Hospital Costs > In Illinois > Advocate Good Samaritan Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 20 | $33.526,80 | 866 / 33 | $7.195,47 | 124 / 35 | $4.764,35 | 124 / 2 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 28 | $46.085,50 | 1035 / 42 | $10.075,70 | 580 / 20 | $9.172,77 | 579 / 26 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 14 | 13 / 2 | $43.643,80 | 88 / 3 | $9.497,29 | 5 / 1 | $7.428,50 | 5 / 1 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 36 | 88 / 16 | $18.642,30 | 460 / 26 | $3.916,64 | 104 / 2 | $3.235,31 | 104 / 4 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 12 | $46.289,90 | 232 / 7 | $15.505,40 | 85 / 23 | $9.245,20 | 85 / 5 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 14 | $36.051,90 | 399 / 17 | $9.219,56 | 95 / 22 | $4.750,62 | 95 / 3 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 11 | 52 / 5 | $91.714,60 | 154 / 5 | $24.976,10 | 61 / 1 | $17.597,50 | 61 / 3 |
Bone Diseases & Arthropathies W/O Mcc | 13 | 31 / 10 | $18.818,20 | 148 / 12 | $4.683,15 | 11 / 6 | $2.957,54 | 11 / 1 |
Bronchitis & Asthma W Cc/Mcc | 29 | 47 / 12 | $25.672,80 | 607 / 27 | $6.459,45 | 64 / 39 | $3.696,76 | 64 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 58 | 103 / 20 | $20.399,00 | 1083 / 35 | $5.257,76 | 235 / 40 | $3.523,84 | 235 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 37 | 86 / 26 | $34.122,30 | 1131 / 57 | $7.528,08 | 655 / 35 | $6.599,65 | 652 / 42 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 48 | 102 / 14 | $14.703,20 | 952 / 31 | $3.242,94 | 293 / 5 | $2.254,02 | 291 / 19 |
Cellulitis W Mcc | 27 | 31 / 7 | $50.401,70 | 735 / 47 | $10.057,40 | 577 / 38 | $9.225,78 | 575 / 44 |
Cellulitis W/O Mcc | 133 | 57 / 7 | $21.314,40 | 1609 / 76 | $5.358,57 | 368 / 36 | $3.769,26 | 365 / 16 |
Chest Pain | 24 | 127 / 33 | $20.330,50 | 944 / 42 | $4.209,50 | 319 / 27 | $2.714,58 | 318 / 13 |
Chronic Obstructive Pulmonary Disease W Cc | 84 | 95 / 16 | $31.599,00 | 1795 / 86 | $6.704,45 | 125 / 68 | $4.053,57 | 125 / 2 |
Chronic Obstructive Pulmonary Disease W Mcc | 112 | 90 / 11 | $41.047,60 | 1956 / 88 | $8.055,74 | 876 / 62 | $6.126,86 | 871 / 36 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 28 | $25.047,20 | 1542 / 79 | $5.873,88 | 30 / 70 | $2.608,00 | 30 / 1 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 32 | 61 / 10 | $62.471,60 | 501 / 28 | $17.102,80 | 139 / 46 | $10.733,50 | 136 / 4 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 46 | 142 / 23 | $41.034,50 | 979 / 42 | $7.064,13 | 405 / 23 | $5.314,17 | 403 / 20 |
Complications Of Treatment W Cc | 11 | 41 / 15 | $28.561,40 | 200 / 10 | $5.731,73 | 72 / 4 | $5.172,82 | 72 / 5 |
Coronary Bypass W Cardiac Cath W Mcc | 22 | 34 / 3 | $224.407,00 | 282 / 11 | $46.568,90 | 262 / 7 | $45.427,60 | 262 / 14 |
Coronary Bypass W Cardiac Cath W/O Mcc | 19 | 57 / 8 | $155.003,00 | 376 / 16 | $28.036,00 | 313 / 4 | $26.862,70 | 313 / 11 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 13 | 75 / 16 | $132.730,00 | 417 / 16 | $29.678,10 | 193 / 21 | $19.922,10 | 192 / 11 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 19 | $26.526,20 | 394 / 18 | $5.157,73 | 137 / 2 | $4.379,18 | 137 / 8 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 16 | $102.954,00 | 204 / 3 | $25.156,90 | 105 / 2 | $24.221,60 | 105 / 4 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 25 | $21.887,00 | 291 / 14 | $6.331,15 | 9 / 19 | $3.973,62 | 9 / 1 |
Diabetes W Cc | 30 | 62 / 12 | $19.890,30 | 690 / 24 | $4.962,47 | 198 / 13 | $3.824,53 | 198 / 9 |
Diabetes W Mcc | 12 | 45 / 11 | $31.521,70 | 305 / 11 | $11.381,70 | 34 / 31 | $6.402,75 | 34 / 3 |
Digestive Malignancy W Cc | 11 | 36 / 15 | $33.140,90 | 176 / 10 | $7.146,00 | 28 / 4 | $6.030,00 | 28 / 3 |
Disorders Of Pancreas Except Malignancy W Cc | 20 | 41 / 11 | $27.945,80 | 568 / 24 | $5.525,00 | 187 / 3 | $4.466,40 | 187 / 8 |
Disorders Of The Biliary Tract W Cc | 13 | 41 / 11 | $29.345,40 | 201 / 8 | $8.551,92 | 18 / 18 | $4.733,23 | 18 / 2 |
Dysequilibrium | 17 | 48 / 16 | $22.899,70 | 303 / 19 | $3.933,47 | 48 / 4 | $2.419,76 | 48 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 40 | 56 / 10 | $42.100,60 | 1004 / 55 | $7.891,00 | 300 / 26 | $6.242,10 | 298 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 169 | 106 / 11 | $22.453,30 | 1670 / 62 | $5.358,10 | 320 / 58 | $3.257,90 | 319 / 7 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 13 | 31 / 9 | $76.772,50 | 214 / 7 | $16.088,20 | 104 / 3 | $15.143,20 | 103 / 3 |
Extracranial Procedures W Cc | 12 | 34 / 11 | $48.944,20 | 227 / 7 | $9.348,92 | 106 / 4 | $8.236,25 | 106 / 4 |
Extracranial Procedures W/O Cc/Mcc | 24 | 74 / 12 | $40.696,50 | 644 / 22 | $7.989,58 | 50 / 27 | $4.451,58 | 50 / 1 |
Fever | 13 | 33 / 8 | $28.645,80 | 214 / 10 | $9.959,54 | 24 / 15 | $3.735,62 | 24 / 2 |
Fractures Of Hip & Pelvis W Mcc | 11 | 10 / 4 | $29.158,50 | 25 / 1 | $7.471,64 | 13 / 1 | $6.684,73 | 13 / 2 |
Fractures Of Hip & Pelvis W/O Mcc | 26 | 35 / 7 | $19.522,20 | 495 / 16 | $4.066,23 | 130 / 8 | $3.029,92 | 131 / 8 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 26 | 36 / 7 | $19.612,20 | 366 / 14 | $4.429,92 | 141 / 9 | $3.445,77 | 141 / 13 |
G.I. Hemorrhage W Cc | 128 | 90 / 8 | $26.109,00 | 1298 / 51 | $5.912,38 | 434 / 18 | $4.844,67 | 433 / 14 |
G.I. Hemorrhage W Mcc | 35 | 86 / 21 | $45.052,50 | 867 / 34 | $11.317,30 | 235 / 40 | $8.989,40 | 235 / 12 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 15 | $16.715,90 | 415 / 16 | $4.029,00 | 120 / 3 | $2.986,71 | 120 / 7 |
G.I. Obstruction W Cc | 41 | 51 / 12 | $24.052,90 | 932 / 35 | $5.002,22 | 300 / 5 | $4.194,80 | 299 / 12 |
G.I. Obstruction W Mcc | 14 | 28 / 10 | $45.928,20 | 304 / 12 | $9.575,93 | 128 / 9 | $8.667,43 | 128 / 8 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 23 | $18.157,90 | 732 / 30 | $3.563,14 | 148 / 7 | $2.429,71 | 148 / 13 |
Heart Failure & Shock W Cc | 108 | 170 / 26 | $24.808,10 | 1650 / 64 | $5.745,70 | 280 / 15 | $4.661,41 | 280 / 7 |
Heart Failure & Shock W Mcc | 121 | 163 / 24 | $42.142,10 | 1745 / 71 | $9.166,37 | 388 / 38 | $7.547,88 | 388 / 8 |
Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 24 | $23.914,10 | 1504 / 82 | $3.900,00 | 183 / 11 | $2.941,00 | 181 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 68 | 75 / 8 | $55.629,90 | 1229 / 50 | $11.448,30 | 558 / 19 | $10.161,80 | 556 / 22 |
Hip & Femur Procedures Except Major Joint W Mcc | 25 | 37 / 8 | $81.410,20 | 547 / 23 | $17.692,20 | 337 / 14 | $16.842,70 | 334 / 15 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 17 | $49.447,70 | 563 / 28 | $9.557,18 | 254 / 13 | $8.338,27 | 253 / 15 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 37 | $146.383,00 | 994 / 56 | $33.080,90 | 755 / 31 | $32.021,90 | 749 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 68 | 114 / 20 | $33.162,30 | 1292 / 52 | $6.269,94 | 241 / 12 | $4.889,46 | 241 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 24 | $41.176,90 | 727 / 29 | $13.011,30 | 99 / 58 | $8.103,95 | 99 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 24 | $26.166,00 | 955 / 41 | $5.146,73 | 117 / 31 | $3.033,23 | 115 / 5 |
Kidney & Urinary Tract Infections W Mcc | 61 | 83 / 13 | $27.031,60 | 1043 / 44 | $6.935,66 | 278 / 34 | $5.388,75 | 277 / 8 |
Kidney & Urinary Tract Infections W/O Mcc | 123 | 110 / 13 | $21.261,20 | 1699 / 63 | $4.383,75 | 328 / 7 | $3.467,36 | 328 / 14 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 32 | 24 / 6 | $55.171,90 | 524 / 22 | $12.041,70 | 142 / 28 | $8.051,94 | 142 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 10 | $45.761,60 | 379 / 14 | $14.391,10 | 10 / 23 | $4.766,93 | 10 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 36 | 19 / 2 | $65.737,40 | 406 / 22 | $14.630,10 | 83 / 21 | $9.703,47 | 83 / 3 |
Major Cardiovasc Procedures W Mcc | 28 | 40 / 6 | $198.739,00 | 510 / 20 | $45.686,30 | 490 / 20 | $39.710,20 | 489 / 21 |
Major Cardiovasc Procedures W/O Mcc | 49 | 52 / 7 | $141.894,00 | 845 / 43 | $24.240,80 | 741 / 31 | $23.264,00 | 740 / 40 |
Major Chest Trauma W Cc | 14 | 22 / 2 | $25.321,90 | 44 / 5 | $5.773,43 | 21 / 3 | $4.642,00 | 21 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 34 | 39 / 9 | $26.996,40 | 559 / 26 | $6.570,50 | 192 / 9 | $5.878,38 | 192 / 13 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 18 | 38 / 13 | $50.948,70 | 430 / 29 | $10.766,80 | 180 / 9 | $10.399,70 | 180 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 26 | 39 / 7 | $100.083,00 | 653 / 34 | $20.405,90 | 508 / 22 | $19.400,00 | 505 / 28 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 341 | 234 / 14 | $63.311,20 | 1817 / 75 | $15.181,90 | 604 / 62 | $10.471,30 | 597 / 16 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 13 | $78.541,70 | 327 / 17 | $21.493,50 | 135 / 20 | $13.469,80 | 135 / 3 |
Major Small & Large Bowel Procedures W Cc | 29 | 79 / 19 | $66.714,40 | 792 / 25 | $17.218,40 | 205 / 34 | $12.509,40 | 203 / 4 |
Major Small & Large Bowel Procedures W Mcc | 31 | 54 / 13 | $121.649,00 | 576 / 18 | $32.291,90 | 104 / 18 | $25.108,00 | 104 / 3 |
Medical Back Problems W Mcc | 18 | 21 / 5 | $43.443,70 | 169 / 8 | $10.504,40 | 4 / 10 | $6.815,28 | 4 / 1 |
Medical Back Problems W/O Mcc | 74 | 47 / 9 | $24.247,10 | 789 / 38 | $5.023,27 | 295 / 14 | $3.948,31 | 295 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 29 | $33.201,10 | 1104 / 59 | $6.354,54 | 238 / 8 | $5.599,82 | 236 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 61 | 105 / 26 | $20.232,90 | 1576 / 66 | $4.542,02 | 244 / 34 | $3.065,87 | 244 / 10 |
Nervous System Neoplasms W Mcc | 12 | 36 / 11 | $39.359,50 | 160 / 9 | $7.391,25 | 40 / 2 | $6.670,92 | 40 / 3 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 31 | $59.623,30 | 926 / 51 | $11.763,70 | 588 / 24 | $11.092,80 | 586 / 35 |
Other Digestive System Diagnoses W Cc | 40 | 57 / 13 | $23.034,70 | 567 / 22 | $6.484,73 | 181 / 36 | $4.614,65 | 179 / 10 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 15 | $45.326,10 | 395 / 16 | $11.326,10 | 58 / 18 | $8.473,17 | 58 / 2 |
Other Disorders Of Nervous System W Cc | 18 | 38 / 11 | $34.848,90 | 436 / 26 | $5.115,44 | 87 / 4 | $4.301,00 | 87 / 6 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 22 | $25.238,20 | 398 / 22 | $5.662,33 | 102 / 6 | $4.846,67 | 102 / 8 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 23 | 17 / 5 | $47.880,40 | 79 / 2 | $11.700,80 | 77 / 4 | $10.842,30 | 77 / 4 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 15 | $102.759,00 | 359 / 15 | $31.995,30 | 51 / 25 | $18.119,60 | 51 / 3 |
Other Vascular Procedures W Cc | 40 | 62 / 7 | $112.495,00 | 931 / 48 | $22.001,70 | 647 / 46 | $15.938,30 | 644 / 32 |
Other Vascular Procedures W Mcc | 31 | 66 / 10 | $92.909,90 | 521 / 23 | $20.956,90 | 456 / 16 | $20.267,60 | 454 / 22 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 17 | 23 / 11 | $32.534,50 | 163 / 10 | $6.210,06 | 14 / 2 | $5.065,35 | 14 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 22 | $106.253,00 | 557 / 23 | $23.285,70 | 221 / 25 | $17.346,30 | 220 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 48 | 148 / 24 | $73.289,20 | 746 / 28 | $16.491,90 | 459 / 54 | $10.538,00 | 457 / 20 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 13 | 32 / 9 | $125.952,00 | 214 / 14 | $27.947,90 | 171 / 15 | $19.730,90 | 170 / 11 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 14 | $70.932,50 | 354 / 16 | $10.973,10 | 216 / 3 | $9.844,36 | 216 / 12 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 16 | 79 / 15 | $70.197,50 | 262 / 10 | $12.541,90 | 119 / 6 | $10.224,50 | 117 / 3 |
Peripheral Vascular Disorders W Cc | 33 | 51 / 13 | $21.705,90 | 486 / 23 | $5.328,03 | 158 / 4 | $4.544,27 | 158 / 8 |
Peripheral Vascular Disorders W Mcc | 22 | 27 / 7 | $29.368,50 | 188 / 8 | $9.393,55 | 19 / 22 | $6.176,27 | 19 / 1 |
Peritoneal Adhesiolysis W Cc | 11 | 28 / 8 | $89.749,10 | 223 / 11 | $14.639,50 | 124 / 3 | $13.622,70 | 124 / 6 |
Permanent Cardiac Pacemaker Implant W Cc | 31 | 46 / 6 | $74.079,00 | 551 / 27 | $18.649,90 | 182 / 38 | $13.953,00 | 182 / 5 |
Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 9 | $85.829,90 | 246 / 11 | $20.678,10 | 123 / 5 | $19.751,40 | 123 / 8 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 20 | 37 / 7 | $53.966,90 | 319 / 11 | $14.414,80 | 86 / 20 | $10.615,70 | 86 / 2 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 8 | $31.271,00 | 379 / 4 | $8.003,14 | 189 / 2 | $7.213,43 | 188 / 5 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 12 | $16.269,60 | 354 / 7 | $3.708,62 | 205 / 5 | $3.143,69 | 204 / 12 |
Postoperative & Post-Traumatic Infections W/O Mcc | 19 | 35 / 6 | $26.364,50 | 229 / 8 | $8.497,68 | 29 / 12 | $4.497,63 | 29 / 2 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 49 | $41.891,10 | 1564 / 68 | $8.120,64 | 92 / 43 | $5.657,86 | 92 / 2 |
Pulmonary Embolism W/O Mcc | 23 | 51 / 17 | $25.944,20 | 689 / 28 | $5.286,22 | 100 / 2 | $4.333,87 | 100 / 4 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 23 | $37.295,50 | 635 / 39 | $7.332,86 | 83 / 11 | $6.066,29 | 83 / 1 |
Red Blood Cell Disorders W/O Mcc | 28 | 115 / 30 | $24.207,10 | 1207 / 62 | $5.344,29 | 315 / 46 | $3.776,96 | 314 / 14 |
Renal Failure W Cc | 113 | 108 / 15 | $25.860,00 | 1482 / 63 | $5.695,70 | 279 / 16 | $4.514,21 | 277 / 11 |
Renal Failure W Mcc | 68 | 127 / 22 | $49.401,70 | 1569 / 81 | $10.308,80 | 1207 / 54 | $9.453,91 | 1207 / 59 |
Renal Failure W/O Cc/Mcc | 14 | 42 / 12 | $21.082,90 | 584 / 21 | $3.604,64 | 67 / 2 | $2.560,36 | 66 / 2 |
Respiratory Infections & Inflammations W Cc | 37 | 51 / 8 | $32.122,90 | 756 / 31 | $8.301,68 | 189 / 20 | $6.739,65 | 188 / 8 |
Respiratory Infections & Inflammations W Mcc | 55 | 81 / 15 | $56.481,50 | 1203 / 51 | $11.713,80 | 719 / 24 | $10.963,80 | 711 / 31 |
Respiratory Neoplasms W Cc | 12 | 35 / 15 | $50.909,50 | 399 / 29 | $6.883,25 | 83 / 6 | $5.963,92 | 82 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 30 | $70.233,30 | 1150 / 58 | $16.267,00 | 304 / 59 | $11.907,00 | 301 / 11 |
Seizures W Mcc | 17 | 49 / 15 | $37.744,50 | 316 / 13 | $8.645,29 | 95 / 4 | $7.668,88 | 95 / 4 |
Seizures W/O Mcc | 22 | 86 / 23 | $23.767,30 | 727 / 40 | $5.536,55 | 105 / 40 | $3.315,23 | 105 / 6 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 20 | 72 / 14 | $164.076,00 | 604 / 34 | $44.801,30 | 359 / 40 | $34.111,50 | 358 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 232 | 284 / 28 | $55.413,70 | 1964 / 75 | $11.993,60 | 1217 / 45 | $10.500,40 | 1197 / 42 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 81 | 126 / 15 | $31.937,00 | 1728 / 64 | $6.526,23 | 466 / 21 | $5.167,78 | 464 / 14 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 14 | 33 / 9 | $29.639,70 | 284 / 19 | $4.158,14 | 21 / 4 | $3.107,86 | 21 / 1 |
Signs & Symptoms W/O Mcc | 30 | 61 / 12 | $20.053,90 | 657 / 24 | $4.648,43 | 143 / 25 | $3.099,03 | 143 / 8 |
Simple Pneumonia & Pleurisy W Cc | 111 | 92 / 11 | $30.420,10 | 1968 / 83 | $5.835,71 | 610 / 15 | $4.748,11 | 607 / 19 |
Simple Pneumonia & Pleurisy W Mcc | 71 | 134 / 27 | $46.120,80 | 1795 / 74 | $8.818,30 | 1097 / 29 | $7.982,58 | 1097 / 48 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 18 | $20.324,60 | 1223 / 56 | $4.473,78 | 172 / 27 | $2.850,50 | 170 / 7 |
Spinal Fusion Except Cervical W/O Mcc | 32 | 162 / 28 | $122.924,00 | 952 / 37 | $33.556,90 | 556 / 48 | $22.164,40 | 553 / 19 |
Stomach, Esophageal & Duodenal Proc W Cc | 12 | 38 / 8 | $69.136,70 | 109 / 3 | $15.976,80 | 65 / 1 | $15.145,20 | 65 / 4 |
Syncope & Collapse | 64 | 105 / 13 | $25.473,30 | 1238 / 63 | $4.293,34 | 220 / 11 | $3.227,94 | 219 / 11 |
Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 9 | $27.364,10 | 224 / 14 | $4.894,64 | 80 / 3 | $4.120,09 | 80 / 9 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 12 | $236.709,00 | 220 / 11 | $59.648,70 | 194 / 8 | $58.693,60 | 194 / 10 |
Transient Ischemia | 20 | 105 / 34 | $27.099,60 | 1057 / 53 | $4.084,60 | 221 / 9 | $3.047,60 | 221 / 12 |
Transurethral Procedures W Cc | 15 | 26 / 8 | $48.041,00 | 269 / 22 | $13.042,50 | 14 / 27 | $5.693,40 | 14 / 1 |
Transurethral Prostatectomy W/O Cc/Mcc | 14 | 15 / 1 | $29.930,10 | 56 / 4 | $7.824,93 | 4 / 5 | $2.859,14 | 4 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 20 | 46 / 8 | $27.279,20 | 205 / 5 | $9.791,75 | 2 / 24 | $4.452,30 | 2 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 19 | 35 / 6 | $20.402,20 | 173 / 4 | $5.649,89 | 23 / 13 | $3.071,42 | 23 / 6 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 13 | 30 / 6 | $82.148,00 | 85 / 5 | $16.249,60 | 32 / 1 | $15.580,90 | 32 / 1 | Total 134 procedures | 4.922 | 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.