Hospital Costs > In Florida > St Vincents Medical Center Clay County Inc, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 58 | $13.969,40 | 416 / 8 | $4.328,47 | 48 / 23 | $3.151,50 | 48 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 49 | $20.529,10 | 361 / 2 | $6.238,82 | 95 / 4 | $5.595,06 | 95 / 15 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 67 | $11.742,10 | 557 / 6 | $2.996,67 | 56 / 6 | $1.844,85 | 56 / 4 |
Cellulitis W/O Mcc | 30 | 159 / 68 | $16.118,90 | 1011 / 12 | $4.215,37 | 45 / 3 | $3.245,77 | 45 / 3 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 71 | $23.390,80 | 1333 / 30 | $5.043,92 | 65 / 13 | $3.900,86 | 65 / 6 |
Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 72 | $23.931,40 | 1046 / 13 | $6.113,59 | 145 / 6 | $5.276,67 | 145 / 12 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 73 | $18.848,40 | 1177 / 33 | $3.790,09 | 139 / 8 | $2.908,64 | 139 / 24 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 61 | $32.233,20 | 624 / 10 | $5.584,32 | 61 / 2 | $4.612,80 | 61 / 5 |
Diabetes W Cc | 13 | 79 / 41 | $18.042,20 | 564 / 11 | $4.166,31 | 23 / 1 | $3.235,85 | 23 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 40 | $25.486,20 | 451 / 10 | $6.327,53 | 27 / 4 | $5.277,93 | 27 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 85 | $21.906,70 | 1610 / 40 | $3.900,70 | 86 / 2 | $2.913,30 | 86 / 8 |
G.I. Hemorrhage W Cc | 36 | 182 / 70 | $25.665,40 | 1261 / 29 | $5.444,03 | 107 / 22 | $4.377,67 | 107 / 13 |
Heart Failure & Shock W Cc | 34 | 244 / 91 | $19.169,90 | 1067 / 16 | $5.149,09 | 165 / 6 | $4.472,38 | 165 / 27 |
Heart Failure & Shock W Mcc | 24 | 260 / 94 | $26.092,40 | 834 / 11 | $7.663,54 | 59 / 5 | $6.803,54 | 59 / 3 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 51 | $13.498,80 | 667 / 14 | $3.485,06 | 14 / 4 | $2.489,29 | 14 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 61 | $69.380,00 | 1536 / 63 | $10.097,40 | 57 / 2 | $8.994,00 | 57 / 3 |
Hypertension W/O Mcc | 12 | 53 / 37 | $16.119,60 | 261 / 9 | $3.292,00 | 28 / 4 | $2.284,00 | 28 / 9 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 56 | $19.129,40 | 521 / 3 | $5.687,96 | 10 / 2 | $4.534,00 | 10 / 1 |
Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 96 | $18.165,80 | 1368 / 24 | $4.084,53 | 163 / 16 | $3.250,53 | 163 / 22 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 36 | $23.486,10 | 419 / 11 | $6.226,42 | 142 / 13 | $5.719,75 | 142 / 18 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 27 | $98.770,70 | 644 / 33 | $16.735,60 | 95 / 3 | $15.851,30 | 95 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 126 | 438 / 69 | $76.991,60 | 2148 / 78 | $12.268,40 | 366 / 43 | $10.096,70 | 365 / 30 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 46 | $65.165,60 | 751 / 9 | $12.364,50 | 73 / 1 | $11.707,00 | 73 / 7 |
Medical Back Problems W/O Mcc | 11 | 110 / 61 | $21.981,50 | 672 / 20 | $4.346,18 | 162 / 3 | $3.685,82 | 162 / 28 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 34 | $16.432,40 | 218 / 3 | $5.755,50 | 94 / 2 | $5.262,83 | 93 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 72 | $14.267,90 | 869 / 9 | $3.671,43 | 87 / 7 | $2.804,38 | 87 / 12 |
Pulmonary Edema & Respiratory Failure | 25 | 178 / 51 | $20.473,10 | 433 / 3 | $6.688,84 | 83 / 13 | $5.628,84 | 83 / 8 |
Renal Failure W Cc | 33 | 188 / 83 | $20.315,50 | 1009 / 13 | $5.442,79 | 29 / 34 | $3.964,55 | 29 / 3 |
Renal Failure W Mcc | 24 | 171 / 72 | $26.609,50 | 553 / 5 | $7.653,33 | 43 / 2 | $6.934,00 | 43 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 55 | $44.125,30 | 444 / 6 | $12.058,20 | 6 / 6 | $9.404,62 | 6 / 1 |
Revision Of Hip Or Knee Replacement W Cc | 18 | 68 / 23 | $128.875,00 | 564 / 39 | $18.651,30 | 185 / 16 | $17.840,70 | 185 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 85 | 431 / 93 | $37.430,50 | 1179 / 11 | $9.242,24 | 42 / 2 | $8.334,18 | 42 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 74 | $26.405,00 | 1374 / 24 | $6.051,14 | 30 / 30 | $4.345,00 | 30 / 2 |
Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 72 | $20.627,90 | 1197 / 12 | $5.527,43 | 11 / 35 | $3.780,46 | 11 / 1 |
Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 71 | $29.140,90 | 983 / 7 | $7.552,67 | 186 / 7 | $6.791,78 | 186 / 17 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 42 | $17.372,60 | 953 / 15 | $3.729,50 | 60 / 7 | $2.597,50 | 60 / 10 |
Syncope & Collapse | 21 | 148 / 82 | $17.246,80 | 592 / 7 | $3.846,62 | 100 / 3 | $2.985,67 | 100 / 20 |
Transient Ischemia | 17 | 108 / 66 | $17.216,60 | 433 / 5 | $3.676,82 | 137 / 2 | $2.891,88 | 137 / 24 | Total 38 procedures | 1.062 | 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.