Hospital Costs > In Florida > Westchester General Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 433 | 35 / 7 | $13.601,90 | 154 / 2 | $8.979,64 | 480 / 44 | $7.750,88 | 480 / 44 |
Kidney & Urinary Tract Infections W/O Mcc | 204 | 44 / 8 | $17.230,00 | 1252 / 19 | $7.252,96 | 2405 / 156 | $6.177,50 | 2394 / 153 |
Kidney & Urinary Tract Infections W Mcc | 124 | 28 / 5 | $22.848,70 | 779 / 15 | $9.765,98 | 1662 / 132 | $8.442,79 | 1658 / 130 |
Cellulitis W/O Mcc | 71 | 118 / 37 | $15.876,50 | 978 / 10 | $7.598,73 | 2281 / 146 | $6.459,46 | 2273 / 149 |
Renal Failure W Cc | 67 | 154 / 58 | $26.554,60 | 1525 / 50 | $8.757,84 | 2083 / 149 | $7.407,39 | 2073 / 146 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 61 | 214 / 89 | $17.695,20 | 1085 / 9 | $7.019,41 | 2396 / 148 | $5.913,25 | 2381 / 151 |
Chronic Obstructive Pulmonary Disease W Cc | 58 | 121 / 54 | $22.747,70 | 1276 / 24 | $8.236,14 | 2121 / 149 | $7.215,86 | 2114 / 151 |
Renal Failure W Mcc | 54 | 141 / 45 | $36.520,90 | 1127 / 30 | $12.937,20 | 1765 / 139 | $11.539,60 | 1762 / 143 |
Nonspecific Cerebrovascular Disorders W Mcc | 53 | 6 / 1 | $23.100,30 | 50 / 1 | $13.399,80 | 306 / 22 | $11.967,70 | 306 / 22 |
Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 63 | $28.877,80 | 1892 / 52 | $8.799,76 | 2491 / 151 | $7.665,36 | 2482 / 151 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 52 | $13.784,70 | 801 / 6 | $6.549,79 | 2204 / 140 | $5.572,49 | 2196 / 143 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 41 | 79 / 44 | $21.024,80 | 1330 / 50 | $6.834,61 | 1884 / 138 | $5.781,24 | 1873 / 141 |
Red Blood Cell Disorders W/O Mcc | 40 | 103 / 44 | $21.778,50 | 1053 / 41 | $7.430,77 | 1685 / 136 | $6.258,77 | 1676 / 135 |
Hypertension W/O Mcc | 36 | 29 / 15 | $17.804,10 | 330 / 16 | $6.185,00 | 668 / 81 | $5.032,33 | 666 / 82 |
Syncope & Collapse | 36 | 133 / 69 | $19.695,10 | 825 / 21 | $6.905,83 | 1657 / 129 | $5.815,39 | 1649 / 131 |
Nonspecific Cerebrovascular Disorders W Cc | 36 | 20 / 3 | $18.607,90 | 105 / 2 | $8.705,50 | 377 / 37 | $7.125,06 | 377 / 38 |
Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 77 | $38.674,70 | 1878 / 71 | $10.217,20 | 2255 / 151 | $9.093,21 | 2247 / 153 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 29 | 487 / 122 | $46.348,10 | 1641 / 34 | $14.700,90 | 2244 / 147 | $13.348,30 | 2204 / 147 |
G.I. Obstruction W Cc | 28 | 64 / 31 | $18.866,50 | 575 / 6 | $8.024,61 | 1533 / 120 | $6.902,61 | 1528 / 124 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 73 | $40.389,50 | 1568 / 43 | $12.125,90 | 2107 / 142 | $10.685,20 | 2102 / 144 |
Skin Ulcers W Mcc | 22 | 2 / 2 | $24.747,50 | 7 / 1 | $11.415,60 | 19 / 3 | $10.395,80 | 19 / 3 |
Renal Failure W/O Cc/Mcc | 22 | 34 / 20 | $20.649,90 | 573 / 29 | $6.264,55 | 782 / 70 | $5.213,45 | 780 / 73 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 54 | $42.863,40 | 1597 / 63 | $10.667,00 | 1814 / 131 | $8.986,45 | 1809 / 128 |
Diabetes W Mcc | 20 | 37 / 9 | $18.523,30 | 61 / 1 | $11.424,60 | 597 / 46 | $10.591,80 | 596 / 48 |
Tendonitis, Myositis & Bursitis W/O Mcc | 19 | 23 / 7 | $21.223,90 | 159 / 8 | $7.707,32 | 293 / 33 | $6.730,26 | 292 / 34 |
Diabetes W Cc | 19 | 73 / 35 | $18.899,80 | 614 / 14 | $7.536,74 | 1386 / 105 | $6.696,95 | 1381 / 110 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 40 | $18.454,90 | 328 / 6 | $9.578,94 | 1358 / 99 | $8.416,94 | 1355 / 97 |
Heart Failure & Shock W Cc | 15 | 263 / 107 | $24.926,90 | 1662 / 58 | $8.761,27 | 2420 / 152 | $7.862,33 | 2414 / 154 |
Heart Failure & Shock W Mcc | 15 | 269 / 100 | $40.661,90 | 1688 / 60 | $12.386,80 | 2136 / 148 | $10.942,00 | 2126 / 147 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 78 | $20.611,90 | 1097 / 36 | $7.310,36 | 1918 / 135 | $6.361,50 | 1913 / 140 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 34 | $19.649,60 | 281 / 6 | $9.968,93 | 994 / 89 | $9.483,21 | 992 / 97 |
G.I. Obstruction W Mcc | 14 | 28 / 11 | $31.766,10 | 155 / 5 | $13.227,40 | 415 / 44 | $11.954,80 | 415 / 46 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 42 | $29.256,40 | 603 / 17 | $10.246,20 | 1192 / 102 | $9.251,15 | 1187 / 106 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 45 | $18.506,60 | 1076 / 26 | $6.718,62 | 1799 / 122 | $5.716,46 | 1791 / 126 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 32 | $31.603,90 | 497 / 20 | $10.583,80 | 895 / 86 | $9.806,17 | 891 / 88 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 35 | $18.872,60 | 775 / 24 | $6.160,58 | 1217 / 95 | $5.109,25 | 1214 / 96 |
Transient Ischemia | 12 | 113 / 71 | $20.967,10 | 733 / 21 | $6.749,75 | 1458 / 120 | $5.530,75 | 1450 / 122 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 18 | $18.834,20 | 95 / 6 | $7.027,73 | 238 / 46 | $5.657,91 | 238 / 45 | Total 38 procedures | 1.805 | 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.