Hospital Costs > In South Carolina > Trmc Of Orangeburg & Calhoun, 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 | 331 | 188 / 7 | $43.152,20 | 1489 / 24 | $13.079,10 | 1714 / 42 | $11.485,40 | 1681 / 43 |
| Renal Failure W Mcc | 98 | 97 / 9 | $32.974,90 | 945 / 14 | $10.698,80 | 1125 / 29 | $9.195,75 | 1125 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 83 | 124 / 9 | $25.470,10 | 1293 / 23 | $7.689,24 | 1201 / 38 | $5.879,55 | 1196 / 34 |
| Pulmonary Edema & Respiratory Failure | 71 | 132 / 11 | $29.688,80 | 1024 / 21 | $8.424,75 | 1093 / 32 | $7.083,13 | 1091 / 31 |
| G.I. Hemorrhage W Cc | 64 | 154 / 16 | $19.257,90 | 685 / 9 | $6.905,33 | 785 / 31 | $5.167,39 | 783 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 63 | 501 / 31 | $63.935,30 | 1833 / 26 | $15.270,30 | 1445 / 36 | $11.904,40 | 1412 / 35 |
| Heart Failure & Shock W Cc | 62 | 216 / 18 | $23.023,50 | 1493 / 25 | $6.996,48 | 1384 / 40 | $5.628,81 | 1379 / 37 |
| Heart Failure & Shock W Mcc | 60 | 224 / 23 | $25.973,50 | 815 / 12 | $10.227,00 | 1291 / 40 | $8.702,98 | 1288 / 34 |
| Kidney & Urinary Tract Infections W Mcc | 53 | 91 / 9 | $26.763,20 | 1020 / 17 | $7.909,43 | 1117 / 27 | $6.602,30 | 1113 / 26 |
| Renal Failure W Cc | 53 | 168 / 18 | $21.341,30 | 1105 / 19 | $6.767,58 | 1259 / 36 | $5.453,75 | 1251 / 34 |
| Red Blood Cell Disorders W/O Mcc | 51 | 92 / 12 | $20.763,70 | 962 / 17 | $5.836,86 | 649 / 29 | $4.138,39 | 645 / 15 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 51 | 73 / 5 | $119.566,00 | 730 / 10 | $39.215,80 | 1080 / 21 | $36.659,10 | 1073 / 23 |
| Syncope & Collapse | 48 | 121 / 9 | $16.056,70 | 492 / 4 | $5.295,98 | 1041 / 24 | $4.121,15 | 1034 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 21 | $20.813,80 | 1657 / 33 | $5.743,58 | 1446 / 39 | $4.297,65 | 1437 / 39 |
| Other Circulatory System Diagnoses W Mcc | 46 | 70 / 6 | $44.679,90 | 620 / 12 | $13.225,80 | 640 / 18 | $11.295,40 | 638 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 45 | 123 / 11 | $41.847,20 | 746 / 9 | $12.506,80 | 844 / 20 | $10.390,80 | 842 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 27 | $18.735,00 | 1243 / 13 | $5.476,02 | 1432 / 36 | $4.071,31 | 1421 / 39 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 42 | 84 / 10 | $22.693,00 | 574 / 10 | $7.732,69 | 777 / 21 | $6.542,69 | 774 / 20 |
| Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 25 | $32.126,20 | 1602 / 25 | $8.134,54 | 1388 / 35 | $6.685,03 | 1382 / 34 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 18 | $26.967,90 | 1571 / 26 | $6.857,81 | 1174 / 35 | $5.122,61 | 1170 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 35 | 147 / 20 | $23.483,00 | 687 / 11 | $7.372,91 | 1084 / 30 | $5.970,66 | 1081 / 30 |
| Red Blood Cell Disorders W Mcc | 34 | 37 / 4 | $23.874,70 | 265 / 5 | $8.478,82 | 298 / 14 | $6.814,97 | 298 / 11 |
| Transient Ischemia | 34 | 91 / 11 | $22.687,60 | 838 / 18 | $5.317,35 | 765 / 22 | $3.668,15 | 761 / 19 |
| G.I. Hemorrhage W Mcc | 32 | 89 / 13 | $30.426,40 | 337 / 4 | $11.959,70 | 782 / 20 | $10.505,30 | 779 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 31 | 65 / 5 | $21.773,40 | 290 / 4 | $8.148,39 | 488 / 16 | $6.594,32 | 485 / 14 |
| Seizures W Mcc | 30 | 36 / 4 | $39.744,70 | 352 / 4 | $10.427,80 | 337 / 8 | $9.152,73 | 337 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 30 | $29.592,40 | 1926 / 34 | $6.896,86 | 1268 / 40 | $5.272,93 | 1264 / 31 |
| Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 30 | $35.900,30 | 1405 / 22 | $10.599,80 | 1289 / 34 | $8.297,18 | 1289 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 20 | $12.051,60 | 590 / 6 | $4.358,75 | 1054 / 27 | $2.865,11 | 1049 / 24 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 13 | $26.469,70 | 755 / 6 | $8.334,39 | 1017 / 23 | $7.178,54 | 1014 / 23 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 14 | $34.462,60 | 598 / 5 | $11.764,40 | 1030 / 23 | $10.405,70 | 1027 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 25 | $16.462,50 | 1127 / 13 | $5.223,67 | 1319 / 35 | $3.900,04 | 1315 / 34 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 6 | $154.147,00 | 551 / 5 | $41.534,60 | 620 / 11 | $39.050,30 | 619 / 12 |
| Other Vascular Procedures W Mcc | 23 | 74 / 8 | $60.128,70 | 161 / 4 | $21.259,60 | 329 / 10 | $19.017,70 | 327 / 10 |
| Nonspecific Cerebrovascular Disorders W Cc | 22 | 34 / 2 | $21.176,10 | 146 / 1 | $6.791,09 | 220 / 4 | $5.634,18 | 220 / 6 |
| Pulmonary Embolism W/O Mcc | 22 | 52 / 11 | $25.509,10 | 662 / 11 | $6.995,73 | 648 / 17 | $5.455,95 | 645 / 15 |
| Respiratory Infections & Inflammations W Mcc | 21 | 115 / 17 | $38.480,10 | 721 / 8 | $13.498,30 | 1120 / 26 | $12.154,30 | 1106 / 27 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 5 | $13.845,30 | 113 / 1 | $5.234,52 | 559 / 11 | $4.516,38 | 555 / 15 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 13 | $17.644,20 | 1120 / 20 | $5.177,29 | 865 / 28 | $3.609,19 | 861 / 20 |
| Chest Pain | 20 | 131 / 14 | $14.518,20 | 451 / 4 | $4.543,00 | 837 / 21 | $3.305,55 | 832 / 21 |
| Cellulitis W/O Mcc | 19 | 170 / 29 | $23.218,30 | 1757 / 32 | $6.217,11 | 1310 / 36 | $4.541,79 | 1304 / 36 |
| Pulmonary Embolism W Mcc | 19 | 24 / 4 | $49.320,60 | 411 / 8 | $12.379,30 | 493 / 11 | $11.074,80 | 492 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 22 | $18.114,20 | 866 / 12 | $5.764,95 | 1138 / 27 | $4.432,89 | 1134 / 29 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 19 | 37 / 5 | $44.149,80 | 359 / 6 | $13.295,30 | 360 / 6 | $11.854,40 | 359 / 7 |
| Cranial & Peripheral Nerve Disorders W Mcc | 18 | 18 / 3 | $21.050,10 | 24 / 1 | $8.857,06 | 55 / 5 | $7.966,83 | 55 / 5 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 14 | $17.161,40 | 487 / 1 | $5.323,72 | 477 / 15 | $3.625,28 | 476 / 13 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 17 | 47 / 5 | $303.132,00 | 329 / 7 | $83.564,60 | 369 / 10 | $73.817,50 | 368 / 10 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 11 | $23.418,50 | 181 / 1 | $9.478,24 | 440 / 12 | $8.312,00 | 439 / 14 |
| Other Circulatory System O.R. Procedures | 16 | 39 / 4 | $72.274,50 | 230 / 9 | $18.838,90 | 208 / 11 | $17.241,60 | 208 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 25 | $55.328,70 | 1217 / 22 | $13.175,40 | 1105 / 29 | $11.318,40 | 1091 / 27 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 9 | $67.566,60 | 621 / 17 | $12.117,00 | 287 / 16 | $8.533,06 | 287 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 18 | $24.049,90 | 476 / 5 | $7.239,40 | 812 / 17 | $6.157,67 | 810 / 20 |
| Diabetes W Cc | 15 | 77 / 20 | $19.767,80 | 681 / 9 | $5.967,20 | 805 / 21 | $4.715,33 | 801 / 23 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 13 | $143.523,00 | 764 / 10 | $37.207,30 | 836 / 13 | $34.251,60 | 834 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 22 | $17.141,30 | 380 / 6 | $5.464,43 | 876 / 24 | $4.099,57 | 872 / 26 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 11 | $50.543,40 | 591 / 11 | $10.960,10 | 527 / 14 | $9.389,64 | 525 / 15 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 10 | $10.893,30 | 137 / 1 | $4.760,92 | 366 / 9 | $3.503,85 | 365 / 10 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 5 | $45.715,30 | 378 / 8 | $8.247,69 | 335 / 9 | $6.864,54 | 334 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 23 | $51.316,30 | 658 / 10 | $15.380,50 | 976 / 24 | $14.030,10 | 966 / 25 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 12 | $14.108,20 | 466 / 5 | $4.611,31 | 757 / 19 | $3.357,31 | 754 / 23 |
| Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 6 | $26.872,70 | 83 / 2 | $11.278,20 | 188 / 5 | $10.043,30 | 188 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 25 | $18.851,10 | 1178 / 21 | $5.495,75 | 903 / 34 | $3.657,00 | 895 / 24 |
| Diabetes W Mcc | 12 | 45 / 12 | $28.208,60 | 244 / 5 | $9.620,50 | 285 / 14 | $8.031,25 | 285 / 15 |
| Atherosclerosis W/O Mcc | 12 | 46 / 7 | $14.803,60 | 167 / 2 | $4.577,17 | / 8 | $3.370,17 | / |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 8 | $87.881,90 | 602 / 6 | $21.546,10 | 622 / 10 | $19.529,20 | 619 / 10 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 12 | $21.100,90 | 593 / 11 | $5.194,67 | 526 / 13 | $3.831,83 | 522 / 15 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 16 | $29.092,50 | 653 / 7 | $9.476,09 | 820 / 19 | $8.047,82 | 815 / 19 |
| Cellulitis W Mcc | 11 | 47 / 10 | $24.447,90 | 229 / 2 | $9.958,18 | 393 / 9 | $8.281,27 | 391 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 26 | $25.437,50 | 299 / 3 | $7.424,73 | 984 / 16 | $6.310,18 | 981 / 22 | Total 69 procedures | 2.338 | 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.