Hospital Costs > In Florida > Westside Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 32 | $71.538,60 | 1376 / 97 | $6.087,58 | 260 / 33 | $5.070,32 | 260 / 36 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 43 | $81.191,60 | 1564 / 89 | $9.886,39 | 337 / 54 | $8.635,17 | 337 / 44 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 26 | $39.286,90 | 782 / 56 | $3.957,55 | 156 / 20 | $3.407,73 | 156 / 29 |
Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 24 | $53.657,70 | 1029 / 98 | $5.389,52 | 67 / 41 | $3.706,61 | 67 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 65 | $40.897,50 | 1922 / 118 | $4.651,15 | 223 / 42 | $3.513,96 | 223 / 36 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 45 | $79.371,00 | 1842 / 124 | $7.675,95 | 662 / 75 | $6.608,05 | 659 / 72 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 50 | 100 / 46 | $35.611,30 | 1874 / 131 | $4.120,90 | 80 / 93 | $1.903,96 | 80 / 14 |
Cellulitis W/O Mcc | 60 | 129 / 43 | $48.820,70 | 2545 / 155 | $4.829,33 | 524 / 39 | $3.901,85 | 521 / 58 |
Chest Pain | 96 | 56 / 22 | $34.549,80 | 1488 / 108 | $3.592,14 | 194 / 33 | $2.542,58 | 193 / 34 |
Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 68 | $54.694,90 | 2304 / 146 | $5.671,15 | 341 / 64 | $4.366,65 | 340 / 43 |
Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 70 | $60.630,00 | 2360 / 135 | $6.844,78 | 455 / 56 | $5.745,80 | 454 / 53 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 53 | $42.149,70 | 1984 / 140 | $4.268,41 | 155 / 40 | $2.930,47 | 155 / 27 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 64 | $74.167,50 | 1526 / 107 | $6.767,55 | 404 / 64 | $5.312,14 | 402 / 54 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 19 | $184.591,00 | 415 / 27 | $25.963,10 | 107 / 15 | $24.276,20 | 107 / 16 |
Diabetes W Cc | 25 | 67 / 29 | $42.540,40 | 1452 / 98 | $5.069,24 | 51 / 50 | $3.475,92 | 51 / 10 |
Dysequilibrium | 22 | 43 / 21 | $36.036,00 | 474 / 53 | $3.635,45 | 100 / 18 | $2.756,91 | 100 / 32 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 30 | 66 / 26 | $55.658,40 | 1227 / 84 | $6.840,10 | 133 / 23 | $5.790,73 | 133 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 122 | 153 / 47 | $38.946,00 | 2453 / 121 | $4.546,64 | 282 / 62 | $3.214,67 | 282 / 36 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 33 | $30.132,60 | 748 / 57 | $4.055,17 | 103 / 25 | $2.959,17 | 104 / 26 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 24 | 38 / 18 | $36.842,30 | 692 / 69 | $4.183,75 | 75 / 15 | $3.178,42 | 75 / 23 |
G.I. Hemorrhage W Cc | 40 | 178 / 66 | $57.487,90 | 2276 / 137 | $5.871,12 | 596 / 57 | $4.996,73 | 595 / 69 |
G.I. Hemorrhage W Mcc | 25 | 96 / 37 | $70.077,20 | 1343 / 84 | $10.319,70 | 417 / 63 | $9.437,16 | 418 / 57 |
G.I. Obstruction W Cc | 25 | 67 / 34 | $43.613,00 | 1510 / 93 | $5.677,68 | 66 / 73 | $3.680,16 | 66 / 12 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 35 | $38.135,20 | 1217 / 81 | $3.553,00 | 335 / 23 | $2.745,00 | 335 / 49 |
Heart Failure & Shock W Cc | 74 | 204 / 63 | $55.354,90 | 2619 / 153 | $5.933,66 | 464 / 70 | $4.859,65 | 464 / 54 |
Heart Failure & Shock W Mcc | 68 | 216 / 64 | $67.389,40 | 2305 / 121 | $8.468,62 | 430 / 58 | $7.590,22 | 430 / 53 |
Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 45 | $40.751,70 | 1903 / 119 | $3.949,00 | 337 / 36 | $3.145,00 | 335 / 43 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 52 | $104.951,00 | 1922 / 119 | $11.356,30 | 689 / 67 | $10.407,50 | 684 / 79 |
Hypertension W/O Mcc | 21 | 44 / 28 | $38.541,60 | 728 / 78 | $3.618,05 | 43 / 15 | $2.366,29 | 43 / 12 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 35 | $305.363,00 | 1519 / 105 | $32.498,70 | 709 / 62 | $31.579,30 | 703 / 77 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 31 | 151 / 53 | $61.964,40 | 1897 / 107 | $6.319,35 | 208 / 52 | $4.835,03 | 208 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 49 | $90.558,80 | 1439 / 90 | $10.780,30 | 759 / 61 | $10.069,00 | 758 / 78 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 38 | $42.008,30 | 1393 / 81 | $4.613,11 | 267 / 36 | $3.321,53 | 265 / 37 |
Kidney & Urinary Tract Infections W Mcc | 38 | 106 / 45 | $47.533,70 | 1648 / 95 | $6.234,97 | 420 / 33 | $5.589,50 | 419 / 53 |
Kidney & Urinary Tract Infections W/O Mcc | 75 | 158 / 62 | $36.733,50 | 2429 / 123 | $4.488,13 | 264 / 46 | $3.384,60 | 264 / 32 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 18 | $82.098,20 | 546 / 49 | $7.648,62 | 39 / 32 | $5.227,69 | 39 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 34 | $87.911,30 | 1094 / 101 | $6.872,57 | 413 / 41 | $6.442,86 | 412 / 59 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 73 | 491 / 90 | $91.052,90 | 2374 / 109 | $14.251,40 | 414 / 108 | $10.194,80 | 412 / 37 |
Major Small & Large Bowel Procedures W Cc | 22 | 86 / 36 | $190.883,00 | 1511 / 103 | $18.334,40 | 1051 / 85 | $16.177,30 | 1039 / 95 |
Medical Back Problems W/O Mcc | 38 | 83 / 35 | $38.533,10 | 1222 / 93 | $4.783,74 | 72 / 27 | $3.453,97 | 72 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 37 | $52.686,50 | 1523 / 93 | $6.390,86 | 321 / 30 | $5.747,05 | 318 / 39 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 63 | 103 / 36 | $41.653,30 | 2401 / 138 | $4.258,76 | 399 / 58 | $3.241,40 | 399 / 48 |
Organic Disturbances & Mental Retardation | 11 | 48 / 27 | $46.257,50 | 479 / 48 | $5.501,82 | 44 / 13 | $4.617,45 | 44 / 16 |
Other Circulatory System Diagnoses W Mcc | 28 | 88 / 29 | $93.665,80 | 1231 / 96 | $12.042,20 | 672 / 68 | $11.460,50 | 670 / 76 |
Other Circulatory System O.R. Procedures | 15 | 40 / 15 | $134.008,00 | 401 / 31 | $15.536,00 | 69 / 12 | $14.490,70 | 69 / 11 |
Other Digestive System Diagnoses W Cc | 21 | 76 / 36 | $47.041,30 | 1226 / 85 | $5.830,19 | 166 / 44 | $4.591,19 | 164 / 34 |
Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 19 | $26.140,60 | 241 / 22 | $3.918,82 | 62 / 18 | $3.043,18 | 62 / 24 |
Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 27 | $64.206,30 | 832 / 73 | $5.805,36 | 90 / 24 | $4.811,07 | 90 / 20 |
Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 14 | $57.773,00 | 308 / 32 | $4.643,82 | 46 / 8 | $3.872,91 | 46 / 12 |
Other Vascular Procedures W Mcc | 36 | 61 / 17 | $136.038,00 | 816 / 65 | $18.689,60 | 225 / 33 | $18.119,80 | 224 / 42 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 34 | $130.005,00 | 726 / 37 | $18.640,20 | 276 / 29 | $17.714,60 | 274 / 43 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 59 | $106.697,00 | 1224 / 76 | $11.962,90 | 558 / 34 | $10.797,60 | 554 / 73 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 33 | $126.916,00 | 548 / 57 | $14.524,40 | 24 / 45 | $9.029,08 | 23 / 3 |
Peripheral Vascular Disorders W Cc | 21 | 63 / 32 | $47.334,80 | 1121 / 96 | $5.176,48 | 107 / 13 | $4.417,24 | 107 / 23 |
Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 26 | $106.627,00 | 803 / 63 | $16.091,40 | 192 / 51 | $13.996,70 | 192 / 38 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 28 | $57.348,90 | 792 / 52 | $8.146,64 | 312 / 18 | $7.704,45 | 311 / 39 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 20 | $25.564,00 | 665 / 38 | $3.674,06 | 83 / 11 | $2.846,06 | 83 / 13 |
Pulmonary Edema & Respiratory Failure | 25 | 178 / 51 | $83.843,20 | 2154 / 139 | $8.075,04 | 261 / 92 | $6.033,04 | 261 / 35 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 30 | $55.595,50 | 1200 / 74 | $6.623,77 | 2 / 53 | $3.493,62 | 2 / 1 |
Red Blood Cell Disorders W Mcc | 17 | 54 / 27 | $80.960,00 | 1071 / 90 | $9.080,12 | 526 / 70 | $7.581,76 | 524 / 63 |
Red Blood Cell Disorders W/O Mcc | 45 | 98 / 39 | $38.017,70 | 1731 / 114 | $4.856,58 | 36 / 57 | $3.171,00 | 36 / 3 |
Renal Failure W Cc | 60 | 161 / 64 | $57.440,60 | 2337 / 153 | $6.208,72 | 202 / 90 | $4.379,40 | 201 / 32 |
Renal Failure W Mcc | 55 | 140 / 44 | $59.092,40 | 1749 / 97 | $8.861,29 | 523 / 62 | $8.097,58 | 523 / 71 |
Renal Failure W/O Cc/Mcc | 14 | 42 / 28 | $38.379,90 | 804 / 69 | $3.648,29 | 213 / 19 | $2.958,00 | 212 / 36 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 34 | $69.565,60 | 1334 / 77 | $8.301,47 | 121 / 50 | $6.552,41 | 121 / 17 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 48 | $90.100,50 | 1592 / 83 | $10.841,90 | 310 / 25 | $10.040,00 | 310 / 31 |
Respiratory Neoplasms W Cc | 11 | 36 / 17 | $47.175,50 | 377 / 27 | $6.877,18 | 89 / 20 | $5.992,82 | 88 / 25 |
Respiratory Neoplasms W Mcc | 12 | 40 / 17 | $82.151,20 | 551 / 38 | $10.039,00 | 32 / 20 | $8.152,50 | 32 / 4 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 48 | $113.079,00 | 1626 / 101 | $14.242,30 | 130 / 70 | $11.328,60 | 130 / 15 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 27 | $209.818,00 | 778 / 58 | $29.103,60 | 214 / 30 | $28.114,50 | 214 / 35 |
Seizures W Mcc | 13 | 53 / 22 | $46.666,50 | 439 / 27 | $7.384,92 | 13 / 1 | $6.689,54 | 13 / 1 |
Seizures W/O Mcc | 19 | 89 / 38 | $32.316,70 | 1007 / 64 | $4.872,37 | 50 / 51 | $3.115,47 | 50 / 9 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 20 | 72 / 24 | $235.091,00 | 851 / 54 | $34.108,00 | 298 / 39 | $33.229,60 | 297 / 45 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 159 | 357 / 59 | $104.317,00 | 2669 / 144 | $11.678,70 | 999 / 94 | $10.182,50 | 990 / 91 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 63 | 144 / 39 | $50.410,90 | 2268 / 103 | $6.250,05 | 700 / 49 | $5.390,75 | 698 / 71 |
Signs & Symptoms W/O Mcc | 24 | 67 / 27 | $43.989,80 | 1271 / 114 | $4.115,08 | 144 / 35 | $3.099,08 | 144 / 25 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 87 | $56.051,40 | 2656 / 137 | $5.423,72 | 386 / 25 | $4.552,61 | 383 / 43 |
Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 82 | $62.862,20 | 2140 / 94 | $8.072,27 | 458 / 32 | $7.265,87 | 458 / 52 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 46 | $33.511,70 | 1701 / 89 | $4.221,33 | 128 / 39 | $2.779,83 | 127 / 26 |
Syncope & Collapse | 70 | 99 / 41 | $39.059,00 | 1680 / 103 | $4.186,57 | 305 / 34 | $3.340,86 | 303 / 50 |
Transient Ischemia | 52 | 73 / 33 | $43.771,40 | 1501 / 105 | $4.645,13 | 142 / 68 | $2.903,54 | 142 / 27 |
Transurethral Procedures W Cc | 16 | 25 / 12 | $62.016,10 | 320 / 28 | $7.839,25 | 4 / 24 | $5.393,44 | 4 / 2 |
Transurethral Prostatectomy W/O Cc/Mcc | 12 | 17 / 5 | $32.902,40 | 61 / 6 | $4.354,83 | 10 / 2 | $3.144,17 | 10 / 2 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 24 | 20 / 9 | $36.597,10 | 238 / 35 | $4.384,25 | 30 / 11 | $3.287,29 | 30 / 17 | Total 84 procedures | 2.588 | 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.