Hospital Costs > In Minnesota > Abbott Northwestern Hospital, 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 | 536 | 107 / 4 | $46.640,80 | 1119 / 40 | $15.874,20 | 1771 / 27 | $12.770,40 | 1731 / 21 |
Psychoses | 473 | 27 / 2 | $33.218,70 | 508 / 13 | $8.181,62 | 379 / 6 | $6.507,95 | 379 / 6 |
Spinal Fusion Except Cervical W/O Mcc | 356 | 1 / 1 | $75.978,80 | 462 / 15 | $28.169,60 | 851 / 14 | $24.619,50 | 847 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 355 | 2 / 1 | $70.529,50 | 696 / 18 | $16.476,20 | 950 / 14 | $12.258,80 | 943 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 261 | 255 / 9 | $60.262,10 | 2094 / 45 | $13.801,70 | 1953 / 31 | $12.198,90 | 1917 / 30 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 229 | 1 / 1 | $23.993,00 | 164 / 2 | $8.202,76 | 467 / 3 | $6.325,32 | 466 / 3 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 202 | 21 / 1 | $39.579,70 | 929 / 19 | $8.173,50 | 1153 / 14 | $6.866,80 | 1150 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 179 | 97 / 2 | $18.003,50 | 1129 / 35 | $5.789,20 | 1807 / 27 | $4.489,48 | 1794 / 26 |
Heart Failure & Shock W Cc | 159 | 119 / 3 | $31.519,00 | 2038 / 42 | $7.582,64 | 1928 / 31 | $6.380,87 | 1923 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 155 | 35 / 1 | $28.905,50 | 1080 / 28 | $7.910,73 | 1352 / 22 | $6.464,81 | 1349 / 21 |
G.I. Hemorrhage W Cc | 154 | 65 / 3 | $26.972,00 | 1366 / 35 | $7.696,68 | 1658 / 27 | $6.274,64 | 1654 / 25 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 152 | 2 / 1 | $103.726,00 | 532 / 12 | $23.687,10 | 558 / 6 | $20.315,60 | 554 / 7 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 151 | 6 / 1 | $95.251,70 | 434 / 12 | $14.495,20 | 370 / 4 | $12.680,90 | 366 / 7 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 118 | 1 / 1 | $41.122,50 | 179 / 9 | $13.667,20 | 299 / 6 | $11.264,90 | 297 / 7 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 116 | 4 / 1 | $81.063,20 | 669 / 13 | $16.558,50 | 662 / 8 | $14.515,80 | 655 / 9 |
Cellulitis W/O Mcc | 115 | 74 / 2 | $20.346,60 | 1519 / 37 | $6.190,43 | 1770 / 15 | $5.096,40 | 1762 / 22 |
Chest Pain | 110 | 46 / 1 | $16.496,40 | 637 / 16 | $5.130,95 | 965 / 13 | $3.497,35 | 959 / 8 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 109 | 26 / 2 | $121.167,00 | 168 / 10 | $36.847,40 | 275 / 7 | $32.707,40 | 275 / 5 |
Heart Failure & Shock W Mcc | 109 | 175 / 8 | $45.751,30 | 1867 / 38 | $11.760,00 | 1844 / 31 | $9.852,43 | 1839 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 105 | 102 / 5 | $30.263,20 | 1632 / 43 | $7.884,88 | 1643 / 26 | $6.492,51 | 1636 / 25 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 102 | 59 / 2 | $20.054,40 | 1061 / 27 | $6.683,93 | 1345 / 26 | $4.727,00 | 1340 / 17 |
Renal Failure W Cc | 96 | 125 / 5 | $25.879,00 | 1484 / 36 | $7.585,18 | 1606 / 27 | $5.947,07 | 1597 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 96 | 29 / 2 | $35.047,60 | 1163 / 23 | $9.292,23 | 1373 / 17 | $8.203,71 | 1370 / 19 |
Syncope & Collapse | 96 | 73 / 1 | $19.850,90 | 844 / 16 | $6.066,52 | 1203 / 13 | $4.391,27 | 1196 / 13 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 94 | 11 / 2 | $45.768,60 | 260 / 14 | $16.541,30 | 533 / 12 | $13.090,50 | 530 / 10 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 92 | 31 / 2 | $162.338,00 | 120 / 7 | $53.503,70 | 197 / 6 | $49.477,20 | 197 / 3 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 85 | 66 / 3 | $15.762,70 | 1083 / 23 | $4.424,78 | 1321 / 17 | $3.197,25 | 1316 / 15 |
Chronic Obstructive Pulmonary Disease W Mcc | 85 | 117 / 2 | $31.086,80 | 1540 / 39 | $8.340,64 | 1719 / 24 | $7.254,58 | 1711 / 26 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 85 | 81 / 3 | $23.685,40 | 1814 / 34 | $5.808,56 | 1780 / 29 | $4.442,09 | 1775 / 26 |
Kidney & Urinary Tract Infections W/O Mcc | 85 | 148 / 4 | $18.948,70 | 1457 / 38 | $5.770,18 | 1755 / 23 | $4.628,59 | 1744 / 24 |
Major Cardiovasc Procedures W/O Mcc | 85 | 22 / 2 | $98.063,30 | 565 / 11 | $23.878,90 | 627 / 6 | $21.704,50 | 627 / 8 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 82 | 42 / 3 | $164.211,00 | 1098 / 17 | $39.061,20 | 1134 / 11 | $37.515,00 | 1126 / 10 |
Cervical Spinal Fusion W/O Cc/Mcc | 80 | 30 / 1 | $41.778,20 | 226 / 3 | $15.526,60 | 614 / 4 | $13.788,30 | 611 / 4 |
Permanent Cardiac Pacemaker Implant W Cc | 79 | 4 / 1 | $67.939,20 | 454 / 15 | $18.151,00 | 638 / 8 | $17.111,20 | 637 / 10 |
Combined Anterior/Posterior Spinal Fusion W Cc | 77 | 2 / 1 | $138.924,00 | 25 / 4 | $53.065,00 | 59 / 2 | $50.385,60 | 59 / 4 |
G.I. Hemorrhage W Mcc | 74 | 47 / 2 | $53.215,70 | 1072 / 19 | $12.799,30 | 1084 / 12 | $11.631,50 | 1076 / 12 |
Major Cardiovasc Procedures W Mcc | 74 | 7 / 2 | $170.366,00 | 432 / 10 | $43.314,90 | 443 / 8 | $37.790,80 | 442 / 8 |
Simple Pneumonia & Pleurisy W Cc | 72 | 131 / 5 | $21.210,00 | 1269 / 42 | $7.329,96 | 1744 / 29 | $5.773,99 | 1736 / 20 |
Chronic Obstructive Pulmonary Disease W Cc | 71 | 108 / 3 | $26.089,00 | 1523 / 34 | $6.759,39 | 1627 / 20 | $5.723,03 | 1620 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 70 | 98 / 5 | $45.304,20 | 837 / 16 | $13.249,40 | 930 / 15 | $10.767,20 | 927 / 9 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 65 | 60 / 3 | $50.371,40 | 1151 / 22 | $12.348,30 | 1106 / 14 | $10.699,70 | 1101 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 64 | 38 / 2 | $22.388,10 | 744 / 17 | $6.526,72 | 985 / 17 | $4.317,67 | 981 / 13 |
Seizures W/O Mcc | 64 | 44 / 4 | $19.880,60 | 549 / 13 | $5.728,70 | 748 / 8 | $4.592,53 | 745 / 11 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 63 | 15 / 2 | $232.168,00 | 112 / 3 | $64.267,60 | 111 / 2 | $59.206,30 | 111 / 1 |
Other Vascular Procedures W Cc | 63 | 40 / 3 | $85.944,60 | 706 / 12 | $18.591,00 | 705 / 8 | $16.467,10 | 701 / 8 |
Signs & Symptoms W/O Mcc | 63 | 29 / 2 | $19.814,30 | 647 / 15 | $5.840,25 | 739 / 14 | $4.120,79 | 736 / 9 |
Extracranial Procedures W/O Cc/Mcc | 63 | 35 / 1 | $35.129,60 | 555 / 11 | $8.261,78 | 621 / 8 | $6.168,44 | 619 / 9 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 62 | 4 / 1 | $103.412,00 | 57 / 1 | $36.377,20 | 141 / 2 | $35.379,90 | 141 / 3 |
Medical Back Problems W/O Mcc | 61 | 60 / 2 | $21.050,30 | 609 / 18 | $6.516,90 | 914 / 15 | $5.006,52 | 911 / 13 |
Heart Failure & Shock W/O Cc/Mcc | 61 | 49 / 1 | $24.993,00 | 1554 / 30 | $5.295,57 | 1463 / 22 | $4.346,87 | 1451 / 22 |
Major Small & Large Bowel Procedures W Cc | 60 | 48 / 3 | $65.133,60 | 750 / 21 | $20.274,30 | 832 / 22 | $14.878,80 | 824 / 7 |
Other Circulatory System Diagnoses W Mcc | 56 | 60 / 4 | $47.391,40 | 678 / 14 | $12.660,50 | 733 / 6 | $11.757,00 | 731 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 55 | 88 / 9 | $53.065,00 | 1149 / 32 | $13.919,10 | 1304 / 20 | $11.977,70 | 1287 / 21 |
Other Digestive System Diagnoses W Cc | 54 | 43 / 2 | $27.886,00 | 792 / 18 | $7.463,00 | 896 / 11 | $6.109,43 | 892 / 16 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 54 | 6 / 2 | $113.858,00 | 171 / 8 | $23.258,60 | 151 / 5 | $21.151,50 | 151 / 4 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 53 | 7 / 1 | $46.092,20 | 240 / 7 | $15.125,60 | 459 / 6 | $13.278,90 | 458 / 5 |
G.I. Obstruction W Cc | 53 | 39 / 4 | $24.208,40 | 942 / 24 | $6.939,47 | 1145 / 19 | $5.400,64 | 1142 / 19 |
Red Blood Cell Disorders W/O Mcc | 52 | 91 / 2 | $28.812,80 | 1450 / 27 | $6.167,44 | 1237 / 20 | $4.871,35 | 1229 / 14 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 52 | 79 / 5 | $76.742,10 | 1261 / 15 | $16.067,20 | 1173 / 4 | $14.954,00 | 1160 / 7 |
Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 14 | $43.584,60 | 1702 / 35 | $10.210,90 | 1694 / 19 | $9.139,10 | 1694 / 23 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 51 | 20 / 3 | $52.392,60 | 152 / 8 | $18.257,10 | 323 / 7 | $16.119,00 | 323 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 50 | 76 / 5 | $29.036,70 | 919 / 16 | $7.914,98 | 1008 / 8 | $7.098,20 | 1005 / 10 |
Renal Failure W Mcc | 50 | 145 / 12 | $48.272,80 | 1535 / 25 | $11.073,30 | 1298 / 16 | $9.653,28 | 1298 / 12 |
Major Small & Large Bowel Procedures W Mcc | 49 | 36 / 2 | $146.691,00 | 787 / 20 | $37.661,70 | 814 / 10 | $33.832,60 | 812 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 46 | 50 / 2 | $30.504,20 | 651 / 13 | $8.775,74 | 825 / 8 | $7.503,61 | 820 / 9 |
Permanent Cardiac Pacemaker Implant W Mcc | 45 | 8 / 2 | $101.689,00 | 336 / 12 | $26.085,80 | 388 / 6 | $24.159,70 | 388 / 9 |
Pulmonary Edema & Respiratory Failure | 45 | 158 / 16 | $40.889,40 | 1531 / 34 | $9.324,62 | 1686 / 23 | $8.419,76 | 1681 / 25 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 42 | 21 / 2 | $128.080,00 | 380 / 7 | $34.974,00 | 384 / 6 | $30.455,70 | 384 / 2 |
Cervical Spinal Fusion W Cc | 42 | 14 / 1 | $47.684,80 | 75 / 2 | $20.573,90 | 218 / 1 | $17.645,80 | 217 / 3 |
Transient Ischemia | 41 | 84 / 4 | $18.556,80 | 551 / 7 | $5.289,34 | 1021 / 7 | $4.087,90 | 1016 / 9 |
Acute Myocardial Infarction, Discharged Alive W Cc | 40 | 51 / 4 | $32.670,20 | 842 / 19 | $7.613,73 | 944 / 13 | $6.517,83 | 942 / 12 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 40 | 9 / 1 | $19.744,00 | 155 / 5 | $5.575,65 | 163 / 4 | $4.183,38 | 163 / 2 |
Other Vascular Procedures W Mcc | 39 | 58 / 2 | $107.114,00 | 647 / 12 | $24.247,10 | 671 / 6 | $23.190,50 | 668 / 7 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 39 | 85 / 6 | $20.443,80 | 499 / 11 | $5.317,08 | 491 / 8 | $4.431,15 | 490 / 9 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 38 | 13 / 2 | $165.088,00 | 58 / 2 | $39.815,50 | 48 / 1 | $38.482,70 | 48 / 1 |
Pulmonary Embolism W/O Mcc | 37 | 37 / 3 | $27.073,20 | 728 / 22 | $7.275,03 | 894 / 14 | $6.083,08 | 891 / 16 |
Peripheral Vascular Disorders W Cc | 37 | 47 / 2 | $25.654,50 | 664 / 12 | $6.875,86 | 689 / 7 | $5.826,16 | 686 / 5 |
Respiratory Infections & Inflammations W Mcc | 36 | 100 / 11 | $61.035,30 | 1290 / 26 | $13.781,40 | 1230 / 16 | $12.640,40 | 1215 / 20 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 36 | 52 / 3 | $86.112,80 | 168 / 5 | $26.515,40 | 391 / 6 | $23.428,90 | 390 / 6 |
Revision Of Hip Or Knee Replacement W Cc | 36 | 50 / 6 | $87.450,90 | 364 / 19 | $22.723,60 | 452 / 6 | $21.659,10 | 450 / 13 |
Kidney & Urinary Tract Infections W Mcc | 36 | 108 / 4 | $24.868,30 | 912 / 16 | $7.876,78 | 1225 / 11 | $6.819,81 | 1221 / 12 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 1 | $18.343,50 | 1140 / 23 | $5.472,94 | 1388 / 12 | $4.227,63 | 1377 / 15 |
Other Circulatory System Diagnoses W Cc | 34 | 32 / 3 | $21.622,50 | 234 / 5 | $6.908,91 | 375 / 7 | $5.930,68 | 374 / 6 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 32 | 32 / 2 | $42.282,70 | 332 / 10 | $15.487,60 | 409 / 9 | $9.265,41 | 409 / 5 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 31 | 12 / 1 | $122.593,00 | 17 / 2 | $44.749,50 | 38 / 2 | $43.300,90 | 38 / 2 |
Degenerative Nervous System Disorders W/O Mcc | 31 | 47 / 2 | $23.214,70 | 333 / 11 | $7.280,29 | 321 / 9 | $5.358,26 | 321 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 31 | 34 / 3 | $71.482,80 | 393 / 15 | $21.057,20 | 523 / 10 | $19.562,70 | 520 / 10 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 30 | 26 / 1 | $46.308,80 | 398 / 15 | $11.720,70 | 647 / 8 | $10.593,40 | 645 / 10 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 29 | 62 / 4 | $50.574,90 | 318 / 10 | $11.643,90 | 140 / 7 | $7.051,48 | 140 / 3 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 29 | 19 / 2 | $36.345,70 | 84 / 3 | $12.326,40 | 110 / 2 | $8.759,24 | 110 / 2 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 29 | 24 / 2 | $25.734,20 | 478 / 10 | $6.283,69 | 564 / 10 | $4.531,86 | 560 / 8 |
G.I. Obstruction W/O Cc/Mcc | 28 | 43 / 4 | $14.236,40 | 475 / 14 | $4.712,96 | 822 / 12 | $3.484,96 | 819 / 14 |
Major Chest Procedures W Cc | 28 | 46 / 2 | $61.270,60 | 206 / 8 | $22.502,60 | 251 / 8 | $15.295,20 | 249 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 28 | 8 / 1 | $77.811,60 | 241 / 7 | $18.113,60 | 225 / 5 | $15.964,20 | 225 / 5 |
Respiratory Neoplasms W Cc | 28 | 19 / 1 | $31.041,00 | 210 / 6 | $9.625,54 | 233 / 6 | $6.990,75 | 232 / 2 |
Extracranial Procedures W Cc | 28 | 18 / 2 | $45.699,50 | 208 / 7 | $13.872,00 | 231 / 8 | $9.570,89 | 231 / 5 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 27 | 47 / 3 | $83.192,90 | 177 / 6 | $19.299,40 | 85 / 5 | $13.109,80 | 85 / 1 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 27 | 74 / 9 | $30.690,00 | 404 / 10 | $10.230,30 | 450 / 9 | $8.931,96 | 449 / 6 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 27 | 41 / 2 | $22.284,90 | 271 / 3 | $6.531,44 | 446 / 6 | $5.636,00 | 446 / 6 |
Seizures W Mcc | 27 | 39 / 2 | $48.867,30 | 474 / 14 | $10.606,50 | 375 / 5 | $9.400,89 | 375 / 5 |
Respiratory Infections & Inflammations W Cc | 27 | 61 / 8 | $29.053,00 | 651 / 18 | $9.358,37 | 934 / 12 | $8.419,19 | 929 / 12 |
Red Blood Cell Disorders W Mcc | 26 | 45 / 2 | $29.097,60 | 435 / 8 | $8.919,65 | 626 / 7 | $7.906,62 | 623 / 5 |
Other Circulatory System O.R. Procedures | 26 | 29 / 1 | $61.952,40 | 166 / 3 | $18.292,70 | 201 / 2 | $17.116,70 | 201 / 2 |
Other Vascular Procedures W/O Cc/Mcc | 26 | 30 / 3 | $54.141,00 | 331 / 6 | $11.825,00 | 349 / 2 | $10.533,40 | 348 / 5 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 26 | 43 / 5 | $70.256,10 | 347 / 7 | $12.569,10 | 392 / 4 | $11.349,70 | 390 / 5 |
Coronary Bypass W Cardiac Cath W Mcc | 26 | 30 / 1 | $175.734,00 | 180 / 6 | $50.664,90 | 297 / 3 | $48.857,30 | 297 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 26 | 50 / 4 | $44.629,60 | 249 / 5 | $15.225,70 | 195 / 3 | $10.978,00 | 195 / 1 |
Transurethral Procedures W Cc | 26 | 15 / 1 | $27.916,00 | 97 / 3 | $9.746,85 | 236 / 3 | $7.678,04 | 236 / 2 |
Complications Of Treatment W Cc | 25 | 27 / 3 | $20.986,60 | 109 / 5 | $7.725,32 | 158 / 7 | $5.982,56 | 158 / 4 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 25 | 30 / 3 | $68.862,00 | 57 / 4 | $19.756,60 | 89 / 1 | $18.544,10 | 89 / 1 |
Other Disorders Of Nervous System W Cc | 25 | 31 / 3 | $22.709,20 | 227 / 8 | $6.554,16 | 338 / 3 | $5.475,60 | 338 / 6 |
Digestive Malignancy W Cc | 25 | 22 / 2 | $38.544,10 | 227 / 10 | $10.212,30 | 221 / 7 | $8.045,68 | 219 / 5 |
Fever | 25 | 21 / 1 | $19.744,50 | 109 / 3 | $6.257,52 | 179 / 3 | $5.189,64 | 179 / 3 |
Cellulitis W Mcc | 25 | 33 / 3 | $28.635,80 | 344 / 5 | $10.061,00 | 515 / 4 | $8.835,96 | 513 / 4 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 25 | 21 / 2 | $28.704,50 | 117 / 5 | $7.174,24 | 137 / 2 | $5.867,16 | 137 / 3 |
Atherosclerosis W/O Mcc | 25 | 33 / 2 | $22.444,80 | 358 / 8 | $5.091,00 | / 7 | $3.548,40 | / |
Dysequilibrium | 25 | 40 / 2 | $19.284,70 | 229 / 7 | $4.813,76 | 331 / 6 | $3.763,88 | 331 / 5 |
Depressive Neuroses | 24 | 26 / 4 | $16.057,80 | 103 / 3 | $5.111,00 | 83 / 3 | $4.080,17 | 83 / 4 |
Organic Disturbances & Mental Retardation | 24 | 35 / 2 | $27.723,30 | 316 / 9 | $6.726,50 | 168 / 4 | $5.480,71 | 168 / 4 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 24 | 68 / 5 | $210.377,00 | 782 / 11 | $43.165,70 | 697 / 4 | $40.960,20 | 696 / 7 |
Diabetes W Cc | 24 | 68 / 6 | $26.544,90 | 1060 / 18 | $6.195,42 | 889 / 9 | $4.877,71 | 885 / 7 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 24 | 49 / 6 | $22.802,00 | 386 / 12 | $8.434,12 | 567 / 9 | $6.854,71 | 565 / 7 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 23 | 32 / 6 | $55.924,90 | 311 / 14 | $13.513,80 | 382 / 9 | $12.031,90 | 379 / 6 |
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 23 | 6 / 1 | $29.185,70 | 13 / 1 | $10.865,40 | 13 / 3 | $5.819,96 | 13 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 23 | 38 / 7 | $23.973,90 | 441 / 7 | $6.824,04 | 627 / 7 | $5.754,22 | 624 / 7 |
Otitis Media & Uri W/O Mcc | 23 | 21 / 1 | $23.022,60 | 126 / 5 | $6.271,87 | 89 / 2 | $3.697,35 | 89 / 3 |
Other Kidney & Urinary Tract Diagnoses W Cc | 23 | 80 / 6 | $27.143,70 | 451 / 15 | $7.130,65 | 495 / 10 | $6.243,91 | 495 / 12 |
Respiratory Signs & Symptoms | 23 | 23 / 2 | $16.351,00 | 70 / 2 | $5.188,04 | 132 / 3 | $3.966,87 | 132 / 2 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 23 | 75 / 5 | $91.457,30 | 160 / 6 | $27.422,60 | 170 / 3 | $25.958,30 | 170 / 3 |
Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc | 22 | 6 / 2 | $62.120,40 | 39 / 3 | $16.095,90 | 17 / 1 | $12.018,30 | 17 / 1 |
Disorders Of Personality & Impulse Control | 22 | 3 / 2 | $65.083,80 | 4 / 3 | $11.158,50 | 1 / 3 | $5.907,05 | 1 / 1 |
Stomach, Esophageal & Duodenal Proc W Mcc | 22 | 19 / 2 | $147.251,00 | 122 / 3 | $37.223,90 | 95 / 1 | $35.193,90 | 95 / 1 |
G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 1 | $19.515,90 | 532 / 6 | $5.300,91 | 581 / 6 | $3.987,36 | 577 / 6 |
Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 3 | $24.108,50 | 553 / 9 | $7.446,48 | 628 / 6 | $5.178,62 | 624 / 5 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 21 | 23 / 3 | $66.848,50 | 158 / 3 | $18.116,20 | 201 / 2 | $17.043,40 | 200 / 2 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 21 | 21 / 2 | $129.137,00 | 63 / 5 | $33.022,40 | 40 / 1 | $31.652,60 | 40 / 1 |
Hypertension W/O Mcc | 21 | 44 / 3 | $16.669,20 | 283 / 4 | $4.780,52 | 457 / 4 | $3.587,43 | 455 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 20 | 36 / 4 | $32.279,20 | 170 / 5 | $12.279,30 | 326 / 4 | $11.429,20 | 325 / 4 |
Disorders Of The Biliary Tract W Cc | 20 | 34 / 4 | $28.412,40 | 183 / 6 | $8.009,80 | 224 / 5 | $6.275,35 | 224 / 4 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 20 | 49 / 6 | $69.702,90 | 260 / 8 | $22.563,90 | 274 / 4 | $15.630,30 | 273 / 4 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 20 | 42 / 4 | $13.749,90 | 150 / 4 | $5.440,05 | 421 / 5 | $4.277,05 | 419 / 10 |
Headaches W/O Mcc | 20 | 23 / 1 | $17.039,90 | 62 / 2 | $5.859,45 | 106 / 3 | $3.690,60 | 106 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 8 | $16.323,20 | 862 / 24 | $6.378,25 | 764 / 22 | $3.465,60 | 760 / 4 |
Other Digestive System Diagnoses W Mcc | 20 | 42 / 5 | $46.554,10 | 412 / 10 | $12.381,60 | 455 / 7 | $11.350,70 | 454 / 8 |
Other Resp System O.R. Procedures W Mcc | 20 | 43 / 2 | $80.498,80 | 217 / 3 | $30.279,00 | 304 / 4 | $22.626,90 | 303 / 1 |
Other Resp System O.R. Procedures W Cc | 20 | 27 / 2 | $60.394,10 | 213 / 7 | $13.832,00 | 197 / 4 | $12.330,20 | 197 / 6 |
Postoperative & Post-Traumatic Infections W/O Mcc | 19 | 35 / 2 | $29.694,50 | 281 / 10 | $7.305,11 | 258 / 4 | $6.384,79 | 258 / 4 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 19 | 28 / 2 | $110.709,00 | 31 / 2 | $41.332,40 | 75 / 2 | $40.034,80 | 75 / 2 |
Stomach, Esophageal & Duodenal Proc W Cc | 19 | 31 / 2 | $50.636,80 | 43 / 3 | $17.579,90 | 97 / 1 | $16.294,30 | 97 / 2 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 19 | 62 / 4 | $423.474,00 | 208 / 7 | $108.005,00 | 187 / 2 | $106.098,00 | 187 / 2 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 6 | $186.413,00 | 696 / 8 | $38.726,10 | 706 / 5 | $37.238,10 | 705 / 5 |
Combined Anterior/Posterior Spinal Fusion W Mcc | 19 | 4 / 1 | $209.089,00 | 3 / 2 | $82.637,10 | 4 / 2 | $72.933,10 | 4 / 1 |
Major Chest Procedures W Mcc | 18 | 31 / 3 | $142.706,00 | 202 / 6 | $34.939,70 | 200 / 2 | $33.180,90 | 199 / 4 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 18 | 27 / 2 | $94.171,10 | 147 / 4 | $20.059,10 | 144 / 1 | $18.749,90 | 143 / 2 |
Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 4 | $132.834,00 | 287 / 7 | $32.142,20 | 456 / 3 | $30.611,30 | 456 / 6 |
Transurethral Prostatectomy W Cc/Mcc | 18 | 6 / 1 | $32.137,30 | 17 / 1 | $9.775,06 | 30 / 1 | $8.773,78 | 30 / 1 |
Soft Tissue Procedures W Cc | 18 | 4 / 2 | $39.707,60 | 8 / 3 | $11.310,20 | 4 / 2 | $8.549,78 | 4 / 1 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 18 | 35 / 4 | $30.303,30 | 210 / 7 | $9.506,83 | 258 / 5 | $7.539,44 | 258 / 4 |
Other Digestive System Diagnoses W/O Cc/Mcc | 18 | 25 / 2 | $15.775,00 | 98 / 2 | $6.444,94 | 164 / 3 | $3.648,17 | 164 / 1 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 18 | 35 / 2 | $27.684,80 | 28 / 2 | $12.042,20 | 157 / 3 | $11.107,20 | 158 / 3 |
Acute Adjustment Reaction & Psychosocial Dysfunction | 18 | 12 / 1 | $15.708,70 | 21 / 1 | $4.962,00 | 31 / 1 | $3.737,22 | 31 / 1 |
Nonspecific Cerebrovascular Disorders W Cc | 18 | 38 / 6 | $44.465,80 | 394 / 11 | $8.081,56 | 361 / 10 | $6.901,44 | 361 / 10 |
Neuroses Except Depressive | 18 | 10 / 3 | $27.387,90 | 38 / 5 | $5.554,72 | 21 / 3 | $4.437,78 | 21 / 3 |
Other O.R. Procedures For Injuries W Cc | 17 | 18 / 3 | $46.970,80 | 62 / 3 | $14.703,40 | 58 / 1 | $11.902,30 | 58 / 1 |
Peritoneal Adhesiolysis W Cc | 17 | 22 / 3 | $78.933,20 | 201 / 9 | $16.634,70 | 164 / 4 | $14.497,90 | 164 / 5 |
Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 8 | $73.227,20 | 460 / 16 | $20.068,80 | 535 / 10 | $18.654,60 | 532 / 12 |
Pancreas, Liver & Shunt Procedures W Cc | 17 | 38 / 3 | $74.270,40 | 51 / 3 | $22.563,50 | 25 / 1 | $16.308,20 | 25 / 1 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 17 | 14 / 3 | $55.915,90 | 78 / 7 | $16.594,20 | 60 / 6 | $10.816,40 | 60 / 3 |
Pleural Effusion W Cc | 17 | 11 / 2 | $27.655,20 | 45 / 3 | $7.675,65 | 58 / 2 | $6.822,53 | 58 / 2 |
Major Male Pelvic Procedures W/O Cc/Mcc | 17 | 56 / 8 | $35.012,40 | 138 / 6 | $10.721,00 | 219 / 6 | $7.341,18 | 219 / 6 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 9 | $24.253,10 | 627 / 13 | $5.019,75 | 494 / 9 | $3.865,94 | 493 / 6 |
Kidney & Ureter Procedures For Neoplasm W Cc | 16 | 28 / 4 | $52.832,20 | 74 / 4 | $14.028,20 | 95 / 1 | $13.090,90 | 95 / 3 |
Kidney Transplant | 16 | 85 / 4 | $175.755,00 | 66 / 4 | $30.221,80 | 23 / 1 | $18.482,50 | 23 / 2 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 16 | 30 / 3 | $17.540,30 | 116 / 4 | $5.247,25 | 263 / 5 | $4.226,00 | 262 / 6 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 16 | 50 / 7 | $32.649,00 | 287 / 12 | $7.838,88 | 278 / 6 | $6.711,56 | 278 / 8 |
Pleural Effusion W Mcc | 16 | 14 / 1 | $33.516,90 | 64 / 2 | $11.067,90 | 127 / 2 | $10.078,60 | 127 / 2 |
Major Chest Procedures W/O Cc/Mcc | 16 | 43 / 4 | $54.974,90 | 147 / 6 | $12.498,20 | 139 / 3 | $11.249,10 | 139 / 4 |
Complications Of Treatment W Mcc | 16 | 35 / 5 | $42.690,10 | 127 / 4 | $14.479,80 | 96 / 4 | $10.460,80 | 96 / 1 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 16 | 11 / 2 | $39.658,60 | 79 / 7 | $12.194,10 | 97 / 3 | $11.428,20 | 97 / 5 |
Spinal Fusion Except Cervical W Mcc | 16 | 9 / 1 | $98.295,10 | 11 / 1 | $42.634,20 | 34 / 2 | $41.173,20 | 34 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 5 | $28.489,90 | 133 / 6 | $9.999,25 | 368 / 7 | $7.056,31 | 367 / 4 |
Disorders Of The Biliary Tract W Mcc | 16 | 23 / 2 | $32.967,10 | 63 / 2 | $11.275,20 | 114 / 3 | $10.408,20 | 114 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 16 | 13 / 1 | $16.301,50 | 35 / 1 | $6.295,81 | 89 / 1 | $5.082,62 | 88 / 1 |
Mastectomy For Malignancy W Cc/Mcc | 15 | 1 / 1 | $28.512,50 | 2 / 1 | $8.445,60 | 1 / 1 | $7.227,53 | 1 / 1 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 15 | 27 / 3 | $38.802,60 | 107 / 4 | $12.003,30 | 130 / 2 | $10.922,50 | 130 / 3 |
Hernia Procedures Except Inguinal & Femoral W Cc | 15 | 19 / 3 | $45.682,50 | 67 / 4 | $12.701,90 | 60 / 2 | $9.445,87 | 60 / 1 |
Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 5 | $45.967,70 | 234 / 8 | $13.108,20 | 320 / 7 | $12.258,20 | 320 / 7 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 5 | $24.555,00 | 278 / 8 | $7.460,80 | 129 / 7 | $4.947,80 | 129 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 4 | $54.573,70 | 136 / 8 | $17.176,10 | 288 / 4 | $15.794,50 | 287 / 4 |
Other Disorders Of Nervous System W/O Cc/Mcc | 14 | 21 / 1 | $19.296,10 | 55 / 1 | $5.066,36 | 73 / 1 | $4.153,07 | 73 / 1 |
Respiratory Neoplasms W Mcc | 14 | 38 / 7 | $57.655,60 | 436 / 12 | $12.256,20 | 406 / 8 | $11.291,80 | 404 / 8 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 8 | $21.343,10 | 557 / 15 | $5.385,29 | 572 / 10 | $4.130,36 | 572 / 8 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 8 | $67.822,30 | 857 / 16 | $11.782,80 | 761 / 9 | $10.398,60 | 759 / 11 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 14 | 17 / 2 | $32.515,70 | 86 / 2 | $10.554,60 | 71 / 1 | $6.763,64 | 71 / 1 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 14 | 30 / 3 | $16.983,80 | 76 / 1 | $5.570,43 | 176 / 2 | $4.662,50 | 176 / 4 |
Other O.R. Procedures For Injuries W Mcc | 14 | 23 / 3 | $111.438,00 | 113 / 4 | $27.678,30 | 81 / 1 | $26.239,00 | 81 / 1 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 14 | 24 / 3 | $55.470,70 | 99 / 5 | $14.419,60 | 100 / 2 | $13.613,90 | 100 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 4 | $44.420,90 | 487 / 9 | $12.694,30 | 514 / 6 | $9.353,14 | 512 / 5 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 3 | $387.425,00 | 420 / 5 | $79.977,10 | 398 / 2 | $77.530,80 | 397 / 3 |
Cardiac Pacemaker Revision Except Device Replacement W Cc | 14 | 5 / 1 | $43.389,80 | 7 / 1 | $11.944,40 | 14 / 1 | $10.981,20 | 14 / 1 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 14 | 10 / 2 | $41.862,50 | 46 / 3 | $13.515,30 | 44 / 2 | $8.884,14 | 44 / 1 |
Peripheral Vascular Disorders W/O Cc/Mcc | 14 | 31 / 1 | $21.578,20 | 247 / 2 | $5.246,07 | 227 / 1 | $3.927,43 | 227 / 1 |
Transurethral Prostatectomy W/O Cc/Mcc | 14 | 15 / 1 | $21.391,50 | 30 / 1 | $5.614,50 | 53 / 1 | $4.513,00 | 53 / 1 |
O.R. Procedures For Obesity W/O Cc/Mcc | 14 | 63 / 3 | $44.939,80 | 219 / 6 | $14.051,90 | 140 / 4 | $8.249,79 | 140 / 2 |
Nontraumatic Stupor & Coma W/O Mcc | 13 | 6 / 1 | $14.951,90 | 6 / 1 | $5.645,31 | 6 / 2 | $4.839,54 | 6 / 2 |
Other Kidney & Urinary Tract Procedures W Mcc | 13 | 25 / 2 | $70.170,40 | 76 / 1 | $21.517,20 | 113 / 1 | $20.335,80 | 112 / 1 |
Minor Skin Disorders W/O Mcc | 13 | 12 / 2 | $14.088,50 | 18 / 1 | $5.383,23 | 22 / 1 | $4.481,46 | 22 / 1 |
Endocrine Disorders W Cc | 13 | 25 / 3 | $31.526,00 | 190 / 6 | $7.550,62 | 163 / 4 | $6.425,31 | 163 / 4 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 7 | $40.298,00 | 225 / 11 | $11.953,20 | 283 / 9 | $8.564,85 | 283 / 3 |
Other Respiratory System Diagnoses W/O Mcc | 13 | 33 / 4 | $21.569,50 | 132 / 2 | $5.916,62 | 159 / 1 | $4.859,00 | 159 / 1 |
Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc | 13 | 11 / 3 | $41.296,30 | 14 / 2 | $11.791,50 | 9 / 1 | $10.578,80 | 9 / 1 |
Peripheral Vascular Disorders W Mcc | 13 | 36 / 4 | $36.149,20 | 309 / 7 | $9.070,92 | 278 / 2 | $8.262,62 | 278 / 2 |
Cranial & Peripheral Nerve Disorders W Mcc | 13 | 23 / 1 | $38.126,50 | 88 / 1 | $9.997,62 | 49 / 1 | $7.805,23 | 49 / 1 |
Degenerative Nervous System Disorders W Mcc | 12 | 26 / 4 | $46.657,70 | 133 / 5 | $11.741,10 | 89 / 2 | $10.342,50 | 89 / 2 |
Endocrine Disorders W Mcc | 12 | 14 / 2 | $42.738,40 | 69 / 3 | $11.568,50 | 60 / 1 | $10.572,00 | 60 / 1 |
Other Digestive System O.R. Procedures W Cc | 12 | 15 / 3 | $57.640,70 | 47 / 1 | $14.711,10 | 42 / 1 | $13.474,60 | 42 / 1 |
Nervous System Neoplasms W Mcc | 12 | 36 / 4 | $24.214,50 | 38 / 2 | $9.191,33 | 120 / 2 | $7.866,17 | 120 / 2 |
Interstitial Lung Disease W Mcc | 12 | 13 / 3 | $55.827,70 | 68 / 2 | $11.851,80 | 52 / 1 | $10.602,00 | 52 / 1 |
Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc | 12 | 11 / 1 | $36.013,40 | 18 / 1 | $8.170,75 | 15 / 1 | $6.867,75 | 15 / 1 |
Soft Tissue Procedures W/O Cc/Mcc | 12 | 11 / 2 | $24.945,80 | 4 / 1 | $9.301,33 | 5 / 1 | $6.279,33 | 5 / 1 |
Pulmonary Embolism W Mcc | 12 | 31 / 6 | $36.435,10 | 267 / 8 | $15.396,80 | 279 / 9 | $8.775,83 | 279 / 2 |
Lymphoma & Non-Acute Leukemia W Cc | 12 | 24 / 3 | $59.823,50 | 87 / 5 | $11.912,20 | 63 / 3 | $10.655,60 | 63 / 3 |
G.I. Obstruction W Mcc | 12 | 30 / 8 | $43.883,10 | 289 / 7 | $11.492,00 | 309 / 6 | $10.291,20 | 309 / 5 |
Postoperative & Post-Traumatic Infections W Mcc | 12 | 31 / 4 | $43.517,70 | 85 / 1 | $13.293,30 | 115 / 1 | $12.816,10 | 115 / 1 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc | 12 | 13 / 2 | $99.918,80 | 24 / 2 | $26.422,70 | 25 / 1 | $24.589,20 | 25 / 1 |
Nervous System Neoplasms W/O Mcc | 12 | 18 / 2 | $38.761,60 | 64 / 2 | $7.397,17 | 48 / 1 | $6.267,08 | 48 / 1 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 11 | 18 / 3 | $72.718,70 | 49 / 3 | $16.418,50 | 36 / 1 | $14.483,10 | 36 / 2 |
Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc | 11 | 16 / 2 | $48.434,30 | 34 / 2 | $11.515,50 | 36 / 1 | $10.441,80 | 36 / 1 |
Signs & Symptoms W Mcc | 11 | 30 / 3 | $21.533,90 | 69 / 1 | $7.743,18 | 113 / 1 | $6.913,18 | 113 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 7 | $62.001,50 | 212 / 9 | $14.357,10 | 89 / 4 | $11.079,30 | 89 / 2 |
Vaginal Delivery W/O Complicating Diagnoses | 11 | 14 / 2 | $13.617,20 | 39 / 1 | $6.006,18 | 13 / 2 | $3.050,45 | 13 / 1 |
Heart Transplant Or Implant Of Heart Assist System W Mcc | 11 | 26 / 3 | $668.982,00 | 27 / 2 | $163.954,00 | 10 / 1 | $161.524,00 | 10 / 1 |
Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 11 | 17 / 2 | $135.139,00 | 12 / 1 | $47.133,30 | 35 / 1 | $46.326,50 | 35 / 1 |
Digestive Malignancy W Mcc | 11 | 26 / 4 | $44.132,50 | 47 / 2 | $14.619,60 | 69 / 2 | $13.672,60 | 69 / 2 |
Pancreas, Liver & Shunt Procedures W Mcc | 11 | 32 / 2 | $146.129,00 | 46 / 2 | $39.631,70 | 36 / 1 | $38.054,20 | 36 / 1 |
Disorders Of The Biliary Tract W/O Cc/Mcc | 11 | 18 / 2 | $23.029,00 | 51 / 2 | $5.699,18 | 38 / 1 | $4.183,45 | 38 / 1 | Total 236 procedures | 10.816 | 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.