Hospital Costs > In Florida > St Mary's Medical Center West Palm Beach, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 23 | $40.973,30 | 790 / 57 | $13.906,40 | 838 / 61 | $13.070,40 | 837 / 61 |
Cellulitis W/O Mcc | 27 | 162 / 70 | $28.666,60 | 2068 / 86 | $14.605,20 | 2628 / 161 | $13.547,90 | 2620 / 162 |
Chest Pain | 28 | 123 / 61 | $24.992,40 | 1211 / 58 | $13.306,70 | 1706 / 138 | $12.349,70 | 1697 / 138 |
Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 92 | $50.611,10 | 2253 / 134 | $15.398,50 | 2440 / 162 | $14.633,50 | 2433 / 163 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 69 | $30.321,50 | 1721 / 92 | $13.831,90 | 2107 / 151 | $12.502,20 | 2095 / 152 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 15 | 27 / 6 | $309.290,00 | 164 / 11 | $50.444,90 | 143 / 11 | $44.756,10 | 143 / 11 |
Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 31 | $38.983,30 | 659 / 48 | $15.791,90 | 868 / 80 | $14.841,10 | 868 / 81 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 21 | 60 / 9 | $582.268,00 | 309 / 24 | $115.911,00 | 213 / 27 | $111.250,00 | 213 / 28 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 114 | $43.261,80 | 2547 / 136 | $16.185,60 | 2722 / 164 | $12.529,50 | 2707 / 165 |
Heart Failure & Shock W Mcc | 13 | 271 / 101 | $104.376,00 | 2578 / 162 | $19.943,20 | 2608 / 161 | $19.478,10 | 2597 / 162 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 50 | $100.478,00 | 1893 / 110 | $22.069,20 | 1992 / 138 | $18.437,20 | 1971 / 138 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 20 | $62.216,50 | 724 / 42 | $19.830,40 | 910 / 73 | $18.687,30 | 907 / 74 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 47 | 135 / 42 | $81.176,00 | 2037 / 129 | $16.661,90 | 2071 / 130 | $14.948,10 | 2066 / 131 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 33 | $156.379,00 | 1620 / 110 | $24.158,00 | 1609 / 109 | $21.665,30 | 1602 / 110 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 30 | $62.128,40 | 1564 / 108 | $14.337,50 | 1613 / 113 | $13.355,00 | 1609 / 113 |
Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 93 | $41.766,00 | 2527 / 140 | $14.390,60 | 2714 / 167 | $13.534,60 | 2703 / 168 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 87 | 477 / 83 | $79.102,90 | 2193 / 81 | $23.026,00 | 2636 / 154 | $21.050,40 | 2590 / 155 |
Medical Back Problems W/O Mcc | 20 | 101 / 52 | $31.244,20 | 1058 / 66 | $14.637,50 | 1492 / 129 | $13.454,60 | 1487 / 130 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 42 | $28.942,00 | 913 / 31 | $16.571,80 | 1733 / 114 | $16.115,80 | 1729 / 115 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 77 | $45.471,40 | 2449 / 151 | $14.008,60 | 2544 / 153 | $13.252,60 | 2535 / 154 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 67 | $20.248,10 | 916 / 29 | $14.627,90 | 1998 / 149 | $13.872,40 | 1989 / 150 |
Renal Failure W Cc | 13 | 208 / 99 | $61.707,80 | 2372 / 158 | $15.677,20 | 2434 / 159 | $14.612,60 | 2424 / 160 |
Renal Failure W Mcc | 11 | 184 / 82 | $86.519,40 | 2041 / 149 | $19.423,60 | 2141 / 151 | $18.542,20 | 2137 / 152 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 25 | $159.540,00 | 603 / 39 | $43.783,50 | 736 / 75 | $38.095,20 | 735 / 72 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 10 | $108.356,00 | 442 / 28 | $26.913,10 | 493 / 33 | $24.628,60 | 492 / 33 |
Seizures W Mcc | 13 | 53 / 22 | $91.666,90 | 716 / 62 | $19.281,90 | 755 / 68 | $18.236,40 | 755 / 68 |
Seizures W/O Mcc | 22 | 86 / 35 | $40.854,50 | 1137 / 82 | $14.446,00 | 1307 / 106 | $12.670,50 | 1305 / 107 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 131 | $72.272,20 | 2316 / 90 | $21.202,50 | 2770 / 161 | $20.625,00 | 2725 / 162 |
Signs & Symptoms W/O Mcc | 14 | 77 / 37 | $35.277,90 | 1138 / 83 | $13.950,30 | 1338 / 114 | $13.173,10 | 1335 / 114 |
Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 92 | $55.693,40 | 2654 / 136 | $15.624,70 | 2819 / 161 | $14.973,10 | 2810 / 162 |
Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 54 | $183.057,00 | 1232 / 75 | $35.142,00 | 1268 / 85 | $33.888,70 | 1263 / 88 |
Syncope & Collapse | 23 | 146 / 80 | $37.706,00 | 1646 / 99 | $14.160,80 | 1927 / 141 | $13.107,60 | 1919 / 141 |
Transient Ischemia | 18 | 107 / 65 | $60.684,10 | 1632 / 129 | $13.985,80 | 1665 / 131 | $12.979,60 | 1657 / 131 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 26 | 40 / 13 | $56.197,10 | 456 / 40 | $16.477,80 | 530 / 48 | $15.210,20 | 529 / 49 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 12 | 39 / 13 | $112.844,00 | 317 / 29 | $21.966,20 | 333 / 31 | $20.960,90 | 333 / 31 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 39 | 15 / 4 | $44.830,50 | 363 / 30 | $14.349,00 | 404 / 34 | $12.774,30 | 404 / 35 | Total 36 procedures | 784 | 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.