Hospital Costs > In South Carolina > Springs Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 128 | 388 / 22 | $101.779,00 | 2650 / 51 | $11.016,80 | 1034 / 20 | $10.234,50 | 1022 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 75 | 104 / 8 | $49.160,20 | 2231 / 41 | $5.838,24 | 918 / 15 | $4.888,99 | 915 / 22 |
Pulmonary Edema & Respiratory Failure | 71 | 132 / 11 | $83.039,90 | 2147 / 44 | $7.398,80 | 800 / 16 | $6.705,39 | 800 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 65 | 210 / 16 | $47.232,60 | 2617 / 47 | $4.751,72 | 942 / 15 | $3.727,23 | 935 / 25 |
Heart Failure & Shock W Cc | 55 | 223 / 20 | $51.638,80 | 2573 / 49 | $6.081,04 | 1030 / 20 | $5.312,45 | 1028 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 17 | $62.993,30 | 2440 / 46 | $6.705,58 | 1081 / 21 | $5.737,81 | 1078 / 29 |
Renal Failure W Cc | 51 | 170 / 19 | $48.833,60 | 2234 / 46 | $6.012,84 | 776 / 18 | $4.982,59 | 769 / 22 |
Heart Failure & Shock W Mcc | 51 | 233 / 26 | $64.846,70 | 2266 / 44 | $8.829,39 | 885 / 21 | $8.143,59 | 885 / 25 |
G.I. Hemorrhage W Cc | 47 | 171 / 21 | $56.086,40 | 2257 / 43 | $6.529,08 | 750 / 26 | $5.134,74 | 748 / 21 |
Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 22 | $49.556,70 | 2643 / 50 | $4.846,83 | 850 / 18 | $3.858,30 | 845 / 22 |
Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 24 | $67.386,80 | 2434 / 44 | $7.106,07 | 974 / 15 | $6.217,17 | 969 / 23 |
Simple Pneumonia & Pleurisy W Mcc | 41 | 164 / 23 | $87.810,50 | 2399 / 43 | $8.944,95 | 792 / 18 | $7.645,78 | 792 / 19 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 41 | 147 / 16 | $86.625,60 | 1590 / 27 | $6.720,39 | 561 / 6 | $5.532,83 | 559 / 12 |
Syncope & Collapse | 41 | 128 / 12 | $43.268,20 | 1749 / 34 | $4.659,44 | 575 / 12 | $3.628,41 | 572 / 12 |
Renal Failure W Mcc | 37 | 158 / 22 | $72.929,20 | 1936 / 39 | $9.107,16 | 711 / 12 | $8.389,32 | 711 / 18 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 17 | $44.806,00 | 1995 / 38 | $5.795,88 | 563 / 29 | $3.878,15 | 561 / 16 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 10 | $48.995,20 | 2045 / 41 | $4.596,48 | 985 / 16 | $3.718,91 | 976 / 27 |
Red Blood Cell Disorders W/O Mcc | 32 | 111 / 23 | $43.719,50 | 1827 / 39 | $5.050,06 | 763 / 10 | $4.257,06 | 758 / 18 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 17 | $33.600,40 | 1842 / 35 | $3.745,81 | 796 / 12 | $2.668,94 | 792 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 22 | $43.737,90 | 2427 / 46 | $4.514,40 | 891 / 15 | $3.570,97 | 888 / 19 |
Chest Pain | 30 | 121 / 11 | $37.754,20 | 1547 / 26 | $3.972,50 | 620 / 9 | $3.047,70 | 616 / 15 |
Transient Ischemia | 30 | 95 / 13 | $49.574,70 | 1573 / 30 | $4.553,47 | 614 / 10 | $3.489,40 | 610 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 23 | $69.282,00 | 1983 / 41 | $6.443,70 | 729 / 14 | $5.464,74 | 728 / 21 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 37 | $109.697,00 | 2556 / 42 | $12.501,60 | 1179 / 12 | $11.343,20 | 1151 / 30 |
Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 34 | $55.000,90 | 2642 / 51 | $6.002,92 | 902 / 19 | $4.998,92 | 899 / 21 |
Cellulitis W/O Mcc | 23 | 166 / 25 | $43.324,50 | 2479 / 46 | $5.273,26 | 930 / 11 | $4.224,22 | 924 / 24 |
Diabetes W Cc | 23 | 69 / 16 | $40.595,00 | 1412 / 29 | $5.226,52 | 437 / 6 | $4.199,74 | 437 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 15 | $69.113,60 | 1775 / 28 | $7.348,45 | 568 / 9 | $6.470,27 | 565 / 13 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 13 | $61.179,10 | 1305 / 24 | $6.179,38 | 441 / 10 | $5.373,29 | 440 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 17 | $106.414,00 | 1573 / 32 | $13.145,80 | 505 / 10 | $12.452,40 | 498 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 17 | $96.563,70 | 1486 / 26 | $10.068,00 | 489 / 7 | $9.321,29 | 488 / 13 |
G.I. Obstruction W Cc | 20 | 72 / 12 | $55.754,80 | 1648 / 27 | $5.559,20 | 566 / 10 | $4.541,60 | 565 / 8 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 14 | $38.311,40 | 1875 / 34 | $4.989,75 | 703 / 26 | $3.474,10 | 699 / 15 |
Diabetes W Mcc | 17 | 40 / 8 | $56.804,00 | 612 / 17 | $8.271,53 | 257 / 8 | $7.864,00 | 257 / 13 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 17 | 36 / 7 | $41.385,20 | 743 / 15 | $4.801,82 | 373 / 7 | $3.930,47 | 370 / 12 |
Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 11 | $72.167,70 | 871 / 21 | $8.413,24 | 253 / 7 | $7.492,76 | 252 / 9 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 27 | $59.486,90 | 1809 / 34 | $6.840,24 | 497 / 13 | $5.701,41 | 496 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 26 | $101.462,00 | 1899 / 36 | $11.557,60 | 518 / 15 | $10.095,70 | 517 / 15 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 14 | $49.973,70 | 834 / 22 | $7.510,73 | 198 / 5 | $6.540,07 | 198 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 21 | $54.098,70 | 1528 / 34 | $4.797,33 | 611 / 9 | $3.745,60 | 607 / 17 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 19 | $196.224,00 | 1249 / 22 | $29.599,90 | 394 / 3 | $28.578,40 | 393 / 8 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 6 | $71.482,80 | 608 / 8 | $5.577,85 | 197 / 3 | $4.832,00 | 197 / 6 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 24 | $77.635,10 | 1528 / 27 | $9.777,15 | 513 / 13 | $9.036,23 | 512 / 16 |
Atherosclerosis W/O Mcc | 12 | 46 / 7 | $25.434,50 | 394 / 9 | $3.993,33 | / 4 | $3.190,67 | / |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 8 | $35.854,20 | 820 / 17 | $4.231,73 | 160 / 5 | $3.135,00 | 161 / 6 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 24 | $126.890,00 | 1751 / 34 | $11.709,60 | 639 / 12 | $10.775,80 | 631 / 16 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 13 | $34.886,50 | 868 / 18 | $5.351,18 | 329 / 14 | $3.428,82 | 326 / 7 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $61.154,60 | 917 / 21 | $5.727,73 | 336 / 5 | $4.852,09 | 335 / 11 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 11 | $32.797,50 | 785 / 16 | $5.238,27 | 151 / 11 | $3.020,55 | 150 / 3 | Total 49 procedures | 1.530 | 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.