Hospital Costs > In Florida > North Shore Medical Center Miami, 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 Mcc | 15 | 110 / 51 | $115.393,00 | 1754 / 123 | $13.691,00 | 1432 / 114 | $12.314,50 | 1420 / 111 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 17 | 107 / 20 | $34.288,70 | 742 / 46 | $6.254,12 | 694 / 52 | $5.598,12 | 693 / 53 |
| Allergic Reactions W/O Mcc | 11 | 11 / 4 | $25.350,50 | 19 / 6 | $5.216,91 | 19 / 6 | $4.332,55 | 19 / 6 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 31 | $41.995,70 | 919 / 74 | $7.370,67 | 877 / 83 | $6.377,60 | 873 / 87 |
| Bronchitis & Asthma W/O Cc/Mcc | 18 | 27 / 15 | $35.395,80 | 341 / 47 | $5.992,06 | 321 / 44 | $5.169,83 | 321 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 53 | $47.800,70 | 2033 / 134 | $6.861,14 | 1842 / 131 | $5.997,14 | 1837 / 136 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 48 | $53.506,80 | 1598 / 83 | $9.465,83 | 1462 / 109 | $8.527,17 | 1459 / 110 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 50 | $30.646,80 | 1773 / 113 | $5.453,09 | 1782 / 125 | $4.466,18 | 1776 / 130 |
| Cellulitis W Mcc | 19 | 39 / 15 | $57.040,20 | 789 / 45 | $10.966,60 | 721 / 61 | $10.205,40 | 719 / 66 |
| Cellulitis W/O Mcc | 87 | 102 / 26 | $42.781,30 | 2469 / 143 | $7.163,59 | 2230 / 139 | $6.222,16 | 2222 / 145 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 14 | $35.010,20 | 213 / 9 | $8.780,27 | 254 / 15 | $8.451,55 | 254 / 16 |
| Chest Pain | 123 | 38 / 15 | $35.836,00 | 1514 / 114 | $5.801,96 | 1449 / 122 | $4.993,04 | 1441 / 126 |
| Chronic Obstructive Pulmonary Disease W Cc | 92 | 87 / 31 | $49.358,50 | 2233 / 131 | $7.774,15 | 2085 / 143 | $7.053,11 | 2078 / 147 |
| Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 69 | $65.531,60 | 2411 / 145 | $9.458,52 | 2183 / 140 | $8.738,71 | 2175 / 146 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 101 | 21 / 7 | $33.979,60 | 1818 / 106 | $6.454,40 | 1855 / 135 | $5.616,47 | 1844 / 139 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 27 | 161 / 60 | $78.147,60 | 1555 / 115 | $8.814,70 | 1264 / 109 | $7.317,44 | 1261 / 111 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 17 | 51 / 22 | $45.566,40 | 647 / 52 | $7.429,29 | 565 / 56 | $6.576,59 | 565 / 58 |
| Degenerative Nervous System Disorders W/O Mcc | 25 | 53 / 21 | $41.804,30 | 691 / 58 | $7.975,60 | 631 / 65 | $6.906,80 | 631 / 69 |
| Depressive Neuroses | 11 | 39 / 7 | $21.524,90 | 121 / 9 | $6.082,64 | 114 / 7 | $5.228,82 | 114 / 8 |
| Diabetes W Cc | 52 | 40 / 8 | $52.769,60 | 1548 / 111 | $7.459,17 | 1383 / 104 | $6.680,71 | 1378 / 109 |
| Diabetes W Mcc | 25 | 32 / 5 | $72.079,40 | 688 / 46 | $10.198,00 | 522 / 43 | $9.678,92 | 522 / 46 |
| Diabetes W/O Cc/Mcc | 31 | 9 / 3 | $28.766,00 | 249 / 25 | $5.540,45 | 237 / 27 | $4.739,94 | 237 / 28 |
| Dysequilibrium | 21 | 44 / 22 | $39.294,10 | 498 / 59 | $5.853,95 | 478 / 64 | $4.887,10 | 478 / 70 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 33 | 63 / 23 | $50.545,80 | 1167 / 69 | $9.332,06 | 1077 / 90 | $8.498,61 | 1072 / 95 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 135 | 140 / 40 | $43.030,30 | 2542 / 135 | $6.678,87 | 2368 / 144 | $5.785,91 | 2353 / 150 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 26 | $308.127,00 | 731 / 66 | $38.577,50 | 572 / 59 | $35.909,10 | 572 / 63 |
| Fever | 12 | 34 / 19 | $50.804,10 | 321 / 41 | $7.246,00 | 255 / 38 | $6.334,00 | 255 / 38 |
| Fractures Of Hip & Pelvis W/O Mcc | 22 | 39 / 23 | $34.670,80 | 800 / 70 | $6.163,18 | 791 / 77 | $5.187,91 | 790 / 81 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 23 | 39 / 19 | $30.707,10 | 617 / 52 | $6.293,96 | 658 / 76 | $5.510,65 | 656 / 82 |
| G.I. Hemorrhage W Cc | 44 | 174 / 62 | $62.676,80 | 2333 / 146 | $8.415,70 | 1989 / 136 | $7.228,75 | 1985 / 137 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 39 | $127.380,00 | 1643 / 120 | $15.802,00 | 1449 / 116 | $14.404,00 | 1439 / 116 |
| G.I. Hemorrhage W/O Cc/Mcc | 35 | 33 / 13 | $40.029,00 | 919 / 88 | $6.296,31 | 876 / 93 | $5.567,17 | 872 / 96 |
| G.I. Obstruction W Cc | 22 | 70 / 37 | $54.524,20 | 1641 / 121 | $7.495,95 | 1477 / 113 | $6.632,45 | 1472 / 119 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 34 | $39.267,00 | 1228 / 85 | $5.701,69 | 1171 / 90 | $4.677,69 | 1168 / 92 |
| Heart Failure & Shock W Cc | 147 | 131 / 26 | $50.191,70 | 2549 / 143 | $8.052,74 | 2281 / 141 | $7.260,78 | 2275 / 144 |
| Heart Failure & Shock W Mcc | 115 | 169 / 35 | $71.387,80 | 2367 / 130 | $11.567,90 | 2141 / 144 | $10.973,00 | 2131 / 148 |
| Heart Failure & Shock W/O Cc/Mcc | 47 | 63 / 24 | $32.941,70 | 1779 / 100 | $6.121,85 | 1784 / 114 | $5.475,55 | 1771 / 120 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 57 | $100.830,00 | 1895 / 111 | $13.974,70 | 1560 / 119 | $13.101,80 | 1541 / 123 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 24 | $91.071,90 | 874 / 66 | $12.067,10 | 736 / 67 | $11.136,60 | 733 / 68 |
| Hiv W Major Related Condition W Mcc | 20 | 17 / 4 | $163.444,00 | 85 / 16 | $20.801,10 | 29 / 12 | $18.912,60 | 29 / 12 |
| Hypertension W/O Mcc | 45 | 20 / 8 | $33.412,70 | 674 / 65 | $5.853,73 | 659 / 76 | $4.885,91 | 657 / 81 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 39 | 85 / 26 | $214.672,00 | 1315 / 72 | $34.347,70 | 823 / 76 | $33.030,00 | 817 / 85 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 49 | 133 / 40 | $84.819,70 | 2047 / 130 | $9.217,22 | 1755 / 120 | $7.967,20 | 1751 / 120 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 28 | 140 / 43 | $118.629,00 | 1571 / 107 | $13.325,30 | 1256 / 94 | $12.593,80 | 1250 / 100 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 22 | $53.126,40 | 1522 / 103 | $6.795,64 | 1377 / 97 | $5.639,86 | 1373 / 101 |
| Kidney & Urinary Tract Infections W Mcc | 45 | 99 / 39 | $64.201,10 | 1854 / 130 | $8.843,16 | 1607 / 121 | $8.139,29 | 1603 / 127 |
| Kidney & Urinary Tract Infections W/O Mcc | 133 | 100 / 29 | $42.289,80 | 2536 / 143 | $6.722,77 | 2339 / 147 | $5.892,57 | 2328 / 150 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 35 | $79.753,60 | 1084 / 99 | $9.245,54 | 947 / 84 | $8.964,92 | 945 / 93 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 21 | 543 / 116 | $98.436,00 | 2455 / 120 | $16.076,20 | 1987 / 140 | $13.561,10 | 1945 / 139 |
| Medical Back Problems W/O Mcc | 35 | 86 / 38 | $47.084,50 | 1368 / 116 | $7.114,06 | 1259 / 109 | $6.351,54 | 1255 / 122 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 75 | 51 / 6 | $48.254,30 | 1461 / 80 | $8.767,63 | 1280 / 91 | $8.001,01 | 1277 / 95 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 54 | $42.358,10 | 2410 / 141 | $6.346,56 | 2159 / 136 | $5.416,02 | 2151 / 141 |
| Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc | 12 | 15 / 2 | $153.380,00 | 58 / 3 | $21.426,70 | 26 / 2 | $20.431,30 | 26 / 3 |
| Organic Disturbances & Mental Retardation | 14 | 45 / 24 | $42.392,50 | 458 / 43 | $7.909,00 | 393 / 49 | $7.218,71 | 393 / 51 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 21 | $58.374,90 | 630 / 56 | $8.343,20 | 463 / 50 | $6.518,80 | 462 / 50 |
| Other Circulatory System Diagnoses W Mcc | 40 | 76 / 20 | $125.642,00 | 1348 / 106 | $15.455,40 | 1110 / 98 | $14.613,40 | 1102 / 103 |
| Other Digestive System Diagnoses W Cc | 27 | 70 / 30 | $55.886,40 | 1332 / 104 | $7.964,89 | 1136 / 100 | $7.047,56 | 1132 / 105 |
| Other Digestive System Diagnoses W Mcc | 26 | 36 / 8 | $86.008,60 | 689 / 54 | $12.241,20 | 465 / 50 | $11.383,60 | 464 / 52 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 17 | 26 / 13 | $37.935,80 | 327 / 43 | $6.172,59 | 298 / 49 | $5.105,29 | 298 / 50 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 29 | $58.456,80 | 808 / 70 | $8.107,58 | 644 / 64 | $7.307,58 | 644 / 67 |
| Other Resp System O.R. Procedures W Mcc | 15 | 48 / 17 | $198.394,00 | 554 / 53 | $26.695,00 | 433 / 42 | $25.827,70 | 432 / 50 |
| Other Skin, Subcut Tiss & Breast Proc W Mcc | 12 | 10 / 2 | $137.620,00 | 40 / 3 | $18.107,50 | 33 / 3 | $17.575,50 | 33 / 3 |
| Other Vascular Procedures W Cc | 13 | 89 / 35 | $127.273,00 | 1001 / 62 | $17.618,70 | 777 / 65 | $17.057,50 | 772 / 74 |
| Other Vascular Procedures W Mcc | 22 | 75 / 27 | $201.232,00 | 971 / 86 | $26.425,60 | 708 / 81 | $23.813,20 | 705 / 81 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 63 | $147.841,00 | 1431 / 108 | $15.429,30 | 1212 / 93 | $14.273,30 | 1205 / 105 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 26 | $143.791,00 | 547 / 41 | $13.556,90 | 444 / 38 | $12.343,80 | 442 / 41 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 32 | $102.222,00 | 465 / 38 | $14.217,50 | 415 / 43 | $13.284,50 | 411 / 54 |
| Peripheral Vascular Disorders W Cc | 28 | 56 / 25 | $50.504,70 | 1152 / 105 | $7.961,64 | 965 / 98 | $6.969,64 | 962 / 100 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 20 | $29.100,00 | 324 / 53 | $6.153,17 | 340 / 57 | $5.443,83 | 340 / 60 |
| Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 29 | $118.363,00 | 858 / 71 | $18.111,70 | 661 / 70 | $17.357,70 | 660 / 79 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 25 | $85.567,60 | 916 / 68 | $10.507,70 | 706 / 63 | $9.864,29 | 704 / 70 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 21 | 40 / 15 | $44.130,60 | 876 / 79 | $5.971,10 | 645 / 68 | $4.428,24 | 644 / 68 |
| Psychoses | 1117 | 4 / 1 | $28.320,10 | 454 / 27 | $8.220,05 | 461 / 40 | $7.378,52 | 461 / 41 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 50 | $75.894,70 | 2101 / 131 | $9.528,23 | 1783 / 117 | $8.847,00 | 1778 / 126 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 32 | $54.728,20 | 1193 / 73 | $8.151,91 | 1124 / 72 | $7.381,00 | 1121 / 75 |
| Red Blood Cell Disorders W Mcc | 35 | 36 / 12 | $70.732,60 | 1034 / 87 | $9.879,83 | 649 / 77 | $8.022,23 | 645 / 75 |
| Red Blood Cell Disorders W/O Mcc | 137 | 18 / 3 | $35.129,00 | 1666 / 106 | $6.934,17 | 1706 / 130 | $6.377,73 | 1697 / 136 |
| Renal Failure W Cc | 68 | 153 / 57 | $60.356,90 | 2365 / 156 | $7.951,07 | 2091 / 137 | $7.435,78 | 2081 / 147 |
| Renal Failure W Mcc | 50 | 145 / 49 | $75.740,00 | 1967 / 133 | $11.125,90 | 1554 / 126 | $10.484,60 | 1552 / 130 |
| Renal Failure W/O Cc/Mcc | 37 | 19 / 7 | $35.013,50 | 783 / 66 | $5.855,14 | 768 / 67 | $5.040,43 | 766 / 70 |
| Respiratory Infections & Inflammations W Cc | 28 | 60 / 25 | $80.919,40 | 1398 / 88 | $10.554,20 | 1183 / 87 | $9.602,25 | 1178 / 90 |
| Respiratory Infections & Inflammations W Mcc | 31 | 105 / 34 | $109.601,00 | 1695 / 107 | $14.728,00 | 1444 / 102 | $13.907,40 | 1429 / 106 |
| Respiratory Signs & Symptoms | 13 | 33 / 16 | $36.511,80 | 274 / 28 | $6.226,62 | 244 / 31 | $5.387,23 | 244 / 33 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 48 | 83 / 23 | $97.206,40 | 1483 / 83 | $16.720,20 | 1158 / 108 | $14.866,20 | 1145 / 110 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 59 | 14 / 4 | $203.626,00 | 757 / 55 | $34.417,10 | 507 / 56 | $32.693,30 | 506 / 59 |
| Seizures W Mcc | 26 | 40 / 11 | $97.034,20 | 724 / 63 | $12.396,50 | 573 / 56 | $11.584,20 | 573 / 61 |
| Seizures W/O Mcc | 58 | 50 / 7 | $36.325,10 | 1081 / 72 | $6.789,52 | 1053 / 93 | $5.883,66 | 1051 / 96 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 57 | 35 / 4 | $240.030,00 | 863 / 55 | $39.134,90 | 500 / 61 | $36.749,70 | 499 / 57 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 169 | 347 / 57 | $100.146,00 | 2638 / 135 | $13.614,50 | 2086 / 134 | $12.699,30 | 2049 / 138 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 52 | $60.159,60 | 2412 / 120 | $8.619,59 | 2140 / 128 | $7.766,86 | 2132 / 138 |
| Signs & Symptoms W Mcc | 21 | 20 / 5 | $47.870,60 | 231 / 22 | $8.863,86 | 176 / 24 | $8.115,67 | 176 / 24 |
| Signs & Symptoms W/O Mcc | 72 | 21 / 3 | $39.919,10 | 1225 / 102 | $6.664,81 | 1097 / 102 | $5.432,99 | 1094 / 101 |
| Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 44 | $59.484,40 | 2691 / 144 | $8.015,88 | 2378 / 142 | $7.142,30 | 2369 / 144 |
| Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 61 | $82.003,40 | 2359 / 136 | $10.711,80 | 1857 / 126 | $9.566,70 | 1857 / 131 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 36 | 57 / 23 | $41.009,40 | 1820 / 112 | $6.368,31 | 1717 / 118 | $5.238,72 | 1709 / 123 |
| Syncope & Collapse | 98 | 71 / 25 | $38.815,50 | 1676 / 102 | $6.504,06 | 1624 / 122 | $5.639,41 | 1617 / 127 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 16 | $373.006,00 | 410 / 32 | $60.856,30 | 213 / 22 | $59.786,40 | 213 / 28 |
| Transient Ischemia | 45 | 80 / 38 | $46.652,20 | 1536 / 114 | $6.339,20 | 1402 / 114 | $5.266,13 | 1395 / 117 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 25 | 19 / 8 | $40.163,00 | 266 / 40 | $6.601,08 | 250 / 43 | $5.874,04 | 250 / 47 |
| Traumatic Injury W/O Mcc | 14 | 4 / 3 | $37.835,50 | 20 / 7 | $6.550,71 | 18 / 7 | $4.965,14 | 18 / 7 | Total 100 procedures | 4.964 | 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.