Hospital Costs > In South Carolina > East Cooper Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 6 | $65.254,30 | 382 / 6 | $10.468,50 | 88 / 1 | $9.264,09 | 88 / 1 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 34 | 55 / 3 | $39.183,80 | 454 / 7 | $7.482,06 | 49 / 8 | $4.513,09 | 49 / 2 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 12 | 51 / 2 | $113.245,00 | 192 / 1 | $19.125,80 | 80 / 1 | $18.120,40 | 80 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 29 | $26.036,90 | 1456 / 28 | $4.339,82 | 191 / 2 | $3.461,27 | 191 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 30 | $17.239,70 | 1220 / 26 | $3.395,91 | 459 / 7 | $2.406,82 | 456 / 11 |
| Cellulitis W/O Mcc | 20 | 169 / 28 | $24.190,10 | 1828 / 33 | $4.781,10 | 551 / 5 | $3.933,10 | 548 / 13 |
| Cervical Spinal Fusion W Cc | 13 | 40 / 6 | $97.273,20 | 278 / 6 | $18.099,50 | 32 / 4 | $13.893,00 | 32 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 40 | 64 / 6 | $92.925,20 | 746 / 19 | $13.348,80 | 187 / 8 | $11.019,50 | 187 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 37 | $31.204,60 | 1780 / 33 | $5.289,18 | 720 / 5 | $4.739,36 | 718 / 15 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 25 | $26.734,20 | 1604 / 35 | $4.065,58 | 232 / 5 | $3.057,58 | 232 / 6 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 13 | 33 / 1 | $399.284,00 | 108 / 2 | $73.233,50 | 104 / 2 | $72.115,90 | 104 / 2 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 35 | 12 / 1 | $277.087,00 | 101 / 1 | $52.864,00 | 89 / 1 | $43.669,00 | 89 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 34 | $26.069,50 | 1951 / 37 | $4.396,36 | 450 / 8 | $3.360,84 | 448 / 13 |
| G.I. Hemorrhage W Cc | 13 | 205 / 37 | $35.894,00 | 1815 / 37 | $5.746,15 | 603 / 8 | $5.005,23 | 602 / 16 |
| Heart Failure & Shock W Cc | 20 | 258 / 34 | $37.767,60 | 2256 / 45 | $5.633,80 | 398 / 7 | $4.787,40 | 398 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 23 | $67.426,80 | 1496 / 27 | $10.784,60 | 263 / 6 | $9.646,83 | 262 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 24 | $25.453,00 | 1994 / 41 | $4.605,98 | 635 / 10 | $3.714,55 | 633 / 14 |
| Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 12 | 11 / 2 | $40.274,20 | 26 / 2 | $6.940,33 | 5 / 1 | $5.069,58 | 5 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 159 | 405 / 21 | $71.306,70 | 2027 / 35 | $10.613,40 | 50 / 1 | $9.041,61 | 50 / 3 |
| Medical Back Problems W/O Mcc | 16 | 105 / 13 | $27.673,50 | 932 / 17 | $4.846,62 | 177 / 5 | $3.706,00 | 177 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 26 | $22.143,00 | 1727 / 33 | $4.079,35 | 469 / 7 | $3.289,09 | 469 / 10 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 33 | $31.735,10 | 1568 / 33 | $5.415,25 | 1069 / 22 | $4.607,25 | 1062 / 30 |
| Renal Failure W Cc | 21 | 200 / 33 | $31.031,00 | 1752 / 38 | $5.327,90 | 103 / 6 | $4.196,86 | 103 / 5 |
| Renal Failure W Mcc | 14 | 181 / 32 | $49.600,20 | 1573 / 32 | $8.680,14 | 447 / 6 | $7.987,57 | 447 / 13 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 8 | $42.460,50 | 1011 / 15 | $7.705,65 | 207 / 5 | $6.771,39 | 206 / 6 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 24 | $49.047,50 | 1051 / 16 | $10.719,40 | 273 / 1 | $9.957,18 | 273 / 4 |
| Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 8 | $143.410,00 | 600 / 11 | $20.646,10 | 328 / 7 | $19.779,80 | 327 / 9 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 5 | $87.397,60 | 370 / 7 | $18.068,80 | 14 / 6 | $12.161,30 | 14 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 43 | $53.307,90 | 1899 / 39 | $10.277,80 | 501 / 8 | $9.516,58 | 501 / 14 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 16 | $18.841,20 | 592 / 6 | $4.001,64 | 254 / 4 | $3.313,64 | 253 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 31 | $31.634,90 | 2041 / 39 | $5.646,48 | 636 / 9 | $4.765,30 | 633 / 14 |
| Spinal Fusion Except Cervical W/O Mcc | 297 | 7 / 1 | $152.786,00 | 1128 / 20 | $25.711,70 | 520 / 13 | $21.936,00 | 517 / 15 | Total 32 procedures | 1.020 | 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.