Hospital Costs > In South Carolina > Self Regional Healthcare, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 190 | 374 / 16 | $63.009,80 | 1804 / 25 | $19.275,40 | 2255 / 45 | $14.980,00 | 2211 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 153 | 363 / 20 | $45.676,30 | 1605 / 26 | $16.092,50 | 2326 / 50 | $13.778,90 | 2285 / 50 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 114 | 161 / 7 | $21.779,60 | 1594 / 28 | $6.417,12 | 2009 / 45 | $4.814,51 | 1995 / 44 |
| Heart Failure & Shock W Cc | 110 | 168 / 10 | $25.822,50 | 1733 / 32 | $8.515,13 | 2169 / 47 | $6.921,05 | 2163 / 46 |
| Kidney & Urinary Tract Infections W/O Mcc | 106 | 127 / 8 | $20.555,00 | 1631 / 31 | $6.836,13 | 2090 / 47 | $5.169,44 | 2079 / 46 |
| Pulmonary Edema & Respiratory Failure | 106 | 97 / 6 | $37.012,60 | 1388 / 30 | $11.074,80 | 1825 / 41 | $9.023,25 | 1820 / 41 |
| Spinal Fusion Except Cervical W/O Mcc | 96 | 98 / 6 | $121.019,00 | 938 / 16 | $35.464,10 | 1105 / 26 | $28.277,10 | 1100 / 24 |
| Simple Pneumonia & Pleurisy W Cc | 82 | 121 / 9 | $23.831,00 | 1524 / 24 | $8.337,56 | 2264 / 49 | $6.775,90 | 2256 / 49 |
| Renal Failure W Cc | 79 | 142 / 14 | $22.673,60 | 1249 / 23 | $8.192,11 | 1883 / 43 | $6.613,91 | 1873 / 42 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 74 | 108 / 10 | $28.663,70 | 1061 / 25 | $9.485,26 | 1627 / 39 | $7.294,27 | 1623 / 38 |
| G.I. Hemorrhage W Cc | 74 | 144 / 15 | $22.189,90 | 955 / 17 | $8.367,09 | 1912 / 41 | $6.946,81 | 1908 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 65 | 142 / 13 | $28.249,80 | 1517 / 27 | $8.983,05 | 1951 / 43 | $7.155,09 | 1943 / 42 |
| Renal Failure W Mcc | 63 | 132 / 14 | $35.550,50 | 1074 / 19 | $14.379,50 | 1796 / 38 | $11.775,40 | 1792 / 38 |
| Heart Failure & Shock W Mcc | 61 | 223 / 22 | $39.625,90 | 1637 / 32 | $12.814,70 | 2203 / 45 | $11.288,40 | 2193 / 45 |
| Cellulitis W/O Mcc | 61 | 128 / 8 | $20.610,10 | 1544 / 27 | $7.393,07 | 2000 / 43 | $5.554,67 | 1992 / 44 |
| Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 15 | $38.154,30 | 1494 / 25 | $12.936,40 | 2087 / 41 | $10.559,10 | 2083 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 56 | 105 / 11 | $17.635,30 | 822 / 9 | $6.875,02 | 1579 / 36 | $5.153,09 | 1574 / 34 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 52 | 144 / 14 | $75.195,50 | 777 / 9 | $17.617,20 | 1255 / 18 | $14.754,90 | 1248 / 17 |
| Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 17 | $30.099,70 | 1484 / 22 | $9.890,82 | 2082 / 42 | $8.196,80 | 2074 / 41 |
| Hip & Femur Procedures Except Major Joint W Cc | 51 | 92 / 9 | $63.809,50 | 1444 / 25 | $16.422,20 | 1767 / 37 | $14.582,10 | 1748 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 48 | 102 / 13 | $13.707,20 | 832 / 12 | $4.822,75 | 1349 / 33 | $3.226,62 | 1344 / 31 |
| Diabetes W Cc | 47 | 45 / 6 | $21.823,10 | 809 / 16 | $7.228,02 | 1163 / 26 | $5.626,87 | 1158 / 26 |
| Syncope & Collapse | 46 | 123 / 11 | $21.247,70 | 960 / 20 | $6.299,50 | 1350 / 30 | $4.713,07 | 1343 / 30 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 17 | $17.412,40 | 1255 / 19 | $6.040,20 | 1836 / 43 | $4.541,31 | 1830 / 42 |
| Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 15 | $22.211,50 | 1229 / 17 | $7.853,93 | 1907 / 40 | $6.391,71 | 1900 / 41 |
| Heart Failure & Shock W/O Cc/Mcc | 40 | 70 / 10 | $17.460,20 | 1105 / 18 | $5.903,62 | 1450 / 31 | $4.324,42 | 1438 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 10 | $30.664,70 | 993 / 13 | $10.212,70 | 1536 / 27 | $8.830,00 | 1533 / 27 |
| Red Blood Cell Disorders W/O Mcc | 39 | 104 / 18 | $19.256,80 | 832 / 12 | $7.944,10 | 1492 / 37 | $5.451,85 | 1483 / 35 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 9 | $18.686,30 | 1168 / 20 | $6.380,75 | 1565 / 40 | $4.573,81 | 1554 / 38 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 35 | 153 / 17 | $34.157,50 | 717 / 12 | $9.644,17 | 1237 / 25 | $7.158,83 | 1234 / 24 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 8 | $42.354,00 | 912 / 18 | $14.200,90 | 1353 / 28 | $11.763,30 | 1342 / 28 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 34 | 97 / 14 | $61.624,90 | 947 / 19 | $18.404,60 | 1436 / 32 | $16.796,40 | 1422 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 32 | 136 / 15 | $45.080,40 | 834 / 12 | $14.592,20 | 1285 / 24 | $12.861,80 | 1279 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 31 | 65 / 5 | $26.364,90 | 499 / 6 | $9.911,45 | 1119 / 19 | $8.725,52 | 1114 / 22 |
| Pulmonary Embolism W/O Mcc | 31 | 43 / 5 | $30.755,60 | 857 / 18 | $8.898,55 | 968 / 23 | $6.420,23 | 965 / 21 |
| Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 18 | $23.517,70 | 818 / 10 | $9.509,07 | 1592 / 35 | $8.055,00 | 1588 / 34 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 15 | $48.600,20 | 965 / 21 | $15.494,20 | 1410 / 27 | $13.989,70 | 1400 / 28 |
| Signs & Symptoms W/O Mcc | 27 | 64 / 8 | $18.853,40 | 593 / 7 | $5.867,56 | 949 / 20 | $4.723,41 | 946 / 22 |
| Disorders Of Pancreas Except Malignancy W Cc | 26 | 35 / 3 | $27.275,40 | 551 / 12 | $7.918,12 | 722 / 16 | $6.302,19 | 719 / 18 |
| Transient Ischemia | 25 | 100 / 15 | $20.226,10 | 681 / 10 | $5.860,56 | 1183 / 27 | $4.472,88 | 1177 / 27 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 11 | $29.804,50 | 731 / 14 | $9.951,64 | 1135 / 24 | $7.247,52 | 1133 / 22 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 25 | 99 / 2 | $24.222,60 | 598 / 7 | $6.161,12 | 471 / 10 | $4.344,00 | 470 / 10 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 10 | $18.040,20 | 1029 / 16 | $5.949,12 | 1530 / 33 | $4.506,24 | 1522 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 18 | $27.354,30 | 826 / 15 | $9.277,52 | 1290 / 26 | $8.061,68 | 1287 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 16 | $19.171,50 | 518 / 13 | $6.786,38 | 1193 / 32 | $4.818,88 | 1189 / 31 |
| Organic Disturbances & Mental Retardation | 23 | 36 / 3 | $28.794,30 | 330 / 6 | $9.400,43 | 347 / 11 | $6.799,17 | 347 / 10 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 13 | $159.646,00 | 1079 / 17 | $48.311,80 | 1217 / 26 | $39.319,80 | 1207 / 25 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 21 | 35 / 5 | $45.649,00 | 505 / 9 | $14.989,00 | 756 / 20 | $11.428,10 | 753 / 19 |
| Other Circulatory System Diagnoses W Cc | 21 | 45 / 7 | $21.976,20 | 240 / 4 | $8.648,19 | 465 / 12 | $6.524,67 | 464 / 11 |
| Fractures Of Hip & Pelvis W/O Mcc | 21 | 40 / 1 | $18.617,70 | 463 / 11 | $6.247,86 | 706 / 16 | $4.677,19 | 705 / 16 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 5 | $28.549,80 | 609 / 7 | $11.000,20 | 887 / 17 | $8.401,57 | 885 / 17 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 10 | $99.161,80 | 374 / 2 | $44.655,30 | 832 / 17 | $34.188,00 | 830 / 14 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 6 | $22.175,30 | 469 / 5 | $7.306,62 | 834 / 14 | $6.104,71 | 830 / 16 |
| G.I. Obstruction W Cc | 20 | 72 / 12 | $22.925,00 | 856 / 10 | $7.566,25 | 1347 / 25 | $6.028,65 | 1342 / 26 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 15 | $71.434,40 | 883 / 11 | $21.531,10 | 1343 / 21 | $19.567,80 | 1329 / 22 |
| Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 10 | $71.460,80 | 513 / 10 | $21.786,20 | 831 / 16 | $20.341,80 | 827 / 16 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 20 | 75 / 8 | $88.659,20 | 401 / 9 | $16.054,30 | 475 / 10 | $14.780,30 | 471 / 11 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 20 | 41 / 5 | $19.914,60 | 512 / 6 | $5.978,70 | 521 / 14 | $3.949,90 | 520 / 14 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 4 | $18.131,30 | 312 / 2 | $7.015,37 | 507 / 8 | $4.603,95 | 505 / 6 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 7 | $166.136,00 | 636 / 9 | $53.842,40 | 741 / 14 | $38.330,30 | 740 / 12 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 8 | $19.386,40 | 385 / 5 | $8.152,32 | 889 / 17 | $6.590,00 | 886 / 16 |
| Chest Pain | 19 | 132 / 15 | $17.644,50 | 741 / 11 | $5.117,79 | 945 / 23 | $3.460,42 | 940 / 23 |
| Extracranial Procedures W/O Cc/Mcc | 19 | 79 / 13 | $28.483,30 | 396 / 5 | $9.326,05 | 733 / 18 | $6.866,84 | 730 / 16 |
| Other Vascular Procedures W/O Cc/Mcc | 18 | 38 / 5 | $47.295,90 | 260 / 4 | $16.347,60 | 390 / 12 | $11.037,90 | 389 / 12 |
| Respiratory Neoplasms W Cc | 18 | 29 / 5 | $28.771,30 | 174 / 5 | $12.492,40 | 334 / 10 | $7.935,50 | 333 / 7 |
| Medical Back Problems W/O Mcc | 18 | 103 / 11 | $23.654,80 | 762 / 12 | $7.187,83 | 1164 / 21 | $5.860,50 | 1160 / 21 |
| Seizures W/O Mcc | 17 | 91 / 12 | $19.343,20 | 514 / 3 | $6.427,59 | 925 / 17 | $5.162,41 | 922 / 17 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 16 | $41.639,90 | 525 / 8 | $15.771,40 | 1005 / 21 | $13.581,00 | 998 / 21 |
| Diabetes W Mcc | 16 | 41 / 9 | $44.436,80 | 508 / 13 | $13.208,90 | 507 / 19 | $9.540,44 | 507 / 18 |
| Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 12 | $102.662,00 | 606 / 7 | $29.758,20 | 797 / 17 | $24.577,10 | 796 / 16 |
| G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 10 | $19.245,80 | 523 / 6 | $7.025,31 | 674 / 18 | $4.273,75 | 670 / 17 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 21 | $41.671,30 | 848 / 11 | $16.620,50 | 1558 / 32 | $14.772,50 | 1542 / 33 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 15 | 73 / 8 | $151.559,00 | 473 / 8 | $31.020,50 | 533 / 11 | $29.427,60 | 532 / 13 |
| Hypertension W/O Mcc | 15 | 50 / 9 | $17.022,00 | 301 / 4 | $5.280,53 | 506 / 15 | $3.798,67 | 504 / 15 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 13 | $40.459,90 | 582 / 11 | $11.742,70 | 780 / 18 | $10.546,30 | 778 / 19 |
| Other Vascular Procedures W Cc | 15 | 87 / 11 | $47.297,30 | 167 / 1 | $21.760,50 | 844 / 14 | $17.863,60 | 839 / 14 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 11 | $15.184,10 | 375 / 8 | $5.859,80 | 487 / 17 | $3.556,40 | 486 / 14 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 15 | 51 / 5 | $22.129,10 | 106 / 2 | $9.224,00 | 392 / 8 | $8.002,93 | 391 / 9 |
| Signs & Symptoms W Mcc | 15 | 26 / 3 | $26.160,10 | 112 / 1 | $9.537,40 | 170 / 4 | $7.957,67 | 170 / 4 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 11 | $62.539,70 | 508 / 7 | $20.812,50 | 681 / 16 | $15.424,10 | 677 / 14 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 18 | $53.101,90 | 380 / 9 | $18.037,80 | 772 / 22 | $16.650,60 | 769 / 23 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 10 | $34.605,00 | 589 / 8 | $8.944,14 | 638 / 12 | $7.242,43 | 638 / 13 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 12 | $19.532,40 | 379 / 6 | $9.618,00 | 966 / 21 | $6.361,29 | 962 / 18 |
| Cervical Spinal Fusion W Cc | 13 | 40 / 6 | $72.638,90 | 179 / 4 | $23.681,50 | 314 / 7 | $22.260,90 | 313 / 8 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 11 | $42.173,70 | 329 / 5 | $13.969,90 | 595 / 20 | $11.098,40 | 595 / 19 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 11 | $108.953,00 | 704 / 13 | $35.436,80 | 718 / 16 | $22.444,40 | 715 / 14 |
| Complications Of Treatment W Mcc | 12 | 39 / 4 | $30.810,70 | 58 / 1 | $14.284,50 | 202 / 2 | $12.971,80 | 202 / 2 |
| Psychoses | 12 | 263 / 4 | $31.719,20 | 495 / 6 | $8.898,83 | 443 / 5 | $7.190,50 | 443 / 6 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 7 | $18.603,90 | 222 / 6 | $9.690,58 | 227 / 12 | $3.478,00 | 226 / 8 |
| Fever | 12 | 34 / 5 | $22.650,20 | 144 / 3 | $8.075,92 | 173 / 7 | $5.162,33 | 173 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 10 | $40.310,60 | 269 / 3 | $13.828,90 | 764 / 16 | $11.943,60 | 760 / 17 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 13 | $17.089,30 | 669 / 14 | $5.219,58 | 1018 / 23 | $4.004,58 | 1015 / 27 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 11 | $83.588,80 | 318 / 4 | $29.956,20 | 724 / 15 | $22.377,50 | 720 / 14 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 12 | $22.767,80 | 382 / 8 | $6.267,91 | 645 / 15 | $4.924,64 | 641 / 16 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 12 | $283.636,00 | 971 / 17 | $68.754,60 | 1067 / 17 | $64.255,30 | 1066 / 17 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 11 | 35 / 2 | $20.567,50 | 51 / 1 | $9.824,36 | 103 / 2 | $5.471,00 | 103 / 1 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 16 | $18.518,40 | 127 / 3 | $10.168,90 | 850 / 20 | $9.484,55 | 846 / 23 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 10 | $30.643,80 | 513 / 6 | $8.505,36 | 647 / 9 | $7.095,18 | 647 / 10 | Total 98 procedures | 3.400 | 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.