Hospital Costs > In Florida > Viera 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 | 211 | 353 / 47 | $65.964,30 | 1891 / 56 | $12.745,80 | 314 / 65 | $9.996,05 | 314 / 22 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 50 | 225 / 96 | $19.803,90 | 1364 / 19 | $4.103,60 | 78 / 20 | $2.897,62 | 78 / 6 |
Heart Failure & Shock W Cc | 37 | 241 / 88 | $19.249,20 | 1084 / 18 | $5.113,41 | 40 / 5 | $4.162,92 | 40 / 1 |
Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 72 | $25.639,30 | 1671 / 34 | $5.455,86 | 32 / 30 | $3.911,66 | 32 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 34 | 482 / 120 | $35.019,20 | 1053 / 9 | $9.451,21 | 183 / 3 | $8.881,79 | 183 / 13 |
Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 43 | $56.623,90 | 1264 / 34 | $10.409,30 | 136 / 15 | $9.316,28 | 135 / 17 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 75 | $20.958,00 | 1099 / 15 | $5.290,80 | 60 / 35 | $3.877,30 | 60 / 4 |
Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 99 | $18.723,60 | 1428 / 28 | $3.996,10 | 78 / 5 | $3.079,14 | 78 / 9 |
Heart Failure & Shock W Mcc | 27 | 257 / 92 | $29.135,30 | 1028 / 16 | $8.231,63 | 69 / 36 | $6.840,89 | 69 / 4 |
Renal Failure W Cc | 26 | 195 / 89 | $20.573,30 | 1034 / 14 | $5.057,00 | 19 / 7 | $3.894,23 | 19 / 1 |
Revision Of Hip Or Knee Replacement W Cc | 26 | 60 / 17 | $112.475,00 | 509 / 30 | $26.262,80 | 567 / 54 | $25.380,30 | 565 / 55 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 69 | $12.797,70 | 689 / 11 | $3.112,62 | 58 / 19 | $1.849,79 | 58 / 5 |
G.I. Hemorrhage W Cc | 24 | 194 / 82 | $22.876,90 | 1017 / 14 | $5.648,12 | 20 / 30 | $4.036,96 | 20 / 4 |
Medical Back Problems W/O Mcc | 22 | 99 / 50 | $18.996,10 | 454 / 10 | $4.294,14 | 28 / 2 | $3.302,14 | 28 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 73 | $20.245,80 | 805 / 5 | $5.578,59 | 103 / 4 | $4.643,32 | 103 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 72 | $21.587,70 | 1688 / 59 | $4.130,29 | 83 / 42 | $2.792,19 | 83 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 73 | $19.911,50 | 1052 / 31 | $4.055,05 | 21 / 2 | $3.036,11 | 21 / 3 |
Syncope & Collapse | 19 | 150 / 84 | $22.677,10 | 1082 / 41 | $4.077,05 | 6 / 23 | $2.610,00 | 6 / 1 |
Cellulitis W/O Mcc | 18 | 171 / 79 | $15.916,10 | 985 / 11 | $4.407,61 | 144 / 6 | $3.468,67 | 144 / 16 |
Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 79 | $34.286,10 | 1307 / 25 | $7.994,33 | 429 / 25 | $7.219,22 | 429 / 46 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 40 | $86.177,90 | 1070 / 44 | $18.638,50 | 477 / 89 | $13.547,60 | 473 / 66 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 64 | $15.219,60 | 470 / 6 | $4.221,71 | 215 / 2 | $3.651,35 | 215 / 31 |
G.I. Obstruction W Cc | 16 | 76 / 42 | $23.246,40 | 880 / 22 | $4.506,25 | 61 / 2 | $3.670,25 | 61 / 10 |
Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 22 | $21.614,60 | 352 / 3 | $4.703,87 | 46 / 1 | $3.893,20 | 46 / 6 |
O.R. Procedures For Obesity W/O Cc/Mcc | 14 | 63 / 16 | $59.498,40 | 320 / 11 | $10.719,70 | 40 / 18 | $7.256,50 | 40 / 2 |
Renal Failure W Mcc | 14 | 181 / 80 | $44.197,00 | 1421 / 62 | $9.329,93 | 763 / 80 | $8.483,07 | 763 / 88 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 97 | $26.211,40 | 1215 / 21 | $6.386,92 | 291 / 20 | $5.557,38 | 290 / 32 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 45 | $17.132,30 | 939 / 13 | $3.711,69 | 62 / 4 | $2.601,54 | 62 / 11 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 32 | $16.827,50 | 373 / 16 | $3.665,23 | 12 / 4 | $2.545,23 | 12 / 1 |
Chest Pain | 13 | 138 / 72 | $17.254,80 | 712 / 19 | $3.174,23 | 134 / 2 | $2.430,85 | 134 / 24 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 44 | $23.859,60 | 614 / 13 | $6.372,23 | 11 / 71 | $3.850,85 | 11 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 54 | $27.248,00 | 802 / 19 | $6.231,42 | 30 / 3 | $5.322,08 | 30 / 4 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 72 | $14.818,40 | 757 / 10 | $3.772,00 | 123 / 5 | $2.865,33 | 123 / 21 |
Fever | 12 | 34 / 19 | $18.791,60 | 86 / 4 | $4.470,83 | 10 / 3 | $3.462,83 | 10 / 3 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 31 | $26.456,00 | 707 / 21 | $4.829,75 | 12 / 1 | $3.720,42 | 12 / 3 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 17 | $23.000,60 | 301 / 19 | $3.337,09 | 43 / 1 | $2.572,00 | 43 / 13 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 27 | $97.160,50 | 621 / 31 | $27.181,70 | 349 / 67 | $18.003,40 | 347 / 43 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 36 | $155.122,00 | 834 / 38 | $39.529,50 | 1045 / 81 | $38.648,00 | 1043 / 85 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 37 | $15.915,00 | 144 / 2 | $6.203,82 | 48 / 11 | $5.331,09 | 48 / 5 | Total 39 procedures | 974 | 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.