Hospital Costs > In Florida > Seven Rivers Regional Medical Center, 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 | 261 | 304 / 37 | $92.578,90 | 2392 / 113 | $11.914,00 | 552 / 19 | $10.403,10 | 547 / 56 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 102 | 173 / 60 | $25.521,20 | 1920 / 54 | $4.381,38 | 196 / 41 | $3.110,12 | 196 / 29 |
Chronic Obstructive Pulmonary Disease W Cc | 89 | 90 / 34 | $26.750,60 | 1563 / 47 | $5.272,26 | 280 / 34 | $4.295,36 | 279 / 36 |
Renal Failure W Cc | 73 | 148 / 52 | $28.209,20 | 1616 / 59 | $5.432,93 | 292 / 32 | $4.527,27 | 290 / 39 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 65 | 55 / 23 | $20.980,40 | 1326 / 49 | $4.094,91 | 191 / 33 | $3.002,52 | 191 / 34 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 62 | 454 / 105 | $44.904,40 | 1567 / 30 | $10.087,20 | 405 / 23 | $9.357,55 | 405 / 43 |
Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 75 | $25.698,80 | 2009 / 76 | $4.374,57 | 310 / 39 | $3.448,70 | 310 / 42 |
Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 62 | $30.153,00 | 1489 / 35 | $6.493,02 | 356 / 27 | $5.620,13 | 355 / 43 |
Chest Pain | 53 | 98 / 44 | $18.193,60 | 788 / 28 | $3.501,66 | 112 / 28 | $2.377,21 | 112 / 22 |
Spinal Fusion Except Cervical W/O Mcc | 51 | 143 / 33 | $170.025,00 | 1193 / 71 | $21.712,30 | 308 / 13 | $20.599,80 | 307 / 42 |
G.I. Hemorrhage W Cc | 51 | 167 / 56 | $36.435,90 | 1836 / 72 | $5.576,18 | 330 / 28 | $4.744,18 | 330 / 41 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 50 | 100 / 46 | $19.879,30 | 1387 / 62 | $3.221,28 | 230 / 27 | $2.180,00 | 229 / 38 |
Syncope & Collapse | 48 | 121 / 59 | $25.816,60 | 1257 / 56 | $4.141,21 | 128 / 30 | $3.042,04 | 128 / 26 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 47 | 141 / 44 | $41.369,20 | 989 / 43 | $6.024,19 | 287 / 18 | $5.128,19 | 287 / 38 |
Transient Ischemia | 44 | 81 / 39 | $23.904,50 | 909 / 38 | $3.986,18 | 288 / 26 | $3.138,18 | 288 / 46 |
Pulmonary Edema & Respiratory Failure | 43 | 160 / 34 | $38.975,60 | 1470 / 53 | $6.789,35 | 274 / 19 | $6.044,79 | 274 / 37 |
Heart Failure & Shock W Cc | 42 | 236 / 84 | $22.856,60 | 1476 / 41 | $5.564,88 | 318 / 43 | $4.700,88 | 318 / 40 |
Cellulitis W/O Mcc | 42 | 147 / 59 | $23.018,60 | 1740 / 57 | $4.752,31 | 295 / 30 | $3.686,40 | 292 / 36 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 55 | $34.937,90 | 1854 / 58 | $6.144,88 | 309 / 40 | $5.005,07 | 308 / 41 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 54 | $20.661,20 | 1619 / 54 | $4.010,32 | 298 / 33 | $3.130,71 | 298 / 39 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 47 | $36.344,40 | 1404 / 56 | $6.047,92 | 226 / 33 | $4.863,12 | 226 / 32 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 36 | 30 / 4 | $83.113,70 | 476 / 24 | $10.440,60 | 57 / 6 | $9.032,61 | 57 / 7 |
Renal Failure W Mcc | 36 | 159 / 62 | $42.306,00 | 1359 / 54 | $8.398,50 | 207 / 28 | $7.559,39 | 207 / 28 |
Heart Failure & Shock W Mcc | 35 | 249 / 87 | $38.205,30 | 1565 / 46 | $8.285,00 | 398 / 42 | $7.559,06 | 398 / 48 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 60 | $24.444,90 | 1373 / 56 | $4.449,65 | 188 / 26 | $3.455,76 | 188 / 29 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 32 | 64 / 14 | $109.479,00 | 780 / 42 | $12.217,40 | 204 / 13 | $11.080,40 | 202 / 25 |
Seizures W/O Mcc | 31 | 77 / 27 | $24.248,10 | 745 / 30 | $4.319,23 | 159 / 19 | $3.463,48 | 158 / 30 |
Cervical Spinal Fusion W/O Cc/Mcc | 31 | 73 / 19 | $108.902,00 | 802 / 53 | $12.344,60 | 192 / 7 | $11.038,60 | 192 / 25 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 44 | $85.139,10 | 1765 / 85 | $10.665,20 | 222 / 26 | $9.535,90 | 221 / 26 |
Medical Back Problems W/O Mcc | 30 | 91 / 42 | $27.406,40 | 928 / 48 | $4.786,20 | 168 / 29 | $3.696,07 | 168 / 30 |
Peripheral Vascular Disorders W Cc | 30 | 54 / 23 | $35.478,60 | 928 / 65 | $5.291,10 | 95 / 22 | $4.363,10 | 95 / 18 |
Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 76 | $25.810,90 | 1681 / 36 | $5.540,87 | 314 / 37 | $4.474,13 | 312 / 39 |
G.I. Obstruction W Cc | 27 | 65 / 32 | $27.993,50 | 1120 / 45 | $5.069,56 | 51 / 30 | $3.627,04 | 51 / 6 |
Revision Of Hip Or Knee Replacement W Cc | 25 | 61 / 18 | $132.978,00 | 581 / 43 | $18.557,20 | 167 / 15 | $17.639,40 | 167 / 21 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 63 | $111.391,00 | 1263 / 81 | $11.202,00 | 286 / 8 | $10.096,60 | 286 / 42 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 43 | $34.143,60 | 1132 / 47 | $6.787,71 | 275 / 25 | $6.000,38 | 274 / 35 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 24 | 45 / 11 | $139.176,00 | 458 / 40 | $14.735,30 | 141 / 19 | $13.575,30 | 141 / 30 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 46 | $57.277,40 | 846 / 28 | $12.193,20 | 191 / 11 | $11.511,40 | 190 / 27 |
Other Digestive System Diagnoses W Cc | 22 | 75 / 35 | $34.481,60 | 1008 / 52 | $5.437,41 | 134 / 19 | $4.503,59 | 133 / 27 |
Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 25 | $274.817,00 | 1207 / 85 | $30.886,00 | 551 / 52 | $30.116,50 | 549 / 67 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 45 | $38.345,80 | 743 / 16 | $8.348,00 | 40 / 4 | $7.366,67 | 40 / 6 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 76 | $41.789,70 | 1628 / 49 | $7.833,10 | 369 / 16 | $7.144,33 | 369 / 37 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 62 | $26.109,90 | 1317 / 66 | $4.542,25 | 244 / 30 | $3.692,65 | 244 / 34 |
Renal Failure W/O Cc/Mcc | 19 | 37 / 23 | $24.623,90 | 676 / 43 | $3.591,63 | 148 / 17 | $2.825,32 | 147 / 29 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 19 | 42 / 17 | $27.029,20 | 708 / 49 | $3.618,16 | 107 / 8 | $2.920,89 | 107 / 20 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 32 | $33.591,10 | 867 / 30 | $5.502,21 | 92 / 8 | $4.675,26 | 92 / 16 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 28 | $25.543,30 | 1015 / 48 | $3.507,53 | 147 / 22 | $2.429,63 | 147 / 25 |
Dysequilibrium | 19 | 46 / 24 | $24.689,80 | 337 / 28 | $3.645,37 | 62 / 19 | $2.513,63 | 62 / 23 |
Signs & Symptoms W/O Mcc | 19 | 72 / 32 | $23.737,70 | 842 / 42 | $4.065,63 | 57 / 30 | $2.843,53 | 57 / 13 |
Other Vascular Procedures W Cc | 18 | 84 / 31 | $154.642,00 | 1071 / 76 | $13.859,30 | 170 / 7 | $13.183,70 | 170 / 22 |
Other Vascular Procedures W Mcc | 18 | 79 / 31 | $127.725,00 | 780 / 57 | $17.125,60 | 57 / 4 | $16.455,30 | 57 / 10 |
Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 21 | $53.531,30 | 755 / 44 | $7.750,83 | 160 / 11 | $7.082,39 | 159 / 23 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 39 | $63.025,10 | 971 / 55 | $9.751,33 | 111 / 8 | $9.194,00 | 111 / 15 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 40 | $131.522,00 | 1393 / 77 | $15.039,60 | 111 / 48 | $11.955,30 | 111 / 15 |
Atherosclerosis W/O Mcc | 16 | 42 / 16 | $17.565,10 | 255 / 8 | $3.501,00 | / 14 | $2.445,00 | / |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 46 | $151.860,00 | 1033 / 43 | $26.214,10 | 72 / 5 | $25.145,60 | 72 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 39 | $32.834,90 | 735 / 28 | $6.637,69 | 186 / 13 | $5.957,69 | 185 / 25 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 53 | $18.854,50 | 1211 / 41 | $3.863,80 | 328 / 30 | $3.136,33 | 326 / 42 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 43 | $24.263,90 | 1416 / 59 | $4.015,13 | 303 / 26 | $3.048,73 | 301 / 42 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 67 | $30.766,00 | 1211 / 48 | $6.156,50 | 243 / 25 | $5.339,36 | 243 / 29 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 32 | $17.734,90 | 459 / 20 | $3.984,14 | 106 / 21 | $2.955,57 | 106 / 23 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 19 | $123.161,00 | 744 / 55 | $8.932,50 | 149 / 10 | $7.807,93 | 149 / 20 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 29 | $96.606,80 | 797 / 60 | $9.122,69 | 198 / 16 | $8.285,77 | 198 / 33 |
Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 19 | $14.184,20 | 114 / 7 | $3.995,31 | 28 / 23 | $2.729,38 | 28 / 10 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 13 | 50 / 10 | $144.887,00 | 214 / 9 | $22.067,10 | 37 / 11 | $16.632,80 | 37 / 4 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 18 | $37.583,10 | 697 / 42 | $4.584,54 | 43 / 27 | $3.023,69 | 43 / 5 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 53 | $39.719,90 | 777 / 9 | $10.440,40 | 197 / 11 | $9.733,75 | 197 / 14 |
Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 18 | $24.812,80 | 227 / 19 | $3.844,00 | 20 / 17 | $2.638,67 | 20 / 8 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 29 | $29.147,60 | 501 / 23 | $5.495,33 | 110 / 14 | $4.887,33 | 110 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 46 | $43.523,00 | 1375 / 73 | $6.213,75 | 179 / 19 | $5.487,75 | 177 / 22 |
G.I. Hemorrhage W Mcc | 12 | 109 / 50 | $53.950,20 | 1086 / 49 | $9.704,50 | 278 / 28 | $9.099,17 | 278 / 37 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 45 | $28.349,90 | 1036 / 42 | $4.325,00 | 155 / 23 | $3.117,00 | 153 / 26 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 22 | $195.996,00 | 500 / 40 | $29.322,00 | 122 / 14 | $28.623,30 | 122 / 23 |
Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 33 | $100.458,00 | 773 / 58 | $14.357,90 | 89 / 13 | $13.251,20 | 89 / 14 |
Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 20 | $31.235,60 | 301 / 24 | $4.929,75 | 20 / 2 | $4.431,08 | 20 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 24 | $71.622,10 | 439 / 24 | $10.484,80 | 32 / 3 | $9.277,55 | 32 / 3 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 40 | $36.940,00 | 898 / 25 | $7.736,55 | 353 / 31 | $7.076,18 | 350 / 43 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 17 | $78.723,90 | 471 / 36 | $8.436,73 | 27 / 12 | $6.406,36 | 27 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 27 | $134.022,00 | 794 / 45 | $17.446,40 | 145 / 11 | $16.346,70 | 145 / 20 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 35 | $21.988,30 | 461 / 10 | $4.918,09 | 107 / 15 | $3.818,45 | 106 / 20 | Total 80 procedures | 2.506 | 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.