Hospital Costs > In Florida > St Cloud Regional Medical Center, 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 | 73 | 443 / 99 | $72.736,90 | 2324 / 93 | $10.355,90 | 519 / 43 | $9.548,14 | 518 / 53 |
Chronic Obstructive Pulmonary Disease W Cc | 60 | 119 / 53 | $35.547,40 | 1933 / 93 | $5.876,73 | 196 / 84 | $4.170,22 | 196 / 31 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 97 | $27.885,40 | 2053 / 71 | $4.487,00 | 452 / 53 | $3.361,67 | 450 / 49 |
Heart Failure & Shock W Mcc | 45 | 239 / 81 | $62.479,50 | 2234 / 111 | $9.513,44 | 1066 / 103 | $8.376,40 | 1063 / 99 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 66 | $54.064,80 | 2267 / 114 | $7.266,18 | 861 / 91 | $6.106,96 | 856 / 85 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 47 | $25.374,80 | 1554 / 71 | $4.335,97 | 331 / 51 | $3.165,95 | 331 / 45 |
Heart Failure & Shock W Cc | 35 | 243 / 90 | $36.648,60 | 2234 / 103 | $5.560,31 | 477 / 42 | $4.875,97 | 477 / 56 |
G.I. Hemorrhage W Cc | 31 | 187 / 75 | $40.735,90 | 1972 / 92 | $5.764,55 | 498 / 43 | $4.907,77 | 497 / 58 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 100 | $26.518,60 | 2058 / 83 | $4.477,75 | 555 / 43 | $3.658,32 | 554 / 63 |
Renal Failure W Mcc | 28 | 167 / 69 | $41.467,60 | 1322 / 49 | $8.133,43 | 157 / 15 | $7.456,29 | 157 / 23 |
Syncope & Collapse | 25 | 144 / 78 | $29.313,20 | 1411 / 71 | $4.287,60 | 255 / 38 | $3.271,28 | 253 / 43 |
Renal Failure W Cc | 25 | 196 / 90 | $32.902,20 | 1829 / 79 | $5.538,04 | 632 / 46 | $4.862,20 | 626 / 77 |
Cellulitis W/O Mcc | 24 | 165 / 73 | $30.156,90 | 2134 / 91 | $5.089,75 | 410 / 60 | $3.805,96 | 407 / 47 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 44 | $43.441,00 | 946 / 27 | $8.575,14 | 57 / 6 | $7.574,41 | 57 / 8 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 71 | $20.542,90 | 1428 / 66 | $3.459,18 | 385 / 48 | $2.340,95 | 382 / 51 |
Other Circulatory System Diagnoses W Mcc | 21 | 95 / 36 | $84.894,10 | 1185 / 82 | $11.564,10 | 441 / 60 | $10.531,40 | 440 / 64 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 21 | 543 / 116 | $74.813,30 | 2108 / 71 | $11.889,20 | 875 / 18 | $10.856,00 | 856 / 87 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 74 | $23.115,60 | 1787 / 65 | $4.157,68 | 530 / 46 | $3.329,05 | 528 / 58 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 86 | $34.391,20 | 2158 / 76 | $5.646,95 | 404 / 46 | $4.565,68 | 401 / 44 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 78 | $51.356,60 | 1945 / 74 | $8.536,26 | 279 / 67 | $6.983,37 | 279 / 29 |
Chest Pain | 18 | 133 / 67 | $27.170,20 | 1302 / 73 | $3.933,17 | 75 / 61 | $2.287,89 | 75 / 15 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 49 | $98.883,20 | 1646 / 97 | $11.174,60 | 547 / 44 | $10.568,60 | 541 / 60 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 77 | $21.470,90 | 1161 / 44 | $4.888,60 | 135 / 65 | $3.369,80 | 135 / 23 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 31 | $32.059,70 | 760 / 47 | $4.947,60 | 140 / 18 | $3.900,13 | 138 / 26 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 54 | $74.224,60 | 1219 / 50 | $12.112,50 | 145 / 7 | $11.381,10 | 145 / 19 |
G.I. Hemorrhage W Mcc | 14 | 107 / 48 | $52.044,90 | 1048 / 45 | $9.580,14 | 267 / 24 | $9.059,00 | 267 / 34 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 79 | $44.144,30 | 2145 / 84 | $6.124,57 | 410 / 38 | $5.108,57 | 408 / 49 |
Seizures W/O Mcc | 13 | 95 / 43 | $29.264,00 | 927 / 48 | $4.394,23 | 196 / 21 | $3.557,31 | 195 / 38 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 62 | $78.565,50 | 1684 / 77 | $10.896,20 | 278 / 42 | $9.687,62 | 277 / 34 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 31 | $201.499,00 | 752 / 41 | $34.148,20 | 9 / 41 | $26.144,70 | 9 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 39 | $31.268,40 | 784 / 24 | $5.692,75 | 93 / 17 | $4.679,42 | 93 / 17 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 69 | $35.948,70 | 1384 / 62 | $6.438,33 | 140 / 56 | $5.125,17 | 140 / 16 |
Medical Back Problems W/O Mcc | 12 | 109 / 60 | $37.949,30 | 1206 / 90 | $4.804,08 | 340 / 31 | $4.021,42 | 340 / 54 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 69 | $20.271,50 | 919 / 30 | $4.688,00 | 412 / 39 | $3.882,67 | 411 / 49 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 33 | $56.802,50 | 855 / 42 | $8.592,09 | 61 / 15 | $7.332,45 | 61 / 11 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 31 | $74.679,30 | 693 / 44 | $10.099,10 | 38 / 47 | $7.426,64 | 38 / 4 |
Hypertension W/O Mcc | 11 | 54 / 38 | $22.254,90 | 469 / 32 | $4.082,36 | 69 / 44 | $2.508,00 | 69 / 20 |
Transient Ischemia | 11 | 114 / 72 | $32.592,30 | 1261 / 66 | $4.138,00 | 303 / 33 | $3.157,64 | 303 / 49 | Total 38 procedures | 885 | 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.