Hospital Costs > In Florida > South Lake Hospital, 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 | 162 | 402 / 58 | $71.172,00 | 2022 / 64 | $12.433,30 | 712 / 50 | $10.641,50 | 702 / 73 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 118 | 157 / 49 | $28.038,40 | 2068 / 73 | $4.673,93 | 504 / 67 | $3.406,84 | 502 / 52 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 117 | 399 / 74 | $75.770,50 | 2371 / 96 | $10.992,70 | 601 / 72 | $9.671,37 | 600 / 63 |
Heart Failure & Shock W Cc | 87 | 191 / 54 | $32.334,10 | 2069 / 87 | $6.026,61 | 752 / 81 | $5.105,25 | 751 / 75 |
Kidney & Urinary Tract Infections W/O Mcc | 87 | 146 / 55 | $24.345,10 | 1938 / 68 | $4.746,30 | 565 / 74 | $3.672,71 | 564 / 65 |
Heart Failure & Shock W Mcc | 77 | 207 / 58 | $43.902,60 | 1812 / 70 | $8.971,34 | 804 / 81 | $8.054,13 | 804 / 83 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 72 | 116 / 28 | $49.602,00 | 1192 / 66 | $6.693,26 | 286 / 56 | $5.125,07 | 286 / 37 |
G.I. Hemorrhage W Cc | 71 | 147 / 43 | $30.519,70 | 1588 / 50 | $5.991,10 | 677 / 63 | $5.067,46 | 676 / 73 |
Cellulitis W/O Mcc | 67 | 122 / 39 | $36.242,40 | 2325 / 119 | $5.441,12 | 671 / 86 | $4.024,57 | 667 / 68 |
Syncope & Collapse | 63 | 106 / 46 | $23.969,40 | 1159 / 46 | $4.657,08 | 247 / 74 | $3.260,95 | 245 / 41 |
Renal Failure W Cc | 60 | 161 / 64 | $30.307,60 | 1707 / 67 | $5.779,77 | 608 / 66 | $4.848,43 | 602 / 74 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 52 | 98 / 44 | $17.376,30 | 1230 / 48 | $3.601,52 | 483 / 61 | $2.428,98 | 480 / 59 |
Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 58 | $30.624,50 | 1976 / 59 | $5.898,88 | 456 / 66 | $4.611,94 | 453 / 55 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 64 | $42.790,30 | 2011 / 84 | $6.873,80 | 735 / 63 | $5.997,88 | 730 / 75 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 45 | 151 / 46 | $91.045,60 | 1061 / 48 | $13.358,10 | 166 / 68 | $9.698,82 | 166 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 65 | $37.937,50 | 2019 / 102 | $5.744,53 | 471 / 70 | $4.511,89 | 470 / 56 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 51 | $31.523,10 | 1687 / 86 | $4.824,59 | 490 / 59 | $3.810,05 | 489 / 65 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 54 | $20.543,10 | 1608 / 52 | $4.314,41 | 669 / 63 | $3.429,34 | 667 / 71 |
Heart Failure & Shock W/O Cc/Mcc | 40 | 70 / 29 | $18.410,50 | 1187 / 40 | $4.167,00 | 628 / 52 | $3.413,40 | 626 / 67 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 40 | 80 / 45 | $26.650,60 | 1600 / 82 | $4.529,42 | 586 / 64 | $3.396,52 | 585 / 65 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 58 | $32.049,10 | 1734 / 50 | $6.267,42 | 268 / 50 | $4.949,13 | 267 / 34 |
Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 39 | $67.673,40 | 1501 / 59 | $11.098,80 | 425 / 56 | $9.956,30 | 424 / 58 |
Respiratory Infections & Inflammations W Cc | 35 | 53 / 20 | $64.164,10 | 1287 / 69 | $7.956,43 | 482 / 41 | $7.300,89 | 479 / 54 |
Pulmonary Edema & Respiratory Failure | 35 | 168 / 42 | $54.471,70 | 1840 / 90 | $7.106,77 | 478 / 43 | $6.314,09 | 478 / 57 |
Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 65 | $73.904,60 | 2284 / 119 | $8.555,15 | 671 / 69 | $7.527,27 | 671 / 73 |
Red Blood Cell Disorders W/O Mcc | 32 | 111 / 51 | $25.001,80 | 1256 / 63 | $4.845,97 | 603 / 56 | $4.092,97 | 599 / 67 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 36 | $68.948,30 | 1444 / 68 | $10.395,80 | 404 / 72 | $8.763,52 | 404 / 50 |
Renal Failure W Mcc | 31 | 164 / 66 | $52.795,80 | 1638 / 80 | $9.521,71 | 608 / 87 | $8.225,45 | 608 / 78 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 39 | $132.172,00 | 1723 / 117 | $16.633,70 | 858 / 105 | $13.557,70 | 850 / 88 |
Respiratory Infections & Inflammations W Mcc | 26 | 110 / 39 | $75.344,50 | 1462 / 63 | $11.493,40 | 622 / 58 | $10.726,70 | 614 / 66 |
Signs & Symptoms W/O Mcc | 25 | 66 / 26 | $23.876,90 | 850 / 44 | $4.262,12 | 337 / 46 | $3.441,64 | 336 / 54 |
G.I. Obstruction W Cc | 23 | 69 / 36 | $28.516,60 | 1145 / 47 | $5.313,04 | 593 / 54 | $4.578,43 | 592 / 72 |
G.I. Hemorrhage W Mcc | 23 | 98 / 39 | $66.516,20 | 1289 / 76 | $11.092,60 | 788 / 80 | $10.513,80 | 785 / 87 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 61 | $35.976,90 | 1388 / 54 | $6.981,32 | 418 / 82 | $5.126,64 | 417 / 49 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 30 | $38.718,30 | 1007 / 41 | $6.137,43 | 278 / 37 | $5.099,71 | 278 / 38 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 61 | $46.332,70 | 1627 / 89 | $6.764,90 | 460 / 74 | $5.657,43 | 459 / 62 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 37 | $23.268,60 | 1373 / 51 | $4.322,57 | 426 / 50 | $3.172,10 | 424 / 57 |
Transient Ischemia | 20 | 105 / 63 | $19.101,70 | 585 / 12 | $4.838,10 | 100 / 75 | $2.787,30 | 100 / 20 |
Medical Back Problems W/O Mcc | 20 | 101 / 52 | $26.218,00 | 883 / 45 | $5.067,25 | 401 / 50 | $4.100,85 | 401 / 60 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 37 | $39.943,60 | 1136 / 68 | $6.125,50 | 267 / 63 | $4.791,70 | 264 / 42 |
Pulmonary Embolism W/O Mcc | 20 | 54 / 23 | $34.532,10 | 957 / 43 | $6.084,20 | 149 / 38 | $4.488,25 | 149 / 21 |
Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 22 | $100.552,00 | 451 / 20 | $18.928,80 | 191 / 18 | $17.911,60 | 191 / 27 |
Diabetes W Cc | 19 | 73 / 35 | $29.014,80 | 1143 / 54 | $5.595,11 | 200 / 78 | $3.827,21 | 200 / 31 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 28 | $20.130,40 | 825 / 28 | $4.136,95 | 195 / 55 | $2.530,21 | 195 / 31 |
Chest Pain | 18 | 133 / 67 | $30.692,80 | 1403 / 86 | $3.965,94 | 168 / 66 | $2.493,06 | 167 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 49 | $38.409,30 | 1274 / 54 | $7.660,29 | 231 / 74 | $5.928,00 | 231 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 40 | $28.297,80 | 1030 / 40 | $4.751,88 | 284 / 40 | $3.358,94 | 282 / 40 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 22 | $56.974,10 | 678 / 38 | $9.194,73 | 200 / 22 | $8.147,27 | 200 / 35 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 16 | $42.548,60 | 756 / 50 | $4.588,00 | 307 / 28 | $3.783,73 | 304 / 40 |
Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 54 | $112.054,00 | 857 / 32 | $22.808,20 | 171 / 30 | $19.680,40 | 170 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 40 | $35.642,00 | 829 / 33 | $6.850,93 | 357 / 24 | $6.366,67 | 355 / 52 |
Atherosclerosis W/O Mcc | 15 | 43 / 17 | $23.348,10 | 379 / 28 | $3.800,20 | / 31 | $2.829,53 | / |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 30 | $46.953,90 | 755 / 34 | $8.542,43 | 3 / 13 | $6.348,29 | 3 / 1 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 43 | $95.012,00 | 1170 / 49 | $16.768,10 | 171 / 73 | $12.328,80 | 170 / 24 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 48 | $142.548,00 | 957 / 34 | $28.000,70 | 230 / 18 | $27.225,90 | 230 / 28 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 33 | $117.781,00 | 649 / 30 | $18.278,30 | 219 / 23 | $17.325,10 | 218 / 34 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 28 | $35.583,40 | 605 / 39 | $5.869,23 | 206 / 30 | $5.221,85 | 206 / 39 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 33 | $23.323,40 | 666 / 43 | $4.283,62 | 333 / 37 | $3.444,23 | 330 / 54 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 35 | $45.603,20 | 906 / 65 | $6.780,38 | 296 / 37 | $6.130,54 | 295 / 46 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 32 | $44.276,10 | 745 / 50 | $7.278,33 | 62 / 29 | $5.910,33 | 62 / 9 |
Dysequilibrium | 12 | 53 / 31 | $23.649,30 | 318 / 23 | $3.864,25 | 175 / 29 | $3.066,92 | 175 / 43 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 31 | $61.355,90 | 488 / 26 | $11.846,60 | 1 / 22 | $8.338,58 | 1 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 25 | $36.888,80 | 748 / 39 | $5.480,83 | 274 / 25 | $4.675,50 | 273 / 39 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 26 | $103.310,00 | 678 / 36 | $18.314,60 | 237 / 23 | $17.075,90 | 235 / 31 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 42 | $23.321,40 | 556 / 28 | $5.755,64 | 264 / 51 | $4.772,36 | 263 / 46 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 35 | $26.992,80 | 638 / 30 | $5.223,64 | 257 / 31 | $4.234,55 | 254 / 44 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 20 | $60.415,70 | 499 / 33 | $10.783,00 | 172 / 20 | $10.343,70 | 172 / 26 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 36 | $170.924,00 | 922 / 46 | $28.373,00 | 313 / 31 | $27.602,10 | 311 / 45 | Total 68 procedures | 2.337 | 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.