Hospital Costs > In South Carolina > Clarendon Memorial 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 | 11 | 178 / 35 | $12.580,10 | 539 / 6 | $5.906,27 | 1536 / 33 | $4.763,73 | 1529 / 41 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 37 | $12.733,80 | 295 / 1 | $6.636,91 | 1626 / 32 | $5.722,73 | 1619 / 37 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 34 | $13.539,90 | 221 / 2 | $7.703,75 | 1367 / 28 | $6.660,35 | 1361 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 29 | $11.623,20 | 341 / 1 | $5.579,66 | 1760 / 38 | $4.412,40 | 1747 / 42 |
| G.I. Hemorrhage W Cc | 20 | 198 / 33 | $13.951,10 | 221 / 3 | $6.884,10 | 1072 / 30 | $5.434,25 | 1070 / 30 |
| Heart Failure & Shock W Cc | 35 | 243 / 27 | $13.362,90 | 404 / 3 | $6.868,40 | 1532 / 38 | $5.812,26 | 1527 / 41 |
| Heart Failure & Shock W Mcc | 20 | 264 / 37 | $20.651,30 | 459 / 4 | $9.775,95 | 1386 / 34 | $8.842,15 | 1382 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 30 | $14.286,20 | 116 / 2 | $7.555,12 | 1087 / 33 | $5.975,12 | 1084 / 31 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 34 | $10.496,00 | 343 / 3 | $5.656,91 | 1582 / 37 | $4.426,59 | 1571 / 40 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 37 | $64.708,90 | 1851 / 27 | $15.742,10 | 1699 / 38 | $12.557,20 | 1662 / 38 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 32 | $10.915,60 | 419 / 4 | $5.281,75 | 1637 / 36 | $4.235,08 | 1632 / 40 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 34 | $12.488,40 | 52 / 1 | $8.067,95 | 1168 / 28 | $7.190,26 | 1166 / 34 |
| Red Blood Cell Disorders W/O Mcc | 33 | 110 / 22 | $11.069,90 | 161 / 2 | $5.854,70 | 1286 / 30 | $4.974,82 | 1278 / 34 |
| Renal Failure W Cc | 12 | 209 / 38 | $12.262,70 | 234 / 1 | $6.799,25 | 1507 / 37 | $5.766,92 | 1498 / 40 |
| Renal Failure W Mcc | 11 | 184 / 34 | $14.423,70 | 58 / 1 | $9.588,45 | 796 / 19 | $8.531,73 | 796 / 21 |
| Respiratory Infections & Inflammations W Mcc | 16 | 120 / 20 | $31.228,40 | 426 / 2 | $12.307,80 | 915 / 18 | $11.449,50 | 905 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 45 | 471 / 35 | $24.872,80 | 524 / 4 | $12.611,70 | 1466 / 39 | $10.961,10 | 1437 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 35 | $16.562,30 | 482 / 4 | $7.071,56 | 1270 / 29 | $5.947,78 | 1265 / 37 |
| Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 32 | $14.417,80 | 494 / 4 | $6.712,50 | 1646 / 36 | $5.667,12 | 1639 / 42 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 32 | $15.848,90 | 161 / 1 | $9.240,79 | 1187 / 25 | $8.121,29 | 1187 / 28 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 20 | $9.938,75 | 209 / 4 | $5.172,17 | 1292 / 25 | $4.031,83 | 1285 / 30 |
| Syncope & Collapse | 11 | 158 / 29 | $13.694,00 | 302 / 2 | $5.370,00 | 958 / 26 | $4.011,09 | 952 / 25 | Total 22 procedures | 454 | 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.