Hospital Costs > In Florida > South Bay Hospital, 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 | 20 | 71 / 31 | $49.184,10 | 1175 / 65 | $5.200,70 | 45 / 3 | $4.480,70 | 45 / 9 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 34 | $75.383,90 | 1510 / 80 | $8.695,82 | 9 / 7 | $6.777,12 | 9 / 2 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 24 | 29 / 9 | $31.288,80 | 605 / 31 | $3.903,79 | 92 / 2 | $3.297,12 | 92 / 21 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 26 | $38.123,80 | 773 / 53 | $3.609,18 | 11 / 5 | $2.544,64 | 11 / 4 |
Angina Pectoris | 12 | 13 / 6 | $34.120,60 | 57 / 10 | $3.012,67 | 3 / 1 | $2.111,33 | 3 / 2 |
Atherosclerosis W/O Mcc | 11 | 47 / 21 | $30.049,90 | 446 / 42 | $3.218,27 | / 2 | $2.235,00 | / |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 32 | $50.879,40 | 1006 / 94 | $4.618,86 | 59 / 3 | $3.670,29 | 59 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 64 | 97 / 36 | $41.025,10 | 1924 / 119 | $4.167,06 | 213 / 9 | $3.486,56 | 213 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 34 | $71.257,10 | 1788 / 116 | $6.425,88 | 70 / 9 | $5.514,36 | 70 / 11 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 62 | 88 / 37 | $33.838,00 | 1846 / 125 | $3.032,73 | 120 / 12 | $1.976,94 | 120 / 22 |
Cellulitis W/O Mcc | 75 | 114 / 33 | $34.013,70 | 2272 / 111 | $4.927,55 | 61 / 46 | $3.309,76 | 61 / 6 |
Chest Pain | 135 | 30 / 9 | $37.126,40 | 1541 / 120 | $3.362,07 | 36 / 19 | $2.159,28 | 36 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 58 | 121 / 54 | $50.735,50 | 2257 / 136 | $5.074,41 | 94 / 19 | $3.995,33 | 94 / 10 |
Chronic Obstructive Pulmonary Disease W Mcc | 74 | 128 / 45 | $62.354,90 | 2382 / 139 | $6.190,88 | 161 / 9 | $5.310,86 | 161 / 18 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 47 | $43.872,70 | 2001 / 144 | $3.790,26 | 188 / 9 | $2.996,16 | 188 / 33 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 26 | $54.826,10 | 696 / 61 | $4.672,23 | 52 / 2 | $3.928,85 | 52 / 13 |
Degenerative Nervous System Disorders W/O Mcc | 29 | 49 / 17 | $40.853,30 | 682 / 54 | $5.205,07 | 53 / 12 | $4.287,00 | 53 / 14 |
Diabetes W Cc | 24 | 68 / 30 | $40.704,40 | 1417 / 95 | $4.389,33 | 117 / 7 | $3.638,67 | 117 / 20 |
Dysequilibrium | 30 | 35 / 13 | $37.153,60 | 485 / 56 | $3.301,20 | 9 / 4 | $2.136,40 | 9 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 39 | $61.841,40 | 1294 / 93 | $6.324,88 | 67 / 3 | $5.568,88 | 67 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 144 | 131 / 36 | $41.719,00 | 2510 / 127 | $3.988,09 | 99 / 10 | $2.937,67 | 99 / 10 |
Fractures Of Hip & Pelvis W/O Mcc | 21 | 40 / 24 | $31.521,40 | 765 / 62 | $3.781,86 | 23 / 11 | $2.634,43 | 23 / 5 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 29 | 33 / 13 | $39.724,80 | 726 / 79 | $3.923,41 | 21 / 4 | $2.885,07 | 21 / 8 |
G.I. Hemorrhage W Cc | 105 | 113 / 26 | $51.102,90 | 2185 / 118 | $5.329,10 | 148 / 7 | $4.465,10 | 148 / 20 |
G.I. Hemorrhage W Mcc | 19 | 102 / 43 | $83.080,50 | 1466 / 103 | $10.026,20 | 398 / 44 | $9.391,21 | 398 / 55 |
G.I. Hemorrhage W/O Cc/Mcc | 26 | 42 / 21 | $35.675,30 | 879 / 77 | $3.869,54 | 8 / 16 | $2.462,77 | 8 / 3 |
G.I. Obstruction W Cc | 19 | 73 / 39 | $48.645,10 | 1582 / 104 | $4.712,58 | 84 / 10 | $3.723,95 | 84 / 18 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 31 | $36.308,50 | 1193 / 75 | $3.229,00 | 19 / 5 | $2.021,00 | 19 / 1 |
Heart Failure & Shock W Cc | 95 | 183 / 49 | $50.169,50 | 2547 / 142 | $5.271,69 | 105 / 18 | $4.356,45 | 105 / 15 |
Heart Failure & Shock W Mcc | 86 | 198 / 52 | $76.433,60 | 2425 / 140 | $8.049,20 | 198 / 21 | $7.234,78 | 198 / 19 |
Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 41 | $42.509,10 | 1930 / 125 | $3.550,89 | 79 / 9 | $2.729,18 | 78 / 14 |
Hip & Femur Procedures Except Major Joint W Cc | 52 | 91 / 28 | $87.806,50 | 1794 / 91 | $10.441,80 | 159 / 17 | $9.374,08 | 158 / 19 |
Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 21 | $133.738,00 | 837 / 54 | $16.182,10 | 138 / 14 | $15.405,00 | 138 / 24 |
Hypertension W/O Mcc | 15 | 50 / 34 | $34.810,10 | 694 / 69 | $3.288,40 | 82 / 3 | $2.563,07 | 82 / 24 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 48 | $227.865,00 | 1358 / 76 | $33.036,10 | 121 / 66 | $25.948,80 | 121 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 49 | 133 / 40 | $66.453,40 | 1958 / 120 | $5.613,29 | 86 / 10 | $4.530,14 | 86 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 56 | $73.576,90 | 1303 / 67 | $8.913,14 | 87 / 7 | $8.053,71 | 87 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 32 | $48.743,10 | 1476 / 94 | $4.031,96 | 93 / 9 | $2.967,00 | 92 / 16 |
Kidney & Urinary Tract Infections W Mcc | 77 | 67 / 19 | $51.233,50 | 1699 / 103 | $5.838,57 | 90 / 8 | $4.992,86 | 90 / 8 |
Kidney & Urinary Tract Infections W/O Mcc | 131 | 102 / 31 | $42.534,80 | 2546 / 146 | $4.082,97 | 230 / 15 | $3.342,45 | 230 / 29 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 20 | 36 / 22 | $108.104,00 | 821 / 66 | $8.786,15 | 88 / 2 | $7.760,55 | 88 / 12 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 23 | $107.632,00 | 573 / 60 | $6.512,00 | 50 / 3 | $5.301,82 | 50 / 10 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 23 | $83.181,80 | 513 / 36 | $10.608,60 | 53 / 6 | $9.507,25 | 53 / 9 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 16 | $75.097,80 | 466 / 35 | $8.012,00 | 68 / 1 | $6.902,67 | 68 / 15 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 32 | $50.411,50 | 947 / 75 | $6.162,69 | 152 / 9 | $5.782,69 | 152 / 20 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 16 | $50.525,80 | 386 / 34 | $6.325,23 | 25 / 3 | $5.495,69 | 25 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 26 | $138.602,00 | 814 / 49 | $17.116,40 | 124 / 5 | $16.113,80 | 124 / 14 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 131 | 433 / 67 | $90.700,10 | 2369 / 108 | $12.058,00 | 204 / 31 | $9.738,17 | 204 / 7 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 41 | $159.956,00 | 1473 / 94 | $18.779,00 | 79 / 93 | $11.768,60 | 79 / 8 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 31 | $250.394,00 | 1167 / 72 | $28.691,10 | 326 / 33 | $27.787,10 | 324 / 46 |
Medical Back Problems W/O Mcc | 35 | 86 / 38 | $47.122,70 | 1369 / 117 | $5.006,14 | 57 / 44 | $3.421,74 | 57 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 46 | $58.543,20 | 1585 / 101 | $5.662,08 | 70 / 1 | $5.160,75 | 70 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 46 | $32.362,30 | 2207 / 110 | $3.910,67 | 44 / 27 | $2.689,14 | 44 / 3 |
Other Digestive System Diagnoses W Cc | 28 | 69 / 29 | $50.915,40 | 1279 / 95 | $5.131,57 | 98 / 6 | $4.397,86 | 97 / 21 |
Other Digestive System Diagnoses W/O Cc/Mcc | 16 | 27 / 14 | $35.542,20 | 320 / 39 | $3.555,06 | 17 / 5 | $2.575,06 | 17 / 6 |
Other Disorders Of Nervous System W Cc | 20 | 36 / 13 | $40.673,20 | 500 / 32 | $4.651,60 | 30 / 2 | $3.867,60 | 30 / 3 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 18 | 22 / 9 | $83.430,60 | 181 / 22 | $10.402,00 | 15 / 2 | $9.795,78 | 15 / 6 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 19 | 9 / 3 | $77.070,40 | 91 / 12 | $8.912,37 | 9 / 3 | $7.964,16 | 9 / 3 |
Other Resp System O.R. Procedures W Cc | 12 | 35 / 15 | $103.379,00 | 303 / 29 | $10.438,30 | 45 / 4 | $9.838,33 | 45 / 9 |
Other Vascular Procedures W Cc | 13 | 89 / 35 | $115.232,00 | 946 / 54 | $13.329,80 | 105 / 3 | $12.773,50 | 105 / 13 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 40 | $44.925,90 | 1090 / 90 | $4.963,62 | 58 / 3 | $4.220,23 | 58 / 10 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 18 | $80.695,90 | 558 / 52 | $9.104,92 | 2 / 38 | $5.329,25 | 2 / 1 |
Peripheral Vascular Disorders W/O Cc/Mcc | 19 | 26 / 14 | $27.315,00 | 313 / 49 | $3.413,11 | 13 / 1 | $2.589,53 | 13 / 3 |
Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 32 | $94.378,00 | 741 / 50 | $14.180,50 | 88 / 7 | $13.250,00 | 88 / 13 |
Postoperative & Post-Traumatic Infections W/O Mcc | 19 | 35 / 13 | $49.944,30 | 412 / 41 | $5.758,79 | 45 / 23 | $4.696,63 | 45 / 15 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 55 | $63.106,10 | 1972 / 108 | $6.474,50 | 103 / 5 | $5.687,30 | 103 / 12 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 30 | $50.726,50 | 843 / 60 | $6.635,43 | 53 / 4 | $5.858,29 | 53 / 7 |
Red Blood Cell Disorders W/O Mcc | 34 | 109 / 49 | $43.420,20 | 1820 / 132 | $4.193,15 | 64 / 1 | $3.309,38 | 64 / 6 |
Renal Failure W Cc | 64 | 157 / 61 | $51.963,50 | 2281 / 141 | $5.202,77 | 151 / 20 | $4.288,72 | 151 / 25 |
Renal Failure W Mcc | 35 | 160 / 63 | $71.433,40 | 1908 / 121 | $8.244,77 | 154 / 22 | $7.449,34 | 154 / 21 |
Renal Failure W/O Cc/Mcc | 17 | 39 / 25 | $32.650,70 | 761 / 62 | $3.310,29 | 45 / 5 | $2.463,24 | 45 / 8 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 37 | $87.502,40 | 1429 / 92 | $7.413,00 | 146 / 15 | $6.633,57 | 146 / 21 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 54 | $86.915,60 | 1562 / 77 | $10.222,10 | 117 / 8 | $9.451,18 | 117 / 10 |
Respiratory Neoplasms W Cc | 13 | 34 / 15 | $50.451,10 | 391 / 29 | $6.230,08 | 31 / 2 | $5.491,62 | 30 / 10 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 50 | $116.384,00 | 1656 / 106 | $12.137,10 | 170 / 8 | $11.468,70 | 170 / 22 |
Seizures W Mcc | 12 | 54 / 23 | $104.944,00 | 744 / 67 | $9.038,42 | 132 / 30 | $7.962,50 | 132 / 27 |
Seizures W/O Mcc | 11 | 97 / 45 | $44.936,50 | 1188 / 97 | $4.027,91 | 82 / 4 | $3.254,09 | 82 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 92 | 424 / 90 | $85.637,70 | 2501 / 113 | $10.141,50 | 196 / 28 | $8.917,83 | 196 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 55 | 152 / 44 | $63.078,80 | 2442 / 128 | $5.594,13 | 137 / 7 | $4.737,11 | 137 / 16 |
Signs & Symptoms W/O Mcc | 35 | 56 / 17 | $35.964,10 | 1151 / 88 | $3.624,94 | 38 / 8 | $2.763,69 | 38 / 9 |
Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 63 | $58.012,30 | 2674 / 140 | $5.195,93 | 239 / 11 | $4.387,40 | 239 / 27 |
Simple Pneumonia & Pleurisy W Mcc | 48 | 157 / 52 | $80.504,80 | 2347 / 132 | $7.536,19 | 156 / 6 | $6.730,19 | 156 / 12 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 32 | $43.950,60 | 1858 / 121 | $3.727,46 | 140 / 6 | $2.795,77 | 139 / 27 |
Syncope & Collapse | 100 | 69 / 24 | $45.810,00 | 1787 / 126 | $3.912,44 | 81 / 9 | $2.950,89 | 81 / 16 |
Transient Ischemia | 69 | 56 / 21 | $51.117,20 | 1585 / 122 | $3.703,17 | 61 / 6 | $2.688,45 | 61 / 9 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 13 | 31 / 16 | $37.535,80 | 247 / 38 | $3.928,31 | 7 / 2 | $2.904,31 | 7 / 7 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 22 | 24 / 10 | $40.626,00 | 337 / 37 | $3.806,27 | 2 / 10 | $2.274,27 | 2 / 1 | Total 87 procedures | 3.082 | 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.