Hospital Costs > In Florida > Poinciana Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 88 | $39.621,00 | 2486 / 132 | $3.973,93 | 104 / 4 | $3.120,98 | 104 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 106 | $37.974,90 | 2427 / 117 | $3.961,48 | 135 / 6 | $3.010,21 | 135 / 19 |
| Chest Pain | 30 | 121 / 59 | $43.137,50 | 1634 / 134 | $3.212,10 | 89 / 5 | $2.327,83 | 89 / 18 |
| Heart Failure & Shock W Mcc | 20 | 264 / 95 | $56.417,80 | 2135 / 96 | $7.748,70 | 117 / 7 | $7.023,90 | 117 / 11 |
| Syncope & Collapse | 20 | 149 / 83 | $48.359,10 | 1829 / 135 | $3.873,40 | 46 / 7 | $2.846,20 | 46 / 10 |
| Renal Failure W Mcc | 19 | 176 / 75 | $43.439,80 | 1395 / 57 | $8.156,74 | 235 / 16 | $7.601,79 | 235 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 128 | $66.357,50 | 2232 / 82 | $9.055,00 | 28 / 1 | $8.160,63 | 28 / 1 |
| Heart Failure & Shock W Cc | 19 | 259 / 103 | $63.733,30 | 2692 / 162 | $5.324,63 | 302 / 21 | $4.689,74 | 302 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 77 | $38.810,30 | 1912 / 136 | $2.958,25 | 118 / 2 | $1.972,25 | 118 / 21 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 65 | $43.666,20 | 1580 / 87 | $5.740,75 | 15 / 4 | $4.563,75 | 15 / 2 |
| Cellulitis W/O Mcc | 14 | 175 / 82 | $33.897,10 | 2267 / 110 | $4.208,43 | 179 / 2 | $3.520,43 | 179 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 96 | $50.801,30 | 2205 / 104 | $6.002,29 | 122 / 4 | $5.222,86 | 122 / 9 |
| Renal Failure W Cc | 12 | 209 / 100 | $37.045,00 | 1959 / 92 | $5.159,50 | 289 / 15 | $4.526,17 | 287 / 38 |
| Seizures W/O Mcc | 12 | 96 / 44 | $44.416,20 | 1182 / 96 | $4.051,00 | 78 / 5 | $3.245,67 | 78 / 15 | Total 14 procedures | 286 | 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.