Hospital Costs > In Florida > Florida Hospital Heartland 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 | 21 | 70 / 30 | $28.632,90 | 683 / 18 | $5.411,19 | 48 / 5 | $4.493,86 | 48 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 67 | 58 / 8 | $42.213,20 | 909 / 25 | $9.075,61 | 193 / 22 | $8.283,97 | 193 / 22 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 25 | $22.889,80 | 560 / 25 | $3.823,42 | 43 / 15 | $2.922,67 | 43 / 13 |
| Atherosclerosis W/O Mcc | 15 | 43 / 17 | $21.669,20 | 352 / 23 | $3.537,93 | / 15 | $2.897,93 | / |
| Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 29 | $27.676,10 | 656 / 32 | $4.908,35 | 86 / 14 | $3.767,65 | 86 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 51 | 110 / 46 | $20.918,50 | 1119 / 39 | $4.465,31 | 306 / 29 | $3.615,12 | 306 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 50 | 73 / 20 | $31.640,90 | 1037 / 39 | $6.808,78 | 267 / 27 | $5.983,18 | 266 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 76 | 74 / 31 | $16.302,10 | 1131 / 42 | $3.276,64 | 312 / 32 | $2.274,12 | 310 / 44 |
| Cellulitis W Mcc | 15 | 43 / 19 | $40.553,80 | 606 / 32 | $7.744,07 | 156 / 7 | $7.259,80 | 156 / 26 |
| Cellulitis W/O Mcc | 73 | 116 / 35 | $26.709,70 | 1974 / 74 | $4.782,74 | 346 / 35 | $3.744,10 | 343 / 40 |
| Chest Pain | 28 | 123 / 61 | $23.631,50 | 1149 / 51 | $3.521,54 | 214 / 29 | $2.569,54 | 213 / 36 |
| Chronic Obstructive Pulmonary Disease W Cc | 74 | 105 / 42 | $30.336,40 | 1731 / 63 | $5.159,73 | 396 / 25 | $4.426,46 | 395 / 49 |
| Chronic Obstructive Pulmonary Disease W Mcc | 166 | 40 / 6 | $37.497,80 | 1847 / 68 | $6.620,13 | 369 / 39 | $5.634,39 | 368 / 45 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 83 | 37 / 11 | $26.605,70 | 1599 / 81 | $4.037,63 | 376 / 29 | $3.213,14 | 375 / 47 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 30 | $51.100,60 | 341 / 13 | $11.279,60 | 60 / 8 | $10.169,50 | 60 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 63 | 125 / 32 | $39.196,70 | 923 / 39 | $6.552,57 | 111 / 49 | $4.772,17 | 111 / 16 |
| Diabetes W Cc | 25 | 67 / 29 | $24.770,40 | 985 / 36 | $4.683,92 | 194 / 24 | $3.813,52 | 194 / 29 |
| Diabetes W Mcc | 11 | 46 / 17 | $54.694,60 | 602 / 39 | $8.152,36 | 156 / 16 | $7.273,82 | 156 / 20 |
| Diabetes W/O Cc/Mcc | 12 | 26 / 11 | $18.243,80 | 163 / 7 | $3.348,00 | 32 / 5 | $2.644,00 | 32 / 12 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 22 | $34.938,80 | 722 / 37 | $5.155,87 | 88 / 12 | $4.106,27 | 88 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 28 | $50.166,70 | 1163 / 68 | $7.898,75 | 648 / 72 | $6.992,46 | 643 / 76 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 106 | 169 / 58 | $25.818,60 | 1938 / 58 | $4.347,89 | 307 / 39 | $3.237,70 | 306 / 37 |
| Extracranial Procedures W Cc | 11 | 35 / 13 | $68.251,60 | 313 / 15 | $9.088,09 | 112 / 10 | $8.323,00 | 112 / 18 |
| Extracranial Procedures W/O Cc/Mcc | 24 | 74 / 28 | $41.234,20 | 652 / 26 | $5.823,62 | 149 / 9 | $4.824,96 | 149 / 20 |
| Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 27 | $22.702,50 | 599 / 41 | $3.951,72 | 117 / 21 | $3.011,28 | 118 / 27 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 26 | $31.927,60 | 628 / 57 | $4.723,07 | 121 / 37 | $3.392,29 | 121 / 30 |
| G.I. Hemorrhage W Cc | 109 | 109 / 24 | $29.408,60 | 1526 / 47 | $5.864,09 | 238 / 56 | $4.620,85 | 238 / 33 |
| G.I. Hemorrhage W Mcc | 47 | 74 / 19 | $50.889,10 | 1026 / 42 | $9.534,60 | 86 / 21 | $8.424,79 | 86 / 9 |
| G.I. Hemorrhage W/O Cc/Mcc | 25 | 43 / 22 | $25.759,80 | 726 / 55 | $3.961,04 | 141 / 20 | $3.043,28 | 141 / 28 |
| G.I. Obstruction W Cc | 32 | 60 / 27 | $27.703,50 | 1114 / 44 | $4.995,22 | 227 / 26 | $4.092,22 | 226 / 36 |
| G.I. Obstruction W Mcc | 16 | 26 / 9 | $38.569,90 | 230 / 12 | $8.277,19 | 21 / 2 | $7.599,19 | 21 / 4 |
| G.I. Obstruction W/O Cc/Mcc | 29 | 42 / 21 | $21.862,60 | 906 / 38 | $4.134,00 | 77 / 54 | $2.265,34 | 77 / 13 |
| Heart Failure & Shock W Cc | 121 | 157 / 35 | $24.028,70 | 1589 / 50 | $5.352,08 | 274 / 28 | $4.653,37 | 274 / 35 |
| Heart Failure & Shock W Mcc | 201 | 86 / 10 | $39.706,50 | 1643 / 55 | $8.051,60 | 259 / 22 | $7.346,80 | 259 / 28 |
| Heart Failure & Shock W/O Cc/Mcc | 35 | 75 / 34 | $16.283,50 | 992 / 30 | $3.826,60 | 250 / 25 | $3.033,00 | 248 / 36 |
| Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 38 | $69.051,80 | 1525 / 61 | $10.707,10 | 76 / 28 | $9.112,34 | 76 / 6 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 22 | $52.378,90 | 620 / 31 | $8.837,33 | 119 / 14 | $7.796,27 | 119 / 22 |
| Hypertension W/O Mcc | 15 | 50 / 34 | $19.624,00 | 400 / 21 | $3.621,93 | 65 / 16 | $2.497,67 | 65 / 17 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 19 | 17 / 5 | $70.042,40 | 218 / 8 | $12.868,60 | 35 / 4 | $12.105,60 | 35 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 61 | 63 / 9 | $120.791,00 | 745 / 22 | $27.065,10 | 128 / 11 | $25.992,70 | 128 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 49 | $31.908,80 | 1244 / 40 | $5.854,50 | 217 / 23 | $4.856,50 | 217 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 46 | $46.905,50 | 882 / 32 | $9.211,16 | 168 / 13 | $8.386,84 | 167 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 42 | 60 / 17 | $24.007,20 | 838 / 25 | $4.298,64 | 186 / 21 | $3.177,12 | 184 / 29 |
| Kidney & Urinary Tract Infections W Mcc | 41 | 103 / 42 | $30.284,40 | 1188 / 45 | $5.994,10 | 110 / 16 | $5.047,37 | 110 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 65 | $23.855,00 | 1912 / 63 | $4.320,31 | 296 / 33 | $3.436,03 | 296 / 38 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 27 | $55.695,50 | 530 / 21 | $8.952,20 | 98 / 12 | $7.821,53 | 98 / 14 |
| Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 36 | $100.706,00 | 586 / 18 | $17.586,40 | 69 / 3 | $16.590,60 | 69 / 10 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 32 | $35.131,80 | 753 / 48 | $6.341,12 | 196 / 17 | $5.885,12 | 196 / 27 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 18 | $49.859,40 | 418 / 25 | $9.812,69 | 45 / 5 | $9.258,85 | 45 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 11 | 18 / 12 | $21.751,90 | 75 / 11 | $4.598,00 | 32 / 5 | $4.161,64 | 32 / 12 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 29 | $76.748,00 | 643 / 22 | $11.920,10 | 138 / 6 | $10.712,10 | 137 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 22 | $121.212,00 | 747 / 41 | $19.669,80 | 435 / 42 | $18.609,80 | 433 / 52 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 213 | 351 / 45 | $71.994,60 | 2042 / 65 | $11.751,80 | 417 / 12 | $10.200,90 | 415 / 39 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 37 | $72.626,50 | 899 / 30 | $14.175,50 | 393 / 31 | $13.200,20 | 390 / 58 |
| Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 23 | $114.006,00 | 512 / 11 | $26.592,60 | 55 / 9 | $24.183,90 | 55 / 5 |
| Medical Back Problems W/O Mcc | 12 | 109 / 60 | $23.964,70 | 777 / 36 | $4.798,25 | 164 / 30 | $3.691,58 | 164 / 29 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 30 | $34.019,40 | 1131 / 49 | $6.054,25 | 113 / 13 | $5.320,54 | 112 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 76 | 90 / 23 | $23.898,60 | 1830 / 70 | $4.008,37 | 247 / 32 | $3.069,42 | 247 / 37 |
| Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 14 | $24.332,10 | 210 / 8 | $5.180,15 | 17 / 3 | $4.163,54 | 17 / 3 |
| Other Circulatory System Diagnoses W Mcc | 38 | 78 / 22 | $50.765,30 | 761 / 31 | $9.534,82 | 56 / 4 | $8.827,66 | 56 / 8 |
| Other Digestive System Diagnoses W Cc | 24 | 73 / 33 | $30.876,00 | 896 / 41 | $5.405,38 | 114 / 17 | $4.448,04 | 113 / 24 |
| Other Digestive System Diagnoses W Mcc | 16 | 46 / 18 | $34.989,20 | 244 / 7 | $8.960,69 | 34 / 6 | $8.183,69 | 34 / 10 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 19 | $27.872,50 | 259 / 25 | $4.364,27 | 13 / 30 | $2.534,55 | 13 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 27 | $37.843,10 | 630 / 42 | $5.424,43 | 52 / 12 | $4.560,43 | 52 / 11 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 26 | $32.335,70 | 454 / 14 | $8.321,00 | 121 / 10 | $7.647,22 | 121 / 15 |
| Other Vascular Procedures W Cc | 13 | 89 / 35 | $87.243,50 | 721 / 37 | $13.401,80 | 59 / 4 | $12.406,10 | 59 / 9 |
| Other Vascular Procedures W Mcc | 16 | 81 / 33 | $88.300,60 | 479 / 25 | $16.757,70 | 22 / 2 | $15.925,70 | 22 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 60 | 40 / 4 | $137.246,00 | 764 / 44 | $17.517,80 | 126 / 12 | $16.550,30 | 126 / 20 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 106 | 90 / 16 | $99.857,60 | 1160 / 62 | $11.890,80 | 174 / 32 | $9.711,78 | 174 / 12 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 14 | 31 / 9 | $100.905,00 | 166 / 7 | $15.627,60 | 16 / 2 | $14.596,70 | 16 / 2 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 26 | 43 / 12 | $87.594,50 | 453 / 25 | $9.840,62 | 74 / 5 | $8.816,65 | 74 / 6 |
| Peripheral Vascular Disorders W Cc | 23 | 61 / 30 | $26.429,30 | 694 / 41 | $5.119,17 | 20 / 9 | $3.925,09 | 20 / 4 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 17 | 28 / 15 | $18.047,60 | 190 / 24 | $3.876,47 | 53 / 18 | $2.950,35 | 53 / 19 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 28 | $85.211,00 | 665 / 42 | $14.471,80 | 100 / 16 | $13.331,10 | 100 / 18 |
| Permanent Cardiac Pacemaker Implant W Mcc | 14 | 38 / 15 | $121.436,00 | 427 / 30 | $19.902,60 | 59 / 10 | $18.871,70 | 59 / 15 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 18 | 39 / 21 | $56.066,40 | 356 / 14 | $11.460,40 | 63 / 6 | $10.383,10 | 63 / 10 |
| Pulmonary Edema & Respiratory Failure | 91 | 112 / 11 | $36.564,10 | 1368 / 46 | $6.694,07 | 182 / 14 | $5.876,92 | 182 / 20 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 30 | $26.161,70 | 697 / 19 | $5.525,38 | 288 / 16 | $4.782,00 | 288 / 38 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 31 | $29.391,20 | 439 / 17 | $6.864,15 | 92 / 13 | $6.125,69 | 92 / 16 |
| Red Blood Cell Disorders W/O Mcc | 24 | 119 / 58 | $23.845,90 | 1175 / 51 | $4.562,17 | 193 / 31 | $3.616,04 | 193 / 27 |
| Renal Failure W Cc | 91 | 130 / 38 | $25.307,40 | 1448 / 45 | $5.308,90 | 253 / 27 | $4.482,35 | 252 / 36 |
| Renal Failure W Mcc | 79 | 116 / 28 | $38.492,30 | 1222 / 39 | $9.257,11 | 101 / 77 | $7.227,05 | 101 / 13 |
| Renal Failure W/O Cc/Mcc | 31 | 25 / 12 | $20.800,30 | 575 / 30 | $3.592,29 | 125 / 18 | $2.772,68 | 124 / 23 |
| Respiratory Infections & Inflammations W Cc | 21 | 67 / 30 | $37.028,60 | 900 / 26 | $7.395,29 | 174 / 14 | $6.709,57 | 173 / 24 |
| Respiratory Infections & Inflammations W Mcc | 46 | 90 / 22 | $69.621,30 | 1405 / 55 | $10.764,00 | 319 / 19 | $10.055,10 | 319 / 33 |
| Respiratory Neoplasms W Mcc | 14 | 38 / 15 | $45.224,00 | 317 / 12 | $9.198,43 | 64 / 6 | $8.592,71 | 64 / 13 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 43 | $61.429,50 | 938 / 33 | $11.935,50 | 132 / 4 | $11.331,20 | 132 / 17 |
| Seizures W Mcc | 11 | 55 / 24 | $49.479,80 | 482 / 34 | $14.116,00 | 17 / 64 | $6.771,64 | 17 / 3 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 31 | $143.816,00 | 481 / 19 | $29.900,80 | 69 / 10 | $29.139,50 | 69 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 322 | 196 / 17 | $51.882,10 | 1851 / 49 | $9.966,59 | 302 / 17 | $9.175,05 | 302 / 27 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 144 | 63 / 4 | $30.715,60 | 1661 / 45 | $6.627,16 | 226 / 74 | $4.893,49 | 225 / 28 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 36 | $19.570,90 | 630 / 25 | $3.931,13 | 191 / 24 | $3.210,07 | 191 / 31 |
| Simple Pneumonia & Pleurisy W Cc | 95 | 108 / 27 | $32.840,30 | 2100 / 72 | $5.408,45 | 326 / 22 | $4.480,79 | 324 / 40 |
| Simple Pneumonia & Pleurisy W Mcc | 83 | 122 / 24 | $44.033,10 | 1718 / 58 | $7.736,83 | 196 / 10 | $6.831,45 | 196 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 26 | $23.532,70 | 1390 / 55 | $4.005,00 | 256 / 25 | $3.003,00 | 254 / 35 |
| Syncope & Collapse | 36 | 133 / 69 | $21.770,60 | 1013 / 32 | $4.159,33 | 214 / 32 | $3.220,67 | 213 / 37 |
| Transient Ischemia | 30 | 95 / 53 | $26.218,00 | 1017 / 47 | $4.014,93 | 220 / 28 | $3.047,47 | 220 / 36 |
| Transurethral Procedures W Cc | 13 | 28 / 15 | $37.499,00 | 203 / 12 | $6.977,23 | 23 / 5 | $5.864,62 | 23 / 7 | Total 98 procedures | 4.241 | 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.