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Healthmark Regional Medical Center, procedure costs

4413 Us Hwy 331 S, Defuniak Spring, FL 32435,

Procedure Costs @ Healthmark Regional Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc33242 / 106$11.361,10321 / 3$5.052,731594 / 97$4.213,941581 / 121
Chronic Obstructive Pulmonary Disease W Mcc31171 / 80$16.737,70457 / 3$7.673,261409 / 99$6.720,191403 / 115
Cellulitis W/O Mcc24165 / 73$9.082,71165 / 1$5.599,171474 / 93$4.693,831467 / 115
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc23493 / 125$25.288,70554 / 2$11.806,001671 / 99$11.384,401639 / 119
Heart Failure & Shock W Cc21257 / 101$12.222,60286 / 3$6.543,101425 / 104$5.682,141420 / 109
Kidney & Urinary Tract Infections W/O Mcc21212 / 104$9.494,33242 / 3$5.227,481636 / 109$4.479,291625 / 121
Simple Pneumonia & Pleurisy W Cc20183 / 85$15.374,00605 / 4$6.436,351388 / 96$5.403,951382 / 104
Heart Failure & Shock W Mcc19265 / 96$20.809,20470 / 4$9.612,631519 / 109$9.105,681515 / 122
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc16104 / 69$12.999,40550 / 5$4.796,501217 / 85$3.973,561208 / 102
Chronic Obstructive Pulmonary Disease W Cc13166 / 91$17.101,70709 / 7$6.248,541549 / 102$5.598,691543 / 125
Heart Failure & Shock W/O Cc/Mcc1397 / 55$12.087,50482 / 3$4.521,311270 / 77$4.056,081260 / 97
Renal Failure W Cc12209 / 100$11.809,80192 / 1$6.370,501619 / 101$5.967,831610 / 129
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc1133 / 18$10.120,8027 / 1$5.034,64144 / 31$4.380,09144 / 37
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc11196 / 82$12.498,10178 / 1$6.888,731546 / 87$6.341,821539 / 113
Total 14 procedures268discharges

DATA

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.