Hospital Costs > In South Carolina > Palmetto Health Baptist Parkridge, 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 | 11 | 264 / 40 | $26.415,60 | 1967 / 38 | $3.693,64 | 1 / 1 | $2.220,82 | 1 / 1 |
Heart Failure & Shock W Mcc | 15 | 269 / 40 | $43.887,90 | 1811 / 36 | $6.885,27 | 13 / 1 | $6.236,73 | 13 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 37 | $66.969,20 | 1912 / 32 | $12.159,70 | 3 / 8 | $6.898,04 | 3 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 24 | 492 / 41 | $76.017,60 | 2377 / 47 | $9.920,33 | 308 / 4 | $9.185,62 | 308 / 7 |
Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 25 | $213.924,00 | 1302 / 23 | $31.815,20 | 1106 / 23 | $28.324,30 | 1101 / 25 | Total 5 procedures | 90 | 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.