Hospital Costs > In Florida > St Lucie Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Adjustment Reaction & Psychosocial Dysfunction | 11 | 19 / 5 | $29.315,80 | 65 / 6 | $3.981,55 | 6 / 3 | $3.096,91 | 6 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 29 | $53.587,80 | 1229 / 77 | $8.400,41 | 173 / 89 | $4.874,27 | 173 / 28 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 48 | 77 / 21 | $75.549,80 | 1512 / 82 | $9.499,33 | 379 / 42 | $8.718,77 | 379 / 49 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 25 | 28 / 8 | $32.401,00 | 626 / 34 | $5.236,88 | 162 / 44 | $3.474,40 | 161 / 28 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 26 | $49.765,50 | 826 / 61 | $3.759,91 | 59 / 12 | $3.002,82 | 59 / 16 |
| Angina Pectoris | 15 | 10 / 3 | $31.900,90 | 54 / 9 | $4.170,07 | 12 / 9 | $2.623,07 | 12 / 5 |
| Atherosclerosis W/O Mcc | 25 | 33 / 9 | $31.156,10 | 460 / 45 | $3.703,56 | / 22 | $2.959,92 | / |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 21 | $115.292,00 | 546 / 35 | $11.600,40 | 62 / 21 | $9.109,00 | 62 / 8 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 25 | 64 / 16 | $81.838,70 | 738 / 54 | $8.043,84 | 81 / 40 | $4.676,12 | 81 / 11 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 18 | 45 / 7 | $196.055,00 | 227 / 13 | $31.234,10 | 18 / 15 | $15.864,10 | 18 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 34 | $45.232,20 | 972 / 88 | $5.255,17 | 309 / 32 | $4.345,42 | 305 / 50 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 21 | $33.144,30 | 327 / 43 | $3.998,36 | 126 / 17 | $3.102,36 | 126 / 28 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 77 | 84 / 27 | $39.775,60 | 1903 / 117 | $4.985,05 | 692 / 72 | $4.006,52 | 689 / 80 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 28 | $70.206,20 | 1782 / 115 | $7.149,95 | 548 / 53 | $6.436,35 | 545 / 63 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 66 | 84 / 35 | $28.429,20 | 1716 / 105 | $3.980,71 | 700 / 87 | $2.585,71 | 696 / 80 |
| Cellulitis W Mcc | 11 | 47 / 23 | $70.669,50 | 871 / 63 | $8.957,09 | 36 / 38 | $6.538,91 | 36 / 3 |
| Cellulitis W/O Mcc | 68 | 121 / 38 | $43.881,40 | 2488 / 149 | $5.641,75 | 361 / 100 | $3.763,97 | 358 / 41 |
| Chest Pain | 106 | 50 / 20 | $30.815,40 | 1406 / 87 | $3.930,92 | 528 / 60 | $2.954,03 | 524 / 70 |
| Chronic Obstructive Pulmonary Disease W Cc | 99 | 80 / 25 | $50.653,50 | 2255 / 135 | $5.675,52 | 592 / 65 | $4.631,04 | 590 / 64 |
| Chronic Obstructive Pulmonary Disease W Mcc | 88 | 114 / 35 | $63.902,20 | 2400 / 141 | $6.854,68 | 800 / 58 | $6.043,89 | 795 / 79 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 46 | 74 / 39 | $40.402,20 | 1962 / 134 | $4.515,11 | 659 / 63 | $3.446,41 | 657 / 73 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 65 | $68.493,10 | 1484 / 102 | $6.299,62 | 513 / 30 | $5.470,71 | 511 / 64 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 20 | 48 / 19 | $39.344,20 | 596 / 42 | $5.133,75 | 84 / 16 | $4.118,35 | 84 / 18 |
| Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 25 | $47.405,60 | 749 / 72 | $5.678,43 | 106 / 32 | $4.619,90 | 106 / 27 |
| Diabetes W Cc | 36 | 56 / 20 | $30.248,10 | 1179 / 57 | $5.366,33 | 307 / 68 | $4.021,42 | 307 / 42 |
| Diabetes W/O Cc/Mcc | 16 | 22 / 7 | $26.362,10 | 233 / 20 | $5.429,31 | 16 / 26 | $2.450,00 | 16 / 7 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 22 | $65.459,50 | 925 / 60 | $5.399,80 | 144 / 21 | $4.326,67 | 144 / 24 |
| Dysequilibrium | 24 | 41 / 19 | $34.144,00 | 458 / 50 | $4.135,96 | 49 / 35 | $2.437,79 | 49 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 34 | $68.908,80 | 1352 / 104 | $7.099,14 | 264 / 43 | $6.161,64 | 262 / 38 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 166 | 109 / 29 | $46.426,00 | 2608 / 153 | $4.704,01 | 842 / 72 | $3.658,05 | 837 / 81 |
| Extracranial Procedures W/O Cc/Mcc | 19 | 79 / 32 | $81.126,60 | 897 / 59 | $7.972,74 | 109 / 55 | $4.718,84 | 109 / 15 |
| Fever | 14 | 32 / 18 | $42.758,60 | 300 / 37 | $5.746,14 | 61 / 24 | $4.220,71 | 61 / 20 |
| Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 25 | $34.366,90 | 794 / 68 | $4.327,40 | 322 / 39 | $3.518,10 | 323 / 57 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 22 | 40 / 20 | $37.779,20 | 705 / 73 | $4.674,59 | 193 / 35 | $3.590,95 | 193 / 42 |
| G.I. Hemorrhage W Cc | 65 | 153 / 47 | $65.992,70 | 2354 / 148 | $6.000,02 | 714 / 64 | $5.102,58 | 713 / 76 |
| G.I. Hemorrhage W Mcc | 39 | 82 / 24 | $92.886,60 | 1521 / 110 | $10.399,70 | 390 / 65 | $9.380,23 | 390 / 54 |
| G.I. Obstruction W Cc | 31 | 61 / 28 | $54.505,40 | 1637 / 119 | $5.479,32 | 503 / 60 | $4.482,10 | 502 / 65 |
| G.I. Obstruction W Mcc | 12 | 30 / 13 | $67.802,40 | 446 / 32 | $8.760,33 | 33 / 8 | $7.830,58 | 33 / 7 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 34 | $36.659,90 | 1203 / 79 | $3.831,69 | 353 / 41 | $2.772,00 | 353 / 53 |
| Heart Failure & Shock W Cc | 133 | 145 / 31 | $51.955,80 | 2576 / 146 | $6.005,56 | 593 / 76 | $4.982,58 | 593 / 62 |
| Heart Failure & Shock W Mcc | 135 | 149 / 26 | $83.084,80 | 2481 / 148 | $9.179,90 | 1078 / 94 | $8.408,63 | 1075 / 100 |
| Heart Failure & Shock W/O Cc/Mcc | 37 | 73 / 32 | $40.880,70 | 1905 / 120 | $4.167,76 | 412 / 53 | $3.225,14 | 410 / 50 |
| Hip & Femur Procedures Except Major Joint W Cc | 49 | 94 / 30 | $112.814,00 | 1964 / 124 | $11.535,10 | 751 / 75 | $10.521,60 | 744 / 84 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 22 | $162.650,00 | 904 / 68 | $18.807,00 | 110 / 51 | $15.238,20 | 110 / 18 |
| Hypertension W/O Mcc | 26 | 39 / 23 | $37.143,40 | 720 / 77 | $3.889,42 | 178 / 31 | $2.843,31 | 176 / 43 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 38 | $260.611,00 | 1439 / 92 | $29.633,00 | 416 / 33 | $28.787,20 | 414 / 52 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 48 | 134 / 41 | $48.628,00 | 1711 / 81 | $6.305,27 | 642 / 50 | $5.373,54 | 641 / 66 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 46 | $86.839,80 | 1419 / 86 | $10.037,10 | 418 / 50 | $9.131,60 | 417 / 57 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 38 | $42.837,60 | 1403 / 83 | $5.505,58 | 387 / 75 | $3.486,26 | 384 / 48 |
| Kidney & Urinary Tract Infections W Mcc | 46 | 98 / 38 | $57.886,90 | 1786 / 116 | $6.526,87 | 483 / 59 | $5.687,20 | 482 / 66 |
| Kidney & Urinary Tract Infections W/O Mcc | 92 | 141 / 51 | $40.921,90 | 2514 / 137 | $4.762,62 | 578 / 77 | $3.677,96 | 576 / 66 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 28 | $122.058,00 | 846 / 76 | $9.654,93 | 329 / 36 | $8.768,29 | 329 / 54 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 19 | 28 / 15 | $102.094,00 | 570 / 59 | $7.260,05 | 210 / 23 | $6.163,74 | 210 / 38 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 19 | 36 / 16 | $108.153,00 | 596 / 50 | $11.545,80 | 193 / 25 | $10.479,70 | 193 / 30 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 18 | 29 / 10 | $110.288,00 | 511 / 44 | $9.192,28 | 110 / 28 | $7.264,56 | 110 / 19 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 38 | $155.428,00 | 894 / 56 | $19.371,20 | 259 / 22 | $18.266,30 | 259 / 37 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 34 | $66.845,40 | 1049 / 94 | $6.891,21 | 321 / 42 | $6.198,50 | 320 / 48 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 24 | 72 / 19 | $108.813,00 | 779 / 41 | $13.749,40 | 224 / 38 | $11.234,30 | 222 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 25 | $174.290,00 | 880 / 64 | $20.617,30 | 518 / 51 | $19.507,80 | 515 / 58 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 491 | 129 / 12 | $106.660,00 | 2540 / 134 | $13.660,30 | 694 / 96 | $10.617,00 | 684 / 71 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 22 | 47 / 12 | $125.443,00 | 451 / 37 | $15.476,90 | 129 / 27 | $13.411,00 | 129 / 27 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 37 | $173.838,00 | 1491 / 98 | $16.456,70 | 432 / 67 | $13.359,10 | 429 / 62 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 36 | $264.273,00 | 1188 / 79 | $26.944,10 | 162 / 14 | $26.026,50 | 162 / 24 |
| Medical Back Problems W/O Mcc | 36 | 85 / 37 | $42.355,30 | 1298 / 104 | $5.201,11 | 302 / 59 | $3.958,00 | 302 / 48 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 35 | $61.247,70 | 1607 / 105 | $6.607,48 | 348 / 42 | $5.785,78 | 345 / 43 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 56 | 110 / 42 | $42.013,50 | 2406 / 140 | $4.377,29 | 646 / 70 | $3.414,05 | 644 / 70 |
| Organic Disturbances & Mental Retardation | 23 | 36 / 15 | $57.279,30 | 527 / 56 | $6.093,17 | 138 / 34 | $5.268,65 | 138 / 35 |
| Other Circulatory System Diagnoses W Cc | 21 | 45 / 15 | $44.362,50 | 569 / 46 | $6.271,81 | 21 / 35 | $4.165,19 | 21 / 3 |
| Other Circulatory System Diagnoses W Mcc | 22 | 94 / 35 | $95.578,30 | 1243 / 97 | $11.393,90 | 273 / 57 | $9.880,50 | 273 / 44 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 32 | $54.847,30 | 1320 / 101 | $5.839,04 | 462 / 45 | $5.140,72 | 459 / 60 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 22 | $73.806,20 | 654 / 50 | $9.678,33 | 157 / 21 | $9.154,25 | 157 / 34 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 13 | 30 / 17 | $39.173,20 | 332 / 46 | $4.150,77 | 86 / 28 | $3.203,92 | 86 / 31 |
| Other Disorders Of Nervous System W Cc | 12 | 44 / 21 | $49.613,90 | 551 / 42 | $6.027,83 | 73 / 31 | $4.236,00 | 73 / 13 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 20 | 83 / 21 | $53.160,70 | 777 / 65 | $6.380,00 | 70 / 45 | $4.712,45 | 70 / 15 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 26 | $73.467,60 | 973 / 49 | $9.071,56 | 240 / 32 | $8.177,61 | 240 / 32 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 17 | 23 / 10 | $111.025,00 | 204 / 25 | $11.422,40 | 63 / 14 | $10.681,10 | 63 / 18 |
| Other Respiratory System Diagnoses W/O Mcc | 13 | 33 / 12 | $38.548,00 | 273 / 25 | $4.830,85 | 57 / 10 | $3.984,62 | 57 / 15 |
| Other Vascular Procedures W Mcc | 18 | 79 / 31 | $117.477,00 | 709 / 47 | $17.535,10 | 93 / 14 | $16.873,40 | 93 / 20 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 32 | $42.287,60 | 1046 / 83 | $6.126,05 | 228 / 65 | $4.697,52 | 227 / 44 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 16 | 29 / 16 | $24.960,80 | 290 / 40 | $4.088,88 | 100 / 28 | $3.244,69 | 100 / 33 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 34 | $96.072,90 | 751 / 53 | $15.275,60 | 261 / 40 | $14.382,90 | 260 / 50 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 27 | 45 / 13 | $88.819,50 | 932 / 70 | $10.363,60 | 353 / 59 | $7.914,33 | 352 / 45 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 20 | $30.358,80 | 759 / 57 | $3.930,25 | 168 / 28 | $3.055,50 | 167 / 30 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 20 | $59.441,00 | 432 / 50 | $12.534,80 | 32 / 50 | $4.527,08 | 32 / 8 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 16 | 22 / 5 | $102.118,00 | 153 / 13 | $10.971,60 | 27 / 2 | $10.391,60 | 27 / 5 |
| Psychoses | 19 | 256 / 25 | $37.564,20 | 534 / 44 | $6.000,53 | 45 / 13 | $4.758,63 | 45 / 11 |
| Pulmonary Edema & Respiratory Failure | 28 | 175 / 48 | $75.539,40 | 2095 / 130 | $7.243,00 | 744 / 54 | $6.644,86 | 744 / 77 |
| Pulmonary Embolism W Mcc | 21 | 22 / 7 | $83.919,70 | 544 / 27 | $8.753,71 | 198 / 13 | $8.257,86 | 198 / 19 |
| Pulmonary Embolism W/O Mcc | 26 | 48 / 17 | $54.669,20 | 1191 / 72 | $6.067,35 | 403 / 36 | $5.004,96 | 402 / 44 |
| Red Blood Cell Disorders W Mcc | 30 | 41 / 16 | $60.903,10 | 956 / 73 | $7.398,97 | 318 / 32 | $6.859,73 | 317 / 45 |
| Red Blood Cell Disorders W/O Mcc | 44 | 99 / 40 | $43.005,60 | 1808 / 131 | $4.892,07 | 733 / 59 | $4.217,41 | 728 / 79 |
| Renal Failure W Cc | 88 | 133 / 40 | $49.975,10 | 2251 / 134 | $6.781,56 | 416 / 113 | $4.665,43 | 413 / 52 |
| Renal Failure W Mcc | 65 | 130 / 35 | $70.737,80 | 1897 / 120 | $9.447,49 | 590 / 86 | $8.189,49 | 590 / 76 |
| Renal Failure W/O Cc/Mcc | 17 | 39 / 25 | $26.658,70 | 705 / 49 | $3.876,12 | 199 / 32 | $2.930,35 | 198 / 34 |
| Respiratory Infections & Inflammations W Cc | 21 | 67 / 30 | $93.425,80 | 1445 / 95 | $7.948,29 | 369 / 40 | $7.110,00 | 366 / 45 |
| Respiratory Infections & Inflammations W Mcc | 38 | 98 / 27 | $97.382,00 | 1634 / 94 | $11.100,10 | 466 / 41 | $10.417,70 | 462 / 50 |
| Respiratory Neoplasms W Cc | 11 | 36 / 17 | $60.242,10 | 446 / 42 | $7.023,45 | 92 / 22 | $6.002,64 | 91 / 27 |
| Respiratory Neoplasms W Mcc | 17 | 35 / 12 | $80.887,80 | 545 / 36 | $9.951,06 | 158 / 18 | $9.213,00 | 158 / 25 |
| Respiratory Signs & Symptoms | 20 | 26 / 9 | $33.320,80 | 257 / 24 | $4.228,65 | 63 / 17 | $3.362,70 | 63 / 19 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 32 | $143.145,00 | 1756 / 124 | $13.401,90 | 619 / 50 | $12.753,60 | 611 / 71 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 21 | $331.950,00 | 944 / 80 | $31.859,40 | 369 / 46 | $30.193,50 | 369 / 49 |
| Revision Of Hip Or Knee Replacement W Cc | 27 | 59 / 16 | $168.585,00 | 630 / 56 | $21.631,70 | 79 / 45 | $16.652,50 | 79 / 8 |
| Seizures W/O Mcc | 25 | 83 / 32 | $41.948,60 | 1157 / 89 | $4.970,96 | 130 / 57 | $3.393,04 | 129 / 26 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 18 | $274.173,00 | 953 / 70 | $33.098,60 | 243 / 30 | $32.282,50 | 242 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 181 | 335 / 52 | $111.004,00 | 2713 / 156 | $11.671,90 | 972 / 93 | $10.147,30 | 964 / 88 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 69 | 138 / 35 | $63.284,80 | 2444 / 130 | $6.557,39 | 814 / 71 | $5.488,33 | 812 / 74 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 14 | $34.307,20 | 318 / 27 | $4.362,50 | 87 / 16 | $3.644,92 | 87 / 20 |
| Signs & Symptoms W/O Mcc | 43 | 48 / 12 | $36.801,10 | 1162 / 92 | $4.137,00 | 246 / 40 | $3.293,88 | 245 / 40 |
| Simple Pneumonia & Pleurisy W Cc | 53 | 150 / 56 | $59.921,60 | 2698 / 146 | $5.788,00 | 822 / 62 | $4.928,66 | 819 / 82 |
| Simple Pneumonia & Pleurisy W Mcc | 71 | 134 / 32 | $87.438,40 | 2393 / 143 | $8.706,13 | 728 / 80 | $7.592,06 | 728 / 77 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 25 | $43.335,80 | 1846 / 119 | $4.681,45 | 373 / 78 | $3.113,76 | 371 / 52 |
| Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 36 | $170.250,00 | 1195 / 72 | $23.492,40 | 285 / 35 | $20.451,70 | 284 / 38 |
| Syncope & Collapse | 93 | 76 / 29 | $40.328,10 | 1702 / 110 | $4.560,73 | 508 / 60 | $3.562,04 | 506 / 71 |
| Transient Ischemia | 52 | 73 / 33 | $36.289,90 | 1358 / 81 | $4.459,12 | 413 / 53 | $3.283,52 | 412 / 61 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 14 | 30 / 15 | $34.840,90 | 225 / 31 | $4.545,79 | 64 / 19 | $3.666,79 | 64 / 25 | Total 115 procedures | 4.431 | 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.