Hospital Costs > In Illinois > Advocate Christ Hospital & Medical Center, 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 | 426 | 168 / 8 | $51.933,00 | 1376 / 43 | $18.906,70 | 1996 / 100 | $13.583,20 | 1954 / 91 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 346 | 175 / 10 | $63.299,60 | 2167 / 89 | $16.746,40 | 2265 / 105 | $13.462,30 | 2225 / 97 |
| Heart Failure & Shock W Mcc | 311 | 27 / 2 | $46.827,70 | 1904 / 82 | $13.571,50 | 2109 / 106 | $10.792,30 | 2099 / 96 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 243 | 51 / 5 | $22.767,80 | 1694 / 65 | $7.343,52 | 2116 / 103 | $5.033,05 | 2102 / 93 |
| Heart Failure & Shock W Cc | 204 | 77 / 4 | $26.749,40 | 1790 / 71 | $8.687,15 | 2120 / 104 | $6.791,00 | 2114 / 95 |
| Renal Failure W Cc | 172 | 55 / 6 | $26.003,30 | 1489 / 65 | $8.410,36 | 1853 / 88 | $6.558,60 | 1843 / 86 |
| Chronic Obstructive Pulmonary Disease W Mcc | 169 | 38 / 2 | $34.477,10 | 1714 / 71 | $10.227,90 | 1933 / 103 | $7.771,93 | 1925 / 90 |
| G.I. Hemorrhage W Cc | 157 | 63 / 4 | $27.476,50 | 1404 / 56 | $8.472,05 | 1890 / 92 | $6.891,02 | 1886 / 94 |
| Chest Pain | 150 | 23 / 1 | $19.545,30 | 888 / 36 | $5.945,28 | 1275 / 64 | $4.208,54 | 1268 / 59 |
| Kidney & Urinary Tract Infections W/O Mcc | 146 | 87 / 8 | $23.330,10 | 1874 / 78 | $6.631,50 | 2156 / 90 | $5.342,48 | 2145 / 92 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 144 | 49 / 4 | $38.512,70 | 900 / 34 | $9.991,96 | 1343 / 69 | $7.741,16 | 1340 / 76 |
| Syncope & Collapse | 141 | 37 / 1 | $22.716,50 | 1084 / 45 | $6.682,26 | 1443 / 79 | $4.981,23 | 1436 / 80 |
| Chronic Obstructive Pulmonary Disease W Cc | 141 | 44 / 3 | $28.754,00 | 1661 / 73 | $7.924,97 | 1916 / 92 | $6.434,05 | 1909 / 95 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 137 | 46 / 4 | $33.898,30 | 1317 / 53 | $10.198,90 | 1598 / 88 | $7.195,85 | 1595 / 81 |
| Cellulitis W/O Mcc | 131 | 59 / 8 | $19.329,30 | 1404 / 60 | $7.542,73 | 2024 / 98 | $5.626,44 | 2016 / 94 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 130 | 34 / 2 | $21.851,90 | 1197 / 38 | $7.198,95 | 1706 / 83 | $5.483,48 | 1701 / 84 |
| Renal Failure W Mcc | 120 | 76 / 9 | $46.582,10 | 1494 / 76 | $14.089,70 | 1700 / 92 | $11.166,40 | 1698 / 87 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 117 | 79 / 4 | $69.715,00 | 674 / 25 | $20.182,10 | 1126 / 69 | $13.384,40 | 1119 / 70 |
| Simple Pneumonia & Pleurisy W Mcc | 115 | 90 / 9 | $43.460,60 | 1700 / 67 | $12.634,40 | 2003 / 95 | $10.154,10 | 2002 / 96 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 114 | 52 / 6 | $18.572,80 | 1391 / 54 | $6.226,59 | 2012 / 89 | $4.912,46 | 2004 / 91 |
| Simple Pneumonia & Pleurisy W Cc | 107 | 96 / 12 | $28.640,20 | 1877 / 75 | $9.543,26 | 2118 / 108 | $6.417,28 | 2110 / 92 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 106 | 23 / 3 | $42.143,00 | 1376 / 76 | $11.425,80 | 1687 / 92 | $9.814,27 | 1684 / 92 |
| Medical Back Problems W/O Mcc | 103 | 23 / 2 | $23.593,20 | 757 / 35 | $7.392,83 | 1119 / 62 | $5.687,30 | 1115 / 66 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 100 | 69 / 4 | $55.346,00 | 1053 / 54 | $15.126,50 | 1296 / 72 | $12.951,10 | 1290 / 74 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 94 | 57 / 4 | $18.733,10 | 1323 / 61 | $5.578,32 | 1577 / 83 | $3.682,07 | 1571 / 88 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 94 | 32 / 2 | $28.798,00 | 905 / 44 | $9.513,05 | 1216 / 72 | $7.741,98 | 1213 / 70 |
| Other Circulatory System Diagnoses W Mcc | 89 | 29 / 2 | $55.107,80 | 851 / 46 | $19.625,90 | 949 / 68 | $13.121,40 | 942 / 55 |
| Pulmonary Edema & Respiratory Failure | 88 | 115 / 8 | $41.701,50 | 1559 / 66 | $10.451,60 | 1786 / 81 | $8.858,22 | 1781 / 83 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 85 | 17 / 1 | $74.690,40 | 623 / 41 | $21.884,70 | 735 / 52 | $16.042,00 | 728 / 50 |
| Heart Failure & Shock W/O Cc/Mcc | 84 | 26 / 2 | $18.921,00 | 1214 / 57 | $6.014,31 | 1626 / 86 | $4.787,20 | 1613 / 87 |
| Other Vascular Procedures W Mcc | 83 | 18 / 1 | $87.421,00 | 467 / 16 | $26.245,20 | 748 / 38 | $24.619,70 | 745 / 42 |
| Other Digestive System Diagnoses W Cc | 79 | 20 / 2 | $27.911,90 | 793 / 38 | $8.753,29 | 1122 / 65 | $6.989,08 | 1118 / 69 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 78 | 42 / 4 | $241.700,00 | 297 / 11 | $72.300,60 | 342 / 16 | $58.192,60 | 342 / 13 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 78 | 53 / 3 | $84.013,60 | 1355 / 70 | $21.101,80 | 1472 / 85 | $17.250,60 | 1458 / 83 |
| Red Blood Cell Disorders W/O Mcc | 76 | 67 / 7 | $21.658,50 | 1043 / 47 | $8.352,49 | 1511 / 97 | $5.527,33 | 1502 / 83 |
| Kidney & Urinary Tract Infections W Mcc | 76 | 68 / 7 | $26.375,80 | 998 / 43 | $9.095,92 | 1538 / 76 | $7.775,84 | 1534 / 81 |
| G.I. Hemorrhage W Mcc | 75 | 46 / 1 | $51.569,00 | 1042 / 50 | $14.310,50 | 1282 / 66 | $12.796,90 | 1272 / 73 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 73 | 52 / 5 | $65.705,90 | 1404 / 74 | $15.348,50 | 1572 / 79 | $13.744,20 | 1559 / 81 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 73 | 47 / 4 | $21.195,30 | 1346 / 58 | $6.691,71 | 1707 / 82 | $4.959,96 | 1696 / 86 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 69 | 138 / 21 | $35.010,80 | 1859 / 72 | $10.279,90 | 2050 / 98 | $7.474,07 | 2042 / 94 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 69 | 6 / 1 | $28.213,50 | 429 / 22 | $7.958,75 | 499 / 32 | $6.031,55 | 499 / 32 |
| Peripheral Vascular Disorders W Cc | 68 | 17 / 2 | $28.701,40 | 767 / 48 | $8.664,09 | 924 / 62 | $6.751,59 | 921 / 63 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 66 | 29 / 2 | $67.774,70 | 243 / 8 | $19.429,40 | 413 / 24 | $13.278,20 | 409 / 22 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 65 | 59 / 6 | $129.403,00 | 827 / 43 | $50.622,60 | 950 / 79 | $34.625,30 | 944 / 59 |
| Transient Ischemia | 63 | 62 / 5 | $26.310,40 | 1023 / 49 | $6.300,84 | 1315 / 68 | $4.913,65 | 1309 / 77 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 62 | 23 / 1 | $401.130,00 | 175 / 8 | $141.399,00 | 224 / 13 | $112.639,00 | 223 / 12 |
| Spinal Fusion Except Cervical W/O Mcc | 60 | 134 / 13 | $112.693,00 | 865 / 35 | $38.132,30 | 980 / 50 | $26.242,20 | 975 / 44 |
| Other Vascular Procedures W Cc | 59 | 44 / 2 | $79.144,50 | 648 / 24 | $21.085,20 | 816 / 43 | $17.493,50 | 811 / 43 |
| Major Small & Large Bowel Procedures W Cc | 59 | 49 / 6 | $62.479,30 | 700 / 19 | $25.943,00 | 650 / 68 | $14.153,60 | 644 / 34 |
| Degenerative Nervous System Disorders W/O Mcc | 58 | 22 / 2 | $24.287,40 | 366 / 17 | $9.679,45 | 590 / 48 | $6.625,55 | 590 / 39 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 57 | 43 / 2 | $99.738,30 | 482 / 14 | $27.232,40 | 751 / 40 | $22.764,10 | 746 / 41 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 56 | 45 / 6 | $36.542,80 | 557 / 29 | $12.397,80 | 720 / 50 | $10.320,20 | 718 / 45 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 55 | 18 / 3 | $29.910,10 | 644 / 36 | $9.710,09 | 782 / 49 | $7.666,16 | 780 / 51 |
| Signs & Symptoms W/O Mcc | 55 | 36 / 5 | $21.494,10 | 729 / 32 | $6.129,56 | 1020 / 50 | $4.997,95 | 1017 / 56 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 55 | 63 / 6 | $166.070,00 | 338 / 9 | $41.993,80 | 403 / 18 | $38.012,90 | 403 / 18 |
| Dysequilibrium | 55 | 14 / 2 | $21.671,40 | 280 / 15 | $5.844,96 | 414 / 23 | $4.336,73 | 414 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 54 | 42 / 6 | $36.465,50 | 856 / 43 | $10.463,60 | 1138 / 58 | $8.889,56 | 1133 / 60 |
| Hip & Femur Procedures Except Major Joint W Cc | 52 | 91 / 17 | $51.058,00 | 1083 / 42 | $15.149,50 | 1620 / 84 | $13.443,90 | 1601 / 87 |
| Red Blood Cell Disorders W Mcc | 52 | 19 / 2 | $42.091,50 | 717 / 49 | $13.918,80 | 969 / 64 | $10.842,80 | 965 / 64 |
| Major Cardiovasc Procedures W/O Mcc | 52 | 49 / 6 | $94.304,30 | 527 / 15 | $27.150,90 | 751 / 37 | $23.513,40 | 750 / 42 |
| Respiratory Infections & Inflammations W Mcc | 51 | 85 / 18 | $63.832,80 | 1334 / 66 | $17.815,10 | 1568 / 84 | $14.915,90 | 1552 / 81 |
| Permanent Cardiac Pacemaker Implant W Cc | 51 | 26 / 2 | $57.765,80 | 314 / 10 | $20.730,50 | 724 / 43 | $18.276,40 | 722 / 44 |
| Major Small & Large Bowel Procedures W Mcc | 51 | 34 / 3 | $117.395,00 | 537 / 15 | $40.081,10 | 749 / 47 | $32.930,50 | 747 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 50 | 52 / 6 | $27.518,20 | 1003 / 44 | $8.515,18 | 1240 / 71 | $4.962,92 | 1236 / 71 |
| Major Cardiovasc Procedures W Mcc | 49 | 20 / 1 | $178.209,00 | 450 / 15 | $47.279,20 | 553 / 21 | $44.625,00 | 552 / 23 |
| Seizures W/O Mcc | 48 | 60 / 5 | $21.781,30 | 640 / 30 | $7.036,46 | 957 / 62 | $5.336,85 | 955 / 63 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 45 | 43 / 3 | $131.497,00 | 413 / 15 | $34.389,20 | 475 / 25 | $26.468,40 | 474 / 26 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 44 | 48 / 4 | $158.715,00 | 574 / 29 | $43.859,90 | 686 / 38 | $40.758,10 | 685 / 40 |
| Other Circulatory System O.R. Procedures | 44 | 12 / 1 | $61.476,10 | 162 / 4 | $21.284,20 | 234 / 18 | $17.893,30 | 234 / 16 |
| Heart Transplant Or Implant Of Heart Assist System W Mcc | 43 | 4 / 1 | $899.690,00 | 42 / 2 | $241.724,00 | 54 / 2 | $232.976,00 | 54 / 3 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 43 | 12 / 2 | $21.483,20 | 182 / 5 | $7.588,14 | 261 / 20 | $4.897,63 | 261 / 20 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 43 | 28 / 1 | $156.212,00 | 590 / 30 | $55.078,00 | 620 / 43 | $35.123,40 | 619 / 33 |
| Other Resp System O.R. Procedures W Mcc | 41 | 22 / 1 | $97.504,60 | 329 / 13 | $27.978,60 | 371 / 21 | $24.249,80 | 370 / 21 |
| Diabetes W Cc | 41 | 51 / 5 | $25.981,20 | 1036 / 54 | $7.290,15 | 1139 / 64 | $5.507,95 | 1134 / 64 |
| Other Circulatory System Diagnoses W Cc | 41 | 25 / 2 | $31.922,90 | 443 / 21 | $11.448,70 | 439 / 25 | $6.282,41 | 438 / 23 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 41 | 57 / 5 | $140.839,00 | 325 / 13 | $35.504,60 | 342 / 12 | $31.429,40 | 342 / 15 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 39 | 27 / 2 | $29.272,10 | 236 / 9 | $9.257,44 | 354 / 22 | $7.502,97 | 353 / 23 |
| Bronchitis & Asthma W Cc/Mcc | 38 | 38 / 7 | $33.337,00 | 786 / 50 | $9.176,29 | 787 / 57 | $5.874,26 | 783 / 52 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 37 | 23 / 1 | $221.748,00 | 191 / 10 | $57.557,90 | 214 / 13 | $50.701,60 | 213 / 13 |
| G.I. Obstruction W Cc | 37 | 55 / 16 | $24.687,60 | 975 / 40 | $8.963,57 | 1299 / 82 | $5.846,51 | 1294 / 78 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 37 | 25 / 4 | $16.243,80 | 237 / 7 | $6.437,32 | 601 / 31 | $5.082,24 | 599 / 36 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 36 | 20 / 4 | $46.737,60 | 385 / 22 | $15.129,70 | 452 / 32 | $12.768,20 | 451 / 35 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 36 | 27 / 3 | $142.117,00 | 447 / 25 | $40.417,50 | 602 / 34 | $37.310,60 | 602 / 34 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 36 | 57 / 14 | $20.030,10 | 1198 / 54 | $6.324,47 | 1580 / 81 | $4.688,42 | 1572 / 85 |
| Respiratory Signs & Symptoms | 35 | 11 / 1 | $22.068,00 | 146 / 6 | $6.035,11 | 220 / 10 | $4.820,29 | 220 / 13 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 35 | 15 / 3 | $114.250,00 | 78 / 2 | $48.135,90 | 101 / 8 | $32.743,20 | 101 / 4 |
| Respiratory Neoplasms W Mcc | 35 | 17 / 3 | $56.400,30 | 429 / 24 | $14.302,40 | 487 / 31 | $12.247,00 | 484 / 34 |
| Other Digestive System Diagnoses W Mcc | 35 | 27 / 4 | $38.617,30 | 301 / 7 | $13.247,60 | 481 / 26 | $11.590,50 | 480 / 28 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 34 | 69 / 9 | $24.038,40 | 358 / 17 | $9.057,91 | 499 / 41 | $6.264,03 | 499 / 36 |
| Respiratory Neoplasms W Cc | 33 | 14 / 3 | $35.138,60 | 258 / 17 | $10.451,20 | 331 / 24 | $7.923,15 | 330 / 23 |
| G.I. Obstruction W/O Cc/Mcc | 32 | 39 / 8 | $20.453,50 | 838 / 41 | $5.947,22 | 1051 / 58 | $4.131,84 | 1048 / 61 |
| Revision Of Hip Or Knee Replacement W Cc | 32 | 54 / 7 | $83.654,50 | 321 / 13 | $26.334,80 | 515 / 25 | $23.197,80 | 513 / 26 |
| G.I. Hemorrhage W/O Cc/Mcc | 32 | 36 / 5 | $15.513,20 | 360 / 12 | $6.299,66 | 760 / 39 | $4.650,47 | 756 / 41 |
| Peripheral Vascular Disorders W Mcc | 32 | 17 / 5 | $45.498,80 | 389 / 27 | $12.759,30 | 506 / 33 | $11.458,90 | 506 / 33 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 32 | 25 / 2 | $41.316,80 | 169 / 3 | $17.099,60 | 561 / 25 | $14.647,10 | 560 / 27 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 31 | 13 / 2 | $78.476,10 | 227 / 9 | $22.507,10 | 321 / 16 | $20.370,10 | 319 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 30 | 35 / 4 | $97.309,60 | 623 / 32 | $42.378,50 | 649 / 47 | $21.319,50 | 646 / 39 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 29 | 18 / 2 | $49.230,40 | 308 / 9 | $15.339,90 | 384 / 15 | $9.688,07 | 384 / 15 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 29 | 60 / 6 | $39.466,50 | 457 / 23 | $11.436,40 | 573 / 30 | $7.087,07 | 572 / 30 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 29 | 27 / 3 | $42.292,00 | 454 / 19 | $12.923,80 | 759 / 37 | $11.465,80 | 756 / 42 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 28 | 27 / 4 | $51.724,10 | 277 / 9 | $17.295,20 | 446 / 26 | $12.843,00 | 442 / 25 |
| Organic Disturbances & Mental Retardation | 28 | 31 / 5 | $22.670,20 | 227 / 10 | $8.102,96 | 341 / 24 | $6.741,71 | 341 / 25 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 27 | 49 / 3 | $148.059,00 | 344 / 14 | $39.965,60 | 490 / 20 | $31.782,70 | 490 / 23 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 27 | 42 / 4 | $74.843,70 | 384 / 17 | $18.502,10 | 487 / 25 | $13.429,10 | 485 / 29 |
| Extracranial Procedures W/O Cc/Mcc | 26 | 72 / 10 | $39.174,40 | 618 / 21 | $8.514,23 | 778 / 30 | $7.211,42 | 775 / 37 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 26 | 14 / 4 | $30.940,30 | 151 / 6 | $9.462,19 | 181 / 18 | $7.525,81 | 181 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 12 | $36.869,00 | 959 / 42 | $8.926,77 | 1145 / 54 | $7.328,00 | 1143 / 56 |
| Cellulitis W Mcc | 26 | 32 / 8 | $40.649,90 | 609 / 35 | $11.802,60 | 620 / 46 | $9.435,69 | 618 / 47 |
| Pulmonary Embolism W/O Mcc | 26 | 48 / 14 | $36.577,60 | 993 / 45 | $9.423,58 | 998 / 58 | $6.546,19 | 995 / 56 |
| Hip & Femur Procedures Except Major Joint W Mcc | 26 | 36 / 7 | $80.150,50 | 531 / 21 | $24.511,40 | 722 / 43 | $20.895,20 | 719 / 41 |
| Digestive Malignancy W Cc | 25 | 22 / 7 | $29.861,80 | 143 / 7 | $10.568,60 | 254 / 18 | $8.519,36 | 252 / 18 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 25 | 19 / 3 | $22.312,50 | 131 / 6 | $7.768,48 | 181 / 15 | $4.722,20 | 181 / 13 |
| Permanent Cardiac Pacemaker Implant W Mcc | 25 | 27 / 4 | $92.000,40 | 279 / 14 | $28.656,70 | 468 / 28 | $26.790,90 | 468 / 30 |
| Major Chest Procedures W Cc | 25 | 49 / 8 | $91.402,90 | 371 / 15 | $22.030,60 | 370 / 17 | $17.995,00 | 368 / 21 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 25 | 22 / 4 | $20.630,10 | 172 / 7 | $6.318,84 | 270 / 19 | $5.225,48 | 270 / 21 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 25 | 44 / 1 | $285.624,00 | 175 / 5 | $86.612,80 | 222 / 7 | $74.197,60 | 222 / 7 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 24 | 29 / 6 | $47.222,10 | 154 / 5 | $15.611,60 | 152 / 13 | $11.025,00 | 153 / 10 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 24 | 100 / 22 | $20.319,90 | 495 / 28 | $6.185,42 | 635 / 30 | $5.187,96 | 634 / 37 |
| Medical Back Problems W Mcc | 24 | 15 / 2 | $43.957,10 | 171 / 9 | $13.069,70 | 241 / 16 | $11.342,50 | 241 / 17 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 24 | 40 / 3 | $265.144,00 | 275 / 15 | $80.283,20 | 351 / 17 | $72.148,50 | 351 / 18 |
| Cervical Spinal Fusion W/O Cc/Mcc | 24 | 80 / 6 | $75.004,90 | 632 / 24 | $21.812,50 | 603 / 26 | $13.677,10 | 600 / 23 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 24 | 10 / 1 | $138.299,00 | 133 / 4 | $47.115,10 | 159 / 6 | $37.892,80 | 159 / 5 |
| Pulmonary Embolism W Mcc | 24 | 19 / 5 | $43.446,10 | 369 / 22 | $13.583,60 | 332 / 35 | $9.132,67 | 332 / 26 |
| Other Disorders Of Nervous System W Cc | 24 | 32 / 6 | $24.975,00 | 278 / 9 | $9.858,29 | 456 / 29 | $6.368,54 | 456 / 27 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 24 | 27 / 3 | $47.702,30 | 134 / 5 | $15.809,20 | 179 / 15 | $12.791,60 | 179 / 14 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 23 | 32 / 4 | $89.650,00 | 119 / 4 | $23.052,80 | 137 / 4 | $21.186,00 | 137 / 6 |
| Digestive Malignancy W Mcc | 23 | 15 / 2 | $63.077,00 | 92 / 6 | $17.965,40 | 103 / 7 | $16.371,80 | 103 / 8 |
| Disorders Of The Biliary Tract W Cc | 23 | 31 / 5 | $29.198,00 | 196 / 7 | $9.880,87 | 326 / 21 | $7.290,52 | 326 / 20 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 23 | 31 / 3 | $101.001,00 | 139 / 8 | $25.930,20 | 200 / 11 | $23.829,40 | 200 / 13 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 23 | 22 / 1 | $83.124,40 | 109 / 3 | $23.391,00 | 204 / 12 | $21.795,10 | 203 / 14 |
| Hypertension W/O Mcc | 23 | 42 / 7 | $18.936,10 | 377 / 20 | $5.586,35 | 594 / 33 | $4.338,22 | 592 / 35 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 22 | 39 / 4 | $17.070,00 | 405 / 11 | $5.728,18 | 647 / 30 | $4.442,82 | 646 / 32 |
| Other Resp System O.R. Procedures W Cc | 22 | 25 / 3 | $53.488,80 | 177 / 7 | $14.596,40 | 225 / 8 | $13.241,30 | 225 / 11 |
| Fractures Of Hip & Pelvis W/O Mcc | 22 | 39 / 10 | $16.425,50 | 347 / 8 | $6.659,23 | 700 / 37 | $4.648,50 | 699 / 35 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 22 | 34 / 13 | $45.972,00 | 388 / 11 | $13.107,00 | 737 / 33 | $11.540,50 | 733 / 37 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 22 | 21 / 3 | $17.958,00 | 127 / 2 | $5.921,18 | 268 / 12 | $4.649,14 | 268 / 14 |
| Extracranial Procedures W Cc | 21 | 25 / 4 | $47.937,10 | 220 / 6 | $16.225,50 | 298 / 18 | $10.854,70 | 298 / 18 |
| Coronary Bypass W Cardiac Cath W Mcc | 21 | 35 / 4 | $272.262,00 | 340 / 16 | $67.557,60 | 410 / 18 | $64.410,80 | 410 / 18 |
| Complications Of Treatment W Cc | 21 | 31 / 7 | $36.345,00 | 272 / 20 | $8.771,67 | 265 / 17 | $7.608,14 | 265 / 19 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 21 | 25 / 1 | $31.778,30 | 134 / 5 | $8.157,38 | 181 / 9 | $6.789,48 | 181 / 10 |
| Degenerative Nervous System Disorders W Mcc | 21 | 17 / 2 | $45.216,00 | 130 / 5 | $14.375,20 | 150 / 9 | $12.634,90 | 150 / 9 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 20 | 23 / 3 | $61.163,10 | 44 / 2 | $25.491,80 | 55 / 7 | $17.753,90 | 55 / 5 |
| Renal Failure W/O Cc/Mcc | 20 | 36 / 7 | $21.648,10 | 603 / 24 | $5.924,85 | 684 / 27 | $4.386,40 | 682 / 27 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 20 | 56 / 6 | $38.795,90 | 192 / 7 | $15.670,20 | 286 / 17 | $12.072,00 | 286 / 17 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 22 | $38.068,60 | 924 / 38 | $11.019,80 | 1186 / 58 | $9.615,90 | 1181 / 63 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 20 | 71 / 11 | $23.498,00 | 102 / 10 | $9.145,40 | 270 / 14 | $8.672,50 | 270 / 16 |
| Nervous System Neoplasms W/O Mcc | 20 | 10 / 2 | $29.461,30 | 29 / 2 | $13.923,20 | 6 / 6 | $4.778,40 | 6 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 20 | 20 / 6 | $65.982,30 | 216 / 10 | $20.210,70 | 389 / 21 | $18.262,80 | 388 / 24 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 19 | 35 / 6 | $19.974,60 | 132 / 3 | $7.940,58 | 310 / 11 | $7.000,37 | 310 / 15 |
| Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 19 | 8 / 1 | $35.857,80 | 22 / 1 | $14.394,90 | 23 / 1 | $6.275,00 | 23 / 1 |
| Bone Diseases & Arthropathies W/O Mcc | 19 | 25 / 5 | $20.864,90 | 180 / 17 | $6.374,89 | 192 / 17 | $5.143,42 | 192 / 21 |
| Cervical Spinal Fusion W Cc | 19 | 34 / 5 | $110.497,00 | 302 / 11 | $33.867,40 | 286 / 12 | $20.034,10 | 285 / 10 |
| Other Respiratory System Diagnoses W/O Mcc | 19 | 27 / 3 | $26.595,30 | 189 / 7 | $6.994,58 | 200 / 8 | $5.336,11 | 200 / 9 |
| Disorders Of The Biliary Tract W Mcc | 19 | 20 / 3 | $47.240,30 | 141 / 7 | $14.050,50 | 184 / 10 | $12.463,70 | 184 / 12 |
| Major Chest Procedures W Mcc | 19 | 30 / 5 | $138.508,00 | 191 / 9 | $45.978,60 | 173 / 13 | $31.857,30 | 172 / 8 |
| Cranial & Peripheral Nerve Disorders W Mcc | 19 | 17 / 2 | $39.135,80 | 91 / 2 | $13.424,20 | 64 / 4 | $8.207,26 | 64 / 4 |
| Malignancy Of Hepatobiliary System Or Pancreas W Cc | 18 | 13 / 4 | $36.442,40 | 108 / 8 | $9.676,28 | 135 / 7 | $8.348,56 | 135 / 9 |
| Seizures W Mcc | 18 | 48 / 14 | $46.597,40 | 437 / 24 | $14.846,70 | 560 / 31 | $11.439,10 | 560 / 32 |
| Inflammatory Bowel Disease W Cc | 18 | 14 / 2 | $29.504,80 | 89 / 3 | $8.594,33 | 100 / 3 | $7.199,50 | 100 / 3 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 7 | $41.159,70 | 317 / 5 | $17.131,40 | 544 / 20 | $10.384,10 | 544 / 17 |
| Other Skin, Subcut Tiss & Breast Proc W Cc | 17 | 7 / 1 | $44.089,20 | 51 / 3 | $11.927,10 | 47 / 6 | $9.022,94 | 47 / 4 |
| G.I. Obstruction W Mcc | 17 | 25 / 7 | $63.972,10 | 428 / 24 | $15.797,80 | 496 / 25 | $14.372,80 | 496 / 26 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 17 | 28 / 8 | $22.056,90 | 255 / 17 | $6.177,00 | 306 / 21 | $4.688,94 | 306 / 20 |
| Other O.R. Procedures For Injuries W Cc | 17 | 18 / 2 | $60.001,20 | 100 / 5 | $22.174,70 | 80 / 7 | $12.740,00 | 80 / 5 |
| Other Disorders Of Nervous System W/O Cc/Mcc | 16 | 19 / 2 | $16.984,10 | 43 / 1 | $6.750,81 | 83 / 3 | $4.283,81 | 83 / 5 |
| Pleural Effusion W Cc | 16 | 12 / 3 | $36.561,50 | 74 / 4 | $9.133,19 | 81 / 6 | $7.584,56 | 81 / 6 |
| Other Kidney & Urinary Tract Procedures W Mcc | 16 | 22 / 3 | $63.169,40 | 62 / 3 | $23.648,90 | 140 / 7 | $22.123,40 | 139 / 8 |
| Transurethral Procedures W Cc | 16 | 25 / 7 | $39.911,10 | 220 / 16 | $11.768,30 | 283 / 25 | $8.365,50 | 283 / 23 |
| Endocrine Disorders W Mcc | 16 | 10 / 2 | $58.391,20 | 90 / 5 | $14.418,90 | 85 / 6 | $12.563,80 | 85 / 6 |
| Disorders Of Pancreas Except Malignancy W Mcc | 16 | 30 / 6 | $75.231,90 | 299 / 16 | $17.360,40 | 301 / 16 | $15.145,90 | 301 / 18 |
| Other Disorders Of Nervous System W Mcc | 16 | 24 / 5 | $44.231,90 | 171 / 7 | $13.961,60 | 154 / 11 | $10.089,00 | 154 / 10 |
| Fever | 15 | 31 / 7 | $33.789,60 | 255 / 13 | $7.868,80 | 262 / 12 | $6.450,73 | 262 / 13 |
| Signs & Symptoms W Mcc | 15 | 26 / 4 | $38.411,20 | 195 / 8 | $15.523,80 | 147 / 9 | $7.428,33 | 147 / 6 |
| Complications Of Treatment W Mcc | 15 | 36 / 9 | $46.939,30 | 158 / 3 | $13.844,50 | 196 / 5 | $12.658,70 | 196 / 7 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 15 | 15 / 3 | $54.177,40 | 109 / 4 | $16.050,50 | 159 / 7 | $14.362,30 | 158 / 8 |
| Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 15 | 14 / 3 | $17.979,30 | 67 / 3 | $6.590,20 | 86 / 8 | $4.373,87 | 86 / 7 |
| Other Digestive System O.R. Procedures W Mcc | 15 | 14 / 2 | $118.466,00 | 70 / 3 | $32.775,90 | 84 / 3 | $30.487,40 | 84 / 5 |
| Nervous System Neoplasms W Mcc | 15 | 33 / 8 | $35.953,00 | 140 / 7 | $10.882,70 | 199 / 15 | $9.486,67 | 199 / 17 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 15 | $60.500,50 | 483 / 11 | $16.917,70 | 685 / 20 | $15.488,80 | 681 / 24 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 16 | $35.260,30 | 726 / 36 | $10.186,10 | 744 / 42 | $6.440,27 | 741 / 44 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 15 | 59 / 7 | $86.834,00 | 190 / 6 | $17.158,10 | 171 / 5 | $15.753,70 | 170 / 8 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 15 | 31 / 2 | $198.784,00 | 87 / 3 | $60.235,30 | 81 / 5 | $43.339,00 | 81 / 3 |
| Skin Grafts For Injuries W Cc/Mcc | 14 | 6 / 1 | $69.684,80 | 6 / 1 | $24.629,10 | 11 / 1 | $22.589,30 | 11 / 1 |
| Multiple Sclerosis & Cerebellar Ataxia W Cc | 14 | 6 / 2 | $35.577,00 | 13 / 2 | $11.049,70 | 11 / 1 | $6.830,00 | 11 / 1 |
| Major Chest Procedures W/O Cc/Mcc | 14 | 45 / 7 | $79.747,80 | 215 / 10 | $20.915,30 | 172 / 11 | $12.022,60 | 172 / 8 |
| Atherosclerosis W/O Mcc | 14 | 44 / 8 | $17.578,30 | 256 / 11 | $6.022,43 | / 17 | $4.143,86 | / |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 14 | 14 / 3 | $54.644,40 | 28 / 2 | $18.625,10 | 20 / 6 | $10.357,70 | 20 / 4 |
| Pleural Effusion W Mcc | 14 | 16 / 3 | $51.904,90 | 136 / 8 | $12.358,50 | 149 / 8 | $10.969,50 | 149 / 7 |
| Cardiac Pacemaker Revision Except Device Replacement W Cc | 14 | 5 / 1 | $54.311,60 | 13 / 1 | $22.751,00 | 18 / 1 | $11.749,90 | 18 / 1 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 11 | $34.280,70 | 263 / 10 | $10.708,00 | 380 / 16 | $9.539,07 | 380 / 19 |
| Cardiac Pacemaker Revision Except Device Replacement W Mcc | 14 | 2 / 1 | $127.411,00 | 4 / 1 | $46.322,30 | 11 / 1 | $34.312,90 | 11 / 1 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 14 | 14 / 1 | $194.468,00 | 38 / 1 | $63.756,40 | 59 / 2 | $54.380,60 | 59 / 1 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 14 | 17 / 2 | $109.833,00 | 38 / 2 | $35.078,80 | 53 / 2 | $32.880,10 | 53 / 2 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 9 | $22.184,00 | 293 / 16 | $5.911,21 | 367 / 19 | $4.485,14 | 366 / 23 |
| Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 5 | $55.540,90 | 343 / 10 | $20.009,10 | 334 / 16 | $10.286,70 | 333 / 10 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 14 | 28 / 8 | $27.449,60 | 39 / 2 | $13.035,40 | 175 / 8 | $12.429,50 | 175 / 8 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 14 | 52 / 13 | $44.901,70 | 214 / 5 | $14.663,40 | 431 / 19 | $13.161,00 | 428 / 27 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 14 | 28 / 4 | $143.720,00 | 84 / 3 | $38.951,40 | 87 / 6 | $36.779,90 | 87 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 10 | $44.934,90 | 367 / 11 | $14.383,40 | 290 / 22 | $6.576,00 | 290 / 14 |
| Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc | 13 | 12 / 1 | $90.235,60 | 20 / 2 | $32.415,50 | 18 / 2 | $23.721,20 | 18 / 1 |
| Interstitial Lung Disease W Mcc | 13 | 12 / 5 | $52.223,60 | 63 / 7 | $13.912,20 | 57 / 8 | $10.744,00 | 57 / 8 |
| Diabetes W Mcc | 13 | 44 / 10 | $37.174,80 | 417 / 20 | $10.554,80 | 457 / 29 | $9.037,23 | 457 / 30 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 11 | $67.810,90 | 248 / 9 | $20.719,50 | 413 / 13 | $19.322,00 | 412 / 18 |
| Other O.R. Procedures For Injuries W Mcc | 13 | 24 / 5 | $134.081,00 | 144 / 4 | $73.263,20 | 68 / 8 | $24.684,20 | 68 / 3 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc/Mcc | 13 | 10 / 3 | $47.574,10 | 28 / 2 | $9.214,23 | 27 / 1 | $7.835,62 | 27 / 3 |
| Acute Myocardial Infarction, Expired W Mcc | 13 | 17 / 3 | $117.702,00 | 196 / 10 | $23.717,70 | 194 / 10 | $21.996,20 | 194 / 10 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 7 | $24.429,00 | 226 / 13 | $6.066,92 | 299 / 17 | $4.619,00 | 298 / 22 |
| Other Skin, Subcut Tiss & Breast Proc W Mcc | 13 | 9 / 2 | $58.090,40 | 18 / 3 | $21.896,10 | 31 / 4 | $17.144,00 | 31 / 3 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc | 12 | 10 / 2 | $30.407,00 | 21 / 1 | $10.433,00 | 34 / 2 | $9.227,00 | 34 / 2 |
| Dental & Oral Diseases W Cc | 12 | 3 / 1 | $17.731,90 | 3 / 1 | $7.370,25 | 5 / 2 | $5.978,08 | 5 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 10 | $53.229,30 | 751 / 22 | $15.775,80 | 929 / 25 | $14.246,50 | 926 / 26 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 9 | $44.067,20 | 74 / 2 | $18.042,10 | 262 / 11 | $16.685,30 | 261 / 12 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 14 | $77.252,70 | 319 / 14 | $20.484,80 | 401 / 17 | $18.883,60 | 401 / 22 |
| Peritoneal Adhesiolysis W Cc | 12 | 27 / 7 | $77.967,50 | 195 / 7 | $17.846,20 | 196 / 8 | $15.460,40 | 196 / 11 |
| Stomach, Esophageal & Duodenal Proc W Cc | 12 | 38 / 8 | $103.454,00 | 180 / 10 | $23.425,10 | 180 / 8 | $21.309,90 | 180 / 10 |
| Stomach, Esophageal & Duodenal Proc W Mcc | 12 | 29 / 5 | $150.609,00 | 127 / 6 | $42.241,70 | 141 / 8 | $40.077,50 | 141 / 8 |
| Cardiac Congenital & Valvular Disorders W Mcc | 12 | 11 / 1 | $93.532,70 | 35 / 1 | $19.755,00 | 35 / 1 | $18.278,50 | 35 / 1 |
| Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 11 | $21.329,70 | 231 / 13 | $5.840,00 | 268 / 11 | $4.275,17 | 268 / 13 |
| Aftercare, Musculoskeletal System & Connective Tissue W Cc | 12 | 6 / 3 | $26.942,60 | 11 / 2 | $10.540,90 | 12 / 4 | $6.349,92 | 12 / 4 |
| Skin Ulcers W Cc | 11 | 8 / 2 | $18.857,50 | 4 / 1 | $9.120,09 | 8 / 3 | $6.212,45 | 8 / 3 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 9 | $24.950,30 | 203 / 12 | $7.052,09 | 263 / 15 | $5.852,27 | 262 / 19 |
| Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 11 | 18 / 2 | $60.059,90 | 38 / 2 | $16.174,70 | 37 / 1 | $14.531,50 | 37 / 1 |
| Endocrine Disorders W Cc | 11 | 27 / 11 | $35.986,20 | 218 / 14 | $8.893,82 | 209 / 13 | $7.262,73 | 209 / 14 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 11 | 34 / 9 | $45.352,00 | 65 / 2 | $14.377,80 | 127 / 6 | $13.181,00 | 127 / 7 |
| Traumatic Stupor & Coma, Coma >1 Hr W Cc | 11 | 13 / 1 | $30.653,80 | 10 / 1 | $10.401,00 | 25 / 1 | $8.971,00 | 25 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 11 | 18 / 4 | $26.832,10 | 95 / 6 | $6.670,55 | 107 / 6 | $5.742,27 | 106 / 7 |
| Epistaxis W/O Mcc | 11 | 9 / 2 | $14.315,50 | 7 / 1 | $6.268,27 | 14 / 3 | $4.321,27 | 14 / 3 |
| Major Chest Trauma W Cc | 11 | 25 / 5 | $25.102,20 | 43 / 4 | $10.942,80 | 61 / 6 | $5.481,27 | 61 / 6 |
| Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 11 | 17 / 4 | $37.504,40 | 31 / 1 | $14.365,10 | 22 / 2 | $8.418,91 | 22 / 2 |
| Otitis Media & Uri W/O Mcc | 11 | 33 / 7 | $21.685,50 | 111 / 8 | $5.937,27 | 136 / 6 | $4.417,91 | 136 / 8 | Total 230 procedures | 10.334 | 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.