |
G.I. Obstruction W Cc | 13 | 79 / 45 | $43.957,80 | 1516 / 94 | $8.563,08 | 1595 / 124 | $7.429,92 | 1590 / 126 |
Organic Disturbances & Mental Retardation | 12 | 47 / 26 | $46.414,20 | 480 / 49 | $9.627,83 | 469 / 52 | $8.583,17 | 469 / 53 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 54 | $66.952,90 | 1755 / 109 | $11.153,90 | 1707 / 121 | $9.978,42 | 1704 / 122 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 62 | $61.022,80 | 1950 / 106 | $11.222,30 | 2017 / 138 | $10.318,00 | 2011 / 140 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 25 | $33.318,50 | 733 / 45 | $7.340,58 | 736 / 56 | $6.262,33 | 735 / 57 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 45 | $55.153,50 | 1321 / 102 | $9.397,75 | 1290 / 113 | $8.367,25 | 1286 / 112 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 40 | $77.017,40 | 889 / 57 | $9.857,73 | 876 / 64 | $8.530,27 | 873 / 65 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 34 | $88.611,80 | 400 / 29 | $16.168,20 | 479 / 53 | $14.907,10 | 475 / 61 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 42 | $40.637,10 | 1019 / 77 | $9.372,09 | 1111 / 106 | $8.219,18 | 1108 / 108 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 33 | $252.255,00 | 904 / 61 | $42.631,40 | 682 / 67 | $40.666,60 | 681 / 68 |
Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 21 | $51.787,40 | 419 / 42 | $9.569,18 | 396 / 45 | $8.645,00 | 396 / 48 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 26 | $78.082,90 | 830 / 59 | $13.490,60 | 801 / 71 | $12.254,70 | 798 / 71 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 20 | $44.830,50 | 772 / 53 | $7.239,09 | 795 / 65 | $6.464,09 | 791 / 68 |
Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 42 | $133.638,00 | 812 / 44 | $25.255,20 | 762 / 69 | $23.839,70 | 761 / 70 |
Seizures W Mcc | 11 | 55 / 24 | $79.337,40 | 672 / 55 | $12.985,90 | 584 / 60 | $11.884,50 | 584 / 62 |
G.I. Hemorrhage W Mcc | 11 | 110 / 51 | $69.916,70 | 1342 / 83 | $14.701,10 | 1384 / 111 | $13.682,20 | 1374 / 112 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 11 | 18 / 6 | $46.726,10 | 102 / 11 | $7.860,82 | 93 / 12 | $6.648,55 | 93 / 12 | Total 79 procedures | 2.894 | 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.