Hospital Costs > In Florida > Sebastian River Medical Center, procedure costs
| 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 Cc | 13 | 78 / 38 | $64.099,40 | 1325 / 91 | $5.566,85 | 39 / 11 | $4.454,23 | 39 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 46 | $74.130,50 | 1499 / 78 | $9.348,95 | 281 / 37 | $8.504,15 | 281 / 41 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 23 | 66 / 17 | $76.158,90 | 726 / 52 | $5.955,74 | 42 / 6 | $4.483,04 | 42 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 40 | 121 / 54 | $37.097,60 | 1848 / 107 | $4.260,10 | 170 / 15 | $3.431,30 | 170 / 28 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 37 | $60.873,80 | 1696 / 100 | $6.493,00 | 87 / 12 | $5.565,00 | 87 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 52 | $26.418,80 | 1667 / 96 | $3.109,31 | 125 / 17 | $1.985,67 | 125 / 25 |
| Cellulitis W/O Mcc | 21 | 168 / 76 | $36.272,10 | 2327 / 120 | $4.600,52 | 207 / 22 | $3.565,86 | 206 / 26 |
| Chest Pain | 33 | 118 / 56 | $30.834,60 | 1408 / 88 | $3.284,88 | 45 / 16 | $2.201,70 | 45 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 76 | $43.375,30 | 2140 / 114 | $5.008,97 | 123 / 10 | $4.053,38 | 123 / 20 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 80 | $47.505,50 | 2128 / 96 | $6.603,48 | 74 / 36 | $5.075,74 | 74 / 6 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 72 | $32.947,20 | 1793 / 102 | $3.862,50 | 79 / 16 | $2.761,17 | 79 / 10 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 65 | $80.780,20 | 1566 / 118 | $5.786,52 | 146 / 7 | $4.864,62 | 146 / 23 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 33 | $45.153,40 | 723 / 68 | $5.328,17 | 59 / 15 | $4.330,83 | 59 / 16 |
| Diabetes W Cc | 11 | 81 / 43 | $34.359,20 | 1297 / 71 | $4.468,82 | 93 / 12 | $3.587,36 | 93 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 41 | $83.944,80 | 1423 / 112 | $6.724,43 | 220 / 17 | $6.036,43 | 219 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 91 | 184 / 68 | $40.955,50 | 2491 / 124 | $4.008,40 | 142 / 12 | $3.023,43 | 142 / 22 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 36 | $91.139,90 | 912 / 61 | $5.660,33 | 65 / 5 | $4.527,53 | 65 / 8 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 32 | $32.492,80 | 782 / 65 | $3.846,77 | 40 / 16 | $2.736,62 | 40 / 11 |
| G.I. Hemorrhage W Cc | 40 | 178 / 66 | $53.828,40 | 2231 / 125 | $5.391,50 | 141 / 17 | $4.452,30 | 141 / 18 |
| G.I. Hemorrhage W Mcc | 20 | 101 / 42 | $68.926,50 | 1326 / 81 | $9.527,15 | 135 / 20 | $8.619,95 | 135 / 15 |
| G.I. Obstruction W Cc | 24 | 68 / 35 | $40.901,50 | 1473 / 83 | $4.758,04 | 150 / 13 | $3.952,71 | 149 / 29 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 25 | $29.798,70 | 1109 / 61 | $3.283,14 | 55 / 10 | $2.184,95 | 55 / 7 |
| Heart Failure & Shock W Cc | 51 | 227 / 77 | $50.281,00 | 2552 / 144 | $5.404,37 | 159 / 33 | $4.463,80 | 159 / 25 |
| Heart Failure & Shock W Mcc | 55 | 229 / 73 | $73.060,10 | 2388 / 134 | $8.165,53 | 216 / 29 | $7.265,45 | 216 / 22 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 47 | $38.538,90 | 1877 / 115 | $3.905,59 | 164 / 32 | $2.922,32 | 162 / 26 |
| Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 55 | $140.810,00 | 2032 / 138 | $10.559,50 | 240 / 20 | $9.588,35 | 239 / 28 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 23 | $157.346,00 | 893 / 64 | $16.800,60 | 169 / 24 | $15.696,60 | 169 / 26 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 26 | $105.460,00 | 899 / 71 | $8.816,64 | 107 / 13 | $7.717,00 | 107 / 19 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 50 | $170.298,00 | 1128 / 51 | $28.528,50 | 84 / 21 | $25.321,60 | 84 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 52 | $55.831,20 | 1819 / 101 | $5.730,62 | 121 / 18 | $4.635,62 | 121 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 56 | $85.545,10 | 1408 / 84 | $9.413,29 | 188 / 18 | $8.469,29 | 187 / 21 |
| Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 92 | $36.609,90 | 2426 / 121 | $4.117,41 | 178 / 17 | $3.270,70 | 178 / 24 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 21 | 35 / 21 | $111.231,00 | 829 / 70 | $8.937,81 | 137 / 10 | $8.015,90 | 137 / 25 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 20 | $87.312,30 | 557 / 53 | $6.622,29 | 90 / 6 | $5.584,57 | 90 / 21 |
| Major Chest Procedures W Cc | 17 | 57 / 15 | $130.000,00 | 454 / 28 | $13.765,20 | 63 / 9 | $12.773,20 | 63 / 16 |
| Major Chest Procedures W/O Cc/Mcc | 11 | 48 / 12 | $110.013,00 | 243 / 19 | $9.700,00 | 21 / 4 | $8.606,18 | 21 / 4 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 24 | $122.246,00 | 794 / 48 | $12.051,50 | 162 / 9 | $10.842,20 | 160 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 224 | 340 / 43 | $120.240,00 | 2597 / 147 | $11.868,00 | 309 / 15 | $9.990,37 | 309 / 20 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 31 | $141.515,00 | 1424 / 80 | $13.536,20 | 203 / 12 | $12.505,00 | 201 / 31 |
| Medical Back Problems W/O Mcc | 13 | 108 / 59 | $47.638,80 | 1379 / 122 | $5.185,62 | 6 / 58 | $3.077,85 | 6 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 62 | $30.728,80 | 2156 / 102 | $3.754,74 | 111 / 17 | $2.857,71 | 111 / 18 |
| O.R. Procedures For Obesity W Cc | 14 | 20 / 3 | $97.634,50 | 108 / 7 | $10.486,20 | 16 / 1 | $9.359,36 | 16 / 3 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 48 | 29 / 2 | $91.893,60 | 394 / 22 | $8.859,19 | 33 / 5 | $7.036,73 | 33 / 1 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 44 | $97.771,80 | 1257 / 98 | $10.547,70 | 292 / 33 | $9.939,67 | 291 / 46 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 42 | $47.812,60 | 1235 / 89 | $5.223,13 | 100 / 10 | $4.400,73 | 99 / 22 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 33 | $190.168,00 | 942 / 71 | $17.192,90 | 68 / 5 | $15.988,40 | 68 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 44 | 152 / 47 | $162.788,00 | 1453 / 109 | $11.323,40 | 326 / 10 | $10.223,80 | 326 / 49 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 41 | $40.135,90 | 1013 / 75 | $5.012,67 | 56 / 4 | $4.204,67 | 56 / 9 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 17 | $30.501,30 | 337 / 56 | $3.621,47 | 29 / 9 | $2.734,00 | 29 / 11 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 28 | $45.926,90 | 648 / 34 | $7.518,27 | 82 / 8 | $6.744,45 | 82 / 14 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 25 | $32.710,30 | 783 / 61 | $3.374,64 | 81 / 3 | $2.824,82 | 81 / 12 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 44 | $55.312,70 | 1852 / 92 | $6.664,53 | 71 / 11 | $5.589,22 | 71 / 5 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 28 | $51.606,70 | 1174 / 70 | $5.352,80 | 143 / 10 | $4.471,73 | 143 / 18 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 33 | $57.581,60 | 929 / 68 | $6.746,82 | 115 / 10 | $6.197,00 | 115 / 20 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 60 | $49.024,00 | 1899 / 142 | $4.323,36 | 137 / 14 | $3.498,64 | 137 / 16 |
| Renal Failure W Cc | 47 | 174 / 73 | $52.163,50 | 2285 / 142 | $5.254,17 | 154 / 21 | $4.297,94 | 154 / 26 |
| Renal Failure W Mcc | 20 | 175 / 74 | $72.174,30 | 1918 / 125 | $8.661,30 | 161 / 44 | $7.468,65 | 161 / 24 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 54 | $92.393,90 | 1610 / 87 | $10.549,40 | 292 / 12 | $10.002,50 | 292 / 27 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 41 | $91.237,50 | 1424 / 74 | $14.162,20 | 95 / 65 | $11.086,30 | 95 / 8 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 17 | $150.969,00 | 488 / 33 | $14.919,90 | 126 / 6 | $13.914,60 | 126 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 56 | 460 / 108 | $87.756,80 | 2522 / 116 | $10.014,80 | 298 / 18 | $9.169,98 | 298 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 57 | $58.241,40 | 2390 / 116 | $6.100,92 | 110 / 34 | $4.666,41 | 110 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 73 | $38.697,10 | 2292 / 89 | $5.046,29 | 59 / 4 | $4.017,59 | 59 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 44 | $53.405,80 | 1992 / 79 | $7.811,98 | 76 / 14 | $6.507,91 | 76 / 7 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 31 | $34.290,60 | 1715 / 91 | $3.794,85 | 116 / 14 | $2.761,37 | 115 / 22 |
| Syncope & Collapse | 32 | 137 / 73 | $40.945,60 | 1713 / 113 | $3.914,50 | 175 / 10 | $3.124,50 | 174 / 34 |
| Transient Ischemia | 41 | 84 / 42 | $43.802,70 | 1502 / 106 | $3.768,95 | 67 / 14 | $2.705,15 | 67 / 13 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 19 | $58.881,30 | 377 / 50 | $3.730,67 | 33 / 6 | $2.725,33 | 33 / 11 | Total 68 procedures | 1.912 | 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.