Hospital Costs > In South Carolina > Palmetto Health Baptist, 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 | 251 | 313 / 13 | $68.986,30 | 1961 / 33 | $14.049,90 | 652 / 29 | $10.551,00 | 644 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 77 | 198 / 15 | $29.610,00 | 2143 / 40 | $6.085,90 | 1863 / 43 | $4.571,42 | 1849 / 43 |
| Spinal Fusion Except Cervical W/O Mcc | 67 | 127 / 11 | $129.756,00 | 1005 / 17 | $27.325,20 | 717 / 19 | $23.323,10 | 713 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 14 | $38.843,40 | 2474 / 48 | $6.115,86 | 1979 / 44 | $4.965,80 | 1968 / 44 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 60 | 456 / 31 | $82.781,00 | 2465 / 49 | $14.474,50 | 2043 / 48 | $12.527,20 | 2006 / 46 |
| Heart Failure & Shock W Cc | 58 | 220 / 19 | $48.327,00 | 2520 / 48 | $7.409,34 | 1949 / 43 | $6.414,12 | 1944 / 44 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 55 | 111 / 12 | $33.038,90 | 2213 / 43 | $5.983,84 | 1602 / 42 | $4.181,16 | 1597 / 39 |
| Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 17 | $49.495,00 | 2547 / 49 | $8.087,96 | 1668 / 48 | $5.686,06 | 1661 / 43 |
| Renal Failure W Cc | 50 | 171 / 20 | $44.965,20 | 2149 / 44 | $7.428,24 | 1576 / 40 | $5.883,74 | 1567 / 41 |
| G.I. Hemorrhage W Cc | 48 | 170 / 20 | $32.203,90 | 1670 / 35 | $8.095,06 | 1244 / 40 | $5.638,38 | 1241 / 35 |
| Major Small & Large Bowel Procedures W Cc | 46 | 62 / 7 | $95.934,10 | 1183 / 18 | $23.860,30 | 957 / 23 | $15.557,30 | 946 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 20 | $52.647,80 | 2307 / 43 | $8.397,22 | 1844 / 40 | $6.898,30 | 1836 / 41 |
| Red Blood Cell Disorders W/O Mcc | 39 | 104 / 18 | $31.253,90 | 1551 / 32 | $6.349,26 | 1111 / 34 | $4.669,97 | 1104 / 33 |
| Cellulitis W/O Mcc | 37 | 152 / 16 | $40.002,40 | 2410 / 45 | $7.421,81 | 1436 / 44 | $4.655,14 | 1429 / 40 |
| Syncope & Collapse | 36 | 133 / 14 | $39.047,20 | 1679 / 32 | $5.694,28 | 1300 / 28 | $4.592,97 | 1293 / 29 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 13 | $41.764,90 | 1339 / 25 | $7.719,50 | 891 / 20 | $6.776,78 | 888 / 22 |
| Heart Failure & Shock W Mcc | 34 | 250 / 31 | $117.838,00 | 2597 / 48 | $18.136,90 | 2569 / 48 | $16.185,80 | 2558 / 48 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 33 | 155 / 18 | $40.785,90 | 972 / 20 | $8.155,12 | 635 / 20 | $5.639,39 | 633 / 15 |
| Major Small & Large Bowel Procedures W Mcc | 33 | 52 / 6 | $279.537,00 | 1217 / 18 | $53.811,80 | 1248 / 19 | $50.908,20 | 1245 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 21 | $38.261,80 | 1464 / 34 | $7.701,81 | 1151 / 35 | $6.070,44 | 1148 / 34 |
| Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 20 | $49.758,90 | 2242 / 42 | $8.053,87 | 1722 / 41 | $5.910,45 | 1715 / 38 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 29 | $101.724,00 | 2464 / 44 | $14.730,90 | 2393 / 43 | $13.343,10 | 2387 / 44 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 30 | $73.271,90 | 2469 / 45 | $10.389,30 | 2236 / 44 | $9.006,96 | 2228 / 44 |
| Signs & Symptoms W/O Mcc | 25 | 66 / 10 | $28.557,50 | 1000 / 19 | $5.769,44 | 731 / 19 | $4.108,28 | 728 / 18 |
| Renal Failure W Mcc | 24 | 171 / 28 | $61.825,70 | 1780 / 37 | $11.109,10 | 1396 / 31 | $9.938,38 | 1396 / 33 |
| Chest Pain | 24 | 127 / 12 | $39.302,80 | 1584 / 27 | $7.747,92 | 1493 / 28 | $5.204,21 | 1484 / 27 |
| Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 19 | $79.289,40 | 1697 / 33 | $12.848,10 | 1202 / 26 | $11.641,40 | 1188 / 29 |
| Peripheral Vascular Disorders W Cc | 23 | 61 / 5 | $43.233,80 | 1063 / 20 | $7.055,52 | 763 / 13 | $6.063,52 | 760 / 15 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 31 | $72.252,00 | 2073 / 43 | $12.026,90 | 2081 / 42 | $10.996,00 | 2075 / 44 |
| Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 22 | 10 / 3 | $27.593,90 | 39 / 1 | $7.963,95 | 65 / 1 | $6.750,95 | 65 / 1 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 22 | 42 / 6 | $47.386,10 | 425 / 8 | $11.547,80 | 355 / 15 | $8.870,32 | 355 / 12 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 14 | $82.191,20 | 1163 / 21 | $15.097,50 | 1088 / 20 | $14.371,00 | 1080 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 18 | $30.708,10 | 1129 / 29 | $5.722,76 | 1112 / 27 | $4.604,52 | 1108 / 29 |
| Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 14 | $84.914,40 | 696 / 16 | $16.857,70 | 133 / 18 | $10.623,80 | 133 / 5 |
| Medical Back Problems W/O Mcc | 20 | 101 / 10 | $26.761,40 | 907 / 15 | $6.849,65 | 781 / 20 | $4.713,75 | 778 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 21 | $41.326,20 | 1931 / 36 | $6.340,05 | 1604 / 35 | $5.205,00 | 1599 / 35 |
| Transient Ischemia | 19 | 106 / 19 | $33.308,30 | 1286 / 27 | $5.547,05 | 1008 / 24 | $4.052,95 | 1003 / 25 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 18 | $115.846,00 | 1720 / 33 | $15.776,50 | 1555 / 31 | $14.728,10 | 1539 / 32 |
| Diabetes W Cc | 19 | 73 / 18 | $60.295,60 | 1590 / 30 | $9.399,37 | 1497 / 29 | $7.765,58 | 1492 / 30 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 25 | $65.387,70 | 1860 / 36 | $8.594,84 | 1414 / 32 | $7.358,74 | 1410 / 32 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 6 | $78.325,60 | 719 / 16 | $11.088,90 | 549 / 9 | $9.847,74 | 547 / 14 |
| Transurethral Procedures W Cc | 18 | 23 / 3 | $40.661,00 | 226 / 3 | $8.606,83 | 150 / 5 | $6.917,00 | 150 / 4 |
| Red Blood Cell Disorders W Mcc | 18 | 53 / 11 | $44.327,80 | 747 / 18 | $8.452,94 | 491 / 13 | $7.470,39 | 489 / 17 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 22 | $34.851,30 | 1842 / 39 | $5.621,28 | 1512 / 36 | $4.446,89 | 1501 / 37 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 8 | $41.940,10 | 496 / 8 | $8.601,88 | 289 / 11 | $5.553,88 | 288 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 17 | 30 / 2 | $49.595,20 | 411 / 9 | $8.259,88 | 357 / 10 | $7.010,59 | 356 / 11 |
| Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 16 | 11 / 1 | $38.561,20 | 29 / 1 | $7.337,06 | 18 / 1 | $6.065,62 | 18 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 10 | $18.971,60 | 780 / 19 | $5.264,56 | 877 / 24 | $3.593,75 | 874 / 24 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 11 | $38.462,80 | 1102 / 17 | $7.893,93 | 602 / 18 | $5.404,73 | 599 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 11 | $66.089,90 | 1044 / 18 | $12.231,90 | 787 / 18 | $7.701,80 | 785 / 15 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 18 | $220.597,00 | 1331 / 24 | $42.796,70 | 1248 / 24 | $40.079,90 | 1238 / 26 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 14 | $73.565,40 | 1359 / 25 | $10.855,40 | 1170 / 23 | $9.515,14 | 1165 / 23 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 14 | 30 / 7 | $85.758,70 | 253 / 5 | $17.957,40 | 100 / 5 | $15.069,40 | 99 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 23 | $81.376,90 | 1568 / 28 | $12.239,40 | 1233 / 25 | $11.150,10 | 1224 / 27 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $42.117,10 | 1082 / 24 | $7.538,86 | 688 / 19 | $5.536,43 | 685 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 27 | $20.979,00 | 1449 / 32 | $4.697,57 | 1437 / 31 | $3.375,57 | 1431 / 33 |
| G.I. Obstruction W Cc | 14 | 78 / 16 | $32.655,40 | 1281 / 22 | $6.833,36 | 869 / 22 | $4.909,14 | 867 / 19 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 13 | 64 / 6 | $55.359,60 | 302 / 5 | $10.140,50 | 209 / 5 | $8.942,08 | 209 / 7 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 11 | $21.165,20 | 598 / 12 | $6.681,31 | 335 / 17 | $3.447,77 | 332 / 8 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 13 | 33 / 2 | $282.320,00 | 87 / 1 | $53.541,20 | 67 / 1 | $52.140,80 | 67 / 1 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 13 | 35 / 4 | $52.306,50 | 162 / 5 | $9.680,00 | 102 / 2 | $8.615,54 | 102 / 3 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 13 | 27 / 3 | $46.722,80 | 81 / 2 | $9.770,62 | 61 / 1 | $8.566,31 | 61 / 3 |
| Digestive Malignancy W Cc | 13 | 34 / 3 | $35.112,20 | 193 / 5 | $8.320,69 | 150 / 5 | $7.239,92 | 148 / 7 |
| Psychoses | 12 | 263 / 4 | $32.315,20 | 499 / 7 | $9.684,33 | 3 / 6 | $3.705,25 | 3 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 14 | $88.174,10 | 700 / 15 | $13.548,00 | 431 / 12 | $12.442,20 | 425 / 14 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 12 | 22 / 5 | $299.919,00 | 184 / 8 | $55.531,50 | 189 / 8 | $49.772,20 | 189 / 8 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 24 | $42.566,20 | 787 / 12 | $11.228,20 | 803 / 17 | $10.546,80 | 800 / 22 |
| Other Circulatory System O.R. Procedures | 11 | 44 / 9 | $67.942,80 | 211 / 7 | $17.025,40 | 148 / 8 | $15.967,40 | 148 / 8 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 11 | $213.689,00 | 648 / 12 | $44.649,90 | 596 / 11 | $36.988,80 | 596 / 12 |
| Seizures W/O Mcc | 11 | 97 / 18 | $46.228,60 | 1195 / 21 | $7.195,55 | 1135 / 19 | $6.492,18 | 1133 / 21 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 9 | $43.406,60 | 800 / 11 | $5.476,91 | 468 / 9 | $4.333,91 | 467 / 9 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 15 | $123.215,00 | 753 / 11 | $20.828,50 | 90 / 6 | $16.850,90 | 90 / 4 |
| Peritoneal Adhesiolysis W Cc | 11 | 28 / 5 | $148.597,00 | 282 / 8 | $25.178,40 | 281 / 7 | $22.859,20 | 281 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 25 | $93.194,40 | 1439 / 28 | $16.848,50 | 1338 / 29 | $15.993,40 | 1325 / 31 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 21 | $31.984,50 | 1668 / 34 | $5.506,00 | 1332 / 27 | $4.103,36 | 1324 / 31 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 2 | $27.391,20 | 255 / 1 | $5.542,09 | 190 / 4 | $3.674,55 | 189 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 24 | $126.799,00 | 1588 / 28 | $20.543,60 | 1580 / 28 | $19.062,40 | 1573 / 28 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 8 | $57.120,40 | 279 / 5 | $13.050,60 | 96 / 7 | $5.982,18 | 96 / 4 | Total 78 procedures | 2.119 | 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.