Hospital Costs > In South Carolina > Lake City Community 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 | 14 | 175 / 33 | $8.423,71 | 125 / 1 | $6.115,00 | 1569 / 34 | $4.801,14 | 1562 / 42 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 39 | $10.500,00 | 53 / 1 | $7.764,82 | 1221 / 29 | $6.488,09 | 1215 / 32 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 17 | $7.768,29 | 83 / 2 | $5.269,50 | 1120 / 33 | $3.843,88 | 1111 / 31 |
| Heart Failure & Shock W Cc | 18 | 260 / 36 | $9.511,39 | 103 / 1 | $6.901,72 | 1345 / 39 | $5.595,72 | 1341 / 35 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 16 | $7.826,61 | 102 / 1 | $4.961,28 | 1030 / 25 | $3.759,78 | 1022 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 32 | $9.581,17 | 254 / 2 | $5.571,17 | 1424 / 35 | $4.274,12 | 1415 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 28 | $10.552,30 | 380 / 3 | $5.207,00 | 1111 / 34 | $3.730,17 | 1108 / 26 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 43 | $10.896,10 | 166 / 1 | $7.031,83 | 1391 / 43 | $5.411,08 | 1385 / 39 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 17 | $9.273,60 | 167 / 2 | $5.227,53 | 1069 / 26 | $3.747,00 | 1063 / 26 | Total 9 procedures | 154 | 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.