Hospital Costs > In Florida > Winter Haven Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 277 | 241 / 27 | $63.954,40 | 2176 / 75 | $10.539,60 | 710 / 54 | $9.807,97 | 709 / 71 |
Psychoses | 242 | 90 / 11 | $22.074,70 | 369 / 16 | $6.048,17 | 128 / 14 | $5.247,92 | 128 / 21 |
Kidney & Urinary Tract Infections W/O Mcc | 159 | 76 / 19 | $25.698,80 | 2009 / 76 | $4.735,89 | 703 / 73 | $3.758,64 | 699 / 77 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 139 | 68 / 7 | $35.342,00 | 1878 / 60 | $6.238,88 | 598 / 47 | $5.316,68 | 596 / 64 |
Heart Failure & Shock W Cc | 122 | 156 / 34 | $30.858,60 | 2002 / 81 | $5.846,25 | 787 / 63 | $5.132,34 | 786 / 76 |
Heart Failure & Shock W Mcc | 119 | 165 / 33 | $43.949,30 | 1816 / 71 | $8.411,61 | 588 / 52 | $7.801,19 | 588 / 66 |
Spinal Fusion Except Cervical W/O Mcc | 114 | 80 / 11 | $91.048,30 | 646 / 12 | $21.024,70 | 57 / 6 | $18.297,60 | 57 / 7 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 111 | 17 / 5 | $22.041,10 | 1409 / 57 | $4.574,61 | 628 / 67 | $3.426,05 | 627 / 70 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 108 | 456 / 75 | $81.833,60 | 2239 / 91 | $12.536,80 | 553 / 57 | $10.403,70 | 548 / 57 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 105 | 170 / 59 | $25.778,40 | 1937 / 57 | $4.679,79 | 774 / 69 | $3.610,13 | 769 / 76 |
Chronic Obstructive Pulmonary Disease W Cc | 100 | 79 / 24 | $27.727,80 | 1603 / 49 | $5.544,79 | 825 / 56 | $4.819,03 | 822 / 82 |
Simple Pneumonia & Pleurisy W Cc | 98 | 105 / 25 | $28.442,40 | 1863 / 49 | $5.964,80 | 526 / 72 | $4.666,07 | 523 / 62 |
G.I. Hemorrhage W Cc | 89 | 129 / 33 | $32.057,90 | 1664 / 56 | $5.976,27 | 610 / 62 | $5.012,99 | 609 / 71 |
Syncope & Collapse | 87 | 82 / 32 | $29.250,20 | 1409 / 70 | $4.561,95 | 462 / 61 | $3.512,99 | 460 / 67 |
Chronic Obstructive Pulmonary Disease W Mcc | 86 | 116 / 36 | $35.284,80 | 1757 / 60 | $6.873,29 | 738 / 62 | $6.000,24 | 733 / 77 |
Renal Failure W Cc | 76 | 145 / 50 | $31.489,80 | 1770 / 74 | $5.829,20 | 535 / 72 | $4.788,17 | 531 / 67 |
Cellulitis W/O Mcc | 71 | 118 / 37 | $23.257,80 | 1758 / 59 | $5.089,92 | 722 / 61 | $4.063,13 | 718 / 72 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 70 | 96 / 29 | $24.952,50 | 1881 / 74 | $4.377,17 | 720 / 69 | $3.467,91 | 718 / 73 |
Simple Pneumonia & Pleurisy W Mcc | 67 | 138 / 36 | $48.552,00 | 1869 / 66 | $8.975,10 | 167 / 91 | $6.750,34 | 167 / 15 |
Transient Ischemia | 63 | 62 / 25 | $30.059,50 | 1176 / 59 | $4.640,37 | 281 / 67 | $3.130,92 | 281 / 44 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 60 | 128 / 33 | $51.189,10 | 1235 / 71 | $6.530,53 | 344 / 44 | $5.216,22 | 343 / 47 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 32 | $38.215,10 | 1463 / 59 | $6.346,62 | 530 / 54 | $5.248,74 | 529 / 60 |
Heart Failure & Shock W/O Cc/Mcc | 58 | 52 / 18 | $24.126,80 | 1513 / 69 | $4.268,95 | 701 / 61 | $3.473,36 | 697 / 72 |
Renal Failure W Mcc | 55 | 140 / 44 | $49.329,30 | 1566 / 69 | $8.702,27 | 330 / 49 | $7.791,15 | 330 / 45 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 55 | 106 / 43 | $30.146,60 | 1634 / 80 | $4.864,09 | 555 / 64 | $3.866,27 | 553 / 67 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 52 | 98 / 44 | $20.729,20 | 1436 / 68 | $3.637,17 | 784 / 63 | $2.661,79 | 780 / 86 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 51 | 42 / 15 | $21.881,10 | 1300 / 46 | $4.388,22 | 729 / 55 | $3.441,39 | 725 / 76 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 50 | 38 / 6 | $176.608,00 | 520 / 31 | $21.367,60 | 132 / 9 | $19.308,10 | 131 / 14 |
Red Blood Cell Disorders W/O Mcc | 49 | 94 / 35 | $33.043,90 | 1608 / 100 | $4.947,33 | 518 / 61 | $4.001,71 | 517 / 60 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 47 | 77 / 19 | $169.918,00 | 1127 / 50 | $30.305,80 | 477 / 42 | $29.290,40 | 473 / 59 |
Pulmonary Edema & Respiratory Failure | 43 | 160 / 34 | $47.150,40 | 1692 / 73 | $7.553,74 | 217 / 68 | $5.965,91 | 217 / 26 |
G.I. Hemorrhage W/O Cc/Mcc | 42 | 26 / 8 | $23.040,30 | 660 / 40 | $4.361,10 | 414 / 41 | $3.584,71 | 410 / 61 |
Other Circulatory System Diagnoses W Mcc | 42 | 74 / 18 | $68.842,10 | 1036 / 63 | $10.885,70 | 231 / 41 | $9.703,60 | 231 / 35 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 39 | 92 / 30 | $60.244,50 | 912 / 32 | $12.704,10 | 369 / 26 | $12.062,00 | 365 / 45 |
Chest Pain | 38 | 113 / 53 | $29.890,40 | 1383 / 84 | $3.955,53 | 461 / 64 | $2.892,79 | 459 / 63 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 36 | 160 / 54 | $82.792,80 | 914 / 35 | $11.823,90 | 266 / 28 | $10.044,50 | 266 / 36 |
Signs & Symptoms W/O Mcc | 36 | 55 / 16 | $25.180,60 | 896 / 52 | $4.286,81 | 354 / 47 | $3.458,81 | 353 / 56 |
Extracranial Procedures W/O Cc/Mcc | 35 | 63 / 18 | $68.243,80 | 868 / 53 | $9.622,31 | 218 / 63 | $5.010,43 | 218 / 33 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 32 | $56.092,50 | 1259 / 54 | $9.748,54 | 509 / 48 | $9.026,26 | 508 / 59 |
Kidney & Urinary Tract Infections W Mcc | 33 | 111 / 50 | $36.665,20 | 1404 / 64 | $6.219,33 | 387 / 31 | $5.551,94 | 386 / 51 |
Acute Myocardial Infarction, Discharged Alive W Cc | 31 | 60 / 21 | $40.939,90 | 1056 / 48 | $6.131,81 | 540 / 36 | $5.546,52 | 539 / 64 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 31 | 71 / 27 | $31.354,70 | 1149 / 50 | $4.660,39 | 390 / 38 | $3.488,77 | 387 / 49 |
G.I. Obstruction W Cc | 30 | 62 / 29 | $27.336,90 | 1101 / 42 | $5.325,73 | 444 / 55 | $4.398,80 | 443 / 59 |
Permanent Cardiac Pacemaker Implant W Cc | 30 | 47 / 16 | $109.604,00 | 818 / 67 | $14.215,50 | 87 / 10 | $13.248,10 | 87 / 12 |
Major Small & Large Bowel Procedures W Cc | 29 | 79 / 29 | $92.360,60 | 1139 / 47 | $14.785,80 | 259 / 42 | $12.688,70 | 257 / 41 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 38 | $48.896,60 | 1510 / 76 | $7.510,03 | 551 / 69 | $6.440,45 | 548 / 65 |
Diabetes W Cc | 28 | 64 / 26 | $32.410,70 | 1245 / 65 | $5.668,11 | 442 / 80 | $4.207,54 | 442 / 55 |
Seizures W/O Mcc | 27 | 81 / 30 | $30.538,30 | 973 / 55 | $4.993,33 | 220 / 60 | $3.597,41 | 219 / 40 |
G.I. Hemorrhage W Mcc | 26 | 95 / 36 | $56.661,30 | 1134 / 54 | $9.754,77 | 315 / 31 | $9.195,96 | 315 / 42 |
Pulmonary Embolism W/O Mcc | 26 | 48 / 17 | $31.332,50 | 874 / 36 | $5.938,65 | 310 / 30 | $4.822,46 | 310 / 40 |
Cervical Spinal Fusion W/O Cc/Mcc | 26 | 78 / 23 | $69.606,20 | 574 / 25 | $13.027,00 | 147 / 27 | $10.729,40 | 147 / 16 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 25 | 67 / 19 | $145.004,00 | 488 / 20 | $31.599,40 | 142 / 18 | $30.826,20 | 142 / 22 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 25 | 48 / 23 | $48.392,30 | 928 / 70 | $7.367,24 | 545 / 61 | $6.763,08 | 543 / 69 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 34 | $44.388,80 | 1388 / 74 | $8.999,46 | 1117 / 94 | $7.384,12 | 1114 / 88 |
Degenerative Nervous System Disorders W/O Mcc | 24 | 54 / 22 | $36.810,50 | 627 / 43 | $5.630,46 | 129 / 27 | $4.723,79 | 129 / 35 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 23 | 95 / 17 | $231.827,00 | 458 / 30 | $30.455,20 | 143 / 14 | $29.612,10 | 143 / 21 |
G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 24 | $22.291,20 | 919 / 40 | $4.089,87 | 282 / 52 | $2.672,13 | 282 / 41 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 48 | $62.659,90 | 1176 / 53 | $9.952,57 | 259 / 47 | $8.670,52 | 258 / 32 |
Fractures Of Hip & Pelvis W/O Mcc | 23 | 38 / 22 | $24.943,00 | 654 / 48 | $4.405,87 | 295 / 45 | $3.459,78 | 296 / 52 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 21 | 50 / 17 | $145.404,00 | 532 / 32 | $27.015,00 | 84 / 6 | $26.154,00 | 84 / 11 |
Respiratory Infections & Inflammations W Mcc | 21 | 115 / 44 | $86.267,00 | 1556 / 76 | $13.616,10 | 1035 / 94 | $11.807,30 | 1022 / 88 |
Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 54 | $77.798,90 | 1676 / 75 | $11.006,00 | 289 / 50 | $9.712,33 | 288 / 35 |
Major Cardiovasc Procedures W Mcc | 21 | 47 / 14 | $167.673,00 | 418 / 30 | $28.233,50 | 73 / 7 | $27.194,20 | 73 / 12 |
Peripheral Vascular Disorders W Cc | 21 | 63 / 32 | $30.969,20 | 835 / 55 | $5.574,95 | 186 / 35 | $4.599,71 | 186 / 34 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 20 | 36 / 22 | $83.172,90 | 748 / 52 | $9.838,25 | 290 / 42 | $8.628,65 | 290 / 50 |
Red Blood Cell Disorders W Mcc | 20 | 51 / 24 | $35.563,20 | 592 / 31 | $7.262,55 | 265 / 28 | $6.748,95 | 265 / 38 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 20 | 49 / 17 | $75.956,50 | 395 / 19 | $10.268,80 | 169 / 11 | $9.427,20 | 169 / 24 |
Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 27 | $204.938,00 | 1061 / 55 | $36.386,10 | 206 / 77 | $26.441,80 | 205 / 34 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 13 | $36.035,70 | 678 / 39 | $5.008,95 | 146 / 41 | $3.436,63 | 146 / 25 |
Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 35 | $132.715,00 | 807 / 42 | $20.001,60 | 381 / 32 | $19.196,30 | 381 / 54 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 37 | $51.273,70 | 1183 / 71 | $7.810,61 | 601 / 67 | $6.877,28 | 596 / 72 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 33 | $46.693,70 | 1088 / 46 | $7.597,06 | 218 / 21 | $6.793,50 | 216 / 31 |
Other Vascular Procedures W Mcc | 18 | 79 / 31 | $154.430,00 | 880 / 75 | $23.590,60 | 302 / 73 | $18.762,80 | 301 / 52 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 39 | $38.940,80 | 1112 / 62 | $5.790,44 | 390 / 41 | $5.035,33 | 387 / 52 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 26 | $44.312,00 | 708 / 28 | $8.905,00 | 229 / 26 | $8.114,78 | 229 / 31 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 17 | 33 / 11 | $136.267,00 | 110 / 6 | $29.623,60 | 37 / 4 | $28.910,20 | 37 / 11 |
Diabetes W/O Cc/Mcc | 17 | 21 / 6 | $27.232,90 | 243 / 22 | $4.303,41 | 18 / 19 | $2.502,47 | 18 / 8 |
Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 22 | $234.554,00 | 538 / 31 | $27.718,10 | 314 / 19 | $26.871,00 | 314 / 37 |
Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 24 | $29.009,80 | 499 / 22 | $5.779,59 | 216 / 23 | $5.245,00 | 216 / 41 |
Other Vascular Procedures W Cc | 16 | 86 / 32 | $122.416,00 | 982 / 59 | $15.534,40 | 432 / 44 | $14.556,40 | 429 / 56 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 16 | 26 / 5 | $167.639,00 | 95 / 7 | $25.249,40 | 20 / 2 | $24.265,40 | 20 / 3 |
Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 30 | $30.355,20 | 718 / 39 | $5.366,62 | 210 / 39 | $4.133,38 | 207 / 34 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 17 | $69.674,70 | 635 / 38 | $9.581,56 | 83 / 22 | $7.424,62 | 83 / 8 |
Hypertension W/O Mcc | 16 | 49 / 33 | $24.605,40 | 529 / 40 | $4.192,25 | 170 / 46 | $2.831,94 | 169 / 40 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 20 | $27.842,80 | 723 / 51 | $4.072,62 | 130 / 31 | $2.991,62 | 130 / 24 |
Organic Disturbances & Mental Retardation | 15 | 44 / 23 | $28.533,70 | 326 / 21 | $5.919,47 | 74 / 27 | $4.950,93 | 74 / 23 |
Depressive Neuroses | 14 | 36 / 6 | $14.423,60 | 90 / 4 | $4.240,07 | 8 / 2 | $2.923,43 | 8 / 1 |
Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 17 | $75.041,50 | 458 / 29 | $10.040,50 | 251 / 18 | $9.437,07 | 250 / 32 |
Medical Back Problems W/O Mcc | 14 | 107 / 58 | $34.424,60 | 1139 / 81 | $5.020,64 | 319 / 45 | $3.982,93 | 319 / 51 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 26 | $26.082,50 | 528 / 42 | $4.506,21 | 134 / 27 | $3.428,50 | 134 / 33 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 23 | $33.440,60 | 697 / 32 | $5.537,64 | 255 / 26 | $4.627,93 | 254 / 33 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 21 | $61.372,40 | 490 / 36 | $7.761,69 | 49 / 34 | $5.296,00 | 49 / 9 |
Other Circulatory System Diagnoses W Cc | 13 | 53 / 23 | $25.997,50 | 329 / 15 | $6.283,31 | 80 / 36 | $4.622,31 | 80 / 15 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 24 | $75.854,10 | 818 / 56 | $9.261,31 | 226 / 25 | $8.239,77 | 226 / 39 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 30 | $56.614,10 | 420 / 20 | $11.734,50 | 167 / 16 | $10.895,20 | 164 / 33 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 9 | $74.152,70 | 229 / 9 | $12.927,40 | 19 / 5 | $11.531,70 | 19 / 3 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 29 | $22.311,00 | 623 / 36 | $3.995,85 | 413 / 36 | $3.341,08 | 412 / 51 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 12 | 19 / 6 | $53.671,80 | 67 / 4 | $10.018,60 | 8 / 3 | $8.631,92 | 8 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 35 | $93.626,20 | 419 / 8 | $18.920,00 | 35 / 35 | $15.290,30 | 35 / 2 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $61.875,80 | 570 / 42 | $9.391,09 | 71 / 18 | $8.623,09 | 71 / 19 |
Complications Of Treatment W Cc | 11 | 41 / 16 | $32.113,00 | 239 / 17 | $5.861,73 | 34 / 17 | $4.814,45 | 34 / 12 |
G.I. Obstruction W Mcc | 11 | 31 / 14 | $59.811,10 | 408 / 29 | $10.337,30 | 269 / 31 | $9.900,91 | 269 / 36 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 28 | $39.527,50 | 599 / 43 | $5.620,36 | 98 / 29 | $4.192,27 | 98 / 21 |
Major Chest Procedures W Cc | 11 | 63 / 21 | $157.279,00 | 473 / 35 | $15.769,50 | 216 / 21 | $14.777,50 | 215 / 30 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 17 | $20.398,70 | 259 / 10 | $4.127,45 | 142 / 22 | $3.132,55 | 142 / 27 |
Fever | 11 | 35 / 20 | $19.114,90 | 93 / 6 | $5.803,36 | 29 / 28 | $3.812,27 | 29 / 11 |
Pneumothorax W Cc | 11 | 14 / 9 | $29.053,50 | 53 / 8 | $5.811,09 | 22 / 6 | $5.043,09 | 22 / 10 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 11 | 35 / 20 | $36.293,40 | 317 / 32 | $4.349,55 | 131 / 19 | $3.363,36 | 131 / 28 |
Transurethral Procedures W Cc | 11 | 30 / 17 | $48.640,80 | 271 / 21 | $7.378,64 | 81 / 15 | $6.401,18 | 81 / 23 |
Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 15 | $30.807,50 | 244 / 19 | $5.062,91 | 75 / 16 | $4.076,73 | 75 / 14 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 11 | 34 / 9 | $79.346,90 | 165 / 12 | $10.562,80 | 37 / 5 | $10.126,50 | 37 / 8 | Total 111 procedures | 4.515 | 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.