Hospital Costs > In Florida > Sebastian River Medical Center, procedure costs

Sebastian River Medical Center, procedure costs

13695 Us Hwy 1, Sebastian, FL 32978,

Procedure Costs @ Sebastian River Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Acute Myocardial Infarction, Discharged Alive W Cc1378 / 38$64.099,401325 / 91$5.566,8539 / 11$4.454,2339 / 7
Acute Myocardial Infarction, Discharged Alive W Mcc20105 / 46$74.130,501499 / 78$9.348,95281 / 37$8.504,15281 / 41
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc2366 / 17$76.158,90726 / 52$5.955,7442 / 6$4.483,0442 / 3
Cardiac Arrhythmia & Conduction Disorders W Cc40121 / 54$37.097,601848 / 107$4.260,10170 / 15$3.431,30170 / 28
Cardiac Arrhythmia & Conduction Disorders W Mcc3093 / 37$60.873,801696 / 100$6.493,0087 / 12$5.565,0087 / 14
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc42108 / 52$26.418,801667 / 96$3.109,31125 / 17$1.985,67125 / 25
Cellulitis W/O Mcc21168 / 76$36.272,102327 / 120$4.600,52207 / 22$3.565,86206 / 26
Chest Pain33118 / 56$30.834,601408 / 88$3.284,8845 / 16$2.201,7045 / 7
Chronic Obstructive Pulmonary Disease W Cc29150 / 76$43.375,302140 / 114$5.008,97123 / 10$4.053,38123 / 20
Chronic Obstructive Pulmonary Disease W Mcc31171 / 80$47.505,502128 / 96$6.603,4874 / 36$5.075,7474 / 6
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc12108 / 72$32.947,201793 / 102$3.862,5079 / 16$2.761,1779 / 10
Circulatory Disorders Except Ami, W Card Cath W/O Mcc21167 / 65$80.780,201566 / 118$5.786,52146 / 7$4.864,62146 / 23
Degenerative Nervous System Disorders W/O Mcc1266 / 33$45.153,40723 / 68$5.328,1759 / 15$4.330,8359 / 16
Diabetes W Cc1181 / 43$34.359,201297 / 71$4.468,8293 / 12$3.587,3693 / 16
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1482 / 41$83.944,801423 / 112$6.724,43220 / 17$6.036,43219 / 28
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc91184 / 68$40.955,502491 / 124$4.008,40142 / 12$3.023,43142 / 22
Extracranial Procedures W/O Cc/Mcc1583 / 36$91.139,90912 / 61$5.660,3365 / 5$4.527,5365 / 8
Fractures Of Hip & Pelvis W/O Mcc1348 / 32$32.492,80782 / 65$3.846,7740 / 16$2.736,6240 / 11
G.I. Hemorrhage W Cc40178 / 66$53.828,402231 / 125$5.391,50141 / 17$4.452,30141 / 18
G.I. Hemorrhage W Mcc20101 / 42$68.926,501326 / 81$9.527,15135 / 20$8.619,95135 / 15
G.I. Obstruction W Cc2468 / 35$40.901,501473 / 83$4.758,04150 / 13$3.952,71149 / 29
G.I. Obstruction W/O Cc/Mcc2249 / 25$29.798,701109 / 61$3.283,1455 / 10$2.184,9555 / 7
Heart Failure & Shock W Cc51227 / 77$50.281,002552 / 144$5.404,37159 / 33$4.463,80159 / 25
Heart Failure & Shock W Mcc55229 / 73$73.060,102388 / 134$8.165,53216 / 29$7.265,45216 / 22
Heart Failure & Shock W/O Cc/Mcc2288 / 47$38.538,901877 / 115$3.905,59164 / 32$2.922,32162 / 26
Hip & Femur Procedures Except Major Joint W Cc20123 / 55$140.810,002032 / 138$10.559,50240 / 20$9.588,35239 / 28
Hip & Femur Procedures Except Major Joint W Mcc1250 / 23$157.346,00893 / 64$16.800,60169 / 24$15.696,60169 / 26
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1145 / 26$105.460,00899 / 71$8.816,64107 / 13$7.717,00107 / 19
Infectious & Parasitic Diseases W O.R. Procedure W Mcc12112 / 50$170.298,001128 / 51$28.528,5084 / 21$25.321,6084 / 8
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs32150 / 52$55.831,201819 / 101$5.730,62121 / 18$4.635,62121 / 16
Intracranial Hemorrhage Or Cerebral Infarction W Mcc14154 / 56$85.545,101408 / 84$9.413,29188 / 18$8.469,29187 / 21
Kidney & Urinary Tract Infections W/O Mcc37196 / 92$36.609,902426 / 121$4.117,41178 / 17$3.270,70178 / 24
Laparoscopic Cholecystectomy W/O C.D.E. W Cc2135 / 21$111.231,00829 / 70$8.937,81137 / 10$8.015,90137 / 25
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1433 / 20$87.312,30557 / 53$6.622,2990 / 6$5.584,5790 / 21
Major Chest Procedures W Cc1757 / 15$130.000,00454 / 28$13.765,2063 / 9$12.773,2063 / 16
Major Chest Procedures W/O Cc/Mcc1148 / 12$110.013,00243 / 19$9.700,0021 / 4$8.606,1821 / 4
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1977 / 24$122.246,00794 / 48$12.051,50162 / 9$10.842,20160 / 17
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc224340 / 43$120.240,002597 / 147$11.868,00309 / 15$9.990,37309 / 20
Major Small & Large Bowel Procedures W Cc2781 / 31$141.515,001424 / 80$13.536,20203 / 12$12.505,00201 / 31
Medical Back Problems W/O Mcc13108 / 59$47.638,801379 / 122$5.185,626 / 58$3.077,856 / 1
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc31135 / 62$30.728,802156 / 102$3.754,74111 / 17$2.857,71111 / 18
O.R. Procedures For Obesity W Cc1420 / 3$97.634,50108 / 7$10.486,2016 / 1$9.359,3616 / 3
O.R. Procedures For Obesity W/O Cc/Mcc4829 / 2$91.893,60394 / 22$8.859,1933 / 5$7.036,7333 / 1
Other Circulatory System Diagnoses W Mcc12104 / 44$97.771,801257 / 98$10.547,70292 / 33$9.939,67291 / 46
Other Digestive System Diagnoses W Cc1582 / 42$47.812,601235 / 89$5.223,13100 / 10$4.400,7399 / 22
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1486 / 33$190.168,00942 / 71$17.192,9068 / 5$15.988,4068 / 7
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc44152 / 47$162.788,001453 / 109$11.323,40326 / 10$10.223,80326 / 49
Peripheral Vascular Disorders W Cc1272 / 41$40.135,901013 / 75$5.012,6756 / 4$4.204,6756 / 9
Peripheral Vascular Disorders W/O Cc/Mcc1530 / 17$30.501,30337 / 56$3.621,4729 / 9$2.734,0029 / 11
Poisoning & Toxic Effects Of Drugs W Mcc1161 / 28$45.926,90648 / 34$7.518,2782 / 8$6.744,4582 / 14
Poisoning & Toxic Effects Of Drugs W/O Mcc1150 / 25$32.710,30783 / 61$3.374,6481 / 3$2.824,8281 / 12
Pulmonary Edema & Respiratory Failure32171 / 44$55.312,701852 / 92$6.664,5371 / 11$5.589,2271 / 5
Pulmonary Embolism W/O Mcc1559 / 28$51.606,701174 / 70$5.352,80143 / 10$4.471,73143 / 18
Red Blood Cell Disorders W Mcc1160 / 33$57.581,60929 / 68$6.746,82115 / 10$6.197,00115 / 20
Red Blood Cell Disorders W/O Mcc22121 / 60$49.024,001899 / 142$4.323,36137 / 14$3.498,64137 / 16
Renal Failure W Cc47174 / 73$52.163,502285 / 142$5.254,17154 / 21$4.297,94154 / 26
Renal Failure W Mcc20175 / 74$72.174,301918 / 125$8.661,30161 / 44$7.468,65161 / 24
Respiratory Infections & Inflammations W Mcc11125 / 54$92.393,901610 / 87$10.549,40292 / 12$10.002,50292 / 27
Respiratory System Diagnosis W Ventilator Support <96 Hours28103 / 41$91.237,501424 / 74$14.162,2095 / 65$11.086,3095 / 8
Revision Of Hip Or Knee Replacement W/O Cc/Mcc1257 / 17$150.969,00488 / 33$14.919,90126 / 6$13.914,60126 / 12
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc56460 / 108$87.756,802522 / 116$10.014,80298 / 18$9.169,98298 / 25
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc39168 / 57$58.241,402390 / 116$6.100,92110 / 34$4.666,41110 / 10
Simple Pneumonia & Pleurisy W Cc34169 / 73$38.697,102292 / 89$5.046,2959 / 4$4.017,5959 / 6
Simple Pneumonia & Pleurisy W Mcc57148 / 44$53.405,801992 / 79$7.811,9876 / 14$6.507,9176 / 7
Simple Pneumonia & Pleurisy W/O Cc/Mcc2766 / 31$34.290,601715 / 91$3.794,85116 / 14$2.761,37115 / 22
Syncope & Collapse32137 / 73$40.945,601713 / 113$3.914,50175 / 10$3.124,50174 / 34
Transient Ischemia4184 / 42$43.802,701502 / 106$3.768,9567 / 14$2.705,1567 / 13
Urinary Stones W/O Esw Lithotripsy W/O Mcc1234 / 19$58.881,30377 / 50$3.730,6733 / 6$2.725,3333 / 11
Total 68 procedures1.912discharges

DATA

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.