Hospital Costs > In Kentucky > St Elizabeth Florence, 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 | 13 | 78 / 20 | $21.149,10 | 336 / 10 | $5.811,69 | 160 / 3 | $4.854,38 | 160 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 19 | $25.687,10 | 308 / 8 | $8.989,57 | 168 / 5 | $8.189,48 | 168 / 8 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 42 | 82 / 5 | $8.857,40 | 95 / 2 | $4.484,57 | 195 / 6 | $3.513,52 | 195 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 21 | $12.780,60 | 297 / 7 | $5.154,59 | 550 / 23 | $3.863,82 | 548 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 18 | $20.999,30 | 392 / 10 | $7.477,57 | 597 / 15 | $6.519,09 | 594 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 22 | $13.420,00 | 783 / 26 | $3.812,80 | 982 / 18 | $2.807,80 | 977 / 26 |
| Cellulitis W Mcc | 12 | 46 / 11 | $36.798,50 | 516 / 13 | $8.651,42 | 168 / 7 | $7.314,58 | 167 / 7 |
| Cellulitis W/O Mcc | 33 | 156 / 21 | $13.061,10 | 598 / 20 | $5.513,42 | 874 / 36 | $4.178,64 | 868 / 33 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 13 | $43.801,20 | 255 / 7 | $16.037,20 | 37 / 14 | $9.819,08 | 37 / 1 |
| Chest Pain | 33 | 118 / 15 | $14.496,80 | 450 / 15 | $4.242,21 | 540 / 21 | $2.968,09 | 536 / 20 |
| Chronic Obstructive Pulmonary Disease W Cc | 70 | 109 / 10 | $15.771,10 | 586 / 22 | $6.122,71 | 679 / 39 | $4.708,44 | 677 / 22 |
| Chronic Obstructive Pulmonary Disease W Mcc | 57 | 145 / 20 | $17.859,80 | 560 / 17 | $7.175,89 | 736 / 25 | $5.999,12 | 731 / 31 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 22 | $11.506,10 | 394 / 17 | $4.992,23 | 806 / 39 | $3.579,37 | 802 / 33 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 18 | $26.629,00 | 364 / 9 | $7.590,90 | 272 / 23 | $5.099,70 | 272 / 7 |
| Depressive Neuroses | 12 | 38 / 7 | $8.275,42 | 35 / 4 | $4.835,75 | 6 / 7 | $2.912,33 | 6 / 2 |
| Diabetes W Cc | 35 | 57 / 6 | $14.128,20 | 276 / 11 | $5.670,31 | 336 / 22 | $4.067,69 | 336 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 10 | $19.829,40 | 200 / 7 | $8.294,32 | 155 / 19 | $5.833,73 | 155 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 74 | 201 / 17 | $15.491,80 | 814 / 27 | $5.348,99 | 542 / 46 | $3.442,39 | 540 / 18 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 9 | $9.957,36 | 57 / 2 | $4.532,09 | 227 / 4 | $3.668,73 | 227 / 10 |
| G.I. Hemorrhage W Cc | 59 | 159 / 14 | $17.301,50 | 515 / 12 | $6.400,51 | 628 / 33 | $5.029,92 | 627 / 23 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 15 | $33.282,50 | 436 / 12 | $10.354,70 | 410 / 11 | $9.427,43 | 411 / 13 |
| G.I. Obstruction W Cc | 19 | 73 / 16 | $15.787,20 | 347 / 15 | $5.939,00 | 461 / 24 | $4.416,79 | 460 / 16 |
| Heart Failure & Shock W Cc | 71 | 207 / 15 | $17.357,40 | 851 / 20 | $6.196,17 | 621 / 29 | $5.005,56 | 620 / 18 |
| Heart Failure & Shock W Mcc | 73 | 211 / 22 | $30.106,80 | 1089 / 36 | $9.589,59 | 627 / 43 | $7.850,05 | 627 / 24 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 25 | $13.737,70 | 695 / 25 | $4.447,19 | 723 / 22 | $3.491,81 | 719 / 20 |
| Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 20 | $33.058,80 | 339 / 6 | $11.079,80 | 428 / 11 | $9.959,25 | 427 / 14 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 18 | $93.016,30 | 411 / 9 | $29.733,10 | 359 / 8 | $28.419,40 | 359 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 19 | $18.890,40 | 408 / 9 | $6.739,88 | 926 / 19 | $5.724,48 | 923 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 15 | $21.034,20 | 116 / 1 | $10.752,30 | 53 / 13 | $7.877,85 | 53 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 19 | $15.454,60 | 285 / 5 | $4.882,93 | 601 / 10 | $3.737,50 | 597 / 12 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 21 | $20.943,00 | 632 / 18 | $7.165,81 | 803 / 26 | $6.100,62 | 802 / 26 |
| Kidney & Urinary Tract Infections W/O Mcc | 65 | 168 / 14 | $14.463,70 | 851 / 24 | $5.059,74 | 713 / 33 | $3.762,42 | 709 / 25 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 7 | $44.167,40 | 360 / 11 | $15.934,80 | 13 / 11 | $8.709,92 | 13 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 6 | $52.033,80 | 369 / 3 | $14.665,10 | 135 / 9 | $10.697,70 | 134 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 38 | $38.870,60 | 692 / 8 | $13.024,50 | 877 / 27 | $10.860,70 | 858 / 26 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 16 | 53 / 5 | $59.365,60 | 199 / 5 | $18.582,20 | 36 / 10 | $12.060,70 | 36 / 1 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 17 | $60.488,10 | 650 / 21 | $14.788,00 | 396 / 8 | $13.208,70 | 393 / 11 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 13 | $106.538,00 | 448 / 13 | $36.330,70 | 265 / 18 | $27.036,80 | 263 / 9 |
| Medical Back Problems W/O Mcc | 23 | 98 / 13 | $12.418,00 | 115 / 5 | $5.502,48 | 527 / 15 | $4.257,78 | 525 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 17 | $26.510,90 | 790 / 22 | $7.210,08 | 790 / 15 | $6.562,12 | 787 / 19 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 18 | $11.895,20 | 533 / 21 | $4.798,26 | 571 / 40 | $3.359,91 | 569 / 16 |
| Neuroses Except Depressive | 11 | 16 / 2 | $9.160,82 | 12 / 1 | $4.628,73 | 4 / 1 | $3.396,09 | 4 / 1 |
| O.R. Procedures For Obesity W Cc | 11 | 23 / 3 | $34.808,40 | 16 / 2 | $12.453,50 | 14 / 2 | $9.292,18 | 14 / 1 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 13 | 64 / 8 | $32.596,70 | 112 / 3 | $12.069,50 | 8 / 8 | $6.246,92 | 8 / 1 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 8 | $15.728,70 | 103 / 3 | $6.017,09 | 94 / 2 | $5.052,73 | 94 / 4 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 11 | $31.065,50 | 241 / 12 | $10.537,20 | 203 / 9 | $9.585,29 | 203 / 12 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 11 | $20.648,40 | 444 / 14 | $6.636,38 | 252 / 18 | $4.770,75 | 249 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 9 | $18.942,00 | 215 / 6 | $6.214,17 | 365 / 6 | $5.724,17 | 365 / 9 |
| Other Vascular Procedures W Mcc | 16 | 81 / 10 | $76.599,30 | 338 / 6 | $20.612,20 | 318 / 5 | $18.918,20 | 317 / 6 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 7 | $28.231,10 | 311 / 10 | $10.188,30 | 361 / 15 | $7.950,29 | 360 / 11 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 8 | $14.047,30 | 264 / 9 | $4.688,00 | 209 / 11 | $3.149,07 | 208 / 6 |
| Psychoses | 185 | 128 / 6 | $10.325,50 | 65 / 4 | $6.320,57 | 125 / 5 | $5.238,84 | 125 / 4 |
| Pulmonary Edema & Respiratory Failure | 50 | 153 / 22 | $22.625,90 | 573 / 19 | $7.774,30 | 532 / 33 | $6.371,62 | 532 / 21 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 25 | $11.846,60 | 208 / 5 | $5.146,50 | 850 / 22 | $4.357,42 | 845 / 30 |
| Renal Failure W Cc | 69 | 152 / 16 | $17.452,60 | 723 / 21 | $6.230,29 | 617 / 31 | $4.854,32 | 611 / 15 |
| Renal Failure W Mcc | 51 | 144 / 18 | $24.646,70 | 439 / 16 | $9.436,25 | 429 / 27 | $7.966,55 | 429 / 16 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 22 | $36.039,40 | 628 / 25 | $12.529,90 | 196 / 30 | $9.731,43 | 196 / 10 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 23 | $69.109,10 | 1126 / 35 | $15.361,90 | 1082 / 36 | $14.477,60 | 1072 / 37 |
| Seizures W/O Mcc | 22 | 86 / 14 | $15.514,70 | 286 / 8 | $5.665,05 | 77 / 18 | $3.241,00 | 77 / 4 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 13 | $145.369,00 | 489 / 13 | $41.207,70 | 624 / 13 | $39.151,80 | 623 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 144 | 372 / 21 | $38.598,60 | 1249 / 39 | $12.080,70 | 724 / 50 | $9.819,69 | 723 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 21 | $17.217,60 | 531 / 11 | $6.783,07 | 538 / 31 | $5.245,47 | 536 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 24 | $14.209,90 | 468 / 11 | $6.198,05 | 686 / 39 | $4.806,36 | 683 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 26 | $29.587,90 | 1008 / 36 | $8.967,15 | 609 / 34 | $7.449,11 | 609 / 22 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 24 | $8.307,56 | 103 / 2 | $4.626,50 | 601 / 30 | $3.318,06 | 598 / 26 |
| Syncope & Collapse | 40 | 129 / 14 | $18.519,10 | 727 / 23 | $5.550,00 | 632 / 32 | $3.679,65 | 629 / 19 |
| Transient Ischemia | 25 | 100 / 16 | $12.682,60 | 158 / 3 | $4.564,24 | 696 / 15 | $3.578,08 | 692 / 20 | Total 67 procedures | 2.136 | 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.