Hospital Costs > In South Carolina > Wallace Thomson Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 17 | 172 / 31 | $18.211,00 | 1266 / 18 | $4.905,47 | 466 / 8 | $3.853,18 | 463 / 11 |
| Chest Pain | 14 | 137 / 17 | $20.785,70 | 975 / 18 | $4.012,29 | 46 / 11 | $2.207,43 | 46 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 32 | $27.987,40 | 1620 / 29 | $5.425,25 | 218 / 7 | $4.219,31 | 218 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 37 | $20.779,60 | 795 / 7 | $6.392,25 | 252 / 2 | $5.506,62 | 251 / 6 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 12 | $19.774,60 | 1245 / 24 | $4.232,32 | 381 / 7 | $3.216,16 | 380 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 51 | 224 / 25 | $17.404,30 | 1049 / 9 | $4.440,51 | 96 / 9 | $2.933,41 | 96 / 7 |
| G.I. Hemorrhage W Cc | 15 | 203 / 36 | $20.123,70 | 757 / 12 | $5.704,20 | 225 / 7 | $4.602,33 | 225 / 10 |
| Heart Failure & Shock W Cc | 17 | 261 / 37 | $19.440,90 | 1110 / 14 | $5.586,06 | 484 / 5 | $4.883,71 | 484 / 15 |
| Heart Failure & Shock W Mcc | 13 | 271 / 42 | $20.648,80 | 458 / 3 | $8.042,31 | 199 / 5 | $7.235,00 | 199 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 37 | $15.424,70 | 1001 / 12 | $4.523,80 | 236 / 9 | $3.347,07 | 236 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 31 | $16.891,30 | 1189 / 16 | $4.083,00 | 94 / 8 | $2.816,15 | 94 / 4 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 25 | $26.001,50 | 789 / 11 | $6.991,69 | 303 / 8 | $6.092,19 | 303 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 26 | 490 / 39 | $31.051,30 | 831 / 8 | $9.860,96 | 6 / 3 | $7.707,27 | 6 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 33 | $24.288,40 | 1188 / 17 | $6.100,95 | 164 / 9 | $4.791,90 | 164 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 36 | $27.788,20 | 1828 / 31 | $5.415,85 | 392 / 6 | $4.557,70 | 389 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 38 | $33.219,30 | 1235 / 14 | $7.885,85 | 318 / 5 | $7.062,00 | 318 / 10 | Total 16 procedures | 330 | 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.