Hospital Costs > In Florida > Santa Rosa Medical Center, 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 | 52 | 150 / 63 | $31.587,20 | 1561 / 40 | $6.546,31 | 379 / 29 | $5.654,17 | 378 / 46 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 99 | $86.323,30 | 2311 / 98 | $11.822,00 | 307 / 13 | $9.979,88 | 307 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 101 | $31.802,80 | 2242 / 96 | $4.493,73 | 531 / 54 | $3.432,30 | 529 / 54 |
Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 67 | $30.374,60 | 1735 / 64 | $5.571,10 | 431 / 58 | $4.464,73 | 430 / 53 |
Renal Failure W Cc | 38 | 183 / 79 | $31.786,50 | 1784 / 75 | $5.677,84 | 340 / 60 | $4.581,87 | 338 / 45 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 49 | $22.017,60 | 1407 / 56 | $4.299,75 | 632 / 44 | $3.427,75 | 631 / 71 |
Renal Failure W Mcc | 34 | 161 / 64 | $49.809,30 | 1576 / 72 | $8.464,00 | 241 / 32 | $7.615,06 | 241 / 36 |
Cellulitis W/O Mcc | 32 | 157 / 67 | $21.634,50 | 1636 / 45 | $5.036,75 | 450 / 55 | $3.834,44 | 447 / 49 |
Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 98 | $26.282,30 | 2046 / 82 | $4.555,47 | 508 / 58 | $3.628,53 | 508 / 55 |
Heart Failure & Shock W Cc | 29 | 249 / 96 | $28.655,00 | 1887 / 72 | $5.669,79 | 679 / 50 | $5.045,24 | 678 / 69 |
Heart Failure & Shock W Mcc | 29 | 255 / 91 | $45.399,00 | 1858 / 75 | $8.040,00 | 311 / 20 | $7.428,14 | 311 / 34 |
G.I. Hemorrhage W Cc | 28 | 190 / 78 | $34.085,10 | 1753 / 64 | $5.748,61 | 431 / 39 | $4.842,32 | 430 / 50 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 22 | 102 / 15 | $10.613,10 | 150 / 1 | $4.171,82 | 154 / 24 | $3.403,82 | 154 / 27 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 21 | 495 / 126 | $73.356,90 | 2335 / 94 | $10.031,70 | 360 / 19 | $9.283,52 | 360 / 38 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 76 | $63.197,90 | 2150 / 99 | $8.183,48 | 392 / 38 | $7.172,95 | 392 / 40 |
G.I. Hemorrhage W Mcc | 20 | 101 / 42 | $62.008,10 | 1231 / 64 | $9.119,65 | 53 / 8 | $8.216,45 | 53 / 5 |
Transient Ischemia | 19 | 106 / 64 | $40.638,10 | 1454 / 93 | $4.248,05 | 255 / 42 | $3.102,79 | 255 / 40 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 86 | $34.655,20 | 2167 / 79 | $5.590,58 | 589 / 41 | $4.733,32 | 586 / 69 |
Syncope & Collapse | 17 | 152 / 85 | $35.683,90 | 1606 / 97 | $4.385,82 | 287 / 49 | $3.318,53 | 285 / 48 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 76 | $31.122,80 | 1670 / 84 | $4.715,81 | 460 / 49 | $3.778,50 | 460 / 59 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 71 | $52.028,30 | 1254 / 73 | $6.148,40 | 358 / 24 | $5.241,20 | 357 / 50 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 66 | $39.317,00 | 1487 / 71 | $6.415,27 | 431 / 55 | $5.608,87 | 430 / 55 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 43 | $34.621,50 | 1723 / 93 | $4.271,20 | 402 / 47 | $3.144,80 | 400 / 54 |
Chest Pain | 14 | 137 / 71 | $26.700,70 | 1283 / 69 | $3.735,93 | 623 / 45 | $3.050,21 | 619 / 76 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 61 | $89.465,90 | 1810 / 93 | $10.578,40 | 251 / 22 | $9.625,29 | 250 / 31 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 54 | $79.993,60 | 1308 / 61 | $11.480,50 | 42 / 1 | $10.618,80 | 42 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 38 | $39.076,40 | 1015 / 42 | $5.655,62 | 140 / 16 | $4.813,77 | 140 / 25 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 30 | $22.691,10 | 628 / 38 | $3.864,83 | 168 / 30 | $2.856,83 | 167 / 31 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 80 | $29.924,60 | 2134 / 99 | $4.267,17 | 417 / 59 | $3.256,50 | 417 / 50 |
Diabetes W Cc | 12 | 80 / 42 | $23.660,70 | 925 / 33 | $4.801,50 | 180 / 32 | $3.793,50 | 180 / 28 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 34 | $24.813,60 | 703 / 50 | $4.181,75 | 197 / 33 | $3.179,08 | 196 / 36 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 56 | $23.485,70 | 1485 / 65 | $4.131,58 | 240 / 47 | $3.019,58 | 238 / 35 |
Hypertension W/O Mcc | 12 | 53 / 37 | $22.531,20 | 479 / 34 | $3.839,50 | 173 / 27 | $2.836,83 | 172 / 42 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 81 | $22.997,50 | 1553 / 78 | $3.728,08 | 332 / 72 | $2.297,92 | 330 / 46 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 55 | $39.130,90 | 776 / 19 | $7.725,00 | 20 / 2 | $7.064,64 | 20 / 4 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 20 | $16.993,50 | 200 / 2 | $4.414,18 | 389 / 20 | $3.972,00 | 386 / 43 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 70 | $19.026,00 | 804 / 24 | $4.781,18 | 327 / 52 | $3.792,09 | 326 / 40 | Total 37 procedures | 817 | 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.