Hospital Costs > In Florida > Wuesthoff Medical Center - Melbourne, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 76 | $15.674,60 | 1076 / 39 | $3.555,94 | 567 / 56 | $2.492,41 | 563 / 69 |
Cellulitis W/O Mcc | 24 | 165 / 73 | $27.759,90 | 2034 / 82 | $5.083,33 | 683 / 58 | $4.030,00 | 679 / 69 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 36 | $125.373,00 | 829 / 56 | $12.517,90 | 261 / 13 | $11.421,20 | 261 / 38 |
Chest Pain | 24 | 127 / 63 | $32.491,80 | 1454 / 99 | $3.804,33 | 618 / 50 | $3.047,00 | 614 / 75 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 89 | $33.223,90 | 1858 / 83 | $5.576,00 | 769 / 60 | $4.773,87 | 767 / 78 |
Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 81 | $43.415,30 | 2029 / 87 | $6.827,17 | 717 / 55 | $5.984,50 | 712 / 73 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 72 | $22.631,20 | 1435 / 60 | $4.407,42 | 471 / 55 | $3.298,08 | 470 / 57 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 68 | $62.972,20 | 1426 / 94 | $6.401,67 | 406 / 38 | $5.315,94 | 404 / 55 |
Combined Anterior/Posterior Spinal Fusion W Cc | 13 | 33 / 9 | $291.912,00 | 89 / 6 | $44.883,00 | 14 / 2 | $38.729,10 | 14 / 1 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 12 | 35 / 7 | $265.601,00 | 99 / 9 | $38.405,00 | 15 / 5 | $30.655,80 | 15 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 91 | $36.068,50 | 2386 / 112 | $4.643,38 | 739 / 64 | $3.592,53 | 735 / 73 |
Heart Failure & Shock W Cc | 18 | 260 / 104 | $21.996,40 | 1399 / 30 | $5.961,00 | 725 / 72 | $5.087,00 | 724 / 73 |
Heart Failure & Shock W Mcc | 35 | 249 / 87 | $55.053,70 | 2108 / 93 | $8.440,00 | 683 / 54 | $7.903,31 | 683 / 74 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 56 | $37.889,00 | 1442 / 67 | $6.389,74 | 352 / 52 | $5.504,26 | 351 / 47 |
Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 92 | $33.112,60 | 2318 / 108 | $4.726,73 | 563 / 72 | $3.671,84 | 562 / 64 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 86 | 478 / 84 | $125.828,00 | 2610 / 149 | $12.077,60 | 573 / 32 | $10.429,80 | 568 / 59 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 75 | $24.383,80 | 1855 / 72 | $4.276,06 | 552 / 60 | $3.342,72 | 550 / 62 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 28 | $39.831,20 | 658 / 50 | $5.870,38 | 100 / 31 | $4.846,38 | 100 / 22 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 11 | 185 / 72 | $129.180,00 | 1368 / 92 | $11.934,40 | 635 / 33 | $11.053,00 | 631 / 78 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 41 | $31.840,80 | 858 / 58 | $5.747,58 | 288 / 49 | $4.840,92 | 287 / 51 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 54 | $45.417,20 | 1655 / 68 | $7.078,05 | 474 / 40 | $6.311,50 | 474 / 56 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 63 | $24.981,20 | 1255 / 62 | $4.737,11 | 372 / 44 | $3.843,61 | 371 / 44 |
Renal Failure W Cc | 22 | 199 / 93 | $30.048,50 | 1697 / 66 | $5.656,86 | 391 / 59 | $4.646,68 | 388 / 48 |
Renal Failure W Mcc | 20 | 175 / 74 | $53.878,40 | 1656 / 82 | $8.685,25 | 130 / 45 | $7.359,60 | 130 / 16 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 55 | $120.791,00 | 1683 / 111 | $15.225,60 | 576 / 92 | $12.639,90 | 568 / 68 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 57 | 459 / 107 | $72.462,80 | 2319 / 91 | $10.286,20 | 473 / 37 | $9.465,54 | 473 / 52 |
Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 76 | $34.417,30 | 2160 / 77 | $5.684,53 | 813 / 52 | $4.920,80 | 810 / 80 |
Simple Pneumonia & Pleurisy W Mcc | 42 | 163 / 56 | $54.779,00 | 2010 / 82 | $8.257,88 | 587 / 52 | $7.424,36 | 587 / 64 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 42 | $26.205,40 | 1510 / 66 | $4.343,25 | 397 / 52 | $3.139,25 | 395 / 53 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 56 | $217.989,00 | 1306 / 85 | $25.163,30 | 19 / 57 | $17.201,70 | 19 / 4 |
Syncope & Collapse | 28 | 141 / 76 | $31.369,50 | 1483 / 84 | $4.457,54 | 584 / 57 | $3.638,11 | 581 / 75 |
Transient Ischemia | 13 | 112 / 70 | $36.234,90 | 1357 / 80 | $4.413,23 | 211 / 50 | $3.038,92 | 211 / 34 | Total 32 procedures | 785 | 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.