Hospital Costs > In South Carolina > Sisters Of Charity Providence Hospitals, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 681 | 60 / 2 | $39.430,60 | 724 / 3 | $12.174,90 | 110 / 9 | $9.400,81 | 110 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 171 | 43 / 2 | $55.999,20 | 365 / 2 | $12.531,10 | 74 / 7 | $9.249,98 | 74 / 1 |
| Heart Failure & Shock W Cc | 160 | 118 / 6 | $17.402,40 | 861 / 7 | $5.287,68 | 56 / 3 | $4.215,14 | 56 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 150 | 46 / 1 | $22.314,60 | 167 / 1 | $5.829,53 | 48 / 2 | $4.551,08 | 48 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 127 | 389 / 23 | $27.873,40 | 691 / 6 | $9.661,87 | 85 / 2 | $8.579,74 | 85 / 3 |
| Heart Failure & Shock W Mcc | 113 | 171 / 12 | $27.620,90 | 950 / 16 | $8.673,57 | 512 / 15 | $7.704,85 | 512 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 103 | 48 / 2 | $9.244,96 | 256 / 1 | $3.030,57 | 46 / 2 | $1.827,43 | 46 / 2 |
| G.I. Hemorrhage W Cc | 97 | 121 / 10 | $13.359,80 | 183 / 1 | $5.284,73 | 52 / 2 | $4.213,73 | 52 / 3 |
| Renal Failure W Cc | 96 | 125 / 11 | $15.526,80 | 508 / 4 | $5.132,78 | 46 / 2 | $4.036,03 | 46 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 86 | 17 / 1 | $37.226,70 | 131 / 1 | $11.698,70 | 77 / 1 | $10.247,70 | 77 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 75 | 119 / 9 | $78.994,00 | 511 / 7 | $21.750,00 | 142 / 1 | $19.391,30 | 141 / 2 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 70 | 24 / 1 | $63.264,60 | 49 / 1 | $21.525,00 | 30 / 6 | $17.327,30 | 30 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 69 | 92 / 7 | $12.571,20 | 281 / 3 | $4.401,81 | 7 / 4 | $2.892,29 | 7 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 64 | 36 / 1 | $80.273,20 | 279 / 3 | $19.220,20 | 174 / 3 | $17.001,70 | 174 / 4 |
| Renal Failure W Mcc | 62 | 133 / 15 | $35.578,10 | 1078 / 20 | $9.812,94 | 757 / 21 | $8.468,37 | 757 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 60 | 63 / 4 | $22.974,10 | 521 / 2 | $7.001,63 | 177 / 4 | $5.797,07 | 177 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 58 | 67 / 4 | $34.680,80 | 606 / 6 | $9.934,34 | 135 / 14 | $8.060,34 | 135 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 16 | $24.819,50 | 690 / 5 | $7.696,26 | 85 / 2 | $6.540,60 | 85 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 57 | 19 / 2 | $81.758,60 | 43 / 1 | $25.755,80 | 109 / 1 | $23.510,80 | 109 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 57 | 218 / 21 | $14.902,00 | 741 / 4 | $4.080,96 | 25 / 3 | $2.755,30 | 25 / 4 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 56 | 62 / 2 | $108.828,00 | 111 / 1 | $31.221,40 | 23 / 4 | $25.674,40 | 23 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 55 | 111 / 12 | $10.270,30 | 339 / 2 | $3.752,24 | 20 / 2 | $2.553,18 | 20 / 1 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 55 | 40 / 1 | $57.144,60 | 151 / 1 | $11.301,60 | 89 / 1 | $9.921,40 | 88 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 52 | 58 / 4 | $11.379,10 | 399 / 5 | $3.588,96 | 68 / 2 | $2.704,29 | 67 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 50 | 132 / 16 | $15.035,00 | 155 / 3 | $5.654,52 | 50 / 4 | $4.384,20 | 50 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 19 | $20.777,00 | 794 / 6 | $6.474,10 | 25 / 5 | $4.794,02 | 25 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 19 | $13.319,10 | 235 / 1 | $5.614,02 | 43 / 2 | $4.429,65 | 43 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 46 | 97 / 11 | $31.671,70 | 278 / 2 | $10.109,00 | 68 / 2 | $9.063,43 | 68 / 2 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 46 | 23 / 1 | $53.676,60 | 141 / 1 | $15.509,20 | 45 / 3 | $12.932,50 | 45 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 45 | 46 / 3 | $23.997,00 | 475 / 4 | $5.602,67 | 51 / 3 | $4.501,24 | 51 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 40 | 91 / 11 | $36.195,50 | 236 / 1 | $12.431,40 | 190 / 5 | $11.510,60 | 189 / 5 |
| Red Blood Cell Disorders W/O Mcc | 40 | 103 / 17 | $12.036,60 | 217 / 3 | $4.358,45 | 16 / 2 | $3.020,48 | 16 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 39 | 62 / 4 | $78.423,70 | 356 / 3 | $18.159,60 | 101 / 2 | $16.944,30 | 101 / 5 |
| Permanent Cardiac Pacemaker Implant W Cc | 39 | 38 / 3 | $47.554,80 | 180 / 2 | $14.350,40 | 93 / 1 | $13.288,80 | 93 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 24 | $15.793,40 | 659 / 9 | $5.231,73 | 37 / 2 | $3.939,30 | 37 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 37 | 56 / 3 | $34.923,50 | 85 / 1 | $11.145,30 | 34 / 1 | $9.892,78 | 34 / 1 |
| Respiratory Infections & Inflammations W Mcc | 37 | 99 / 10 | $33.627,20 | 541 / 4 | $10.897,50 | 95 / 5 | $9.364,38 | 95 / 1 |
| Syncope & Collapse | 34 | 135 / 16 | $16.775,30 | 555 / 6 | $3.903,79 | 37 / 3 | $2.806,97 | 37 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 34 | 82 / 3 | $163.912,00 | 128 / 1 | $48.724,30 | 160 / 6 | $47.530,80 | 160 / 6 |
| Revision Of Hip Or Knee Replacement W Cc | 33 | 53 / 3 | $63.010,70 | 163 / 2 | $17.795,50 | 39 / 2 | $15.938,80 | 39 / 2 |
| Chest Pain | 32 | 119 / 10 | $11.879,00 | 246 / 2 | $3.193,66 | 11 / 2 | $2.015,19 | 11 / 1 |
| G.I. Hemorrhage W Mcc | 32 | 89 / 13 | $28.624,30 | 282 / 3 | $10.673,70 | 84 / 15 | $8.415,34 | 84 / 4 |
| Pulmonary Edema & Respiratory Failure | 31 | 172 / 26 | $32.196,50 | 1153 / 25 | $8.628,45 | 1118 / 35 | $7.131,90 | 1116 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 16 | $15.329,90 | 164 / 1 | $5.838,33 | 27 / 2 | $4.847,40 | 27 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 28 | 57 / 7 | $100.914,00 | 389 / 3 | $33.561,10 | 513 / 7 | $29.713,20 | 511 / 5 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 28 | 41 / 2 | $43.186,60 | 78 / 1 | $14.504,80 | 20 / 1 | $11.672,10 | 20 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 27 | 77 / 10 | $38.517,90 | 173 / 2 | $11.679,90 | 115 / 1 | $10.483,90 | 115 / 4 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 12 | $43.555,70 | 264 / 1 | $15.051,50 | 69 / 5 | $11.693,20 | 69 / 2 |
| Coronary Bypass W Cardiac Cath W Mcc | 27 | 29 / 2 | $113.178,00 | 29 / 1 | $38.511,90 | 81 / 2 | $37.192,70 | 81 / 4 |
| Extracranial Procedures W/O Cc/Mcc | 27 | 71 / 11 | $28.141,50 | 383 / 4 | $5.752,26 | 17 / 1 | $4.204,89 | 17 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 31 | $12.615,70 | 592 / 6 | $4.115,27 | 30 / 3 | $2.924,08 | 30 / 2 |
| Cellulitis W/O Mcc | 26 | 163 / 23 | $11.470,90 | 413 / 4 | $4.487,77 | 95 / 2 | $3.392,27 | 95 / 3 |
| Diabetes W Cc | 26 | 66 / 14 | $10.673,50 | 106 / 1 | $4.370,00 | 60 / 1 | $3.499,38 | 60 / 2 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 26 | 31 / 5 | $38.551,20 | 132 / 1 | $11.993,70 | 18 / 2 | $9.802,54 | 18 / 2 |
| Transient Ischemia | 24 | 101 / 16 | $13.873,80 | 234 / 3 | $3.712,00 | 49 / 2 | $2.658,25 | 49 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 25 | $14.723,80 | 488 / 2 | $5.058,25 | 56 / 3 | $3.857,58 | 56 / 3 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 22 | 47 / 6 | $47.511,30 | 127 / 1 | $11.053,40 | 27 / 2 | $8.208,95 | 27 / 2 |
| Other Vascular Procedures W Cc | 21 | 81 / 8 | $54.859,60 | 276 / 2 | $13.771,40 | 111 / 1 | $12.797,20 | 111 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 21 | 35 / 5 | $29.101,00 | 170 / 1 | $8.509,43 | 45 / 1 | $7.374,19 | 45 / 1 |
| Red Blood Cell Disorders W Mcc | 21 | 50 / 8 | $18.370,30 | 124 / 2 | $6.609,52 | 11 / 2 | $5.454,10 | 11 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 18 | $30.832,60 | 369 / 5 | $10.572,20 | 570 / 13 | $9.528,90 | 569 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 19 | $14.903,60 | 245 / 4 | $4.490,80 | 48 / 5 | $2.831,00 | 48 / 2 |
| Respiratory Infections & Inflammations W Cc | 19 | 69 / 10 | $19.152,90 | 232 / 2 | $7.101,79 | 35 / 1 | $6.093,79 | 35 / 1 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 7 | $102.108,00 | 270 / 2 | $33.820,50 | 215 / 9 | $28.121,00 | 215 / 4 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 13 | $16.439,20 | 211 / 2 | $5.081,79 | 36 / 2 | $4.008,95 | 36 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 16 | $79.665,60 | 250 / 1 | $29.341,30 | 242 / 2 | $27.327,90 | 242 / 4 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 6 | $18.738,20 | 257 / 5 | $4.024,83 | 28 / 3 | $2.927,50 | 28 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 18 | 71 / 7 | $18.596,50 | 71 / 1 | $5.833,28 | 20 / 1 | $4.199,78 | 20 / 1 |
| Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 6 | $61.238,30 | 83 / 1 | $20.239,90 | 82 / 2 | $19.324,40 | 82 / 3 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 17 | 52 / 3 | $183.025,00 | 54 / 1 | $58.433,60 | 39 / 2 | $50.325,30 | 39 / 1 |
| Major Chest Procedures W Cc | 17 | 57 / 7 | $45.292,80 | 75 / 1 | $13.601,50 | 48 / 1 | $12.516,60 | 48 / 1 |
| Medical Back Problems W/O Mcc | 17 | 104 / 12 | $13.769,20 | 161 / 1 | $4.511,88 | 30 / 2 | $3.318,71 | 30 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 16 | 31 / 4 | $25.083,20 | 48 / 1 | $9.113,44 | 14 / 2 | $6.139,44 | 14 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 3 | $30.098,80 | 158 / 1 | $6.981,88 | 3 / 2 | $4.580,56 | 3 / 1 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 10 | $15.922,20 | 184 / 2 | $5.458,88 | 3 / 2 | $3.647,38 | 3 / 1 |
| G.I. Obstruction W Cc | 16 | 76 / 15 | $14.870,00 | 279 / 1 | $5.041,12 | 3 / 4 | $3.135,12 | 3 / 1 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 15 | 13 / 1 | $32.443,90 | 18 / 1 | $8.794,00 | 13 / 1 | $8.129,73 | 13 / 1 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 11 | $11.366,10 | 176 / 3 | $3.348,80 | 6 / 2 | $2.191,47 | 6 / 1 |
| Pulmonary Embolism W Mcc | 15 | 28 / 5 | $21.191,20 | 56 / 1 | $7.913,73 | 22 / 1 | $6.889,60 | 22 / 1 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 11 | $22.796,10 | 530 / 7 | $5.517,67 | 28 / 3 | $3.998,40 | 28 / 2 |
| Hypertension W/O Mcc | 15 | 50 / 9 | $13.584,20 | 160 / 1 | $3.319,73 | 2 / 2 | $2.011,20 | 2 / 1 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 15 | 35 / 4 | $77.798,70 | 16 / 1 | $31.094,90 | 7 / 1 | $26.037,30 | 7 / 1 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 15 | 66 / 7 | $260.224,00 | 46 / 1 | $84.827,50 | 51 / 1 | $82.735,80 | 51 / 1 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 17 | $37.445,60 | 412 / 6 | $11.032,30 | 352 / 6 | $10.162,40 | 351 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 9 | $34.043,50 | 159 / 1 | $9.101,87 | 14 / 1 | $6.955,20 | 14 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 9 | $84.108,10 | 120 / 2 | $27.900,20 | 186 / 3 | $26.968,40 | 186 / 4 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 14 | 40 / 3 | $82.448,50 | 93 / 3 | $19.989,30 | 18 / 5 | $15.230,40 | 18 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 7 | $49.412,20 | 148 / 1 | $15.297,60 | 30 / 1 | $14.256,40 | 30 / 1 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 5 | $115.224,00 | 184 / 2 | $32.746,60 | 244 / 4 | $31.633,00 | 244 / 6 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 5 | $10.179,70 | 88 / 1 | $3.789,07 | 28 / 2 | $2.657,93 | 28 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 11 | $13.923,40 | 94 / 1 | $4.887,00 | 25 / 1 | $3.685,86 | 25 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 10 | $57.684,50 | 216 / 1 | $15.734,40 | 30 / 2 | $14.626,90 | 30 / 2 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 10 | $20.329,30 | 202 / 2 | $6.336,00 | 10 / 6 | $4.003,31 | 10 / 1 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 13 | 46 / 4 | $94.603,30 | 25 / 1 | $31.184,70 | 34 / 2 | $29.998,50 | 34 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 19 | $11.374,80 | 358 / 7 | $3.738,31 | 20 / 2 | $2.439,54 | 20 / 1 |
| Diabetes W Mcc | 13 | 44 / 11 | $23.139,00 | 136 / 2 | $7.975,31 | 33 / 4 | $6.401,92 | 33 / 2 |
| Extracranial Procedures W Cc | 12 | 34 / 4 | $28.349,80 | 67 / 1 | $8.319,58 | 21 / 1 | $7.271,92 | 21 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 25 | $14.564,70 | 736 / 10 | $4.005,17 | 7 / 3 | $2.395,75 | 7 / 1 |
| Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 9 | $46.261,80 | 249 / 2 | $9.498,92 | 73 / 3 | $8.263,58 | 73 / 2 |
| Other Vascular Procedures W Mcc | 12 | 85 / 13 | $80.619,20 | 389 / 8 | $20.679,90 | 388 / 9 | $19.561,70 | 386 / 11 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 8 | $17.425,20 | 41 / 1 | $6.944,58 | 7 / 1 | $5.640,42 | 7 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 29 | $18.823,90 | 493 / 6 | $6.017,67 | 102 / 2 | $5.028,33 | 102 / 2 |
| Seizures W Mcc | 12 | 54 / 9 | $21.748,20 | 69 / 1 | $8.019,33 | 32 / 1 | $7.120,67 | 32 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 14 | $27.503,80 | 545 / 9 | $6.749,67 | 185 / 3 | $5.957,67 | 184 / 5 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 11 | 34 / 5 | $58.461,90 | 32 / 1 | $17.399,50 | 1 / 1 | $13.012,70 | 1 / 1 | Total 105 procedures | 4.487 | 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.