Hospital Costs > In Florida > Raulerson Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Mcc | 93 | 109 / 31 | $50.254,60 | 2189 / 102 | $8.122,14 | 1335 / 117 | $6.617,95 | 1329 / 109 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 87 | 188 / 71 | $35.517,40 | 2369 / 109 | $5.174,20 | 896 / 104 | $3.691,18 | 891 / 84 |
Chest Pain | 84 | 67 / 26 | $31.362,60 | 1426 / 95 | $4.265,00 | 420 / 85 | $2.849,75 | 418 / 58 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 81 | 435 / 96 | $83.808,60 | 2474 / 108 | $13.952,00 | 1862 / 138 | $11.926,20 | 1827 / 129 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 79 | 41 / 14 | $35.844,00 | 1869 / 116 | $4.820,48 | 918 / 87 | $3.664,84 | 910 / 90 |
Chronic Obstructive Pulmonary Disease W Cc | 71 | 108 / 45 | $44.974,10 | 2164 / 117 | $6.400,00 | 1268 / 111 | $5.239,75 | 1263 / 107 |
Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 73 | $36.610,80 | 2427 / 122 | $5.105,73 | 1542 / 101 | $4.385,21 | 1531 / 117 |
Heart Failure & Shock W Cc | 60 | 218 / 72 | $41.775,50 | 2377 / 116 | $6.489,00 | 1546 / 100 | $5.822,87 | 1541 / 115 |
Cellulitis W/O Mcc | 60 | 129 / 43 | $40.361,30 | 2418 / 135 | $5.650,38 | 1117 / 101 | $4.362,18 | 1111 / 96 |
Heart Failure & Shock W Mcc | 57 | 227 / 72 | $55.456,50 | 2115 / 94 | $10.804,60 | 1457 / 132 | $8.963,35 | 1453 / 115 |
Syncope & Collapse | 53 | 116 / 55 | $39.156,80 | 1681 / 104 | $4.814,08 | 750 / 81 | $3.800,89 | 747 / 87 |
Atherosclerosis W/O Mcc | 40 | 18 / 2 | $28.566,90 | 429 / 39 | $3.955,23 | / 35 | $3.112,82 | / |
Acute Myocardial Infarction, Discharged Alive W Mcc | 38 | 87 / 30 | $73.859,50 | 1496 / 76 | $14.107,60 | 983 / 116 | $10.258,00 | 981 / 95 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 60 | $52.590,00 | 2305 / 106 | $7.420,36 | 1401 / 106 | $6.113,97 | 1396 / 107 |
G.I. Hemorrhage W Cc | 33 | 185 / 73 | $54.329,40 | 2240 / 127 | $6.958,42 | 1329 / 110 | $5.727,15 | 1326 / 109 |
Transient Ischemia | 32 | 93 / 51 | $36.106,10 | 1350 / 79 | $4.749,72 | 660 / 72 | $3.539,44 | 656 / 78 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 31 | 533 / 109 | $69.187,20 | 1974 / 62 | $14.523,70 | 1673 / 115 | $12.488,50 | 1636 / 123 |
Angina Pectoris | 31 | 1 / 1 | $30.628,40 | 51 / 8 | $3.719,84 | 15 / 6 | $2.707,19 | 15 / 7 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 63 | $28.263,00 | 1711 / 103 | $3.964,87 | 611 / 83 | $2.525,65 | 607 / 74 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 64 | $27.562,50 | 2026 / 87 | $4.575,83 | 1374 / 86 | $3.950,17 | 1369 / 102 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 77 | $45.447,00 | 2472 / 111 | $6.394,14 | 1542 / 94 | $5.558,83 | 1536 / 113 |
Respiratory Infections & Inflammations W Mcc | 26 | 110 / 39 | $80.940,00 | 1515 / 71 | $13.249,30 | 1277 / 88 | $12.833,30 | 1262 / 96 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 66 | $38.553,50 | 1878 / 112 | $5.359,31 | 671 / 91 | $3.980,69 | 668 / 78 |
Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 58 | $51.302,50 | 1700 / 104 | $7.382,08 | 1088 / 97 | $6.548,16 | 1084 / 100 |
Renal Failure W Cc | 24 | 197 / 91 | $37.047,10 | 1960 / 93 | $6.304,17 | 1424 / 97 | $5.648,17 | 1415 / 119 |
Respiratory Infections & Inflammations W Cc | 23 | 65 / 28 | $61.874,00 | 1268 / 64 | $9.105,78 | 989 / 73 | $8.631,35 | 984 / 81 |
Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 29 | $44.164,60 | 1101 / 57 | $8.636,23 | 516 / 91 | $5.489,14 | 515 / 61 |
Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 47 | $33.585,60 | 1794 / 105 | $5.222,00 | 530 / 102 | $3.328,91 | 528 / 57 |
Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 75 | $74.773,70 | 2294 / 121 | $9.934,82 | 1328 / 119 | $8.365,09 | 1328 / 110 |
Medical Back Problems W/O Mcc | 21 | 100 / 51 | $31.833,80 | 1078 / 69 | $6.489,43 | 549 / 102 | $4.300,86 | 547 / 69 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 55 | $69.252,40 | 2050 / 120 | $7.954,20 | 1202 / 87 | $7.231,00 | 1200 / 100 |
G.I. Hemorrhage W/O Cc/Mcc | 20 | 48 / 26 | $32.462,30 | 840 / 71 | $5.022,00 | 299 / 68 | $3.355,75 | 297 / 52 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 38 | $47.713,40 | 1111 / 62 | $7.840,41 | 379 / 68 | $6.395,65 | 377 / 54 |
Seizures W/O Mcc | 17 | 91 / 40 | $33.215,10 | 1030 / 66 | $4.954,12 | 591 / 56 | $4.238,82 | 588 / 72 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 66 | $54.030,40 | 1806 / 96 | $7.041,65 | 1139 / 84 | $6.053,41 | 1136 / 91 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 49 | $53.646,40 | 1605 / 84 | $7.891,53 | 975 / 82 | $7.092,47 | 972 / 90 |
Signs & Symptoms W/O Mcc | 15 | 76 / 36 | $40.169,50 | 1230 / 104 | $4.509,93 | 598 / 61 | $3.863,53 | 597 / 74 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 33 | $45.063,70 | 900 / 62 | $7.661,27 | 592 / 66 | $6.954,07 | 590 / 73 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 53 | $106.159,00 | 1569 / 92 | $15.088,00 | 1038 / 87 | $14.290,10 | 1028 / 102 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 27 | $39.146,10 | 719 / 78 | $4.938,31 | 306 / 48 | $3.911,85 | 306 / 57 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 44 | $47.244,70 | 1229 / 86 | $6.883,31 | 484 / 85 | $5.174,46 | 481 / 62 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 32 | $38.290,00 | 653 / 46 | $6.522,15 | 328 / 50 | $5.380,92 | 328 / 52 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 18 | $31.277,70 | 603 / 30 | $4.935,46 | 463 / 38 | $4.189,62 | 460 / 51 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 27 | $67.204,30 | 851 / 61 | $9.597,50 | 174 / 52 | $7.140,50 | 173 / 24 |
Hypertension W/O Mcc | 12 | 53 / 37 | $26.048,20 | 568 / 48 | $4.049,00 | 293 / 41 | $3.145,00 | 291 / 53 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 22 | $69.618,60 | 632 / 47 | $11.387,00 | 381 / 45 | $10.677,80 | 380 / 50 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 70 | $32.062,10 | 1580 / 95 | $5.227,64 | 919 / 79 | $4.432,00 | 913 / 86 |
Organic Disturbances & Mental Retardation | 11 | 48 / 27 | $33.889,90 | 393 / 32 | $6.575,73 | 189 / 41 | $5.611,36 | 189 / 43 |
Diabetes W Cc | 11 | 81 / 43 | $38.730,40 | 1376 / 85 | $5.396,91 | 879 / 69 | $4.850,00 | 875 / 86 |
Cellulitis W Mcc | 11 | 47 / 23 | $59.787,50 | 808 / 51 | $9.542,55 | 563 / 50 | $9.106,18 | 561 / 56 | Total 50 procedures | 1.613 | 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.