Hospital Costs > In Florida > Sacred Heart Hospital On The Emerald Coast, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 62 | $23.384,20 | 1313 / 53 | $4.525,80 | 321 / 32 | $3.638,33 | 321 / 47 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 78 | $24.318,90 | 1600 / 84 | $3.300,00 | 290 / 35 | $2.252,53 | 288 / 41 |
Cellulitis W/O Mcc | 21 | 168 / 76 | $23.355,40 | 1766 / 61 | $4.701,14 | 385 / 27 | $3.782,29 | 382 / 46 |
Cervical Spinal Fusion W Cc | 25 | 28 / 5 | $62.977,60 | 143 / 4 | $16.006,00 | 66 / 2 | $14.941,10 | 66 / 6 |
Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 33 | $64.801,40 | 523 / 21 | $12.538,50 | 241 / 14 | $11.327,10 | 241 / 32 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 83 | $21.405,50 | 1154 / 17 | $5.065,52 | 183 / 16 | $4.143,62 | 183 / 29 |
Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 87 | $22.967,40 | 971 / 11 | $6.580,17 | 101 / 34 | $5.174,50 | 101 / 7 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 71 | $32.895,80 | 1791 / 101 | $4.139,92 | 206 / 35 | $3.022,38 | 206 / 35 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 59 | $48.682,50 | 1173 / 63 | $6.047,36 | 130 / 20 | $4.828,71 | 130 / 22 |
Diabetes W Cc | 11 | 81 / 43 | $33.074,30 | 1263 / 66 | $4.592,45 | 151 / 17 | $3.716,82 | 151 / 24 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 18 | $27.201,50 | 321 / 15 | $5.259,36 | 45 / 7 | $4.377,91 | 45 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 97 | $25.526,00 | 1921 / 55 | $4.307,58 | 366 / 36 | $3.298,44 | 365 / 44 |
G.I. Hemorrhage W Cc | 45 | 173 / 61 | $26.984,40 | 1369 / 39 | $5.394,38 | 214 / 18 | $4.585,84 | 214 / 31 |
G.I. Obstruction W Cc | 18 | 74 / 40 | $22.924,40 | 855 / 19 | $5.036,67 | 184 / 28 | $4.030,44 | 183 / 32 |
Heart Failure & Shock W Cc | 36 | 242 / 89 | $22.472,50 | 1441 / 36 | $5.212,22 | 83 / 9 | $4.309,11 | 83 / 8 |
Heart Failure & Shock W Mcc | 29 | 255 / 91 | $32.284,10 | 1232 / 26 | $7.568,52 | 105 / 4 | $6.984,79 | 105 / 9 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 57 | $15.806,30 | 938 / 26 | $3.853,09 | 208 / 29 | $2.977,45 | 206 / 30 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 52 | $61.647,50 | 1392 / 46 | $10.378,10 | 141 / 13 | $9.326,26 | 140 / 18 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 26 | $48.553,50 | 551 / 20 | $8.549,91 | 59 / 2 | $7.456,09 | 59 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 62 | $29.428,10 | 1113 / 28 | $5.660,43 | 80 / 14 | $4.511,48 | 80 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 59 | $37.567,00 | 609 / 17 | $8.519,45 | 14 / 1 | $7.431,45 | 14 / 1 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 61 | $27.555,70 | 1070 / 38 | $5.705,10 | 122 / 3 | $5.072,71 | 122 / 12 |
Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 93 | $24.693,30 | 1962 / 72 | $4.299,67 | 271 / 31 | $3.393,03 | 271 / 34 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 30 | $33.401,30 | 729 / 45 | $6.414,22 | 248 / 19 | $6.008,89 | 247 / 38 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 154 | 410 / 61 | $65.611,10 | 1882 / 55 | $11.986,80 | 217 / 25 | $9.770,27 | 217 / 10 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 44 | $106.313,00 | 1267 / 60 | $15.531,00 | 785 / 56 | $14.696,50 | 777 / 83 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 71 | $19.140,00 | 1464 / 40 | $4.014,64 | 95 / 34 | $2.817,82 | 95 / 13 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 65 | $85.291,90 | 969 / 42 | $11.082,70 | 234 / 4 | $9.933,71 | 234 / 24 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 54 | $39.557,70 | 1488 / 56 | $6.763,55 | 359 / 18 | $6.162,82 | 359 / 44 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 30 | $30.955,80 | 862 / 34 | $5.574,31 | 140 / 21 | $4.464,15 | 140 / 17 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 67 | $27.373,90 | 1378 / 75 | $4.593,21 | 209 / 33 | $3.640,07 | 209 / 30 |
Renal Failure W Cc | 26 | 195 / 89 | $24.137,30 | 1356 / 33 | $5.290,73 | 225 / 25 | $4.424,58 | 224 / 34 |
Renal Failure W Mcc | 28 | 167 / 69 | $41.618,30 | 1328 / 50 | $7.689,82 | 98 / 3 | $7.214,39 | 98 / 12 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 56 | $50.147,60 | 623 / 15 | $12.345,90 | 222 / 15 | $11.639,20 | 220 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 57 | 459 / 107 | $46.833,60 | 1664 / 36 | $9.573,33 | 72 / 5 | $8.532,81 | 72 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 68 | $37.558,40 | 1951 / 67 | $6.086,59 | 611 / 32 | $5.324,52 | 609 / 65 |
Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 63 | $26.412,70 | 1735 / 39 | $5.419,78 | 253 / 23 | $4.409,18 | 253 / 30 |
Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 74 | $32.481,60 | 1194 / 16 | $7.339,48 | 154 / 2 | $6.721,04 | 154 / 11 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 47 | $49.333,80 | 1903 / 128 | $7.238,45 | 1844 / 128 | $6.037,00 | 1836 / 129 |
Spinal Fusion Except Cervical W/O Mcc | 61 | 133 / 26 | $157.696,00 | 1151 / 67 | $23.902,40 | 650 / 43 | $22.775,60 | 646 / 68 |
Syncope & Collapse | 16 | 153 / 86 | $23.044,00 | 1109 / 44 | $4.663,00 | 23 / 75 | $2.760,19 | 23 / 4 | Total 41 procedures | 1.106 | 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.