Sebastian River Medical Center
Sebastian, Florida 32958
CCN: 100217 Acute Care Hospitals Emergency Services
3/5
CMS Star Rating
Average
27
DRG Categories
626
Total Discharges
$115,553
Avg Charges
$11,107
Avg Payment
$9,721
Avg Medicare
10.4x
Charge-to-Payment
Quality Ratings — CMS Hospital Compare
Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness
Mortality
Above Average Safety of Care
Above Average Readmissions
Same as Average Patient Experience
Reported Florida Average Rating
2.83 / 5 This hospital is above average
11 five-star hospitals of rated in Florida
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Voluntary non-profit - Private
Compared to Florida Average
How this hospital compares to the average of 166 hospitals in Florida
Average Charges
$115,553 +4%
State avg: $111,195
Average Payment
$11,107 -28%
State avg: $15,324
Charge-to-Payment Ratio
10.4x Above avg
State avg: 7.51x
Top 20 DRGs by Volume
Most common diagnosis groups at this hospital, sorted by number of discharges
| DRG | Description | Discharges | Avg Charges | Avg Payment | Markup |
|---|---|---|---|---|---|
| 291 | HEART FAILURE AND SHOCK WITH MCC | 71 | $62,335 | $7,973 | 7.82x |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 63 | $94,149 | $11,867 | 7.93x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 54 | $55,491 | $8,088 | 6.86x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 38 | $76,445 | $11,403 | 6.7x |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 27 | $62,188 | $7,073 | 8.79x |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 25 | $55,177 | $6,876 | 8.03x |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 25 | $85,950 | $10,095 | 8.51x |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | 24 | $63,044 | $6,145 | 10.26x |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 24 | $41,506 | $5,019 | 8.27x |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 21 | $59,557 | $4,613 | 12.91x |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 21 | $158,814 | $12,912 | 12.3x |
| 682 | RENAL FAILURE WITH MCC | 20 | $70,165 | $8,714 | 8.05x |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 19 | $44,852 | $5,049 | 8.88x |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | 17 | $76,640 | $10,449 | 7.33x |
| 603 | CELLULITIS WITHOUT MCC | 17 | $55,823 | $5,415 | 10.31x |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 17 | $40,562 | $4,831 | 8.4x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 16 | $74,118 | $5,567 | 13.31x |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | 16 | $46,075 | $5,144 | 8.96x |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 14 | $536,697 | $42,127 | 12.74x |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 13 | $77,673 | $5,682 | 13.67x |
Showing top 20 of 27 DRG categories at this hospital.
About This Data
Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.