Hospital Costs > In South Carolina > Village 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 | 81 | 483 / 29 | $37.730,30 | 625 / 2 | $12.306,60 | 42 / 10 | $8.941,46 | 42 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 46 | 148 / 16 | $63.482,00 | 259 / 2 | $22.871,90 | 166 / 4 | $19.588,10 | 165 / 3 |
Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 23 | $22.739,20 | 1420 / 21 | $5.329,03 | 187 / 5 | $4.301,26 | 187 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 28 | $19.656,20 | 1535 / 25 | $4.132,97 | 201 / 4 | $3.310,00 | 201 / 7 |
Cervical Spinal Fusion W/O Cc/Mcc | 23 | 81 / 13 | $45.993,30 | 284 / 5 | $13.963,60 | 266 / 11 | $11.443,80 | 266 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 27 | $22.567,40 | 1258 / 18 | $4.999,18 | 265 / 2 | $4.274,86 | 265 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 21 | 495 / 42 | $48.319,60 | 1726 / 30 | $14.433,20 | 2101 / 47 | $12.764,90 | 2064 / 47 |
Pulmonary Edema & Respiratory Failure | 19 | 184 / 34 | $35.513,50 | 1314 / 28 | $6.730,68 | 157 / 3 | $5.822,00 | 157 / 5 |
Renal Failure W Cc | 18 | 203 / 35 | $18.252,00 | 802 / 9 | $5.201,56 | 168 / 3 | $4.323,17 | 168 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 28 | $20.239,90 | 1577 / 28 | $3.757,33 | 121 / 3 | $2.872,67 | 121 / 6 |
Heart Failure & Shock W Cc | 17 | 261 / 37 | $24.666,90 | 1642 / 30 | $6.726,00 | 113 / 37 | $4.372,18 | 113 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 37 | $20.454,20 | 1444 / 22 | $6.256,29 | 2 / 44 | $2.270,94 | 2 / 2 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 36 | $43.602,20 | 1703 / 32 | $10.938,00 | 1954 / 38 | $9.932,94 | 1954 / 39 |
Cellulitis W/O Mcc | 15 | 174 / 32 | $19.774,00 | 1456 / 25 | $5.750,40 | 192 / 28 | $3.548,67 | 192 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 32 | $19.135,10 | 420 / 7 | $5.370,86 | 13 / 2 | $4.150,86 | 13 / 1 |
Syncope & Collapse | 14 | 155 / 26 | $17.821,90 | 659 / 11 | $3.880,64 | 155 / 2 | $3.094,29 | 155 / 4 |
G.I. Hemorrhage W Cc | 13 | 205 / 37 | $15.374,90 | 331 / 5 | $5.635,46 | 4 / 6 | $3.775,15 | 4 / 1 |
Heart Failure & Shock W Mcc | 11 | 273 / 43 | $32.391,50 | 1242 / 21 | $8.308,18 | 177 / 8 | $7.198,18 | 177 / 7 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 26 | $17.969,70 | 1106 / 19 | $3.826,64 | 106 / 2 | $2.832,00 | 106 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 40 | $21.875,80 | 958 / 15 | $5.884,27 | 22 / 4 | $4.188,00 | 22 / 1 | Total 20 procedures | 456 | 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.