Hospital Costs > In Maryland > Adventist Healthcare Shady Grove Medical Center, procedure costs

Adventist Healthcare Shady Grove Medical Center, procedure costs

9901 Medical Center Drive, Rockville, MD 20850,

Procedure Costs @ Adventist Healthcare Shady Grove Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc49585 / 2$16.063,40100 / 9$14.874,302292 / 9$13.623,502251 / 8
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc263302 / 16$24.875,3077 / 25$23.060,902621 / 25$20.489,602575 / 25
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc171104 / 7$6.023,3318 / 4$5.630,561752 / 4$4.406,271739 / 3
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc16940 / 5$8.287,9322 / 3$7.654,561766 / 3$6.723,111759 / 3
Simple Pneumonia & Pleurisy W Cc14955 / 11$8.097,9232 / 9$7.491,192127 / 9$6.435,312119 / 9
Pulmonary Edema & Respiratory Failure12479 / 4$12.504,9053 / 6$11.579,702015 / 6$10.310,502009 / 5
Transient Ischemia11914 / 1$4.881,572 / 1$4.604,10382 / 1$3.242,87381 / 1
Cellulitis W/O Mcc11871 / 7$8.423,91126 / 25$7.829,332265 / 25$6.389,862257 / 21
G.I. Hemorrhage W Cc110108 / 10$8.636,3421 / 12$7.994,021977 / 11$7.167,881973 / 12
Intracranial Hemorrhage Or Cerebral Infarction W Mcc10663 / 2$13.497,7019 / 13$12.466,101070 / 13$11.423,201065 / 13
Heart Failure & Shock W Cc106172 / 24$8.405,3152 / 12$7.813,182134 / 12$6.815,272128 / 11
Renal Failure W Cc103118 / 10$7.140,258 / 2$6.619,661442 / 2$5.670,351433 / 2
Chronic Obstructive Pulmonary Disease W Cc9782 / 12$8.522,9134 / 11$7.886,042011 / 12$6.746,682004 / 9
Kidney & Urinary Tract Infections W/O Mcc95138 / 21$6.586,9637 / 11$6.111,802096 / 11$5.172,762085 / 13
Syncope & Collapse9376 / 8$5.590,982 / 2$5.196,131084 / 2$4.196,561077 / 2
Simple Pneumonia & Pleurisy W Mcc89116 / 5$13.222,6061 / 16$12.198,402195 / 16$11.310,502189 / 16
Dysequilibrium865 / 1$4.782,812 / 2$4.441,85243 / 2$3.320,76243 / 2
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc8482 / 16$6.288,6844 / 7$5.831,821928 / 7$4.727,261921 / 7
Heart Failure & Shock W Mcc82202 / 21$11.262,7034 / 8$10.408,101710 / 8$9.493,181705 / 8
Renal Failure W Mcc81114 / 4$14.704,2063 / 13$13.584,301883 / 13$12.577,801879 / 13
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs81101 / 16$8.900,389 / 7$8.289,141520 / 10$6.941,991517 / 5
Medical Back Problems W/O Mcc7546 / 5$7.217,339 / 6$6.685,231110 / 6$5.632,971106 / 8
Nonspecific Cerebrovascular Disorders W Cc664 / 1$7.046,471 / 1$6.507,94230 / 1$5.669,88230 / 2
Cardiac Arrhythmia & Conduction Disorders W Cc6695 / 13$6.090,503 / 1$5.648,701296 / 1$4.646,501291 / 1
Chest Pain6388 / 6$5.502,9011 / 6$5.086,331286 / 6$4.235,031279 / 8
Chronic Obstructive Pulmonary Disease W Mcc58144 / 23$9.692,1632 / 6$8.969,572026 / 6$8.038,842018 / 6
G.I. Hemorrhage W Mcc5566 / 2$12.829,009 / 7$11.858,60915 / 7$10.922,30910 / 7
Hip & Femur Procedures Except Major Joint W Cc5588 / 10$18.083,3017 / 11$16.678,501864 / 11$15.666,701844 / 11
Respiratory Infections & Inflammations W Mcc5482 / 2$18.869,9076 / 16$17.394,501689 / 16$16.812,001673 / 18
Kidney & Urinary Tract Infections W Mcc5490 / 7$8.918,2627 / 10$8.253,351460 / 11$7.494,521456 / 13
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc5373 / 9$11.072,7045 / 20$10.218,301483 / 20$9.312,871480 / 19
Bronchitis & Asthma W Cc/Mcc4927 / 1$7.542,6717 / 10$6.999,73788 / 10$5.884,31784 / 11
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4755 / 9$6.328,835 / 5$5.879,211147 / 4$4.689,191143 / 7
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc47103 / 19$4.578,9211 / 9$4.293,741219 / 9$3.049,341214 / 8
Red Blood Cell Disorders W/O Mcc4697 / 18$9.251,3073 / 28$8.568,411869 / 29$7.556,501860 / 29
Poisoning & Toxic Effects Of Drugs W Mcc4626 / 1$9.876,614 / 2$9.139,83445 / 1$8.326,87444 / 2
Other Digestive System Diagnoses W Cc4453 / 8$7.178,364 / 4$6.630,61778 / 4$5.736,80774 / 4
G.I. Obstruction W Cc4448 / 7$6.718,8610 / 9$6.265,091042 / 9$5.189,361039 / 9
Acute Myocardial Infarction, Discharged Alive W Cc4150 / 11$8.798,7123 / 17$8.125,441105 / 17$7.123,291103 / 18
Esophagitis, Gastroent & Misc Digest Disorders W Mcc3858 / 6$11.008,2025 / 12$10.227,601158 / 12$9.019,031153 / 10
Acute Myocardial Infarction, Discharged Alive W Mcc3788 / 10$16.883,1085 / 24$15.628,201578 / 25$13.798,101565 / 21
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc3626 / 4$6.501,0611 / 9$6.008,25594 / 9$5.033,14592 / 9
Cardiac Arrhythmia & Conduction Disorders W Mcc3588 / 10$14.642,90110 / 27$13.546,101849 / 27$12.393,201846 / 26
Hypertension W/O Mcc3431 / 1$4.750,416 / 3$4.471,82313 / 3$3.185,88311 / 2
Other Disorders Of Nervous System W Cc3422 / 2$6.781,973 / 3$6.298,21346 / 3$5.516,65346 / 5
Respiratory System Diagnosis W Ventilator Support <96 Hours3398 / 11$17.411,907 / 3$16.053,001254 / 3$15.395,601241 / 4
Other Circulatory System Diagnoses W Mcc3284 / 14$17.880,2031 / 16$16.487,101188 / 16$15.693,101180 / 17
Renal Failure W/O Cc/Mcc3125 / 5$4.340,031 / 1$4.019,90197 / 1$2.924,68196 / 1
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3193 / 17$42.493,1031 / 19$39.169,401160 / 18$37.929,201152 / 19
Septicemia Or Severe Sepsis W Mv 96+ Hours3161 / 4$51.751,0019 / 13$47.988,00816 / 13$43.803,30815 / 14
Simple Pneumonia & Pleurisy W/O Cc/Mcc3063 / 16$5.668,4015 / 11$5.239,471471 / 9$4.354,131463 / 12
Respiratory Infections & Inflammations W Cc2959 / 14$15.989,60130 / 27$14.746,401458 / 27$13.903,901453 / 27
Disorders Of Pancreas Except Malignancy W Cc2833 / 4$6.519,824 / 4$6.028,61357 / 4$4.906,32356 / 5
Diabetes W Cc2864 / 19$6.291,005 / 3$5.858,61860 / 3$4.820,61856 / 4
Major Small & Large Bowel Procedures W Cc2781 / 13$23.980,4016 / 12$22.163,701396 / 12$20.719,001382 / 11
Major Gastrointestinal Disorders & Peritoneal Infections W Cc2647 / 10$9.185,7715 / 9$8.533,04716 / 9$7.394,27714 / 6
Fractures Of Hip & Pelvis W/O Mcc2635 / 8$5.690,925 / 4$5.309,77599 / 5$4.231,88599 / 7
Pulmonary Embolism W/O Mcc2549 / 15$7.097,527 / 6$6.740,56298 / 6$4.797,80298 / 3
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc2521 / 3$26.748,10100 / 8$24.781,30258 / 8$22.246,20258 / 8
Seizures W/O Mcc2583 / 21$6.158,045 / 4$5.741,20785 / 4$4.699,64782 / 3
Peripheral Vascular Disorders W Cc2559 / 11$10.496,6047 / 20$9.736,041159 / 20$8.783,241156 / 21
Nonspecific Cerebrovascular Disorders W Mcc2526 / 1$14.376,804 / 3$13.251,20337 / 3$12.887,10337 / 3
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc24172 / 15$20.611,3011 / 11$19.312,201326 / 12$15.803,801319 / 9
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc2465 / 9$11.995,2020 / 9$11.127,50725 / 9$9.734,96724 / 9
Signs & Symptoms W/O Mcc2467 / 20$6.881,0021 / 11$6.357,001100 / 11$5.449,001097 / 10
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc2342 / 4$28.064,307 / 5$25.953,90766 / 5$23.491,10763 / 5
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc2333 / 4$14.801,9012 / 9$13.706,70449 / 9$12.733,00448 / 10
Extracranial Procedures W/O Cc/Mcc2276 / 11$8.702,237 / 6$8.036,36757 / 6$7.045,82754 / 6
Seizures W Mcc2244 / 10$9.843,182 / 2$9.088,36149 / 2$8.046,86149 / 2
Complications Of Treatment W Cc2131 / 3$6.925,571 / 1$6.390,33146 / 1$5.870,71146 / 1
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2199 / 26$7.057,6247 / 15$6.577,331841 / 16$5.548,811830 / 15
Other Digestive System Diagnoses W Mcc2141 / 5$12.043,009 / 6$11.103,90373 / 6$10.615,50372 / 5
Respiratory Neoplasms W Mcc2032 / 5$20.575,7039 / 20$18.968,90626 / 20$18.242,50623 / 20
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc2033 / 9$9.377,3543 / 24$8.712,60838 / 24$7.982,15834 / 25
Spinal Fusion Except Cervical W/O Mcc20174 / 22$40.244,2045 / 11$37.094,601300 / 11$36.006,601295 / 14
Cranial & Peripheral Nerve Disorders W/O Mcc2048 / 8$6.621,505 / 2$6.121,95292 / 2$5.006,30292 / 1
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1977 / 11$24.149,909 / 6$22.353,20794 / 6$20.171,70790 / 7
Bone Diseases & Arthropathies W/O Mcc1925 / 11$5.520,164 / 2$5.234,5899 / 2$3.956,3799 / 2
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1937 / 8$14.962,1012 / 11$13.894,40805 / 13$12.276,60802 / 11
Red Blood Cell Disorders W Mcc1952 / 14$11.452,1025 / 16$10.563,00906 / 15$9.899,42902 / 17
Major Small & Large Bowel Procedures W Mcc1966 / 11$41.585,3014 / 11$38.326,20993 / 11$37.435,20991 / 12
Degenerative Nervous System Disorders W/O Mcc1959 / 18$6.505,371 / 1$6.009,26263 / 1$5.177,26263 / 1
Major Cardiovasc Procedures W/O Mcc1883 / 17$36.179,9018 / 16$33.475,20970 / 16$31.488,80969 / 18
Bronchitis & Asthma W/O Cc/Mcc1827 / 3$5.541,675 / 3$5.126,44247 / 3$4.052,67247 / 4
Poisoning & Toxic Effects Of Drugs W/O Mcc1843 / 10$4.952,725 / 4$4.578,56463 / 4$3.775,00462 / 4
Respiratory Signs & Symptoms1729 / 4$7.182,826 / 5$6.635,53257 / 5$5.713,18257 / 5
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc1730 / 9$7.513,8210 / 9$6.940,24313 / 9$6.017,88313 / 9
G.I. Hemorrhage W/O Cc/Mcc1751 / 19$6.089,7113 / 10$5.702,41728 / 11$4.482,12724 / 8
Other Vascular Procedures W Cc1785 / 17$14.285,001 / 1$13.257,9018 / 1$11.828,8018 / 2
Diabetes W Mcc1740 / 5$12.114,5013 / 5$11.173,90586 / 5$10.464,30585 / 6
G.I. Obstruction W/O Cc/Mcc1754 / 15$5.644,4113 / 12$5.289,711068 / 13$4.176,531065 / 15
Medical Back Problems W Mcc1722 / 2$11.200,903 / 1$10.495,40103 / 1$8.919,24103 / 2
Disorders Of The Biliary Tract W Mcc1623 / 4$15.190,906 / 5$14.010,40202 / 5$13.180,40202 / 6
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc1529 / 8$5.877,203 / 3$5.434,80146 / 3$4.393,73146 / 4
Respiratory System Diagnosis W Ventilator Support 96+ Hours1556 / 13$48.219,4019 / 13$44.437,40862 / 13$43.547,80861 / 13
Other Kidney & Urinary Tract Diagnoses W Cc1588 / 18$7.889,9310 / 9$7.392,47424 / 9$5.944,40424 / 4
Digestive Malignancy W Cc1532 / 7$12.307,107 / 6$11.449,10319 / 6$9.833,07317 / 3
Circulatory Disorders Except Ami, W Card Cath W/O Mcc15173 / 24$8.935,475 / 5$8.385,601053 / 5$6.501,401050 / 3
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1554 / 7$19.610,7010 / 10$18.188,10541 / 10$16.020,70539 / 10
Inflammatory Bowel Disease W Cc1517 / 3$8.105,931 / 1$7.253,3330 / 1$5.176,8730 / 1
Headaches W/O Mcc1429 / 5$4.498,431 / 1$4.255,6431 / 1$2.927,7931 / 1
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc14110 / 18$5.011,1417 / 2$4.717,86333 / 2$3.894,14333 / 3
Hip & Femur Procedures Except Major Joint W Mcc1448 / 7$20.154,801 / 1$18.588,90422 / 1$17.468,90419 / 1
Heart Failure & Shock W/O Cc/Mcc1496 / 32$5.514,7113 / 8$5.101,001277 / 8$4.063,291267 / 5
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1442 / 12$13.942,506 / 6$12.967,90689 / 6$11.026,60686 / 5
Other Resp System O.R. Procedures W Cc1334 / 7$17.067,505 / 5$15.739,20273 / 5$14.902,20273 / 6
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc1316 / 4$21.360,106 / 5$19.686,2087 / 5$19.223,4086 / 5
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1350 / 10$41.054,2012 / 12$37.832,00600 / 12$37.179,70600 / 12
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1344 / 10$24.888,1020 / 11$23.069,40699 / 11$20.404,50697 / 12
O.R. Procedures For Obesity W/O Cc/Mcc1265 / 8$15.013,206 / 5$13.848,30378 / 5$12.944,30377 / 6
Disorders Of The Biliary Tract W Cc1242 / 10$6.932,422 / 2$6.402,25115 / 2$5.594,25115 / 2
Other Disorders Of Nervous System W/O Cc/Mcc1223 / 5$4.257,331 / 1$3.940,0022 / 1$3.033,3322 / 1
Peripheral Vascular Disorders W Mcc1237 / 12$10.008,406 / 6$9.225,75357 / 6$8.924,42357 / 7
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1226 / 4$6.016,338 / 6$5.668,25358 / 6$4.378,33357 / 7
Organic Disturbances & Mental Retardation1247 / 17$8.726,0819 / 11$8.058,75379 / 11$7.053,42379 / 12
Other Circulatory System Diagnoses W Cc1254 / 14$7.427,006 / 6$6.853,42438 / 6$6.270,75437 / 10
Degenerative Nervous System Disorders W Mcc1226 / 6$11.102,301 / 1$10.249,6043 / 1$9.140,2543 / 1
Revision Of Hip Or Knee Replacement W Cc1274 / 11$42.974,8038 / 15$39.604,40663 / 14$38.801,80661 / 15
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1242 / 6$15.792,8082 / 10$14.695,80406 / 10$13.099,60406 / 10
Other Vascular Procedures W Mcc1285 / 20$27.264,9013 / 12$25.132,60736 / 11$24.324,60733 / 12
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1243 / 9$20.041,7010 / 8$18.635,30581 / 8$16.230,10577 / 8
Urinary Stones W/O Esw Lithotripsy W/O Mcc1234 / 8$6.138,084 / 4$5.674,75302 / 4$4.661,42301 / 4
Permanent Cardiac Pacemaker Implant W Cc1265 / 14$27.570,0015 / 12$25.417,60938 / 12$24.412,20934 / 12
Major Cardiovasc Procedures W Mcc1157 / 10$40.227,508 / 8$37.220,90356 / 8$34.335,70355 / 5
Digestive Malignancy W Mcc1126 / 5$16.855,603 / 2$15.688,2054 / 2$13.072,1054 / 2
G.I. Obstruction W Mcc1131 / 7$11.365,502 / 1$10.493,00212 / 1$9.343,91212 / 1
Pulmonary Embolism W Mcc1132 / 9$10.790,501 / 1$10.232,003 / 1$6.114,093 / 1
Malignancy Of Hepatobiliary System Or Pancreas W Mcc1142 / 5$12.562,302 / 2$11.587,60140 / 2$10.822,50141 / 3
Major Chest Procedures W Mcc1138 / 5$38.409,203 / 3$36.106,5067 / 3$27.153,2067 / 2
Other Kidney & Urinary Tract Diagnoses W Mcc1190 / 19$13.476,4025 / 10$12.458,30836 / 10$11.205,20833 / 9
Coagulation Disorders1116 / 2$12.308,702 / 1$11.350,0032 / 1$10.797,3032 / 1
Revision Of Hip Or Knee Replacement W/O Cc/Mcc1158 / 12$26.269,207 / 6$24.394,00431 / 6$20.067,00430 / 4
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1142 / 12$10.598,008 / 8$9.778,27355 / 8$9.010,27355 / 8
Total 133 procedures5.588discharges

DATA

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.