Hospital Costs > In Florida > Twin Cities Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 84 | 480 / 85 | $83.281,80 | 2265 / 94 | $12.451,30 | 157 / 52 | $9.571,99 | 157 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 50 | 466 / 109 | $95.260,60 | 2596 / 125 | $9.764,50 | 174 / 9 | $8.868,50 | 174 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 84 | $45.773,70 | 2589 / 151 | $4.009,55 | 63 / 6 | $3.055,68 | 63 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 71 | $49.753,60 | 2241 / 132 | $6.066,97 | 24 / 93 | $3.676,72 | 24 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 105 | $52.284,60 | 2658 / 159 | $3.900,24 | 136 / 1 | $3.010,82 | 136 / 20 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 80 | $73.407,80 | 2470 / 152 | $5.982,16 | 132 / 3 | $5.243,06 | 132 / 11 |
| Heart Failure & Shock W Mcc | 31 | 253 / 90 | $89.843,30 | 2527 / 156 | $8.392,10 | 444 / 50 | $7.610,68 | 444 / 54 |
| G.I. Hemorrhage W Cc | 30 | 188 / 76 | $56.995,10 | 2272 / 134 | $5.730,07 | 7 / 37 | $3.854,93 | 7 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 62 | $56.757,50 | 2112 / 145 | $4.112,57 | 74 / 3 | $3.222,97 | 74 / 10 |
| Renal Failure W Cc | 27 | 194 / 88 | $53.072,30 | 2298 / 145 | $4.890,41 | 98 / 3 | $4.174,56 | 98 / 13 |
| Heart Failure & Shock W Cc | 27 | 251 / 98 | $44.769,00 | 2454 / 128 | $4.764,56 | 44 / 1 | $4.181,44 | 44 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 70 | $57.886,00 | 2381 / 115 | $5.611,68 | 139 / 8 | $4.742,56 | 139 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 83 | $61.538,00 | 2712 / 151 | $5.099,45 | 116 / 5 | $4.168,55 | 116 / 10 |
| Chest Pain | 22 | 129 / 65 | $42.773,60 | 1633 / 133 | $5.558,27 | 12 / 117 | $2.017,00 | 12 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 71 | $38.714,50 | 1911 / 135 | $3.328,27 | 20 / 38 | $1.765,45 | 20 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 64 | $43.199,00 | 1995 / 142 | $3.703,14 | 135 / 4 | $2.898,57 | 135 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 78 | $80.506,10 | 2348 / 133 | $7.416,68 | 63 / 3 | $6.461,74 | 63 / 4 |
| Renal Failure W Mcc | 18 | 177 / 76 | $81.038,30 | 2004 / 143 | $7.892,89 | 129 / 4 | $7.359,56 | 129 / 15 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 58 | $115.969,00 | 1980 / 128 | $11.719,60 | 20 / 80 | $8.686,71 | 20 / 1 |
| G.I. Obstruction W Cc | 16 | 76 / 42 | $61.928,80 | 1684 / 129 | $4.539,94 | 29 / 3 | $3.481,94 | 29 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 53 | $63.434,20 | 1722 / 106 | $6.133,69 | 18 / 2 | $5.205,69 | 18 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 57 | $187.339,00 | 1243 / 76 | $22.133,80 | 380 / 17 | $21.131,20 | 379 / 50 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 56 | $41.938,80 | 1923 / 122 | $3.476,08 | 99 / 2 | $2.769,42 | 98 / 18 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 29 | $88.827,30 | 708 / 30 | $11.730,90 | 108 / 2 | $10.517,60 | 108 / 6 | Total 24 procedures | 658 | 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.